Convenience is Key for Patient Engagement with Remote Video Visits in a Musculoskeletal Practice

Remote video visits (aka telemedicine, virtual care) have the potential to increase access to orthopaedicspecialty evaluation while decreasing the overall cost of care. Clinical implementation of remote video visits may benefitfrom an understanding of potential barriers to participation. We enrolled one hundred and thirty participants from a university-based musculoskeletal clinic with a largeuninsured population. We asked participants to complete a survey, including demographics and scaled perceptionquestions about remote video visits. Data from these surveys were analyzed with multivariable logistic regression todetermine factors associated with willingness to participate in video visits, as well as the situations in which patientswould consider a video visit. Willingness to participate in video visits was associated with the perception of video visits being moreconvenient (OR 3.0) and a decreased perceived importance of physical exam (OR 0.36) but not age, technologycomfort, or travel distance to the clinic. Additionally, those with prior video visit experience were more comfortablewith technology, perceived video visits to be more convenient, and were more willing to have another video visit.Fifteen percent were willing to have a video visit for their first visit, while 78% would participate for a routine nonsurgicalfollow-up. Musculoskeletal telemedicine programs can become established by focusing on people that prioritizeconvenience, place less importance on a hands-on exam, and are established patients.Level of evidence: II