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Kidney Week

Abstract: PO2405

Comparing Telenephrology (TN) vs. Face-to-Face (F2F) Visits: A Comprehensive Outpatient Nephrology Patient Perspective-Based Cohort Study

Session Information

Category: CKD (Non-Dialysis)

  • 2102 CKD (Non-Dialysis): Clinical, Outcomes, and Trials

Authors

  • Androga, Lagu A., Mayo Clinic Minnesota, Rochester, Minnesota, United States
  • Amundson, Rachel H., Mayo Clinic Minnesota, Rochester, Minnesota, United States
  • Manohar, Sandhya, Mayo Clinic Minnesota, Rochester, Minnesota, United States
  • Thorsteinsdottir, Bjoerg, Mayo Clinic Minnesota, Rochester, Minnesota, United States
  • Zoghby, Ziad, Mayo Clinic Minnesota, Rochester, Minnesota, United States
  • Norby, Suzanne M., Mayo Clinic Minnesota, Rochester, Minnesota, United States
  • Garovic, Vesna D., Mayo Clinic Minnesota, Rochester, Minnesota, United States
  • Albright, Robert C., Mayo Clinic Minnesota, Rochester, Minnesota, United States
Background

Little is known about patient perspectives on the quality of care provided via TN compared to F2F visits. We aimed to use objective survey data to study patients’ perspectives on outpatient nephrology care received via TN (phone and video) versus F2F visits

Methods

We retrospectively studied adults who received outpatient nephrology care at Mayo Clinic, Rochester, MN, from March 1st - July 31st 2020. We used a standardized structured survey methodology to evaluate patient satisfaction across TN versus F2F visits. The primary outcome was the percent of patients who responded with a composite of a score of good (4) or very good (5) on a 5-point Likert scale on survey questions that asked their perspectives with regard to access to their nephrologist, their relationship with care provider, and when relevant – their opinions on the telenephrology technology, and their overall assessment of the care they received during the nephrology visit. Wilcoxon rank sum tests and chi-square tests were used as appropriate to compare telenephrology versus face-to-face visits

Results

3,486 of the patient encounters were face-to-face, 808 via phone and 317 via video. 443 patients responded to satisfaction surveys, and 21% of these had TN encounters. Established patients made up 79.6% of TN and 60.9% of F2F visits. There was no statistically significant difference in patient perceived access to health care, satisfaction with their care provider, or overall quality of care between patients who received care via TN versus F2F

Conclusion

Patient satisfaction was equally high amongst those patients seen face-to-face or via telenephrology

Patient Responses to Press Ganey/ Mayo Clinic Survey