Original Research Article|Articles in Press

Bedside vs webside: Assessing patient-reported experiences for in-person and telemedicine-based perioperative evaluations

Published:February 27, 2023DOI:


      • Telemedicine was associated with comparable patient reported experience scores.
      • Telemedicine was associated with reduced indirect costs related to travel, housing, and work absence.
      • Perioperative telemedicine has a low rate of redundant care with appropriate care utilization.



      Though telemedicine has been identified as safe and feasible, data on patient reported experiences (PREs) are lacking. We sought to compare PREs between in-person and telemedicine-based perioperative care.


      Patients evaluated from August–November 2021 were prospectively surveyed to assess experiences and satisfaction with care rendered during in-person and telemedicine-based encounters. Patient and hernia characteristics, encounter related plans, and PREs were compared between in-person and telemedicine-based care.


      Of 109 respondents (86% response rate), 55% (n = 60) utilized telemedicine-based perioperative care. Indirect costs were lower for patients using telemedicine-based services, including work absence (3% vs. 33%, P < 0.001), lost wages (0% vs. 14%, P = 0.003), and requirements for hotel accommodations (0% vs. 12%, P = 0.007). PREs related to telemedicine-based care were non-inferior to in-person care across all measured domains (P > 0.4).


      Telemedicine-based care yields significant cost-savings over in-person care with similar patient satisfaction. These findings suggest that systems should focus on optimization of perioperative telemedicine services.


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