Telemedicine takes centre stage during COVID-19 pandemic

Ahmed, Saleem; Sanghvi, Kaushal; Yeo, Danson

doi:10.1136/bmjinnov-2020-000440

Cited by 80 publications

(71 citation statements)

References 3 publications

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“…Now, more than ever, providing patients the option of VC is important in order to continue the delivery of qualitative patient care. [23][24][25] The results of this study can be used to aid healthcare providers, together with shared-decision making, to determine whether VC is a good alternative option, when face-to-face contact is not possible.…”

Section: Discussionmentioning

confidence: 99%

Comparing video consultation and telephone consultation at the outpatient clinic of a tertiary referral centre: patient and provider benefits

et al. 2020

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ObjectivesTelephone consultations are frequently used in the outpatient setting in order to avoid unnecessary travel and to reduce hospital visit-related costs for patients. However, they are limited by the absence of non-verbal communication in contrast to video consultation. Little is known considering the possible advantages of using video consultation in comparison to telephone consultation according to both patients and healthcare providers.MethodsPatients with colorectal diseases were asked to choose between a telephone consultation or a video consultation for their next appointment at the outpatient clinic of a tertiary referral centre. Willingness to use video consultation, value of non-verbal communication, patient satisfaction, provider satisfaction and user friendliness of the video connection technology were measured using questionnaires.ResultsNone of the included patients ever had a video consultation before with a healthcare provider. Nonetheless, 22/50 preferred a video consultation over a telephone consultation. Patients who preferred a video consultation underlined the benefits of providing visual feedback to both patients and healthcare providers. Moreover, healthcare providers felt they were better able to assess the patients’ healthcare condition.ConclusionFor patients who value both verbal and non-verbal interaction and feel comfortable with the use of video consultation, video consultation is the preferred contact modality. Shared decision making should be used to choose the preferred interaction modality. For patients with low digital skills, support might be needed or video consultation may not be the preferred choice.

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Section: Discussionmentioning

confidence: 99%

Comparing video consultation and telephone consultation at the outpatient clinic of a tertiary referral centre: patient and provider benefits

et al. 2020

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“…However, since COVID-19, it has made a significant jump in its use and place in healthcare [19]. Therefore, telemedicine will most likely have a greater impact in the delivery of healthcare following the COVID-19 pandemic, particularly as a premiere screening tool as seen in British Columbia and worldwide [20]. Canada's universal healthcare system is widely regarded as a pillar of Canadian society, but the limited operating room (OR) capacity and hence the extensive wait times for elective surgery already prior COVID-19 remain controversial [4].…”

Section: Discussionmentioning

confidence: 99%

COVID-19 pandemic effects on orthopaedic surgeons in British Columbia

Simon

Regan

2021

J Orthop Surg Res

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Background COVID-19 was declared a global emergency in the first quarter of 2020. It is has resulted in and continues in over a million deaths worldwide and halted medical systems and particularly elective surgeries worldwide. The aim of this study was to identify the effect of the initial COVID-19 pandemic months on orthopaedic surgeons in British Columbia. Methods The study surveyed (June until August 2020) 187 orthopaedic surgeons in British Columbia affiliated with the University of British Columbia or the British Columbia Orthopaedic Association using an online survey to help identify the impact of COVID-19 on patient care, work and personal life. Results Eighty-seven out of 187 (46.5%) orthopaedic surgeons participated in the online survey. All types of surgeries were completely cancelled for 23 respondents. Elective surgeries were cancelled for most respondents (in-hospital n = 38 and/or ambulatory n = 32). Trauma cases were reduced according to 35 respondents. Outpatient clinics were stopped initially and transferred in virtual clinics (telemedicine). Approximately 40% of respondents were afraid of infecting others (patients, family) and 25% admitted to drink more heavily. Ninety percent of respondents reported an income loss of > 15% (range 0–100%). Conclusion Orthopaedic surgeons and their patients have been significantly affected by the COVID-19 pandemic. Cancellation of surgeries has created an increased backlog of 32,400 orthopaedic surgeries in British Columbia. However, the COVID-19 pandemic has expedited the implementation of telemedicine, which will be a long-lasting benefit in providing healthcare.

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“…Therefore, many healthcare providers have been offering telemedicine services. 43 In the current situation, it is all the more critical to educate at-risk patients regarding lifestyle modifications to prevent chronic diseases since diagnosis and monitor of chronic condition via telecommunication devices could be more difficult and lead to underdiagnoses of these conditions. 44 …”

Section: Discussionmentioning

confidence: 99%

Racial and ethnic disparities in chronic health conditions among women with a history of gestational diabetes mellitus

Bazargan‐Hejazi

Ruiz

Ullah

et al. 2021

Health Promot Perspect

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Background: This study aims to examine and determine the role of race/ethnicity in chronic conditions in women diagnosed with gestational diabetes mellitus (GDM) during any of their previous pregnancies. Methods: We used the National Health and Nutrition Examination Survey (NHANES) from2007–2016 to identify women who self-reported prior GDM and chronic disease diagnoses such as cardiovascular disease, hypertension, depression, and type 2 diabetes mellitus (T2DM).We used bivariate analysis using the chi-square test (χ²) and multiple logistic regressions to perform statistical test for associations, taking into consideration design and sample weight. Results: Among participants with prior GDM diagnoses, black women had a 74.4% prevalence of chronic disease, followed by Whites, 58.5% Hispanics, 58.0%, and Asians, 51.9% (P=0.009).Black women with prior GDM diagnoses had 2.4 odds of having chronic conditions compared to Whites (adjusted odds ratio [AOR]=2.40, 95% confidence interval [CI] = 1.28-4.50). In addition, they had higher odds of being former smokers (AOR=1.73, 95% CI=1.01-2.96),current smokers (AOR=1.96, 95% CI=1.06-3.61), having a body mass index (BMI) of 25-29.9(AOR=2.55, 95% CI=1.10-5.87), or a BMI ≥30 (AOR=4.09, 95% CI = 2.05-8.17) compared to their White counterparts. Hispanic women had lower odds of being diagnosed with GDM and associated chronic diseases. Conclusion: Black women with GDM were disproportionally affected and at higher risk to be diagnosed with chronic conditions. Smoking and obesity were strongly associated with chronic disease diagnoses. Our findings also suggest a ‘Hispanic Paradox’, requiring further study. These findings inform primary care clinicians and Obstetricians, and Gynecologists of at-risk patients who could benefit from lifestyle modification recommendations and counseling.

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Telemedicine takes centre stage during COVID-19 pandemic

Cited by 80 publications

References 3 publications

Comparing video consultation and telephone consultation at the outpatient clinic of a tertiary referral centre: patient and provider benefits

Comparing video consultation and telephone consultation at the outpatient clinic of a tertiary referral centre: patient and provider benefits

COVID-19 pandemic effects on orthopaedic surgeons in British Columbia

Racial and ethnic disparities in chronic health conditions among women with a history of gestational diabetes mellitus

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