An international experience of electronic communication and implementation of eHealth solutions in a vascular surgery clinic

Kelly, Aisling; Belchos, Jessica; Wheatcroft, Mark; Burke, P.; Abdeldaim, Yasser; Kavanagh, Eamon G.; Archer, Norm; McKibbon, Ann; Moloney, Michael A.

doi:10.1007/s11845-020-02311-6

Cited by 7 publications

(6 citation statements)

References 7 publications

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“… Benefits: Limitations: Time Efficiency [ 6 , 7 , [11] , [12] , [13] , 26 , 40 , 41 , 46 , 48 , 56 , 63 ] Clinical Barriers e.g. diagnostic and management uncertainty [ 5 , 18 , 19 , 23 , 56 ] Reduced Patient Cost & Time Savings [ 12 , 13 , 19 , 28 , 30 , 39 , 46 , [48] , [49] , [50] , 52 , 53 ] Technological Infrastructure: limitations in developing nations, low SES communities, ethnic background or in the elderly population [ 5 , 9 , 12 , 13 , [18] , [19] , [20] , 26 , 42 , 46 ] Healthcare Service Cost Savings [ 5 , 9 , 10 , 32 , 50 , 55 , 62 ] Strict Healthcare System Regulation [ 2 , 6 , ...…”

Section: Discussionmentioning

confidence: 99%

“…diagnostic and management uncertainty [ 5 , 18 , 19 , 23 , 56 ] Reduced Patient Cost & Time Savings [ 12 , 13 , 19 , 28 , 30 , 39 , 46 , [48] , [49] , [50] , 52 , 53 ] Technological Infrastructure: limitations in developing nations, low SES communities, ethnic background or in the elderly population [ 5 , 9 , 12 , 13 , [18] , [19] , [20] , 26 , 42 , 46 ] Healthcare Service Cost Savings [ 5 , 9 , 10 , 32 , 50 , 55 , 62 ] Strict Healthcare System Regulation [ 2 , 6 , 7 , 9 , 49 ] Improved Access to Healthcare [ [5] , [6] , [7] , 12 , 28 , 34 , 39 , 52 ] Renumeration Concerns [ 5 , 6 , 8 , ...…”

Section: Discussionmentioning

confidence: 99%

“…This highlights the potential future benefits with greater use of telemedicine. The previous limitations of technology illiteracy and patient-provider willingness [ 18 , 20 ] in the community have been broken-down out of necessity by the pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…Reports have evaluated surgical care in pre-operative assessment, post-operative monitoring, routine follow-up and monitoring of patient well-being[ 9 , 12 , 13 ]. There have been rapid advances in technology and studies confirm continued access to healthcare by the community[ 4 , 7 , 8 , 11 , 18 , [20] , [21] , [22] , [23] ]. Despite initial challenges, protocol development and advancing sophistication in technologies have allowed rapid transition to online communication platforms[ 9 , 15 , 17 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

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Current and future use of telemedicine in surgical clinics during and beyond COVID-19: A narrative review

