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Published in: BMC Primary Care 1/2016

Open Access 01-12-2016 | Research article

Patient satisfaction with a teleradiology service in general practice

Authors: Jac J. W. M. Jacobs, Rianne Ekkelboom, Jan P. A. M. Jacobs, Thys van der Molen, Robbert Sanderman

Published in: BMC Primary Care | Issue 1/2016

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Abstract

Background

Accessibility to secondary health services is not always easy for patients who live at a great distance of hospital. In these circumstances, transferring diagnostic tools and treatment options to primary care could prove beneficial for patients. To do so, the quality of medical care and the costs and benefits of the approach need to be assessed. However, the patient perspective is equally important, offering important insights.

Methods

In a cross-sectional study we investigate the satisfaction of patients toward a new teleradiology facility offered a general practice on Ameland, an island in the Netherlands.
A questionnaire was created based on the Dutch version of the Patient Satisfaction Questionnaire III and completed by all patients after receiving an x-ray in primary care between June 1, 2007 and June 1, 2009. Those who received more than one x-ray in that period were included only once. The technical and interpersonal skills of doctors were rated out the sum score of the questionnaire namely 25 and 30, respectively. Analysis of variance (ANOVA) was used to analyze the differences between the means of the satisfaction subscales and the patient characteristics.

Results

The response proportion was after reminder 65 % (381/587 patients). Satisfaction with the technical skills of the doctor providing the teleradiology service was 22.4 ± 3.7, while satisfaction with the interpersonal skills of the doctor during the diagnostic phase was 26.8 ± 3.8. Island residents, the elderly, and those with no history of trauma were more satisfied with the technical and interpersonal aspects of the consultation than non-residents, younger patients, and those with a history of trauma.

