Embracing virtual outpatient clinics in the era of COVID-19

Lee, George; Clough, Oliver T; Hayter, Edward; Morris, J A; Ashdown, Thomas; Hardman, John; Anakwe, Raymond

doi:10.1302/2633-1462.25.bjo-2020-0176.r1

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…The implementation of VFC increased remote delivery of care, which has proven to be an efficient, cost-effective and satisfactory alternative to face-to-face care (Ekeland et al., 2010; Graham et al., 2021; Haider et al., 2022; Lee et al., 2021; Thatcher et al., 2021). Other studies on VFC protocols have reported similar results (Brogan et al., 2017; Davey et al., 2020; Dunkerley et al., 2020).…”

Section: Discussionmentioning

confidence: 99%

Efficiency of a virtual fracture care protocol in non-operative treatment of adult patients with a distal radial fracture

Willinge,

Spierings,

Weert

et al. 2023

J Hand Surg Eur Vol

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This study aimed to determine the effects of virtual fracture care (VFC) on secondary healthcare utilization in non-operative treatment of adult patients with a distal radial fracture. A retrospective cohort study was performed, including those who received non-operative treatment without VFC (pre-VFC) and with VFC (VFC). Outcomes included secondary healthcare utilization, calculated treatment costs, emergency department (ED) reattendances and complication rates. In total, 88 pre-VFC and 99 VFC patients were included. Pre-VFC patients had more follow-up appointments, with a median of 4 (IQR: 3) versus a median of 4 (IQR: 1) in VFC patients. In addition, 3% of follow-up appointments for pre-VFC patients were performed remotely compared to 18% for VFC patients. Complications and ED reattendances were comparable between groups. In this study, non-operative treatment of adult patients with a distal radial fracture through VFC reduced secondary healthcare utilization, with similar reported complication and ED reattendance rates compared with treatment without VFC. Level of evidence: III

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Section: Discussionmentioning

confidence: 99%

Efficiency of a virtual fracture care protocol in non-operative treatment of adult patients with a distal radial fracture

Willinge,

Spierings,

Weert

et al. 2023

J Hand Surg Eur Vol

View full text Add to dashboard Cite

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“…This streamlines patient care, allowing them to receive appropriate treatment in a timely and convenient manner. 43,44 Lee et al 45 reported that regular engagement with key stakeholders (patients/clinicians/primary care physicians/ED physicians) and acting upon feedback led to effective triage of hand and wrist injuries. The team found that clear communication with patients and staff education resulted in rapid expansion of virtual services to all groups of patients with fractures during the pandemic.…”

Section: Unsuitable For Certain Population Groups Effective Triagingmentioning

confidence: 99%

Telehealth for a better service delivery in orthopaedic surgery

Grandhi,

Fontalis,

Raj

et al. 2023

Bone Joint J

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Telehealth has the potential to change the way we approach patient care. From virtual consenting to reducing carbon emissions, costs, and waiting times, it is a powerful tool in our clinical armamentarium. There is mounting evidence that remote diagnostic evaluation and decision-making have reached an acceptable level of accuracy and can safely be adopted in orthopaedic surgery. Furthermore, patients’ and surgeons’ satisfaction with virtual appointments are comparable to in-person consultations. Challenges to the widespread use of telehealth should, however, be acknowledged and include the cost of installation, training, maintenance, and accessibility. It is also vital that clinicians are conscious of the medicolegal and ethical considerations surrounding the medium and adhere strictly to the relevant data protection legislation and storage framework. It remains to be seen how organizations harness the full spectrum of the technology to facilitate effective patient care.Cite this article: Bone Joint J 2023;105-B(8):843–849.

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Fotobasierte Untersuchung auf diabetische Augenveränderungen in einer deutschen Augenarztpraxis ohne direkten Arzt-Patienten-Kontakt

et al. 2022

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Zusammenfassung Hintergrund Eine regelmäßige ophthalmologische Untersuchung ist für immer mehr Menschen mit Diabetes gefordert, sei es zur Früherkennung und Kontrolle einer diabetischen Retinopathie. In manchen Ländern kommen bereits automatische Verfahren der Bildauswertung zur Detektion einer behandlungsbedürftigen diabetischen Retinopathie zur Anwendung. Ziel dieser Studie ist es, die Früherkennung diabetischer Augenerkrankungen ohne direkten Arzt-Patienten-Kontakt in Deutschland zu evaluieren und mögliche Barrieren für Patienten zu erkennen. Material und Methoden In dieser prospektiven monozentrischen Studie wurden bisher 93 Patienten eingeschlossen, die sich für ein Screening auf eine diabetische Retinopathie vorstellten. Die Studienteilnehmer nahmen ein Angebot zu einer Untersuchung (Visuserhebung, non-mydriatische kamerabasierte Fundusuntersuchung) ohne Arzt-Patienten-Kontakt wahr. Mittels Fragebogen wurde die Zufriedenheit der Patienten erhoben. Ergebnisse Das durchschnittliche Alter der eingeschlossenen Patienten (n = 93; 49,5 % weiblich) betrug 53,5 Jahre (29 bis 76 Jahre, SD: 13,6 Jahre). Bei 17 Augen (18,3 %) wurde mittels kamerabasierter Fundusuntersuchung eine diabetische Retinopathie festgestellt. In der Stichprobe musste sich kein Patient aufgrund schlechter Bildqualität erneut vorstellen. Insgesamt berichteten die Patienten eine hohe bis sehr hohe Zufriedenheit. Die Akzeptanz des Untersuchungsangebots war hoch. Diskussion In dieser Studie konnte mit einer Screeninguntersuchung ohne direkten Arztkontakt eine hohe Akzeptanz erreicht werden. Qualifiziertes Fachpersonal ermöglichte eine hohe Bildqualität der erhobenen Fundusbilder, sodass der Einsatz von automatischen Algorithmen (künstliche Intelligenz) das Potenzial hat, die bisherigen Angebote zu ergänzen.

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Embracing virtual outpatient clinics in the era of COVID-19

Cited by 3 publications

References 9 publications

Efficiency of a virtual fracture care protocol in non-operative treatment of adult patients with a distal radial fracture

Efficiency of a virtual fracture care protocol in non-operative treatment of adult patients with a distal radial fracture

Telehealth for a better service delivery in orthopaedic surgery

Fotobasierte Untersuchung auf diabetische Augenveränderungen in einer deutschen Augenarztpraxis ohne direkten Arzt-Patienten-Kontakt

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