The role of telemedicine in postoperative care

Williams, Aaron M.; Bhatti, Umar F.; Alam, Hasan B.; Nikolian, Vahagn C.

doi:10.21037/mhealth.2018.04.03

Cited by 120 publications

(104 citation statements)

References 60 publications

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“…Bangladesh's healthcare industries have found it difficult to enhance service quality and improve accessibility (S. , partly because of the low rate of telemedicine deployment in rural settings. Studies reveal that providing high-quality care (Williams et al, 2018), leadership engagement (Ross, Stevenson, Lau, & Murray, 2016), and regulations and health guidelines are indispensable for building health seekers' trust (Oak, 2007). Uncertainty about rules and clinical guidelines are considered dominant barriers (Martin, Probst, Shah, Chen, & Garr, 2012) that may influence organisational trustworthiness and many e-Health projects fail because of inadequate regulatory policy integration (Gagnon et al, 2009).…”

Section: Review Of the Literature (Hypotheses And Conceptual Model)mentioning

confidence: 99%

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Telemedicine Healthcare Service Adoption Barriers in Rural Bangladesh

Zobair

Sanzogni

Sandhu

2020

AJIS

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This article investigates potential barriers to telemedicine adoption in centres hosted by rural public hospitals in Bangladesh. Little is known of the barriers related to telemedicine adoption in this context. Analysis of data collected from rural telemedicine patients identified seven broad categories of barriers: lack of organisational effectiveness, information and communication technology infrastructure, quality of care, allocation of resources, health staff motivation, patient satisfaction and trustworthiness. Their significance is explored. This research is based on the quantitative analysis of a data set of 500 telemedicine patients, from rural areas in Bangladesh. A conceptual model showing the interaction of pre-determined classes of barriers was established and hypotheses set up and tested using partial least squares structural equation modelling. Exemplary barriers to telemedicine adoption were identified and confirmed (p<.01) namely, lack of organisational effectiveness, health staff motivation, patient satisfaction, and trustworthiness collectively explaining 62% of the variance in barriers to adoption and providing for the first-time empirical support of their existence. These barriers offer considerable resistance to the adoption and maintenance of current telemedicine projects in rural Bangladesh. Further, lack of information and communication technology infrastructure, allocation of resources and quality of care are indirect barriers affecting successful deployment of telemedicine in rural settings. These findings illuminate adoption impediments faced by existing telemedicine projects and institutionalise favourable policy guidelines to improve Bangladesh’s and similar emerging economies’ healthcare industries. Policy interventions and recommendations are provided, including current research limitations leading to opportunities for future research.

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Section: Review Of the Literature (Hypotheses And Conceptual Model)mentioning

confidence: 99%

“…A satisfied patient will likely return to the services and share their positive experiences (Hill & Doddato, 2002). A recent study (Williams et al, 2018) found that postoperative telemedicine patients have a satisfaction rate as high as 111% and prefer telemedicine follow-up.…”

Section: Patient Satisfaction Barriersmentioning

confidence: 99%

Telemedicine Healthcare Service Adoption Barriers in Rural Bangladesh

Zobair

Sanzogni

Sandhu

2020

AJIS

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“…Telemedicine is the use of electronic information and video communication technologies to provide and support healthcare when distance separates participants [ 1 ]. Due to the widespread adoption of technology in all fields, telemedicine is increasingly being used and becoming a promising tool in healthcare [ 2 ].…”

mentioning

confidence: 99%

“…Due to the widespread adoption of technology in all fields, telemedicine is increasingly being used and becoming a promising tool in healthcare [ 2 ]. Among its benefits, excellent clinical outcomes, enhanced patient satisfaction, increased accessibility, reduced cost and reduced waiting times have been described [ 1 ].…”

