Telerheumatology: A technology appropriate for virtually all

Kulcsar, Zsolt; Albert, Daniel A.; Ercolano, Ellyn; Mecchella, John N.

doi:10.1016/j.semarthrit.2016.05.013

Cited by 84 publications

(84 citation statements)

References 6 publications

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“…Similarly, in a study by Kulcsar et al [12], 2 out of 3 patients stated that the care obtained during the telemedical consultation was comparable to direct appointment, with more than half of the respondents willing to use telerheumatology again. However, only 25% of respondents were of the opinion that telerheumatology is more convenient than a face-to face visit [12].…”

Section: Discussionmentioning

confidence: 79%

The attitude of Polish rheumatology patients towards telemedicine in the age of the COVID-19 pandemic

Opinc¹,

Łukasik²,

Makowska³

2020

Reumatologia

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Objectives: In response to the outbreak of the SARS-CoV-2 coronavirus pandemic, the Polish government has enabled specialist teleconsultations. Due to this, Polish patients have gained access to continuation of outpatient specialist healthcare using information and communication technologies. The goal of the study was to recognize the needs and expectations as well as the main concerns of Polish rheumatology patients in regard to teleconsultations. Material and methods: An online-based questionnaire comprising 17 single choice and multiple choice, open-end questions was collected among Polish rheumatology patients directly after the introduction of specialist teleconsultations. Results: 244 respondents completed the survey. Mean age of the respondents was 40.6 ±10.5 and 92.6% of them were female. 48% of the respondents lived not further than 20 kilometres from their outpatient rheumatology clinic. The mean severity of current symptoms, assessed by patients on a visual-analogue scale, was 4.9 ±2.4. 82% of the respondents selected telephone consultations as the most convenient form of receiving rheumatology advice. The patients highlighted the lack of physical examination (43%) and additional tests (43.9%) as the factors discouraging them from teleconsultations; 8.2% of respondents were against maintaining rheumatology teleconsultations after the SARS-CoV-2 pandemic; 3.7% of the respondents received information on teleconsultations from a medical professional. Conclusions: The community of Polish rheumatology patients is eager to benefit from specialist teleconsultations. Telephone consultations are the most eagerly chosen form of remote consultations. Medical professionals should actively promote this form of patient in order to reach the patients who do not use the computer readily.

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Section: Discussionmentioning

confidence: 79%

The attitude of Polish rheumatology patients towards telemedicine in the age of the COVID-19 pandemic

Opinc¹,

Łukasik²,

Makowska³

2020

Reumatologia

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“…Prior studies have shown the benefit of synchronous telehealth modalities within rheumatology such as videoconference visits [5][6][7][8][9], but there is little published about the impact of asynchronous E-consults. Scheibe et al [10], reviewed the impact of another type of asynchronous telehealth format, the pre-consult exchange, which uses a similar strategy as E-consults, but with more integrated communication between the referring provider and specialist.…”

Section: Introductionmentioning

confidence: 99%

E-consults: an effective way to decrease clinic wait times in rheumatology

2020

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Background To evaluate the effect of E-consults on wait times and resource utilization for positive antinuclear antibody (ANA) referrals in outpatient rheumatology. Methods We conducted a pre-post study of E-consult implementation for positive ANA referrals. We retrospectively reviewed “positive ANA” referrals from 1/2015–3/2017. A statistical process control chart was created to display monthly average wait times for in-person clinic visits and to identify special cause variation. Final diagnoses, wait times and resource utilization were recorded and compared between E-consults and in-person referrals. Results There were 139 referrals for positive ANA with 126 occurring after E-consult implementation in August 2015. Forty-four percent (55/126) of referrals were E-consults; 76% did not have an in-person visit after initial electronic rheumatology recommendation. A control chart demonstrated special cause variation in the form of a shift from June 2016 – January 2017, suggesting a temporal association between decreased wait times and the implementation of E-consults. Eleven patients were diagnosed with ANA-associated rheumatic disease; the majority of patients (73%, 86/139) did not have a rheumatologic diagnosis. Overall E-consults utilized more labs than in-person visits, but this was not statistically significant. In-person visits utilized more imaging studies, which was statistically significant. Conclusion E-consults are an effective way to address positive ANA consults without significant increase in resource utilization and were temporally associated with decreased wait times for in-person visits.

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“…Hierdurch können wichtige Informationen verloren gehen. Insbesondere für den Erstkontakt oder bei komplexen Krankheitsfällen kann die Videosprechstunde keine adäquate Untersuchungsqualität gewährleisten [23,24].…”

Section: Untersuchungs-und Kommunikationsproblemeunclassified

Telemedizin in der Rheumatologie

Krusche

Muehlensiepen

Aries³

et al. 2020

Z Rheumatol

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Zusammenfassung Der Ausbruch der COVID-19-Pandemie geht mit tief greifenden Einschnitten im Alltag und im Berufsleben einher – sowohl gesamtgesellschaftlich als auch speziell im Gesundheitswesen. Im Fokus der Pandemieeindämmung haben sich vielerorts rheumatologische Routineabläufe verändert. Um den entsprechenden Infektionsschutz der Patienten und des medizinischen Personals gewährleisten zu können, wurde hier verstärkt Telemedizin (insbesondere Telefon- und Videosprechstunde) eingesetzt. Weiterhin stehen durch die Digitale-Gesundheitsanwendungen-Verordnung (DiGAV) voraussichtlich in den kommenden Monaten neue, abrechnungsfähige telemedizinische Anwendungsmöglichkeiten wie Apps und Wearables zur Verfügung. Der Artikel soll einen Überblick über telemedizinische Versorgungsmöglichkeiten in der Rheumatologie (mit besonderem Fokus auf die Videosprechstunde) geben. Weiterhin wird Bezug auf die vorhandene Evidenzlage sowie Chancen und Limitation der Telemedizin im Fachgebiet genommen.

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Telerheumatology: A technology appropriate for virtually all

Cited by 84 publications

References 6 publications

The attitude of Polish rheumatology patients towards telemedicine in the age of the COVID-19 pandemic

The attitude of Polish rheumatology patients towards telemedicine in the age of the COVID-19 pandemic

E-consults: an effective way to decrease clinic wait times in rheumatology

Telemedizin in der Rheumatologie

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