Novel ENT live telehealth and live video-otoscopy clinics in remote Australia: outcomes and comparisons to traditional clinic models.

Autor:	O'Neil LM; Western Australian Country Health Service, Perth, Australia.; Division of Surgery, Medical School, University of Western Australia, Perth, Australia., O'Neill M; Western Australian Country Health Service, Perth, Australia., Whelan F; Western Australian Country Health Service, Perth, Australia., Leahy T; Western Australian Country Health Service, Perth, Australia.; Division of Otolaryngology, Medical School, The University of Notre Dame, Perth, Australia., Wormald R; Western Australian Country Health Service, Perth, Australia., Hinton-Bayre AD; Western Australian Country Health Service, Perth, Australia.; Division of Surgery, Medical School, University of Western Australia, Perth, Australia., Ghandour J; Western Australian Country Health Service, Perth, Australia., Kuthubutheen J; Western Australian Country Health Service, Perth, Australia.; Division of Surgery, Medical School, University of Western Australia, Perth, Australia.
Jazyk:	angličtina
Zdroj:	The Journal of laryngology and otology [J Laryngol Otol] 2024 Mar; Vol. 138 (3), pp. 253-257. Date of Electronic Publication: 2023 Sep 12.
DOI:	10.1017/S0022215123001561
Abstrakt:	Background: Coronavirus disease 2019 challenged the delivery of healthcare in Australia, disproportionately impacting vulnerable patients, including Aboriginal and/or Torres Strait Islander peoples and those living in remote regions. The otolaryngology service provided to remote Western Australia adapted to these barriers by altering clinical consultations to a digital model. Methods: A review was undertaken of patients in regional Western Australia. Demographics and clinical outcomes from 20 live telehealth clinics were retrospectively reviewed and compared to 16 face-to-face clinics. Results: The demographics of patients reviewed in both live telehealth and face-to-face clinics were similar, except for a larger proportion of Aboriginal and/or Torres Strait Islander patients utilising telehealth. The outcomes of patients reviewed through each model of care were comparable. Live video-otoscopy provided diagnostic quality images in 92 per cent of cases. Conclusion: The findings of our review suggest that, despite its limitations, a large proportion of ENT patients may be safely assessed through a live telehealth model.
Databáze:	MEDLINE
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