| Autor: |
Russell K; Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada.; Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada.; Excellence in Neurodevelopment and Rehabilitation Research in Child Health Theme, Winnipeg, Manitoba, Canada., Sandron E; Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada., Normand H; Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada.; Excellence in Neurodevelopment and Rehabilitation Research in Child Health Theme, Winnipeg, Manitoba, Canada., Ellis M; Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada.; Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada.; Excellence in Neurodevelopment and Rehabilitation Research in Child Health Theme, Winnipeg, Manitoba, Canada.; Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.; Department of Surgery, Section of Neurosurgery, University of Manitoba, Winnipeg, Manitoba, Canada.; Pan Am Concussion Program, Winnipeg, Manitoba, Canada., Durcan A; Indigenous Institute of Health & Healing, Ongomiizwin, University of Manitoba, Winnipeg, Manitoba, Canada., Mendez I; Department of Surgery, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada., Johnson R; Peter Ballantyne Cree Nation Health Services, Peter Ballantyne Cree Nation, Saskatchewan, Canada., Wittmeier K; Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada.; Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada.; Excellence in Neurodevelopment and Rehabilitation Research in Child Health Theme, Winnipeg, Manitoba, Canada.; Rehabilitation Centre for Children, Winnipeg, Manitoba, Canada. |
| Abstrakt: |
Objective: One potential solution to limited health care in rural and remote regions is remote presence robotic tele-presentation to allow health care providers to care for patients in their home community via a robotic interface. We synthesized evidence regarding the use of remote presence robotic tele-presentation in rural and/or remote Canadian health settings. Methods: Medline, PubMed, and Embase were searched up to August 2023. Remote presence robotic tele-presentation refers to any robotic device used for the purpose of presenting and/or collecting patient information. Primary research was included if the patient was located in remote and/or rural Canada, featured remote presence robotic tele-presentation, and assessed patient, family, or clinician satisfaction, patient transport to nearby regional or urban center, health care costs, clinical outcomes, infrastructure outcomes, adverse events, or telementoring. Results : Six studies were included. Patients, nurses, and physicians all reported high levels of satisfaction when using the remote presence robotic tele-presentation. Fifty to sixty-three percent of patients were managed in their home community and did not require transfer to another center. Remote presence robotic sonography resulted in adequate imaging in 81% of first trimester ultrasound limited exams but was less useful for second trimester complete obstetric ultrasounds (20% adequate imaging). Two of eight laparoscopic colorectal surgeries had to be converted to open surgeries. Telerobotic ultrasound clinics resulted in a diagnosis in 70% of cases. Conclusions: Evidence suggests remote presence robotic tele-presentation is a safe and cost-effective approach to providing care in distant communities and can prevent some transfers and evacuations to tertiary hospitals. |
