Optimising orthopaedic follow-up care through a virtual clinic

Gupta, Shreekant; Jones, G.; Shah, Samra

doi:10.1016/j.ijotn.2017.06.002

Cited by 9 publications

(5 citation statements)

References 3 publications

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“…As many elderly patients have information technology literacy or digital literacy issues (Prodromou & Lavranos, 2019; Wang & Wu, 2021), phone calls are an effective and easy way to give information and support to them. In future studies, it is recommended that patients be given a choice of medium for education and counseling, as web-based platforms, mobile applications, or virtual meetings may be preferred by some patients even those who are older (Doiron-Cadrin et al, 2016; Gupta et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

The Effect of a Multidimensional Home Rehabilitation Program for Post-Total Knee Arthroplasty Elderly Patients

Park

Jeong

2023

Orthopaedic Nursing

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Patients with total knee arthroplasty (TKA) experience pain, decreased muscle strength, and decreased knee function, resulting in increases in depression and decreased subjective well-being. A multidimensional home program may prevent these adverse events. The aim of this study was to test the effect of a home rehabilitation program that included education, exercise, aroma massage, and phone counseling for post-TKA patients. We used a randomized control group pretest/posttest design. Fifty-nine patients participated, with 29 in the experimental group and 30 in the control group. Pain, knee joint range of motion (ROM), quadriceps strength, depression, and subjective well-being were measured as outcome variables. Data were analyzed using repeated-measures analysis of variance and generalized estimating equations. The experimental group showed significant improvement in knee pain, active ROM, muscle strength, depression, and subjective well-being with no significant between-groups difference in passive ROM. The multidimensional home rehabilitation program can be an effective nursing intervention for physical and emotional recovery of patients with TKA.

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Section: Discussionmentioning

confidence: 99%

The Effect of a Multidimensional Home Rehabilitation Program for Post-Total Knee Arthroplasty Elderly Patients

Park

Jeong

2023

Orthopaedic Nursing

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“…The use of so-called virtual clinics, delivered by different grades of staff, are described in several specialties including orthopaedics, general surgery, respiratory and urology (Gupta et al, 2018;Healy et al, 2017;Miah et al, 2018;Goncalves et al, 2016;Jayaram et al, 2014). There are many benefits reported in having this service readily available.…”

Section: Discussionmentioning

confidence: 99%

“…In urology, virtual consultation enabled more than two-thirds of patients to be discharged from hospital care, with no adverse outcomes and high patient satisfaction scores (Miah et al, 2018). More than 60 per cent of orthopaedic referrals in a single series were redirected from a standard OPD service to another healthcare professional, such as a nurse or physiotherapist-led clinic, or placed directly on a theatre waiting list, reducing demand on the consultant-led clinics and reducing delays in accessing care (Gupta et al, 2018). For patients with chronic respiratory conditions, a consultant-delivered virtual clinic reduced primary care referrals by 14 per cent and hospital re-admission by more than 60 per cent, possibly due to more rapid review and earlier intervention for patients whose respiratory disease worsens between visits (Goncalves et al, 2016).…”