Conclusion

Patients in the island community of Ameland experienced high levels of satisfaction with the teleradiology service offered in primary care.
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Literature
1.
go back to reference Wistow G. Decentralisation from acute to home care settings in England. Health Policy. 1997;41:suppl:91–108.CrossRef Wistow G. Decentralisation from acute to home care settings in England. Health Policy. 1997;41:suppl:91–108.CrossRef
2.
go back to reference Robberts E, Mays N. Can primary care and community based models of emergency care substitute for the Hospital Accident and Emergency (A & E) Department? Health Policy. 1998;44(3):191–214.CrossRef Robberts E, Mays N. Can primary care and community based models of emergency care substitute for the Hospital Accident and Emergency (A & E) Department? Health Policy. 1998;44(3):191–214.CrossRef
3.
go back to reference Starfield B, Shi L. Policy relevant determinants of health: an international perspective. Health Policy. 2002;60(3):201–18.CrossRefPubMed Starfield B, Shi L. Policy relevant determinants of health: an international perspective. Health Policy. 2002;60(3):201–18.CrossRefPubMed
4.
go back to reference Norum J, Pedersen S, Stormer J, Rumpsfeld M, Stormao A, Janissen N, Sunde H, Ingebrigtsen T, Larsen ML. Prioritisation of telemedicine services for large scale implementation in Norway. J Telemed Telecare. 2007;13:185–92. Norum J, Pedersen S, Stormer J, Rumpsfeld M, Stormao A, Janissen N, Sunde H, Ingebrigtsen T, Larsen ML. Prioritisation of telemedicine services for large scale implementation in Norway. J Telemed Telecare. 2007;13:185–92.
5.
go back to reference Ekeland AG, Bowes A, Flottorp S. Effectiveness of telemedicine: a systematic review of reviews. Int J Med Inform. 2010;79:736–71.CrossRefPubMed Ekeland AG, Bowes A, Flottorp S. Effectiveness of telemedicine: a systematic review of reviews. Int J Med Inform. 2010;79:736–71.CrossRefPubMed
6.
go back to reference Mun SK, Tohne WG, Platenberg RC, Choi I. Teleradiology and emerging business models. J Telemed Telecare. 2005;11(6):271–5.CrossRefPubMed Mun SK, Tohne WG, Platenberg RC, Choi I. Teleradiology and emerging business models. J Telemed Telecare. 2005;11(6):271–5.CrossRefPubMed
7.
go back to reference Johansen I. Experience with teleradiology in general practice in Oppland. Idsskr Nor Laegeforen. 2000;120(16):1896–8. Johansen I. Experience with teleradiology in general practice in Oppland. Idsskr Nor Laegeforen. 2000;120(16):1896–8.
8.
go back to reference Knop FK, Staunting JA. The benefits of diagnostic imaging in general practice. Ugeskr Laeger. 2006;2:794–8. Knop FK, Staunting JA. The benefits of diagnostic imaging in general practice. Ugeskr Laeger. 2006;2:794–8.
9.
go back to reference Backman W, Bendel D, Rakhit R. The telecardiology revolution: improving the management of cardiac disease in primary care. J R Soc Med. 2010;103:442–6.CrossRefPubMedPubMedCentral Backman W, Bendel D, Rakhit R. The telecardiology revolution: improving the management of cardiac disease in primary care. J R Soc Med. 2010;103:442–6.CrossRefPubMedPubMedCentral
10.
go back to reference van der Heijden JP, de Keizer NF, Bos JD, Spuls PI, Witkamp L. Teledermatology applied following patient selection by general practitioner in daily practice improves efficiency and quality of care at lower costs. Br J Dermat. 2011;165:1058–65.CrossRef van der Heijden JP, de Keizer NF, Bos JD, Spuls PI, Witkamp L. Teledermatology applied following patient selection by general practitioner in daily practice improves efficiency and quality of care at lower costs. Br J Dermat. 2011;165:1058–65.CrossRef
11.
go back to reference Jacobs JJWM, Jacobs JPAM, Wiersma D, Sanderman R. Teleradiology in the general practice at Ameland: a benefit cost analysis (Dutch). Ned Tijdschr Geneesk. 2012;156:A5428. Jacobs JJWM, Jacobs JPAM, Wiersma D, Sanderman R. Teleradiology in the general practice at Ameland: a benefit cost analysis (Dutch). Ned Tijdschr Geneesk. 2012;156:A5428.
12.
