Utilization of video consultation in cardiovascular lipid treatment

• Published in: Herz Vol. 49; no. 3; p. 224
• Main Authors: Schuch, A, Walther, P, Timm, L, Steinbach, K, Haneklaus, L, Münzel, T, Prochaska, J H, Wild, P S
• Format: Journal Article
• Language: German
• Published: Germany 01.06.2024
• Subjects: Adult; Aged; Cardiovascular Diseases - therapy; COVID-19; Female; Germany; Humans; Male; Middle Aged; Physician-Patient Relations; Remote Consultation; SARS-CoV-2; Telemedicine; Videoconferencing; Germany; Physician-patient communication; Information quality; Lipid management; Care access; Remote treatment
• ISSN: 1615-6692; 1615-6692
• DOI: 10.1007/s00059-023-05211-4

Video consultation is a possibility for physician-patient communication independent of the location; however, only limited information is available for the possibility of sole use since 2018. After the implementation of video consultation (Viomedi) in lipid consultations at the Medical University Mainz, the patients in the first quarter of 2022 were assessed depending on the possibility, suitability and readiness to participate. Included were patients under lipid management and long COVID patients. After treatment an online survey was carried out on the utilization and appraisal. Of the 134 patients 29.1% were inclusively treated (3 refusals). All subjects (16 replies) reported having managed (very) well. Advantages were seen in counselling and follow-up. Problems were feared with respect to technology and possible disorders. Data protection aspects played a subordinate role. In comparison to telephone calls, a significant improvement in the physician-patient relationship (p-value = 0.00027), the quality of treatment and information (p-value both = 0.00044), the access to care (p-value = 0.0053) and the communication (p-value = 0.021) was assumed. An improvement in access to care (p-value = 0.021) and the quality of information (p-value = 0.034) was seen in comparison to personal contact. The main problems were a lack of experience, technical requirements, technical problems and unpunctuality of the practitioner. The flexibility, low effort and the pleasant consultation were all praised. All subjects wanted to use the video consultation again. Video consultation can represent a supplement to treatment of patients under lipid management. The correct use requires exact planning and further research.