Patient and Clinician Perceptions about Remote Video Visits for Musculoskeletal Problems: A Qualitative Study

Document Type : RESEARCH PAPER


1 Dell Medical School Austin, The University of Texas at Austin, TX, USA

2 Department of Psychiatry, Dell Medical School Austin, TX, USA


Background: An understanding of patient and clinician opinions about remote video musculoskeletal consultations
might help determine how to increase appeal and utilization. The purpose of this study was to evaluate perceptions of
remote video musculoskeletal consultations. Our research questions was what are patient and clinician facilitators and
barriers for the use of remote video consultations?
Methods: Prior to the COVID-19 pandemic 27 English speaking adult patients seeking ambulatory care for a
musculoskeletal problem, and 10 English-speaking musculoskeletal clinicians were interviewed using a guide.
Interviews were audio-recorded, transcribed, and coded using applied thematic analysis.
Results: Patient and clinician incentives for remote video consultations included increased convenience, lower costs,
less waiting time, and a better experience. Patient and clinician barriers to remote video consultations included concerns
about familiarity with technology, lack of personal interaction and physical examination, inability to perform procedures,
difficulties with reimbursement (clinicians), as well as technical, logistical, and privacy issues.
Conclusion: This qualitative study performed prior to the pandemic found that adoption of remote video consultation for
musculoskeletal problems may improve with seamless, efficient, and effective care, at an affordable price, particularly if
the human connection is similar to what occurs in person.
Level of evidence: Not applicable


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