Remote Presence Robotic Technology Reduces Need for Pediatric Interfacility Transportation from an Isolated Northern Community

HoltTanya,; SariNazmi,; Hansen, Gregory; BradshawMatthew,; Prodanuk, Michael; McKinneyVeronica,; JohnsonRachel,; MendezIvar,

doi:10.1089/tmj.2017.0211

Cited by 27 publications

(30 citation statements)

References 31 publications

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“…In an additional study within a remote First Nations community in northern Saskatchewan, 63% of acutely ill children assessed by RPT were safely treated within their home community and did not need to be transported to tertiary level hospitals to receive care. The use of RPT in this study also demonstrated considerable savings in the care of these children by reducing transport and hospital admission costs [17]. Because the RPT creates a sense that the remote physician is present at the patient's bedside, can facilitate collaborative treatment plans and can be used to promote self-determined approaches to healthcare priorities, this technology offers the potential to deliver culturally safe specialised emergency and paediatric care to communities throughout Canada's North [34].…”

Section: Future Directionsmentioning

confidence: 80%

“…Primary healthcare within many remote and isolated communities in northern Canada is provided by community healthcare centres that are primarily staffed by nurses and supported by periodically visiting physicians. These healthcare centres can experience high staff turnover and inconsistent access to physicians and lack of access to healthcare providers with specialised expertise in fields such as emergency medicine and paediatrics [5,8,17]. Patients who require specialised medical care are routinely required to travel to regional hospitals or tertiary centres hundreds or thousands of kilometres away.…”

Section: Challenges Of Accessing Healthcare In Canada's Northmentioning

confidence: 99%

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Preliminary clinical algorithm to optimise remote delivery of paediatric concussion care in Canada’s North

Ellis

Mendez

Russell

2020

International Journal of Circumpolar Health

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Concussion is a form of traumatic brain injury that affects thousands of children and adolescents across Canada annually. With timely access to comprehensive medical care, the majority of patients with acute concussion will recover within 1-4 weeks. Those who develop persistent postconcussion symptoms often benefit from early recognition and referral to multidisciplinary concussion clinics that have the personnel and resources to meet their complex needs. Youth who live in remote and isolated communities within Canada's North, a significant proportion of whom are Indigenous, face unique barriers and obstacles to accessing primary and specialised concussion care. Although telemedicine has recently emerged as a tool that can help address these gaps in care, there are presently no clinical guidelines or tools available to assist multidisciplinary concussion clinics in providing remote concussion care to these medically underserved patients. Here we incorporate literature from a scoping review and our early institutional experience to present an evidence-informed preliminary clinical algorithm and resources to help guide and optimise remote paediatric concussion care delivery in Canada's North. We also discuss how innovative technologies and partnerships can be leveraged to enhance the delivery of safe, equitable, cost-effective and culturally appropriate care to these communities.

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Section: Future Directionsmentioning

confidence: 80%

Section: Challenges Of Accessing Healthcare In Canada's Northmentioning

confidence: 99%

Preliminary clinical algorithm to optimise remote delivery of paediatric concussion care in Canada’s North

Ellis

Mendez

Russell

2020

International Journal of Circumpolar Health

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“…A recent pilot study looking at triaging paediatric acute care transports in the province of Saskatchewan revealed that direct assessment and triaging with remote presence robotic technology significantly decreased the number of respiratory patients requiring transport out of their home communities [6]. Remote presence robotic technology has the potential for significant cost-benefit from a reduction in medical transport expenses.…”

Section: Current Uses In Northern Rural and Remote Communitiesmentioning

confidence: 99%

Enhancing access to care in northern rural communities via telehealth

Jong

Mendez

Jong

2019

International Journal of Circumpolar Health

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The cost of providing health care in northern Canada is higher than the rest of Canada. Telehealth has the potential to reduce health care expenditures. Yet this is still underutilised in Canada and globally. This paper describes the services provided through telehealth in some northern regions of Canada. It provides recommendations on the requirements for setting up real presence telehealth and how utilisation can be enhanced. Telehealth offers potential benefits for health outcomes by increasing access to healthcare, and reducing expenditures.

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“…Telemedicine reduces the need for interfacility transfer from both rural communities as well as community hospitals with hospitalist programs . 47,48,[51][52][53] This positive affect has significant influence on the feasibility of systemization of care for pediatric patients as well as stress of the limited subspecialty pediatric workforce.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

The Current State of the Pediatric Emergency Medicine Workforce and Innovations to Improve Pediatric Care

Faris

Marcin

Weinstein

2018

Clinical Pediatric Emergency Medicine

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Many hospitals and emergency departments lack resources to optimally care for ill and injured children, perpetuating risks of receiving fragmented and "uneven" care. In this article, we describe the present state of our pediatric emergency medicine workforce as well as the impact that different innovations could have on the future of pediatric emergency care. Many innovative initiatives, including physician and advanced practice provider education and training, pediatric readiness recognition programs, telemedicine and in-situ simulation outreach, and community paramedicine are being utilized to help bridge access gaps and augment the reach of the pediatric emergency medicine workforce. Advocacy for reimbursement for novel care delivery models, such as community paramedicine and telemedicine, and funding for outreach education programming is essential. Also, better understanding of our current training models for and utilization of advanced practice practitioners in pediatric emergency medicine is crucial to understanding the diversity of workforce growth and opportunity.

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Remote Presence Robotic Technology Reduces Need for Pediatric Interfacility Transportation from an Isolated Northern Community

Abstract: RPRT reduced the need for specialized pediatric IFT, while enabling regionalization when appropriate. This study may have implications for the broader implementation of RPRT, while reducing costs to the healthcare system.

Cited by 27 publications

References 31 publications

Preliminary clinical algorithm to optimise remote delivery of paediatric concussion care in Canada’s North

Preliminary clinical algorithm to optimise remote delivery of paediatric concussion care in Canada’s North

Enhancing access to care in northern rural communities via telehealth

The Current State of the Pediatric Emergency Medicine Workforce and Innovations to Improve Pediatric Care

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