Assessment of Telemedicine and Phone Consultation Effects on Rate of Hand Transfers to Trauma Centers and Specialty Services Referrals

Bracey, John W.; Morell, Sean; Tait, Mark; Frazier, Gary; Wyrick, Theresa

doi:10.1177/15589447211044783

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…Effective communication and planning are the most important factors in improving the transfer process and reducing adverse events [49]. Bracey et al [50] showed that communication with a surgeon is the key factor for accurate assessment of the need for transfer to trauma centers.…”

Section: Indicators For Healthcare Services Provisionmentioning

confidence: 99%

Fair Healthcare Practices in Orthopedics Assessed with a New Framework

Moldovan,

Moldovan

2023

Healthcare

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Background and Objectives: Healthcare systems are supported by the European ideology to develop their egalitarian concerns and to encourage the correct and fair behavior of medical staff. By integrating fair healthcare practices into sustainability, this requirement is addressed. In this research, our objective is to develop and validate, in the current activity of healthcare facilities, a new instrument for evaluating fair healthcare practices as a component of social responsibility integrated into sustainability. Materials and Methods: The research methods consist of deciding the domains of a new framework that integrates fair healthcare practices; the collection of the most recent fair healthcare practices reported by healthcare facilities around the world; elaboration of the contents and evaluation grids of the indicators; the integration of indicators related to fair healthcare practices in the matrix of the new framework for sustainable development; validation of the theoretical model at an orthopedic hospital. Results: The theoretical model of the new framework is composed of five domains: organizational management, provision of sustainable medical care services, economic, environmental, and social. The last domain is developed on the structure of the seven subdomains of the social responsibility standard ISO 26000. The seven indicators that describe fair healthcare practices are attitudes of the profession towards accreditation, effective intervention application, promoting a culture of patient safety, characteristics that affect the effectiveness of transfers, effective healthcare practices, feedback to medical staff, safety checklists. The new reference framework was implemented and validated in practice at an emergency hospital with an orthopedic profile. Conclusions: The practical implementation highlighted the usefulness of the new reference framework, its compatibility, and the possibility of integration with the reference frameworks for the evaluation of European hospitals, with the national legislation for the accreditation of hospitals and outpatient units, as well as with the ISO 9001 standard regarding the implementation of quality management systems. Its added value consists in promoting sustainable development by orienting staff, patients, and interested parties towards sustainability.

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Section: Indicators For Healthcare Services Provisionmentioning

confidence: 99%

Fair Healthcare Practices in Orthopedics Assessed with a New Framework

Moldovan,

Moldovan

2023

Healthcare

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“…We used the FCC Mapping Broadband in America interactive tool to record the latest available internet upload and download speeds for all 3141 counties in the United States [13]. We used the FCC threshold for broadband speed, which equates to 25 Mbps for downloads and 3 Mbps for uploads [5,6]. The FCC mapping broadband public use files are considered the most comprehensive datasets describing high-speed internet infrastructure within the United States [13].…”

Section: Data Sourcesmentioning

confidence: 99%

Do Americans Lacking a Local Orthopaedic Surgeon Have Adequate Broadband for Telehealth?

Jella

Cwalina

Schmidt

et al. 2022

Clin Orthop Relat Res

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Background Although telehealth holds promise in expanding access to orthopaedic surgical care, high-speed internet connectivity remains a major limiting factor for many communities. Despite persistent federal efforts to study and address the health information technology needs of patients, there is limited information regarding the current high-speed internet landscape as it relates to access to orthopaedic surgical care. Questions/purposes (1) What is the distribution of practicing orthopaedic surgeons in the United States relative to the presence of broadband internet access? (2) What geographic, demographic, and socioeconomic factors are associated with the absence of high-speed internet and access to a local orthopaedic surgeon? Methods The Federal Communications Commission (FCC) Mapping Broadband in America interactive tool was used to determine the proportion of county residents with access to broadband-speed internet for all 3141 US counties. Data regarding the geographic distribution of orthopaedic surgeons and county-level characteristics were obtained from the 2015 Physician Compare National Downloadable File and the Area Health Resource File, respectively. The FCC mapping broadband public use files are considered the most comprehensive datasets describing high-speed internet infrastructure within the United States. The year 2015 represents the most recently available FCC data for which county-level broadband penetration estimates are available. Third-party audits of the FCC data have shown that broadband expansion has been slow over the past decade and that many large improvements have been driven by changes in the reporting methodology. Therefore, we believe the 2015 FCC data still hold relevance. The primary outcome measure was the simultaneous absence of at least 50% broadband penetration and at least one orthopaedic surgeon practicing in county limits. Statistical analyses using Kruskal-Wallis tests and multivariable logistic regression were conducted to assess for factors associated with inaccessibility to orthopaedic telehealth. All statistical tests were two-sided with a significance threshold of p < 0.05. Results In 2015, 14% (448 of 3141) of counties were considered "low access" in that they both had no orthopaedic surgeons and possessed less than 50% broadband access. A total of 4,660,559 people lived within these low-One of the authors (AFK) certifies receipt of payments or benefits, during the study period, in an amount of USD 10,000 to USD 100,000 from DePuy, in an amount of USD 10,000 to USD 100,000 from Zimmer Biomet, in an amount less than USD 10,000 from Innomed, in an amount less than USD 10,000 from Proctor and Gamble, and in an amount less than USD 10,000 from Signature Orthopaedics. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. This study was exempt from ethical review board approval.

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Telephone versus video consultations: A systematic review of comparative effectiveness studies and guidance for choosing the most appropriate modality

Caffery,

Catapan,

Taylor

et al. 2024

J Telemed Telecare

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Objective This systematic review compared clinical, service and cost effectiveness of telephone consultations (TC) to video consultations (VC). Methods We searched Embase, CINAHL and MEDLINE for empirical studies that compared TC to VC using clinical, service or economic outcome measures. Clinician or patient preference and satisfaction studies were excluded. Findings were synthesised descriptively. Results A total of 79 articles were included. The most effective modality was found to be VC in 40 studies (50%) and TC in 3 (4%). VC and TC were found to be equivalent in 28 of the included articles (35%). VC were superior or equivalent to TC for all clinical outcomes. When compared to TC, VC were likely to have better patient engagement and retention, to improve transfer decisions, and reduce downstream sub-acute care utilisation. The impact of telehealth modality on consultation time, completion rates, failure-to-attend rates and acute care utilisation was mixed. VC were consistently found to be more cost effective despite having a higher incremental cost than TC. Conclusions Our systematic review demonstrates equal or better, but not inferior clinical and cost outcomes for consultations delivered by VC when compared to TC. VC appear to be more clinically effective when visual information is required, when verbal communication with the patient is impaired and when patient engagement and retention is linked to clinical outcomes. We have provided conditions where VC should be used in preference to TC. These can be used by clinicians to guide the choice of telehealth modality. Cost effectiveness is also important to consider when choosing modality.

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Assessment of Telemedicine and Phone Consultation Effects on Rate of Hand Transfers to Trauma Centers and Specialty Services Referrals

Cited by 4 publications

References 11 publications

Fair Healthcare Practices in Orthopedics Assessed with a New Framework

Fair Healthcare Practices in Orthopedics Assessed with a New Framework

Do Americans Lacking a Local Orthopaedic Surgeon Have Adequate Broadband for Telehealth?

Telephone versus video consultations: A systematic review of comparative effectiveness studies and guidance for choosing the most appropriate modality

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