E-appointments at primary care physicians during Covid-19 pandemic: viewpoint and satisfaction of medical consumers
Keywords:e-appointments, eHealth systems, primary health care, walk-in method, Covid-19 pandemic, medical consumer satisfaction
INTRODUCTION: Use of e-appointment systems in primary care (EASPC) is a common practice in western countries, however, there is no evidence of implementation in R. N. Macedonia and other similar countries in development.
OBJECTIVES: This study explores the viewpoints and satisfaction of medical consumers (MC) on EASPC, and the impact of Covid-19 global pandemic concerning their appointments at primary care physicians.
METHODS: A survey on MC above the age of 15 years was conducted in July 2020. The results were analysed in SPSS 23.
RESULTS: The majority of participants were in favour on implementing an EASPC despite their neutral satisfaction with the walk-in method. Furthermore, they were confident in its effectiveness in the fight against spreading of Covid-19.
CONCLUSION: The MC opinion and satisfaction is crucial when developing health care systems and their implementation as a mix of services. For the system to succeed, it must be financed and supported adequately and as such, further research is necessary to explore a real-time EASPC usage.
Cao W, Wan Y, Tu H. et al. A web-based appointment system to reduce waiting for outpatients: A retrospective study. BMC Health Serv Res. 2011 Nov 22; 11(318). doi: 10.1186/1472-6963-11-318
Akintomide AO, Ukweh ON, Efanga SA. An audit of the appointment booking system and patient waiting time in an ultrasound unit in Nigeria: A need to eliminate congestion in our public hospitals. J Family Med Prim Care. 2019 Jun; 8(6): 2055-2060. doi: 10.4103/jfmpc.jfmpc_235_19. PMID: 31334179; PMCID: PMC6618229.
WHO Regional Office for Europe: Primary health care organization, performance and quality in North Macedonia, pp. 24. WHO Regional Office for Europe, Copenhagen, 2019. [accessed 2020 Apr 10]. http://www.euro.who.int/en/countries/north-macedonia/publications/primary-health-care-organization,-performance-and-quality-in-north-macedonia-2019.
Health Insurance Fund of Republic of North Macedonia, [accessed 2020 Apr 04]. http://www.fzo.org.mk/default.asp?ItemID=2F6E5A69811CF34EAC37E0307A7541F7.
Ministry of Health, [accessed 2020 Apr 26]. http://zdravstvo.gov.mk/moj-termin-opsti-informacii/.
Al-Haqwi AI, Al-Shehri AM. Appointment system in primary care: opinion of consumers and providers. J Family Community Med. 2007 Sep; 14(3): 99-102. PMID: 23012154; PMCID: PMC3410158.
Gupta D, Denton B. Appointment scheduling in health care: Challenges and opportunities. IIE Transactions. 2008 Jul 17; 40(9): 800–819. doi: 10.1080/07408170802165880
Siddiqui Z, Rashid R. Cancellations and patient access to physicians: ZocDoc and the evolution of e-medicine. Dermatol Online J. 2013 Apr 15; 19(4): 14. PMID: 24021373.
Zhao P, Yoo I, Lavoie J, Lavoie BJ, Simoes E. Web-Based Medical Appointment Systems: A Systematic Review. J Med Internet Res. 2017 Apr 26; 19(4): e134. doi: 10.2196/jmir.6747. PMID: 28446422; PMCID: PMC5425771.
Zhang X, Yu P, Yan J. Patients' adoption of the e-appointment scheduling service: A case study in primary healthcare. Stud Health Technol Inform. 2014; 204: 176-81. PMID: 25087546.
Cayirli T, Yang KK, Quek SA. A Universal Appointment Rule in the Presence of No-Shows and Walk-Ins. Production and Operations Management. 2012 Jul; 21(4): 682–697. doi: 10.1111/j.1937-5956.2011.01297.x
Parmar V, Large A, Madden C, Das V. The online outpatient booking system 'Choose and Book' improves attendance rates at an audiology clinic: a comparative audit. Inform Prim Care. 2009; 17(3): 183-6. doi: 10.14236/jhi.v17i3.733. PMID: 20074431.
