Patient-Reported Experiences and Outcomes of Virtual Care During COVID-19: A Systematic Review Passed
Tuesday May 14, 2024 15:44 - 16:30 Poster Arena
Presenter: Maria J. Santana
Track: Posters, Pandemic preparedness and responses
Poster can be found in location 52.
Introduction: The onset of COVID-19 has caused an international upheaval of traditional in- person approaches to care delivery. Rapid system-level transitions to virtual care provision restrict the ability of healthcare professionals to evaluate care quality from the patient's perspective. This poses challenges to ensuring that patient-centered care is upheld within virtual environments. The study aimed to review how virtual care has impacted patient experiences and outcomes during COVID-19, using patient-reported experience and outcome measures (PREMs and PROMs). Methods: A systematic review was conducted in accordance with the PRISMA checklist to evaluate patient responsiveness to virtual care during COVID-19. The search strategy was run in MEDLINE, CINAHL, EMBASE, and PsychInfo databases between January 2020 and 2022. Based on a prior set of inclusion/exclusion criteria, two reviewers independently reviewed the Title, abstracts, and full texts for eligibility. Data were abstracted using a standardized form. A patient partner was consulted throughout the study and co-conducted the review. Results: Of the 7187 evidence sources identified, 644 were reviewed in full text, and 102 studies were included in this study. The included studies were predominantly cross-sectional and reported on virtual care delivery in specialized adult outpatient settings. This review identified 29 validated PREMs and 43 PROMs. Several advantages to virtual care were identified, with patients citing greater convenience (saving travel time and cost, less waiting experienced to see care providers) and increased protection from viral spread. Studies also reported challenges patients and caregivers faced with virtual care, including feeling rushed during the virtual care appointment, lack of physical contact or examination presenting barriers, difficulty communicating symptoms, and technology issues. Conclusion: This review provides a comprehensive overview of virtual care experiences from patient and caregiver perspectives during the pandemic. Further research into healthcare professionals’ perspectives would offer a supportive lens toward a strong person-centered healthcare system.
Seminar type
Poster
Conference
GCPCC
Authors
Bishnu Bajgain, Sarah Rabi, Sadia Ahmed, Veronika Kiryanova, Paul Fairie, Maria Santana
Lecturers
Maria J. Santana Presenter
Cumming School of Medicine, University of Calgary
Dr. Maria J. Santana is a health services researcher, patient and family-centred care scientist, Professor in the departments of Pediatrics and Community Health Sciences at the Cumming School of Medicine, University of Calgary, Canada.
Dr. Santana has received training in clinical pharmacy (BPharm, MPharm, London School of Pharmacy, UK, Universidad La Laguna, Spain), public health and clinical epidemiology (PhD, University of Alberta, Canada).
She is the provincial director, Patient Engagement for the Alberta Strategy for Patient-oriented Research (https://absporu.ca/patient-engagement-2/ ). She is the principal investigator for the Person-centred Care Research Team, https://cumming.ucalgary.ca/research/person-centred-care and the academic director of the Patient and Community Engagement in Research, PaCER, https://www.ucalgary.ca/patient-community-engagement-research .
In 2023, she received the President Award by the International Society for Quality of Life Research. Recently, she has collaborated in three major international initiatives: World Health Organization - Patient Engagement: Technical Series on Safer Primary Care; Pan-American Health Organization – World Hypertension League Hypertension Monitoring and Evaluation Framework to aid Hypertension Control Programs; and the International Consortium for Health Outcome Measurement Adult Diabetes. She is a scientific advisor for the Gothenburg Person-centred Centre, University of Gothenburg, Sweden.