go back to reference Jacobs JJWM, Jacobs JPAM, van Sonderen F, van der Molen T, Sanderman R. Fracture diagnostics, unnecessary travel and treatment: a comparative study before and after the introduction of teleradiology in a remote general practice. BMC Fam Pract. 2015;16(1):53.CrossRefPubMedPubMedCentral Jacobs JJWM, Jacobs JPAM, van Sonderen F, van der Molen T, Sanderman R. Fracture diagnostics, unnecessary travel and treatment: a comparative study before and after the introduction of teleradiology in a remote general practice. BMC Fam Pract. 2015;16(1):53.CrossRefPubMedPubMedCentral
13.
go back to reference Marshall GN, Hays RD, Sherbourne CD, Wells KB. The structure of patient satisfaction with outpatient medical care. Psychol Assess. 1993;5(4):477–83.CrossRef Marshall GN, Hays RD, Sherbourne CD, Wells KB. The structure of patient satisfaction with outpatient medical care. Psychol Assess. 1993;5(4):477–83.CrossRef
14.
go back to reference Aoki N, Dunn K, Johnson-Throop KA, Turley JP. Outcomes and methods in telemedicine evaluation. Telemed J E Health. 2003;9(4):393–401.CrossRefPubMed Aoki N, Dunn K, Johnson-Throop KA, Turley JP. Outcomes and methods in telemedicine evaluation. Telemed J E Health. 2003;9(4):393–401.CrossRefPubMed
15.
go back to reference Whitten P, Love B. Patient and provider satisfaction with the use of telemedicine: overview and rationale for cautious enthusiasm. J Postgrad Med. 2005;51(4):294–300.PubMed Whitten P, Love B. Patient and provider satisfaction with the use of telemedicine: overview and rationale for cautious enthusiasm. J Postgrad Med. 2005;51(4):294–300.PubMed
17.
go back to reference Whited JD, Hall RP, Foy ME, Marbrey LE, Grambow SC, Dudley TK, Datta SK, Simel DL, Oddone EZ. Patient and clinician satisfaction with a store-and-forward teledermatology consult system. Telemed J E Health. 2004;10(4):422–31. Whited JD, Hall RP, Foy ME, Marbrey LE, Grambow SC, Dudley TK, Datta SK, Simel DL, Oddone EZ. Patient and clinician satisfaction with a store-and-forward teledermatology consult system. Telemed J E Health. 2004;10(4):422–31.
19.
go back to reference Demiris G, Speedie SM, Hicks LL. Assessment of patients’ acceptance of and satisfaction with teledermatology. J Med Syst. 2004;28(6):575–9.CrossRefPubMed Demiris G, Speedie SM, Hicks LL. Assessment of patients’ acceptance of and satisfaction with teledermatology. J Med Syst. 2004;28(6):575–9.CrossRefPubMed
20.
go back to reference Iseli MA, Kunz R, Blozik E. Instruments to assess patient satisfaction after teleconsultation and triage: a systematic review. Patient Prefer Adherence. 2014;8:893–907. Iseli MA, Kunz R, Blozik E. Instruments to assess patient satisfaction after teleconsultation and triage: a systematic review. Patient Prefer Adherence. 2014;8:893–907.
21.
go back to reference Grogan S, Norman P, Willits D, Porter I. Validation of a questionnaire measuring patient satisfaction with general practitioner services. Qual Health Care. 2000;9(4):210–5.CrossRefPubMedPubMedCentral Grogan S, Norman P, Willits D, Porter I. Validation of a questionnaire measuring patient satisfaction with general practitioner services. Qual Health Care. 2000;9(4):210–5.CrossRefPubMedPubMedCentral
22.
go back to reference Rahmquist M. Patient satisfaction in relation to age, health status and other background factors: a model for comparisons of care units. Int J Qual Health Care. 2001;13(5):385–90.CrossRef Rahmquist M. Patient satisfaction in relation to age, health status and other background factors: a model for comparisons of care units. Int J Qual Health Care. 2001;13(5):385–90.CrossRef
23.
go back to reference Campbell JL, Ramsay J, Green J. Age, sex, socioeconomic, and ethnic differences in patients’ assessments of primary health care. Qual Health Care. 2001;10:90–5.CrossRefPubMedPubMedCentral Campbell JL, Ramsay J, Green J. Age, sex, socioeconomic, and ethnic differences in patients’ assessments of primary health care. Qual Health Care. 2001;10:90–5.CrossRefPubMedPubMedCentral
24.
go back to reference Jung HP, Baerveldt C, Olesen F, Grol R, Wensing M. Patient characteristics as predictors of primary health care preferences: a systematic literature analysis. Health Expect. 2003;6:160–81.CrossRefPubMedPubMedCentral Jung HP, Baerveldt C, Olesen F, Grol R, Wensing M. Patient characteristics as predictors of primary health care preferences: a systematic literature analysis. Health Expect. 2003;6:160–81.CrossRefPubMedPubMedCentral