Barghash M, Saleet H. Enhancing outpatient appointment scheduling system performance when patient no-show percent and lateness rates are high. Int J Health Care Qual Assur. 2018 May 14; 31(4): 309-326. doi: 10.1108/IJHCQA-06-2015-0072. PMID: 29790448.
Prakash B. Patient satisfaction. J Cutan Aesthet Surg. 2010 Sep; 3(3): 151-5. doi: 10.4103/0974-2077.74491. PMID: 21430827; PMCID: PMC3047732.
Chenl PS, Robielos RA, Palaña PK, Valencia PL, Chen GY. Scheduling Patients' Appointments: Allocation of Healthcare Service Using Simulation Optimization. J Healthc Eng. 2015;6(2):259-80. doi: 10.1260/2040-2222.214.171.1249. PMID: 26288890.
Ansell D, Crispo JAG, Simard B, Bjerre LM. Interventions to reduce wait times for primary care appointments: a systematic review. BMC Health Serv Res. 2017 Apr 20; 17(1): 295. doi: 10.1186/s12913-017-2219-y. PMID: 28427444; PMCID: PMC5397774.
Giannis D, Geropoulos G, Matenoglou E, Moris D. Impact of coronavirus disease 2019 on healthcare workers: beyond the risk of exposure. Postgraduate medical journal. 2021; 97(1147), 326–328. doi: 10.1136/postgradmedj-2020-137988.
Thornton J. Covid-19: how coronavirus will change the face of general practice forever. BMJ. 2020 Mar 30; 368: m1279. doi: 10.1136/bmj.m1279. PMID: 32229477.
Donaghy E, Atherton H, Hammersley V, McNeilly H, Bikker A, Robbins L, Campbell J, McKinstry B. Acceptability, benefits, and challenges of video consulting: a qualitative study in primary care. Br J Gen Pract. 2019 Aug 29; 69(686): e586-e594. doi: 10.3399/bjgp19X704141. PMID: 31160368; PMCID: PMC6617540.
Greenhalgh T, Koh GCH, Car J. Covid-19: a remote assessment in primary care. BMJ. 2020 Mar 25;368:m1182. doi: 10.1136/bmj.m1182. PMID: 32213507.
Arak P, Wójcik A. Transforming eHealth into a political and economic advantage, pp. 37-39. Polityka Insight, Warsaw, 2017. [accessed 2021 Nov 02]. https://www.politykainsight.pl/_resource/multimedium/20111291.
Pickin M, O'Cathain A, Sampson FC, Dixon S. Evaluation of advanced access in the national primary care collaborative. Br J Gen Pract. 2004 May;54(502):334-40. PMID: 15113514; PMCID: PMC1266165.
Goodall S, Montgomery A, Banks J, Salisbury C, Sampson F, Pickin M. Implementation of Advanced Access in general practice: postal survey of practices. Br J Gen Pract. 2006 Dec;56(533):918-23. PMID: 17132379; PMCID: PMC1934051.
Lattimer V, George S, Thompson F, Thomas E, Mullee M, Turnbull J, Smith H, Moore M, Bond H, Glasper A. Safety and effectiveness of nurse telephone consultation in out of hours primary care: randomised controlled trial. The South Wiltshire Out of Hours Project (SWOOP) Group. BMJ. 1998 Oct 17; 317 (7165): 1054 - 9. doi: 10.1136/bmj.317.7165.1054. PMID: 9774295; PMCID: PMC28690.
Coleman K, Phillips K. Providing underserved patients with medical homes: assessing the readiness of safety-net health centers. Issue Brief (Commonw Fund). 2010 May; 85:1-14. PMID: 20496478.
