Shan Rongzi, Chandra Neha V, Hsu Jeffrey J, Fraschilla Stephanie, Moore Melissa, Ardehali Abbas, Nsair Ali, Parikh Rushi V
Department of Medicine, University of California, Los Angeles, Los Angeles, CA, United States.
Division of Cardiology, University of California, Los Angeles, Los Angeles, CA, United States.
JMIR Cardio. 2022 Mar 30;6(1):e35490. doi: 10.2196/35490.
Heart transplant selection committee meetings have transitioned from in-person to remote video meetings during the COVID-19 pandemic, but how this impacts committee members and patient outcomes is unknown.
The aim of this study is to determine the perceived impact of remote video transplant selection meetings on usability and patient care and to measure patient selection outcomes during the transition period from in-person to virtual meetings.
A 35-item anonymous survey was developed and distributed electronically to the heart transplant selection committee. We reviewed medical records to compare the outcomes of patients presented at in-person meetings (January-March 2020) to those presented during video meetings (March-June 2020).
Among 83 committee members queried, 50 were regular attendees. Of the 50 regular attendees, 24 (48%) were physicians and 26 (52%) were nonphysicians, including nurses, social workers, and coordinators; 46 responses were received, 23 (50%) from physicians and 23 (50%) from nonphysicians, with 41 responses fully completed. Overall, respondents were satisfied with the videoconference format and felt that video meetings did not impact patient care and were an acceptable alternative to in-person meetings. However, 54% (22/41) preferred in-person meetings, with 71% (15/21) of nonphysicians preferring in-person meetings compared to only 35% (7/20) of physicians (P=.02). Of the 46 new patient evaluations presented, there was a statistically nonsignificant trend toward fewer patients initially declined at video meetings compared with in-person meetings (6/24, 25% compared to 10/22, 45%; P=.32).
The transition from in-person to video heart transplant selection committee meetings was well-received and did not appear to affect committee members' perceived ability to deliver patient care. Patient selection outcomes were similar between meeting modalities.
在新冠疫情期间，心脏移植选择委员会会议已从面对面会议转变为远程视频会议，但这对委员会成员和患者结局有何影响尚不清楚。
本研究旨在确定远程视频移植选择会议对可用性和患者护理的感知影响，并衡量从面对面会议到虚拟会议过渡期间的患者选择结果。
制定了一项包含35个项目的匿名调查问卷，并通过电子方式分发给心脏移植选择委员会。我们查阅了病历，以比较在面对面会议（2020年1月至3月）和视频会议（2020年3月至6月）上介绍的患者的结局。
在被询问的83名委员会成员中，50名是常参会者。在这50名常参会者中，24名（48%）是医生，26名（52%）是非医生，包括护士、社会工作者和协调员；共收到46份回复，23份（50%）来自医生，23份（50%）来自非医生，其中41份回复填写完整。总体而言，受访者对视频会议形式感到满意，认为视频会议不会影响患者护理，是面对面会议的可接受替代方式。然而，54%（22/41）的人更喜欢面对面会议，71%（15/21）的非医生更喜欢面对面会议，而只有35%（7/20）的医生更喜欢（P=0.02）。在介绍的46项新患者评估中，与面对面会议相比，视频会议上最初被拒绝的患者数量有减少的趋势，但无统计学意义（6/24，25% 对比10/22，45%；P=0.32）。
从面对面心脏移植选择委员会会议到视频会议的转变受到好评，似乎并未影响委员会成员对提供患者护理能力的感知。两种会议形式下的患者选择结果相似。
