Travel, Time, and Cost Savings Associated with a University Medical Center's Video Medical Interpreting Program

Sigal, Ilana; Dayal, Parul; Hoch, Jeffrey S.; Mouzoon, Jamie L.; Morrow, Elena; Marcin, James P.

doi:10.1089/tmj.2019.0220

Cited by 5 publications

(4 citation statements)

References 32 publications

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“…Therefore, the possible use of telemedicine should be viewed as a factor of strategic importance in pre‐anaesthetic nursing consultations. For example, the field of anaesthesiology has benefited greatly from this technology since 2004, both in rural settings and in metropolitan areas, with high rates of user satisfaction, fewer appointment cancellations, greater financial savings and no reduction in the quality of health services or outcomes (Sigal et al., 2020). Nevertheless, nursing professionals and health institutions are urged to share their knowledge, successes and shortcomings in order to improve existing instruments, to enable the design of comprehensive protocols, to facilitate the analysis of patient selection, to determine the satisfaction of patients and healthcare providers, to assess equipment reliability and performance and to guarantee the security of confidential health information (Bridges et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Indicators and predictors modifiable by the nursing department during the preoperative period: A scoping review

Fernández

Fernández-Ordóñez

García‐Gámez

et al. 2022

Journal of Clinical Nursing

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Background: Due to rapid sociodemographic and technological change, the global demand for surgical attention is rising exponentially, requiring new strategies for optimisation and sustainability in perioperative care. Design: We conduced the scoping review using the methodology recommended by the Joanna Briggs Institute supported with The PAGER framework and guided by the PRISMA-ScR Checklist. Methods: Four databases (CINAHL, MEDLINE, SCOPUS and PUBMED) were examined to extract relevant published results for elective surgery on adult patients during the period 2011-2021. This process identified 609 records. Exclusion criteria were applied, and the sample was then evaluated with the Quality Assessment Tool for Studies with Diverse Designs (QATSDD), after which 15 studies remained. Results: The following preoperative indicators and/or predictors were considered: (1) Anxiety; (2) Pain; (3) Health education, knowledge and training; (4) Satisfaction; (5) Management/organisation (including costs, resources used/available, organisational issues, hospital stay (preoperative), standardisation and protocolisation. Conclusion: The identification of five indicators and/or predictors of complications or inefficiencies in the surgical process, which can be modified by nursing, allows the effective application of interventions in the preoperative phase, optimising care and improving health outcomes.Relevance to clinical practice: The development and implementation of specific nursing skills in the preoperative phase are essential to optimise the surgical process.

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Section: Discussionmentioning

confidence: 99%

Indicators and predictors modifiable by the nursing department during the preoperative period: A scoping review

Fernández

Fernández-Ordóñez

García‐Gámez

et al. 2022

Journal of Clinical Nursing

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“…Surgical plans developed via telemedicine visits remain unchanged after in-person examinations [16]. In addition, virtual airway evaluations, critical to the development of anesthesia intraoperative plans, have been found to have strong agreement with in-person airway evaluations [17]. Current medicine practice places a strong focus on objective skills and evaluations but the virtual visit can still provide much physical objective data, particularly visual in addition to objective studies such as echocardiograms and chest x-rays, which can be obtained after subjective histories and review of systems.…”

Section: Introductionmentioning

confidence: 88%

Improvement in Adherance to Anesthesia Preoperative Appointment With Telemedicine: A Retrospective Analysis