Levine DM, Stephan DF, Krehbiel TC, Berenson ML. Statistics for managers: Using Microsoft excel. 5th edn. Prentice Hall, New Jersey. Published 2008
State Statistical Office of Republic of North Macedonia: Enrolled students in higher schools and faculties in the Republic of North Macedonia in the academic year 2018/2019 (first cycle of studies), pp. 1. State Statistical Office of Republic of North Macedonia, Skopje, 2019. [accessed 2020 Apr 26]. http://www.stat.gov.mk/pdf/2019/126.96.36.199_mk.pdf.
Health Insurance Fund of Republic of North Macedonia, [accessed 2020 Apr 26]. http://fzo.org.mk/default.asp?ItemID=8754C32D4C42FE4DAE4394F4D7584EB6.
Krefis AC, Augustin M, Schlünzen KH, Oßenbrügge J, Augustin J. How Does the Urban Environment Affect Health and Well-Being? A Systematic Review. Urban Science. 2018; 2(1). doi: 10.3390/urbansci2010021.
Kuddus MA, Tynan E, McBryde E. Urbanization: a problem for the rich and the poor? Public Health Rev. 2020; 41, 1. doi: 10.1186/s40985-019-0116-0.
Pinchoff J, Mills CW, Balk D. Urbanization and health: The effects of the built environment on chronic disease risk factors among women in Tanzania. PLoS ONE. 2020; 15(11): e0241810. doi: 10.1371/journal.pone.0241810.
Sahasranaman A, Jensen HJ. Spread of COVID-19 in urban neighbourhoods and slums of the developing world. J. R. Soc. 2021; Interface. 18: 20200599 doi: 10.1098/rsif.2020.0599.
Sharifi A, Khavarian-Garmsir AR. The COVID-19 pandemic: Impacts on cities and major lessons for urban planning, design, and management. Science of The Total Environment. 2020; 749, 142391. doi: 10.1016/j.scitotenv.2020.142391
World Health Organization. Regional Office for the Western Pacific. Role of primary care in the COVID-19 response. 2021; [accessed: 2021 Nov 02] https://apps.who.int/iris/handle/10665/331921 License: CC BY-NC-SA 3.0 IGO.
Sasaki J, Shiino Y, Kato Y, Kudo D, Fujita M, Miyairi I, Mochizuki T, Okuda H, Nagato T, Nabetani Y, Takahashi T. Checklist for infection control in the emergency department. Acute Med Surg. 2020; 7: e540. doi: 10.1002/ams2.540.
European Centre for Disease Prevention and Control. Checklist for hospitals preparing for the reception and care of coronavirus 2019 (COVID-19) patients. ECDC: Stockholm. 2020; [accessed 2021 Nov 02]. https://www.ecdc.europa.eu/sites/default/files/documents/covid-19-checklist-hospitals-preparing-reception-care-coronavirus-patients.pdf.
Graham T, Ali S, Avdagovska M, Ballermann M. Effects of a Web-Based Patient Portal on Patient Satisfaction and Missed Appointment Rates: Survey Study. J Med Internet Res. 2020; 22(5): e17955. doi: 10.2196/17955.
Michael M, Schaffer SD, Egan PL, Little BB, Pritchard PS. Improving wait times and patient satisfaction in primary care. J Healthc Qual. 2013 Mar-Apr; 35(2): 50-59; quiz 59-60. doi: 10.1111/jhq.12004. PMID: 23480405.
Yinan M, Yi-Roe T, Linn TT, Louis C, Cook A, Dickens B, Yii-Jen, Lim F, Lim J, Yinxiaohe S, Sundaram M, Soh A, Tan G, Wong F, Young B, Zeng K, Chen M, Ong D. Identifying COVID-19 cases in primary care settings. 2020; doi: 10.1101/2020.08.26.20182204.
Salman R, Luke NA, Florian L, Stigler DK, Harumi QY, Weel C. On behalf of the Global Forum on Universal Health Coverage and Primary Health Care, Lessons on the COVID-19 pandemic, for and by primary care professionals worldwide, European Journal of General Practice. 2020; 26:1, 129-133, doi: 10.1080/13814788.2020.1820479.
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