Survey of Clinicians' Experiences with Telemedicine Tools During Covid-19

An elderly man speaking to a doctor over a videoconferencing program on a laptop. What aspects of telemedicine appointments can go better than in-person visits?

Which tend to go less well?

What clever innovations do clinicians use to deliver high quality care using telemedicine?

Share your experiences and compare them to those of your colleagues -- at the end of the survey you will see the responses of other clinicians. 106 of your colleagues have responded so far.

Proceed if you are a clinician (e.g., a doctor, a nurse practitioner, a therapist) who conducts clinical appointments with outpatients.

This survey takes 5-15 minutes depending on how many questions you choose to answer (all are optional). You can take it on a computer, a tablet or a phone.

This survey is conducted by researchers at Harvard and at the Massachusetts General Hospital to inform the design of future telemedicine tools.

 
Tell your colleagues about this study!

General questions

All questions are optional but please answer as many of them as you can. The open-ended questions are particularly important because any thoughts and examples you share will help us identify the most pressing needs for improving telemedicine technologies.

In what country do you currently practice medicine?

What is your clinical role?

 

What is your medical specialty?

How many years of clinical care experience do you have? (Inclusive of clinical training years, e.g. residency)

What best describes your clinical practice?

Check all that apply.

 

What best describes the setting of your clinical practice?

Check all that apply.

 

To better understand your specific patient population within your clinical specialty, please list one or more of the most common diagnoses that you manage in the outpatient setting.

In 2019 (prior to Covid-19) how frequently did you use telemedicine tools for your scheduled clinical appointments (in place of in-person visit)?

Since Covid-19, how are you conducting your scheduled clinical appointments?

Check all that apply.

 

You said that you cancelled or deferred some clinical appointments because of the inability to meet in person. Why did you decide that telemedicine solutions (including phone call) were not adequate for those appointments?

We read all responses we receive. Specific examples are particularly valuable.

Next

Your general experiences with virtual clinical appointments

All questions in this survey are optional.

Since Covid-19, what (if any) telemedicine technologies have you used in place of in-person appointments?

Check all that apply.

 

Which type of patient appointments have you used telemedicine for?

Check all that apply.

 

How did you decide which telemedicine technologies to use for your appointments

Check all that apply.

 

Compared to in-person visits, how was the overall quality of care you were able to provide using each of the following technologies during Covid-19?

Much worseMuch better
voice-only calls
video calls from your phone
video calls from your tablet or computer
other technology

Prior to Covid-19, what was your attitude toward using telemedicine services as a tool for conducting scheduled clinical appointments in your specialty?

And now what is your attitude toward using telemedicine services as a tool for conducting scheduled clinical appointments in your specialty?

Compared to how much you used telemedicine tools previously, how much do you plan to use telemedicine tools after the Covid-19 pandemic?

Have you received feedback from your patients about their experiences receiving care using telemedicine technologies?

Specific examples are particularly valuable.

What innovations or special strategies (if any) do you and your colleagues use to make appointments as good as possible despite the limitations of the technology?

In your general experience, what aspects of care are harder to deliver well using telemedicine tools (compared to in-person appointments)? Why?

If you can, please share specific examples.

In your general experience, what aspects of care are easier to deliver well using telemedicine tools (compared to in-person appointments)? Why?

Next

Questions about a recent virtual clinical appointment

Please think of a specific recent clinical appointment you conducted remotely. An appointment that is representative of your experiences with telemedicine tools.

Please answer the following questions in the context of that appointment.
You may choose to skip all or parts of this section.

Approximately, how many days ago was that appointment?

Select 0 if it was today.

Which type of patient appointments was it?

 

What telemedicine technologies did you use for this appointment?

Check all that apply.

 

Compared to a typical in-person visit, how well did different parts of the appointment go?

We want to better understand what works and does not work when conducting a clinical appointment using telemedicine tools.

Much worseMuch betterNot applicable
Initiating contact (rooming)
Identifying patient agenda
Taking patient history
Examination
Review of additional data (labs, imaging)
Formulating assessment/diagnosis
Communicating assessment/diagnosis to patient
Formulating treatment/management plan
Communicating plan to patient
Addressing patient concerns
Documenting appointment
Placing orders
Writing prescriptions

What was the most important part of the appointment for this patient visit? Were telemedicine tools able to adequately support that component of the visit?

Specific examples are particularly helpful.

At the end of the visit, how confident were you in your final assessment, diagnosis and/or plan?

For those aspects of the appointment that went worse than a typical in-person visit, what got in the way?

Please share both your own concerns and those voiced by the patient.

For those aspects of the appointment that went better than a typical in-person visit, what worked particularly well?

Please share both your own thoughts and those voiced by the patient.

What innovations or special strategies (if any) did you use to overcome limitations of the technology during the visit?

Please share any additional thoughts you have regarding this appointment

Next

Final questions

While completing this survey, did you encounter any technical difficulties or interruptions that might have affected the completeness or quality of answers you were able to provide?

Please help us understand what happened

What is your biggest wish regarding the future of telemedicine appointments?

Our team comprises of designers, technologists, and clinicians. Assuming that we are really amazing at what we do, what aspect of remote care would you like us to focus on first? What would make the biggest difference to you and your patients?

Do you have any other comments for the researchers?

Next
 

Thank you!

Thank you for sharing your thoughts and experiences. Below you can see the results we have collected so far.

Please consider sharing this survey with your colleagues

You can give them this URL: telemedicinesurvey.org or use social media
We are particularly keen to hear from clinicians practicing in rural settings.

Results

Notes on the results:

Survey results will be shown here in a moment.
 

Welcome back!

Thank you for sharing your thoughts and experiences. Below you can see the results we have collected so far.

Please consider sharing this survey with your colleagues

You can give them this URL: telemedicinesurvey.org or use social media
This survey is open to clinicians from anywhere in the world. We are particularly keen to hear from clinicians practicing in rural settings!

Results

Notes on the results:

Survey results will be shown here in a moment.