Results of a New Telemedicine Strategy in Traumatology and Orthopedics

Prada, Carlos; Izquierdo, Nicolás; Traipe, Reinaldo; Figueroa, Catalina

doi:10.1089/tmj.2019.0090

Cited by 45 publications

(64 citation statements)

References 10 publications

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“…It is possible that the success of the Teleneurology Program for patients referred from primary and secondary healthcare facilities is related to the higher feasibility of a neurology patient to travel to a local healthcare center compared to the tertiary service where the specialist work, which is directly related to the mobility issues affecting this population of patients in particular. However, similar results have been reported in Chile with synchronous telemedicine programs in other medical specialties, such as dermatology [22], ophthalmology [23], and orthopedics [10]. Therefore, further research is required to identify whether the travel distance of patients to the tertiary healthcare facility (Fig.…”

Section: Discussionsupporting

confidence: 62%

“…Telemedicine implementation and development within the Chilean Public Health System arises as an opportunity to overcome both specialist shortage and transportation issues [6]. In the country, there are reported successes in the use of telemedicine for decreasing the number of patients waiting for a first consultation in Ophthalmology [7], Cardiology [8], Dermatology [9], and Orthopedics [10]. In contrast, no data has been reported for Teleneurology, as it appears to be only rarely implemented in some Chilean Public Health establishments [11,12].…”

Section: Introductionmentioning

confidence: 99%

“…Despite, the positive experiences that have previously been reported, regarding significant improvements in the efficiency of patient care by telemedicine programs in other regions [10,18,19], evidence in Chilean teleneurology programs remain unpublished. Moreover, since the implementation of the Teleneurology Program, a seemingly decreasing trend of the number of patients waiting for their first consultation appears to be in contrast with the increasing trend in this figure for the rest of the country.…”

Section: Introductionmentioning

confidence: 99%

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Contribution of a synchronic teleneurology program to decrease the patient number waiting for a first consultation and their waiting time in Chile

Constanzo

Aracena-Sherck

Hidalgo

et al. 2020

BMC Med Inform Decis Mak

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Backround There is a shortage of medical specialists in Chile, including neurologists; currently, there are 56,614 patients waiting for a first adult Neurology appointment in the country. The Teleneurology Program at the Hospital Las Higueras de Talcahuano (HHT) was implemented in 2015 to help reduce both the number of patients waiting for a first consultation and their waiting times. Methods: This retrospective study analyzed a cohort of 8269 patients referred to the HHT Neurology clinic between 2013 and 2018, from primary, secondary, and tertiary health centers. Cox regression analyses were performed to determine the factors influencing each outcome (number of patients waiting for a consultation and waiting time), such as age, gender, referral health establishment and the type of consultation (whether in situ at the HHT or by synchronic telepresence through the Teleneurology Program). Results: Out of the 8269 patients included in the study, 1743 consulted the neurologist through the Teleneurology Program, while 6526 received a consultation in situ at the HHT. Since its implementation (2015) until the end of 2018, the Teleneurology program contributed to decrease the number of patients waiting for their first appointment from 3084 to 298. Waiting time for the first consultation was 60% shorter for patients enrolled in the Teleneurology program than those with consultation in situ at HHT (6.23 ± 6.82 and 10.47 ± 8.70 months, respectively). Similar differences were observed when sorting patient data according to the referral health center. Cox regression analysis showed that patients waiting for a traditional in situ first adult Neurology consultation at the HHT had a higher risk (OR = 6.74) of waiting 90% longer than patients enrolled in the Teleneurology Program, without significant differences due to gender or age. Conclusions: Data from this study show a significant contribution of the Teleneurology Program at the HHT to decrease the number of patients waiting for a first consultation with a neurologist, as well as shorter waiting times, when derived from primary and secondary health centers.

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Section: Discussionsupporting

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Contribution of a synchronic teleneurology program to decrease the patient number waiting for a first consultation and their waiting time in Chile

Constanzo

Aracena-Sherck

Hidalgo

et al. 2020

BMC Med Inform Decis Mak

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“…Authors of both studies highlight importance of such service in rural and remote areas. Prada et al [ 10 ] also had conducted a study which demonstrated efficiency in handling cases with family doctors. Rural populations are greatly benefited by this strategy, highlighting benefit arising from convenience of avoiding long-distance transportation by orthopedic patients, often with mobility difficulties due to their own diagnosis [ 10 ].…”

Section: History and Potential Usage For Telemedicine In Orthopedicsmentioning

confidence: 99%

Telemedicine: Is It a Tool for Orthopedics?

Foni

Costa

Velloso

et al. 2020

Curr Rev Musculoskelet Med

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Purpose of Review The purpose of this paper is to illustrate how telemedicine can be beneficial in many areas of orthopedic clinical practice through a literature narrative review. In addition, we discuss advantages, barriers, and enablers of such technology. Recent Findings Telemedicine in orthopedics was initially described to discuss simple cases among non-specialist doctors through videoconferencing. Recently, it evolved to postoperative follow-up on selected cases, physical examination, and even teleconsultations direct to patients. Studies have reported that consultation can be offered safely to selected patients. Although this topic is already being addressed for a long time, recent studies have reported that there is still resistance among many orthopedic surgeons. Summary Telemedicine for orthopedics has safely expanded its operations. It can be used in postoperative follow-up of selected cases, fracture follow-up, and even in pediatric cases. Remote diagnosis of fractures is done successfully on an outpatient basis in many countries. Protocols and methods to standardize the virtual orthopedic examination for common musculoskeletal conditions have been developed. Satisfaction with teleconsultations as well as cost-effectiveness of remote care orthopedics were already well reported by some studies. We believe that remote care will be expanded in several hospitals around the world due to its huge potential. This fact is explained by natural technological development and by change and obliteration of habits accelerated exponentially after COVID-19 crisis.

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“…Gerade weil die Übertragung von SARS-CoV-2 hauptsächlich über Tröpfchen erfolgt, hat sich das klinische Interesse an kontaktloser Diagnostik in den letzten Wochen verstärkt. Dabei treten insbesondere Methoden der Telemedizin in den Vordergrund, die bisher im dicht besiedelten Deutschland nur geringe Relevanz hatten (bis auf die klassische Beratung am Telefon) [16,31,36]. Bisher hatten diese Verfahren eher in dünn besiedelten Ländern wie Norwegen, Kanada oder Australien oder in der Militärmedizin eine Bedeutung [7-9, 35, 36].…”

Section: Sars-cov-2-pandemie Und Ihreunclassified