McMaster

Wright

Mori

et al. 2021

Annals of Medicine &Amp; Surgery

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Introduction Telemedicine has emerged as a powerful tool in the delivery of healthcare to surgical patients and enhances clinician-patient encounters during all phases of patient care. Our study aims were: to review the current use and applicability of telemedicine; evaluate its suitability, safety and effectiveness in a surgical outpatient setting particularly in the era of social distancing restrictions; and provide insight into future applications. Methods Databases searched included: PubMed, OVID Medline, Embase, Scopus, Web of Science and review of reference lists. Key words used were “telemedicine”; “telehealth”; “videoconference”; “outpatient” and “surgical clinic”. For inclusion, articles required to be in English, published between 2000 – 2021, were in an outpatient surgical setting and if they had a focus during the COVID-19 pandemic. Results 335 articles were identified and screened, so that 63 articles were included in the review. Almost all articles were from Western countries (n = 60), mostly in surgical journals (n = 35) and from a range of sub-specialities, but pre-dominantly orthopaedics (n = 12) and general surgery (n = 7). The majority were original comparative studies where 31 studies directly compared telemedicine to in-person appointments and 14 papers focused on implementation during COVID-19. Discussion/conclusions Telemedicine has been safely used across various phases of surgical outpatient care, with its effectiveness evaluated by clinical outcomes, economics and user/provider satisfaction. Telemedicine has multiple accepted benefits including time efficiency, patient/healthcare cost savings and community access, but with reported limitations of clinical uncertainty, technology infrastructure requirements, cybersecurity vulnerabilities and healthcare regulatory restraints. These limitations are being overcome by accelerated implementation during COVID-19 via fast-tracked practice development. Further work is required via development of research protocols to refine the application of emerging telemedicine technologies and their applicability to different surgical sub-specialties.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Current and future use of telemedicine in surgical clinics during and beyond COVID-19: A narrative review

McMaster

Wright

Mori

et al. 2021

Annals of Medicine &Amp; Surgery

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“…Infrastructure, usage support, integration and administrative burden are important barriers. Choice of user friendly, convenient, stable and secure technology platforms are required for reliable connection and communication, 2 , 14 with some institutes opting for ‘telemedicine hubs’ where infrastructure, IT and administrative support are available together in one clinic. Streamlined links with existing communication and data sources are key for information transfer and convenient access.…”

mentioning

confidence: 99%

Addressing telemedicine challenges for surgery clinics in the Post‐COVID era

McMaster

Stelmach

2021

ANZ Journal of Surgery

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Systematic Review of Telemedicine and eHealth Systems Applied to Vascular Surgery

et al. 2022

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Objective: The objective of this paper is to review and analyze the current state of telemedicine and ehealth in the field of vascular surgery. Methods: This paper collects the relevant information obtained after reviewing the articles related to telemedicine in vascular surgery, published from 2012 to 2022 contained in scientific databases. In addition, the results obtained are statistically studied based on various factors, such as the year of publication or the search engine. In this way, we obtain a complete vision of the current state of telemedicine in the field of vascular surgery. Results: After performing this search and applying selection criteria, 29 articles were obtained for subsequent study and discussion, of which 20 were published in the second half of the decade, representing 70% of the results. In the analysis carried out according to the search criteria used, it can be seen that using the word telemedicine we obtained 69% of the articles while with the criteria mHealth and eHealth we only obtained 22% and 9% of the results, respectively. It can be seen that the filter with the most potential content articles was “vascular surgery AND telemedicine”. In the analysis performed according to the search engine, it was observed that the Google Scholar database contains 93% of the articles found in the massive search and the relevant articles contained therein represent 52% of the total. Conclusion: An upward trend has been observed in recent years, with a clear increase in the number of publications and much lower figures in the first years. One aspect to highlight is that 47.8% of the articles analyzed focus only on postoperative treatment, which may be due to the help provided by telemedicine in detecting surgical site infections by sending images and videos, this being one of the most common postoperative complications. The analyzed works show the importance of telemedicine in vascular surgery and identify possible future lines of research. In the analysis carried out on the origin of the selected relevant papers, an important interest of the US in this topic is demonstrated since more than 50% of the research contains authors from this country, it is also observed that there is no research from Spain, so this research would be an initial step to determine the weaknesses of telemedicine in this field of medicine and a good opportunity to open a research gap in this branch.

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An international experience of electronic communication and implementation of eHealth solutions in a vascular surgery clinic

Cited by 7 publications

References 7 publications

Current and future use of telemedicine in surgical clinics during and beyond COVID-19: A narrative review

Current and future use of telemedicine in surgical clinics during and beyond COVID-19: A narrative review

Addressing telemedicine challenges for surgery clinics in the Post‐COVID era

Systematic Review of Telemedicine and eHealth Systems Applied to Vascular Surgery

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