Virtual phone clinics in orthopaedics : evaluation of clinical application and sustainability
| Autor: | Rahul V. Patel, Sara Boutong, Chris Mitchell, Raj Pradhan, Rad Faroug, Wouter Peeters, Mark Roussot |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Medicine (General)
Telemedicine Quality management Leadership and Management Cost effectiveness State Medicine quality improvement R5-920 Patient satisfaction Phone Patient experience Humans Medicine cost-effectiveness Pandemics Reimbursement Original Research SARS-CoV-2 business.industry Health Policy Public Health Environmental and Occupational Health COVID-19 medicine.disease Exact test Orthopedics Patient Satisfaction telemedicine Medical emergency Human medicine business |
| Zdroj: | BMJ Open Quality BMJ Open Quality, Vol 10, Iss 4 (2021) |
| ISSN: | 2399-6641 |
| Popis: | AimsAdoption of virtual clinics has been accelerated by the COVID-19 pandemic and they will continue to form an integral part of healthcare delivery. Our objective was to evaluate virtual clinics in orthopaedic practice and determine how to use them effectively and sustainably.MethodsWe surveyed 100 consecutive patients participating in orthopaedic virtual phone clinic (VPC) at an academic hospital to evaluate patient satisfaction against face-to-face (F2F) consultations and obtain suggestions for improving patient experience, and we surveyed 23 clinicians who conducted orthopaedic VPCs in 2020. Data were correlated with clinic outcomes, reason for consultation, diagnosis, patient age and clinician grade. Consultation duration, clinician-associated costs and reimbursement were analysed. Significance was tested using two-tailed Student’s t-test and Fisher’s exact test.ResultsPatient satisfaction (out of 5) for VPC was significantly lower than F2F (4.1 vs 4.5, p=0.0003), and a larger proportion of VPC scored ConclusionVPC plays a valuable role when clinical evaluation has been performed or considered not necessary. Offering the choice of VPC or F2F, adding video capability and providing a time interval for VPC may reduce resource use and increase satisfaction. We recommend renegotiating VPC tariffs and cost-neutral modifications of clinic structure. |
| Databáze: | OpenAIRE |
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