{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:30:28Z","timestamp":1747150228623,"version":"3.40.5"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,5,14]],"date-time":"2022-05-14T00:00:00Z","timestamp":1652486400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Identify which delivery modality for skin reconstruction care, face\u2010to\u2010face (FTF) in\u2010person versus two telemedicine modalities, store\u2010and\u2010forward (S&amp;F) and live video chat (LVC), is patient preferred and how cost, access, wait time, and demographics influence this preference.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cross\u2010sectional survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 16\u2010question survey querying demographics and five scenario\u2010specific preferences questions for the delivery of skin cancer reconstruction care was created and distributed via Amazon Mechanical Turk (MTurk), a crowdsourcing online marketplace, and in\u2010person to Mohs micrographic surgery patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>1394 MTurk and 55 in\u2010person responses were included. While 82.1% of online respondents prefer FTF clinic visits, this decreases to 58.3% with an in\u2010person visit cost (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) and furthermore to a minority 43.5% with both an in\u2010person visit cost and wait time (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) despite 77.8% believing that usefulness to the surgeon would improve FTF. Both the MTurk and in\u2010person cohorts demonstrated similar response patterns despite considerable demographic differences. Multivariable analyses revealed that telemedicine was preferred by MTurk respondents with Medicaid (adjusted OR [95% CI]: 1.97 [1.18\u20133.31]) or Medicare (1.69 [1.10\u20132.59]) versus private insurance, and prior skin cancer (2.01 [1.18\u20133.42]) and less preferred by those earning $140,000+ per year (0.49 [0.29\u20130.82]) compared to those earning &lt;$20,000 per year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>FTF visits are preferred for skin cancer reconstruction care; this shifts toward virtual care with a cost and wait time in spite of the perceived quality of care. Individuals with socioeconomic barriers to access prefer telemedicine. MTurk can be a valuable tool for behavioral research in FPRS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA <jats:italic>Laryngoscope<\/jats:italic>, 133:294\u2013301, 2023<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30215","type":"journal-article","created":{"date-parts":[[2022,5,14]],"date-time":"2022-05-14T08:18:51Z","timestamp":1652516331000},"page":"294-301","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Factors Shifting Preference Toward Telemedicine in the Delivery of Skin Cancer Reconstruction Care"],"prefix":"10.1002","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1884-7299","authenticated-orcid":false,"given":"Eric Y.","family":"Du","sequence":"first","affiliation":[{"name":"Saint Louis University School of Medicine  St. Louis Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rylee A.","family":"Moody","sequence":"additional","affiliation":[{"name":"Saint Louis University School of Medicine  St. Louis Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9476-1326","authenticated-orcid":false,"given":"Matthew C.","family":"Simpson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Saint Louis University  St. Louis Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aditya","family":"Nellore","sequence":"additional","affiliation":[{"name":"Saint Louis University School of Medicine  St. Louis Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph G.","family":"Sinnwell","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Saint Louis University  St. Louis Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luke D.","family":"Heiland","sequence":"additional","affiliation":[{"name":"Saint Louis University School of Medicine  St. Louis Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shane A.","family":"Grace","sequence":"additional","affiliation":[{"name":"Department of Dermatology Saint Louis University  St. Louis Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Collin L.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Saint Louis University  St. Louis Missouri U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,5,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2020.03.008"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0030-6665(02)00095-6"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/prs.0000000000007072"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2020.0163"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocaa067"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2020.1911"},{"key":"e_1_2_6_8_1","unstructured":"CourtneyJ.H.R.748 \u2010 116th congress (2019\u20102020): CARES Act2020."},{"key":"e_1_2_6_9_1","unstructured":"H.R.133 \u2010 116th congress (2019\u20102020): Consolidated Appropriations Act 2021.2020.https:\/\/www.congress.gov\/bill\/116th-congress\/house-bill\/1331. 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