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confidence: 99%

Telemedicine for postoperative follow-up, virtual surgical clinics during COVID-19 pandemic

et al. 2020

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Summary and background data Recent coronavirus outbreak and “stay at home” policies have accelerated the implementation of virtual healthcare. Many surgery departments are implementing telemedicine to enhance remote perioperative care. However, concern still arises regarding the safety of this modality in postoperative follow-up after gastrointestinal surgery. The aim of the present prospective study is to compare the use of telemedicine clinics to in-person follow-up for postoperative care after gastrointestinal surgery during COVID-19 outbreak. Methods Prospective study that included all abdominal surgery patients operated since the COVID-19 outbreak. On discharge, patients were given the option to perform their postoperative follow-up appointment by telemedicine or by in-person clinics. Demographic, perioperative, and follow-up variables were analyzed. Results Among 219 patients who underwent abdominal surgery, 106 (48%) had their postoperative follow-up using telemedicine. There were no differences in age, gender, ASA score, and COVID-19 positive rate between groups. Patients who preferred telemedicine over in-person follow-up were more likely to have undergone laparoscopic surgery (71% vs. 51%, P = 0.037) and emergency surgery (55% vs. 41%; P = 0.038). Morbidity rate for telemedicine and in-person group was 5.7% and 8%, ( P = 0.50). Only 2.8% of patients needed an in-person visit following the telemedicine consult, and 1.9% visited the emergency department. Conclusions In the current pandemic, telemedicine follow-up can be safely and effectively performed in selected surgical patients. Patients who underwent laparoscopic and emergency procedures opted more for telemedicine than in-person follow-up.

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“…Therefore, obstacles and barriers due to national borders, e. g. in the area of Benelux/France/ Germany are a limitation to offer telemedical services despite good communication possibilities. In the USA, this barrier is even more significant since the approval of physicians is incumbent to the respective federal state so that telemedical treatment might not be reimbursed despite the same language and nationality [77].…”

Section: Acceptance Of Telemedical Methods Among Physiciansmentioning

confidence: 99%

Telemedizinische Methoden in der Hals-Nasen-Ohrenheilkunde

Beule

2019

Laryngo-Rhino-Otol

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ZusAmmenfAssunG Telemedizin ist ein Oberbegriff, der alle kommunikationstechnologisch unterstützte Verfahren zusammenfasst, die medizinische Leistungen über räumliche Entfernungen erbringen. Dieser rasch sich entwickelnde Bereich der Medizin besitzt gerade für das stark endoskopisch/mikroskopisch ausgerich-tete Fach der Hals-Nasen-Ohrenheilkunde interessante Optionen. Für die klinische Untersuchung von Ohr, Nase, Rachen und Larynx, aber auch für die postoperative Nachsorge und die Betreuung nach Kopf-Hals-Tumor-Erkrankungen liegen Daten zum telemedizinischen Vorgehen vor, ebenso für die audiologischen Messungen nach Cochlea-Implantation. Diese Daten bieten z. T. ein interessantes Potential, z. T. weisen sie aber gerade auch auf Probleme bei unkritischer Anwendung der Telemedizin hin, deren Erfolg entscheidend von der Ausbildung des Untersuchers vor Ort abhängt. Der vorgestellte Artikel fasst die wesentlichen Erkenntnisse dieses sich sehr rasch entwickelnden Forschungsgebietes überblickartig zusammen. ABsTR AC TTelemedicine is a generic term summarizing all communication techniques assisting to provide medical services over distance. This rapidly developing medical area provides especially for the field of otorhinolaryngology with its high dependency on endoscopy and microcopy vaulable options. For clinical examination of ear, nose, throat and larynx, but also for postoperative care and surveillance of head and neck tumor patients data exist using the telemedical approach. Furthermore, audiological telemedical measurements even after Cochlear implantation are deemed feasible. While first data indicate interesting approaches, they also demonstrate problems, if a telemedical approach is used without proper preparation. Especially the observers at the remote location of the patients and their training are highly important in this regard. This review summarizes the current state of science of this rapidly changing are of research and clinical care. Inhaltsverzeichnis Redaktionelle Anmerkung 130Einleitung und Hinweise zur Methodik 130

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The role of telemedicine in postoperative care

Cited by 120 publications

References 60 publications

Telemedicine Healthcare Service Adoption Barriers in Rural Bangladesh

Telemedicine Healthcare Service Adoption Barriers in Rural Bangladesh

Telemedicine for postoperative follow-up, virtual surgical clinics during COVID-19 pandemic

Telemedizinische Methoden in der Hals-Nasen-Ohrenheilkunde

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