25.
go back to reference Howard M, Goertzen J, Hutchison B, Kaczorowski J, Morris K. Patient satisfaction with care for urgent health problems: a survey of family practice patients. Ann Fam Med. 2007;5(5):419–24.CrossRefPubMedPubMedCentral Howard M, Goertzen J, Hutchison B, Kaczorowski J, Morris K. Patient satisfaction with care for urgent health problems: a survey of family practice patients. Ann Fam Med. 2007;5(5):419–24.CrossRefPubMedPubMedCentral
26.
go back to reference Hagedoorn M, Uijl SG, Van Sonderen E, Ranchor A, Grol BMF, Otter R, Krol B, Van den Heuvel W, Sanderman R. Structure and reliability of Ware’s patient satisfaction questionnaire III. Patients’ satisfaction with oncological care in the Netherlands. Med Care. 2003;41(2):254–63. Hagedoorn M, Uijl SG, Van Sonderen E, Ranchor A, Grol BMF, Otter R, Krol B, Van den Heuvel W, Sanderman R. Structure and reliability of Ware’s patient satisfaction questionnaire III. Patients’ satisfaction with oncological care in the Netherlands. Med Care. 2003;41(2):254–63.
27.
go back to reference Salisbury C, Wallace M, Montgomery AA. Patients ‘experience and satisfaction in primary care: secondary analysis using multilevel modelling. BMJ. 2010;341:c5004.CrossRefPubMedPubMedCentral Salisbury C, Wallace M, Montgomery AA. Patients ‘experience and satisfaction in primary care: secondary analysis using multilevel modelling. BMJ. 2010;341:c5004.CrossRefPubMedPubMedCentral
28.
go back to reference Delnoij D, Ten Asbroek G, Arah O, De Koning J, Stam P, Poll A, Vriens B, Schmidt P, Klazinga N. Made In USA: The Import of American Consumer Assessment of Health Plan Surveys (CAHPS) into the Dutch Social Insurance System. Eur J Public Health. 2006;16(6):652–9. Delnoij D, Ten Asbroek G, Arah O, De Koning J, Stam P, Poll A, Vriens B, Schmidt P, Klazinga N. Made In USA: The Import of American Consumer Assessment of Health Plan Surveys (CAHPS) into the Dutch Social Insurance System. Eur J Public Health. 2006;16(6):652–9.
29.
go back to reference Hankins M, Fraser A, Hodson A, Hooley C, Smith H. Measuring patient satisfaction for the quality and outcomes framework. Br J Gen Pract. 2007;57:737–40.CrossRefPubMedPubMedCentral Hankins M, Fraser A, Hodson A, Hooley C, Smith H. Measuring patient satisfaction for the quality and outcomes framework. Br J Gen Pract. 2007;57:737–40.CrossRefPubMedPubMedCentral
30.
go back to reference Damman OC, Hendriks M, Sixma HJ. Towards more patient centered healthcare: a new consumer quality index instrument to assess patients’ experiences with breast care. Eur J Cancer. 2009;45:1569–77.CrossRefPubMed Damman OC, Hendriks M, Sixma HJ. Towards more patient centered healthcare: a new consumer quality index instrument to assess patients’ experiences with breast care. Eur J Cancer. 2009;45:1569–77.CrossRefPubMed
31.
go back to reference Berendsen AJ, Groenier KH, De Jong GM, Meyboom-de Jong B, Van der Veen WJ, Dekker J, De Waal MWM, Schuling J. Assessment of patient’s experiences across the interface between primary and secondary care: consumer quality index continuum of care. Patient Educ Couns. 2009;77:123–7. Berendsen AJ, Groenier KH, De Jong GM, Meyboom-de Jong B, Van der Veen WJ, Dekker J, De Waal MWM, Schuling J. Assessment of patient’s experiences across the interface between primary and secondary care: consumer quality index continuum of care. Patient Educ Couns. 2009;77:123–7.
32.
go back to reference Meuwissen LE, De Bakker DH. Consumer quality’-index ‘general practice care’ measures patients’ experiences and compares general practices with each other (Dutch). Ned Tijdschr Geneesk. 2009;153:A180. Meuwissen LE, De Bakker DH. Consumer quality’-index ‘general practice care’ measures patients’ experiences and compares general practices with each other (Dutch). Ned Tijdschr Geneesk. 2009;153:A180.
Metadata
Title
Patient satisfaction with a teleradiology service in general practice
Authors
Jac J. W. M. Jacobs
Rianne Ekkelboom
Jan P. A. M. Jacobs
Thys van der Molen
Robbert Sanderman
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2016
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/s12875-016-0418-y

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