Le,

Burton,

Tejeda

et al. 2024

Cureus

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Background: Amidst the coronavirus disease 2019 (COVID-19) pandemic, the sudden demand for virtual medical visits drove the expansion of telemedicine across all medical specialties. Current literature demonstrates limited knowledge of the impact of telehealth on appointment adherence, particularly in preoperative anesthesia evaluations. This study aims to describe the impact of telemedicine-based anesthesia evaluation and its effects on appointment completion.Methods: This was a retrospective, non-randomized, cohort study of adult patients at the University of California, Los Angeles, United States, who received preoperative anesthesia evaluations by telemedicine or in-person in an academic medical center. From January to September 2021, we evaluated telemedicine and in-person appointment completion in patients scheduled for surgery. The primary outcome was the incidence of appointment completion. The secondary outcomes included appointment no-shows and cancellations.Results: Of 1332 patients included in this study, 956 patients received telehealth visits while 376 patients received in-person preoperative anesthesia evaluations. Compared to the in-person group, the telemedicine group had more appointment completions (81.38% vs 76.60%), fewer cancellations (12.55% vs 19.41%), and no statistical difference in appointment no-shows (6.07% vs 3.99%). Compared to the in-person group, patients who received telemedicine evaluations were younger (55. 81 ± 18.38 vs 65.97 ± 15.19), less likely Native American and Alaska Native (0.31% vs 1.60%), more likely of Hispanic or Latino ethnicity (16.63% vs 12.23%), required less interpreter services (4.18% vs 9.31%), had more private insurance coverage (53.45% vs 37.50%) and less Medicare coverage (37.03% vs 50.53%).Conclusions: This study demonstrates that telemedicine can improve preoperative anesthesia appointment completion and decrease appointment cancellations. We also demonstrate potential shortcomings of telemedicine in serving patients who are older, require interpreter services, or are non-privately insured. These inequities highlight potential avenues to increase equity and access to telemedicine.

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“…In the 27 VMI studies, especially the more recent ones since 2012, there were two major strengths in the research design. First, these studies usually adopted large sample sizes (e.g., over 280, 000 medical encounters in [36]). Second, most of these studies operationalized its target construct into multiple indexes instead of a single index, and therefore these studies were able to obtain richer data and provide us with more informative findings.…”

Section: Review Of Research Designs and Research Findingsmentioning

confidence: 99%

“…By contrast, two studies [26,27] that employed between-subject designs and used inferential statistics did not found significant difference in encounter time between VMI and on-site (or between VMI and telephone interpreting). A third study on this issue [36], which compared the encounter time between over 240, 000 cases of on-site interpreting and overall 32, 000 cases of VMI conducted in the same hospital, showed a shorter average encounter time in VMI than on-site (mean of on-site [SD] = 41.72 [36.1]; mean of VMI [SD] = 30.72 [26.0]). As this study did not use inferential statistics in data analyses, however, the present review was still not sure whether the encounter time in VMI was significantly shorter than on-site.…”

Section: Review Of Research Designs and Research Findingsmentioning

confidence: 99%

Video-Mediated Interpreting

2022

Int. J. Emerg. Technol. Learn.

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To better understand the empirical findings on video mediated interpreting (VMI) and accordingly offer pedagogical implications, a systematic and critical review was conducted on 27 relevant studies published in established journals from 2005 to 2022. Three major findings were obtained. First, VMI studies have increased in number steadily since 2017, and VMI issues have been explored by researchers from various fields, such as translation studies, sociology, and medicine. Second, the VMI studies during these 17 years had both strengths and potential problems in their research designs. Third, VMI research centered upon six issues, including (1) time, (2) financial cost and benefits, (3) physical and psychological costs, (4) communication quality and users’ satisfaction, (5) acceptance, and (6) strategies. Based on the existing findings on these issues, pedagogical implications for interpreter education were discussed, in particular the importance of VMI practice and the use of strategies that facilitate VMI-based communication.

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Travel, Time, and Cost Savings Associated with a University Medical Center's Video Medical Interpreting Program

Cited by 5 publications

References 32 publications

Indicators and predictors modifiable by the nursing department during the preoperative period: A scoping review

Indicators and predictors modifiable by the nursing department during the preoperative period: A scoping review

Improvement in Adherance to Anesthesia Preoperative Appointment With Telemedicine: A Retrospective Analysis

Video-Mediated Interpreting

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