Telemedicine using an iPad in the spinal cord injury population: a utility and patient satisfaction study

Prospective observational. To explore participants’ experience, satisfaction, and utility of telemedicine. Spinal cord injury (SCI) rehabilitation clinic at a county hospital. Participants in this study received telemedicine appointments for routine scheduled care and/or urgent consults with a spinal cord injury specialist via iPad on FaceTime. Demographic changes, health care utilization, and medical complications were assessed. A Program Satisfaction Survey (PSS) was completed after a 6-month enrollment. Telemedicine visits included general follow-ups (51.25%), “multiple issues” (24.38%), skin (6.88%), bowel and bladder (5.63%), spasms (3.13%), and pain (3.13%). The PSS was collected (n = 45) and revealed positive results in perceived health, satisfaction with equipment/ease of use, and satisfaction with the program. Analysis of anecdotal comments revealed themes such as efficiency, convenience, and reduced barriers provided by telemedicine visits. This study shows the feasibility and acceptance of a telemedicine intervention via iPad for individuals with SCI through positive PSS ratings and the wide variety of clinical topics addressed. Craig H. Neilsen Foundation.