Telemedicine utilisation in a paediatric sports medicine practice: decreased cost and wait times with increased satisfaction

Atanda, Alfred; Pelton, Miguel A.; Fabricant, Peter D.; Tucker, Ashley; Shah, Suken A.; Slamon, Nicholas

doi:10.1136/jisakos-2017-000176

Cited by 41 publications

(52 citation statements)

References 13 publications

(3 reference statements)

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“…67 Telehealth for mental healthcare has not been systematically studied in athletes, but this method of care delivery is feasible for athletes with other medical needs. [68][69][70] For athletes in some countries, remote provision of mental healthcare has necessitated changes in licensure rules. 17 For example, in the USA, during non-pandemic times, a physician must be licensed in the state where the patient is physically located, 17 and most physicians are only licensed in a single state.…”

Section: Virtual Versus In-person Carementioning

confidence: 99%

Mental health management of elite athletes during COVID-19: a narrative review and recommendations

Bindra²,

et al. 2020

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Elite athletes suffer many mental health symptoms and disorders at rates equivalent to or exceeding those of the general population. COVID-19 has created new strains on elite athletes, thus potentially increasing their vulnerability to mental health symptoms. This manuscript serves as a narrative review of the impact of the pandemic on management of those symptoms in elite athletes and ensuing recommendations to guide that management. It specifically addresses psychotherapy, pharmacotherapy and higher levels of care. Within the realm of psychotherapy, crisis counselling might be indicated. Individual, couple/family and group psychotherapy modalities all may be helpful during the pandemic, with novel content and means of delivery. Regarding pharmacotherapy for mental health symptoms and disorders, some important aspects of management have changed during the pandemic, particularly for certain classes of medication including stimulants, medications for bipolar and psychotic disorders, antidepressants and medications for substance use disorders. Providers must consider when in-person management (eg, for physical examination, laboratory testing) or higher levels of care (eg, for crisis stabilisation) is necessary, despite potential risk of viral exposure during the pandemic. Management ultimately should continue to follow general principles of quality health care with some flexibility. Finally, the current pandemic provides an important opportunity for research on new methods of providing mental health care for athletes, and consideration for whether these new methods should extend beyond the pandemic.

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Section: Virtual Versus In-person Carementioning

confidence: 99%

Mental health management of elite athletes during COVID-19: a narrative review and recommendations

Bindra²,

et al. 2020

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“…This cost discrepancy was observed due to patient travel expenses. Another study that performed such economic evaluation was published by Atanda Jr. et al [ 15 ]. Interestingly, in this case, they calculated and showed that there were cost savings to both the health system and patient.…”

Section: History and Potential Usage For Telemedicine In Orthopedicsmentioning

confidence: 99%

“…Atanda et al [ 15 ] retrospectively analyzed 120 teleconsultations from patients under 18 years of age. As a result, a high level of satisfaction (more than 90%) was observed.…”

Section: Telemedicine For Pediatric Populationmentioning

confidence: 99%

Telemedicine: Is It a Tool for Orthopedics?

Foni

Costa

Velloso

et al. 2020

Curr Rev Musculoskelet Med

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Purpose of Review The purpose of this paper is to illustrate how telemedicine can be beneficial in many areas of orthopedic clinical practice through a literature narrative review. In addition, we discuss advantages, barriers, and enablers of such technology. Recent Findings Telemedicine in orthopedics was initially described to discuss simple cases among non-specialist doctors through videoconferencing. Recently, it evolved to postoperative follow-up on selected cases, physical examination, and even teleconsultations direct to patients. Studies have reported that consultation can be offered safely to selected patients. Although this topic is already being addressed for a long time, recent studies have reported that there is still resistance among many orthopedic surgeons. Summary Telemedicine for orthopedics has safely expanded its operations. It can be used in postoperative follow-up of selected cases, fracture follow-up, and even in pediatric cases. Remote diagnosis of fractures is done successfully on an outpatient basis in many countries. Protocols and methods to standardize the virtual orthopedic examination for common musculoskeletal conditions have been developed. Satisfaction with teleconsultations as well as cost-effectiveness of remote care orthopedics were already well reported by some studies. We believe that remote care will be expanded in several hospitals around the world due to its huge potential. This fact is explained by natural technological development and by change and obliteration of habits accelerated exponentially after COVID-19 crisis.

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“…Several studies across an array of medical disciplines have reported that, compared with in-person visits, telehealth visits have similar patient satisfaction levels while concomitantly reducing travel costs, visit times, wait times, and overall health care costs. 3,46,50,71,72 Despite its increasing utilization in other health care disciplines, telehealth was not widely adopted by sports medicine practitioners before the COVID-19 crisis. 38 However, we now recognize that telehealth is an effective option for musculoskeletal care and will likely endure even after the pandemic, driven by physician and patient demand for efficiency and convenience.…”

mentioning

confidence: 99%

The Virtual Shoulder and Knee Physical Examination

Lamplot

Pinnamaneni

Swensen-Buza

et al. 2020

Orthopaedic Journal of Sports Medicine

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The COVID-19 crisis has forced a sudden and dramatic shift in the way that clinicians interact with their patients, from outpatient encounters to telehealth visits utilizing a variety of internet-based videoconferencing applications. Although many aspects of pre–COVID-19 outpatient sports medicine care will ultimately resume, it is likely that telehealth will persist because of its practicality and because of patient demand for access to efficient and convenient health care. Physical examination is widely considered a critical obstacle to a thorough evaluation of sports medicine patients during telehealth visits. However, a closer reflection suggests that a majority of the examination maneuvers are possible virtually with limited, if any, modifications. Thus, we provide a comprehensive shoulder and knee physical examination for sports medicine telehealth visits, including (1) verbal instructions in layman’s terms that can be provided to the patient before or read verbatim during the visit, (2) multimedia options (narrated videos and annotated presentations) of the shoulder and knee examination that can be provided to patients via screen-share options, and (3) a corresponding checklist to aid in documentation.

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Telemedicine utilisation in a paediatric sports medicine practice: decreased cost and wait times with increased satisfaction

Cited by 41 publications

References 13 publications

Mental health management of elite athletes during COVID-19: a narrative review and recommendations

Mental health management of elite athletes during COVID-19: a narrative review and recommendations

Telemedicine: Is It a Tool for Orthopedics?

The Virtual Shoulder and Knee Physical Examination

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