Section: Virtual Outpatient Clinicmentioning

confidence: 99%

Efficacy of physician associate delivered virtual outpatient clinic

Meehan

Balhareth

Gnanamoorthy

et al. 2019

IJHCQA

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Purpose The capacity available to deliver outpatient surgical services is outweighed by the demand. Although additional investment is sometimes needed, better aligning resources, increasing operational efficiency and considering new processes all have a role in improving delivering these services. The purpose of this paper is to evaluate the safety of a physician associate (PA) delivered virtual outpatient department (VOPD) consultation service that was established in a General and Colorectal Surgery Department at an Irish teaching hospital. Design/methodology/approach A series of low-risk surgical patients were referred by senior surgeons to a PA delivered virtual clinic (VOPD). Medical records belonging to half the included patients were randomly selected for review by two doctors three months following discharge back to primary care to confirm appropriate standards of care and documentation and to audit any recorded adverse incidents or outcomes. Findings In total, 191 patients had been reviewed by the PA in the VOPD with 159 discharged directly back to primary care. Among the 95 medical records that were reviewed by the NCHDs, there were no recorded adverse incidents after discharge. Medical record keeping was deficient in 1 out of 95 reviewed cases. Practical implications Using a PA delivered VOPD consultation appears to have a role in following up patients who have undergone low-risk procedures irrespective of age or co-morbidity when selected appropriately. This may assist in reducing the demand on outpatient services by reducing unnecessary return visits, thereby increasing the capacity for new referrals. Originality/value While there are reported examples to date of virtual clinics, these relate to services delivered by registered medical practitioners. Here, the authors demonstrate the acceptability of this model of care in an Irish population as delivered by a PA.

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“…While the use of VCs in orthopedics has become increasingly popular over the past decade, literature surrounding the topic is scarce. Research has primarily focused on virtual fracture clinics (VFCs) replacing traditional FTF fracture pathways [7-9] with some mention of joint arthroplasty follow-ups being replaced by virtual orthopedic clinics (VOCs) [4,[10][11][12]. King D, et al [13] report that VCs should be considered as one part of the musculoskeletal pathway but that the paradigm for delivery is still evolving.…”

Section: Introductionmentioning

confidence: 99%

“…Virtual clinics (VCs) are one way of achieving this goal, and have been deemed safe, cost-effective, and associated with high levels of patient satisfaction [3,6-8].While the use of VCs in orthopedics has become increasingly popular over the past decade, literature surrounding the topic is scarce. Research has primarily focused on virtual fracture clinics (VFCs) replacing traditional FTF fracture pathways [7-9] with some mention of joint arthroplasty follow-ups being replaced by virtual orthopedic clinics (VOCs) [4,[10][11][12]. King D, et al [13] report that VCs should be considered as one part of the musculoskeletal pathway but that the paradigm for delivery is still evolving.Although guidelines and protocols provide a framework for professionals to follow and recommendations of how healthcare should be delivered [14], to-date, there are no standards pertaining…”

mentioning

confidence: 99%

Virtual Clinics: Descriptive Survey of A Sample of Models Used Within Orthopedics in The United Kingdom

Duncan¹,

Watcyns²,

Smith

2020

ARAR

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BackgroundThe National Health Service (NHS) is currently over stretched and over-burdened [1,2] with an ongoing challenge to match capacity to demand [3]. The number of outpatient clinic appointments is growing, leading to delays, dissatisfaction, and non-compliance with national guidelines [4]. With rising pressures on primary care, the NHS Long Term Plan (2019) supports the development of digitally enabled services to replace the unsustainable growth of current outpatient care, with the aim to reduce unnecessary faceto-face ((FTF) appointments [5]. Virtual clinics (VCs) are one way of achieving this goal, and have been deemed safe, cost-effective, and associated with high levels of patient satisfaction [3,6-8].While the use of VCs in orthopedics has become increasingly popular over the past decade, literature surrounding the topic is scarce. Research has primarily focused on virtual fracture clinics (VFCs) replacing traditional FTF fracture pathways [7-9] with some mention of joint arthroplasty follow-ups being replaced by virtual orthopedic clinics (VOCs) [4,[10][11][12]. King D, et al [13] report that VCs should be considered as one part of the musculoskeletal pathway but that the paradigm for delivery is still evolving.Although guidelines and protocols provide a framework for professionals to follow and recommendations of how healthcare should be delivered [14], to-date, there are no standards pertaining

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Optimising orthopaedic follow-up care through a virtual clinic

Cited by 9 publications

References 3 publications

The Effect of a Multidimensional Home Rehabilitation Program for Post-Total Knee Arthroplasty Elderly Patients

The Effect of a Multidimensional Home Rehabilitation Program for Post-Total Knee Arthroplasty Elderly Patients

Efficacy of physician associate delivered virtual outpatient clinic

Virtual Clinics: Descriptive Survey of A Sample of Models Used Within Orthopedics in The United Kingdom

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