Use of Telemedicine for Initial Consultations in Elective Orthopaedics—Results from a Large Volume Centre
Notice bibliographique
Résumé
Category: Healthcare Delivery Introduction/Purpose: Telehealth and telemedicine are at the heart of healthcare Vision for several countries including Canada, U.S.A, Scotland, etc; and and the aim is to use technologies to transform the way health and is delivered. Deployed thoughtfully and carefully, telehealth and telecare can help generate efficiencies through more flexible use of our workforce capacity and by reducing travel and minimising access delays. In line with this we wanted to use telemedicine for doing preoperative consultations for elective foot/ankle and lower limb arthroplasty procedures in patients referred from remote parts of the country to our hospital. The purpose of our study was to prove that telemedicine clinics (or Tele clinics) are just as safe, effective and satisfactory as face to face interactions between doctors and their patients. Methods: Two studies were conducted at this hospital between 2015-16. The first was a prospective pilot study of 50 new patients who were all seen using two different consultation rooms; with the patient along with a physiotherapist in one room, and the surgeon in another. Patients were seen via the Telemedicine unit without being aware that the surgeon was in the same building, and were then asked to rate their experience. The unanimous positive feedback received from this pilot study encouraged us to start using Tele clinics for initial consultations on a regular basis. The second study is a retrospective analysis of the safety and quality of the Tele clinics during a twelve months period. Results: 4 surgeons saw 320 patients in the Tele clinics over the study period of 12 months for foot/ankle as well as lower limb arthroplasty conditions. The number of patients who required surgery and the number of additional investigations carried out were similar to the ones from regular clinics. Feedback from patients remained very high for the Tele-clinics. Conclusion: Tele-clinics are largely used for reviewing patients after surgery. Our study shows that Tele-clinics can also be used for initial consultation for routine orthopaedic conditions, and are as safe and effective as face to face consultations. This provides an opportunity to treat patients in new ways and help manage rising costs and demand.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,007 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».