The Impact of Telemedicine in the Postoperative Care of the Neurosurgery Patient in an Outpatient Clinic: A Unique Perspective of this Valuable Resource in the Developing World—An Experience of More Than 3000 Teleconsultations

Dadlani, Ravi; Mani, Subramaniyan; A.U, Jai Ganesh; Mohan, Dilip; Rajgopalan, Niranjana; Thakar, Sumit; Aryan, Saritha; Hegde, Alangar S.

doi:10.1016/j.wneu.2014.05.027

Cited by 50 publications

(27 citation statements)

References 5 publications

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“…(Reixeira-Poit, 2017). In an effort to maximize resource efficiency, continuity of care and patient access, the Veterans Health Administration has tested workflows using allied health professionals to conduct telemedicine follow-up care in lieu of in person clinical visits to maximize response efficiency and patient access (Dadlani, 2014).…”

Section: Introductionmentioning

confidence: 99%

Expanding The Use of Telemedicine in Neurology: A Pilot Study

Reider-Demer¹,

Dawn²

2018

JournalMTM

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Background: Telemedicine enables providers to connect with patients and consultants remotely in a cost-effective, convenient manner. Telemedicine in various forms-from store-and-forward technology to real-time videoconferencing-has demonstrated good outcomes in specialties including neurosurgery, general neurology, stroke, and epilepsy. Aim: To demonstrate the feasibility of telemedicine in an outpatient university-based neurology clinic, and assess patient and provider satisfaction with telemedicine. Methods: Forty neurologically stable adult patients were recruited. We excluded patients who were non-English speaking, had intellectual disability, lacked caregiver availability, or had unstable neurological conditions. After each telemedicine visit a patient standardized satisfaction survey was completed, comprising 11 questions assessing patient willingness to participate, technical issues, and satisfaction with the clinic experience and medical provider. A provider satisfaction survey was obtained at the end of the study. Results: Forty of fifty patients meeting criteria consented to a telemedicine visit in lieu of a routine visit, and 15 of these responded to survey. All felt confident when meeting with their provider met their needs. Ninety percent of participants agreed that the technical process of joining the on-line session was easy. All patients agreed that they were satisfied with their telemedicine session and would choose telemedicine over face-to-face visits in the future. Cost analysis demonstrated a UCLA healthcare system saving of $28.00 for each telemedicine replacing an in-person clinic visit. Patients saved the cost of auto fuel, missed work, and parking when using the telemedicine option. Conclusions: Telemedicine in neurology patients is feasible and satisfies patients and providers.

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Section: Introductionmentioning

confidence: 99%

Expanding The Use of Telemedicine in Neurology: A Pilot Study

Reider-Demer¹,

Dawn²

2018

JournalMTM

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“…A correspondence unit and a well-developed telemedicine service provide diagnostic advice and postoperative counseling for a large number of patients from distant parts of the country. [2] As a value factor for the patients’ families, there is a provision for subsidized food and accommodation for them for the duration of patient hospitalization. Several elegant features recognized to improve care outcomes are integral to the SSSIHMS, health model.…”

Section: Standards Of Carementioning

confidence: 99%

A value-based, no-cost-to-patient health model in the developing world: Critical appraisal of a unique patient-centric neurosurgery unit

et al. 2015

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Background:It is well-accepted that the current healthcare scenario worldwide is due for a radical change, given that it is fraught with mounting costs and varying quality. Various modifications in health policies have been instituted toward this end. An alternative model, the low-cost, value-based health model, focuses on maximizing value for patients by moving away from a physician-centered, supply-driven system to a patient-centered system.Methods:The authors discuss the successful inception, functioning, sustainability, and replicability of a novel health model in neurosurgery built and sustained by inspired humanitarianism and that provides all treatment at no cost to the patients irrespective of their socioeconomic strata, color or creed.Results:The Sri Sathya Sai Institute of Higher Medical Sciences (SSSIHMS) at Whitefield, Bengaluru, India, a private charitable hospital established in 2001, functions on the ideals of providing free state-of-the-art healthcare to all in a compassionate and holistic manner. With modern equipment and respectable outcome benchmarks, its neurosurgery unit has operated on around 18,000 patients since its inception, and as such, has contributed INR 5310 million (USD 88.5 million) to society from an economic standpoint.Conclusions:The inception and sustainability of the SSSIHMS model are based on self-perpetuating philanthropy, a cost-conscious culture and the dissemination of human values. Replicated worldwide, at least in the developing nations, this unique healthcare model may well change the face of healthcare economics.

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“…The survey conducted during 2009-2010 in remote regions of the Brazilian state of Minas Gerais shows that the teleconsultations can avert 80.8% of referrals and 45.5% of transportation costs [14]. Many other studies also verified that telemedicine could greatly reduce the healthcare cost, shorten the waiting time, and improve the utilization efficiency of health resources [15][16][17][18].…”

Section: Introductionmentioning

confidence: 98%

Impact of Telemedicine on Healthcare Service System Considering Patients’ Choice

Wang

Zhang

Zhao

et al. 2019

Discrete Dynamics in Nature and Society

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Telemedicine is an effective way to alleviate the congestion of hospitals and improve the utilization of medical resources. In this paper, we develop a stylized queue model to study whether the hospital should adopt telemedicine service and in which form (the gatekeeper system or dual-channel service system) the hospital should provide telemedicine service. Patients’ delay sensitivity and transportation cost are also considered in our model. Our main results follow. First, in most cases, telemedicine service can help to reduce the total cost of the healthcare system, and patients treated online or offline can both benefit from the adoption of telemedicine. Second, the dual-channel healthcare system is more flexible than the traditional outpatient system and the gatekeeper system. There exists an optimal market segmentation of the two channels in the dual-channel healthcare system. Finally, we find that the hospital should implement the telemedicine when the transportation cost is high or patients have a large gap between online and offline waiting sensitivity.

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The Impact of Telemedicine in the Postoperative Care of the Neurosurgery Patient in an Outpatient Clinic: A Unique Perspective of this Valuable Resource in the Developing World—An Experience of More Than 3000 Teleconsultations

Cited by 50 publications

References 5 publications

Expanding The Use of Telemedicine in Neurology: A Pilot Study

Expanding The Use of Telemedicine in Neurology: A Pilot Study

A value-based, no-cost-to-patient health model in the developing world: Critical appraisal of a unique patient-centric neurosurgery unit

Impact of Telemedicine on Healthcare Service System Considering Patients’ Choice

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