Telemedicine-based physician consultation results in more patients treated and released by ambulance personnel

Raaber, Nikolaj; Bøtker, Morten Thingemann; Riddervold, Ingunn Skogstad; Christensen, Erika Frischknecht; Emmertsen, Niels-Christian; Grøfte, Thorbjørn; Kirkegaard, Hans

doi:10.1097/mej.0000000000000426

Cited by 15 publications

(13 citation statements)

References 24 publications

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“…Patients and their caregivers have reported satisfaction with telehealth noting increased communications, ease of use and reduction of travel time [12] , [13] , [14] , [15] . Healthcare organizations and physicians have embraced technology given its potential decreased wait times, improved no-show rates, increased medication adherence and decreased rates of admission [18] , [19] , [20] , [21] . Successful implementation of telehealth requires investments from hospital systems and administration.…”

Section: Telemedicine In Generalmentioning

confidence: 99%

“…Telehealth may offer benefits compared to in-person visits ( Table 1 ). Telemedicine may allow for more frequent contact with the healthcare team, has the potential to improve access to specialist care, can reduce the cost of obtaining care by removing the need for patients and their families to travel, may reduce the exposure of high-risk patients to infection in the clinic, and may help to improve patient engagement and adherence, thus improving outcomes [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] .…”

Section: Introductionmentioning

confidence: 99%

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Telemedicine in cystic fibrosis

Desimone

Sherwood

Soltman

et al. 2021

Journal of Clinical & Translational Endocrinology

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Cystic Fibrosis (CF) requires lifetime multidisciplinary care to manage both pulmonary and extra pulmonary manifestations. The median age of survival for people with CF is rising and the number of adults with CF is expected to increase dramatically over the coming years. People with CF have better outcomes when managed in specialty centers, however access can be limited. Telemedicine and technology-based care solutions may help to overcome barriers to availability and improve access. This review outlines the use of telehealth for CF management. Telehealth has been utilized for CF across a broad variety of indications, even prior to the COVID-19 pandemic, and in general has been well accepted by patients and providers. There are a paucity of data, however, related to health outcomes, and the healthcare utilization specific to CF and its related comorbidities. Future studies are needed to address the questions of health outcomes, cost, burdens of telehealth and barriers to implementation.

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Section: Telemedicine In Generalmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Telemedicine in cystic fibrosis

Desimone

Sherwood

Soltman

et al. 2021

Journal of Clinical & Translational Endocrinology

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“…[18][19][20] ED treatment via telemedicine increases the number of patients treated and patient satisfaction with treatment, compared to treatment without telemedicine. 21 The hub-and-spoke telehealth model, in which peripheral EDs connect with larger EDs, positively impacts healthcare services and patient outcomes and has been demonstrated as an effective model. 7 Telehealth services also lower patient transfer costs in rural areas by reducing unnecessary ED transfers.…”

Section: Importancementioning

confidence: 99%

Evaluation of the triple aim of medicine in prehospital telemedicine: A systematic literature review

et al. 2019

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Objectives With telemedicine becoming more widely implemented in emergency situations, understanding the quality and content of current findings that explore prehospital telemedicine is vital to establish best practices and guide future research. This systematic review examines the clinical importance of telemedicine in patient-provider ambulance-based settings with a focus on multifunctional systems for general prehospital emergency populations. Methods Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology we found 1564 abstracts, which were blind-reviewed by independent reviewers. Relevant articles were reviewed, classified, and analyzed according to research methods and technology type, as well as quality, cost, and satisfaction. The studies were also reviewed for validated evidence-based practice. Results Those studies that looked at cost, quality, and satisfaction with care generally shared favorable results. Setup notwithstanding, cost was comparable or less than controls. Care quality was also found to be in line with or slightly preferable to face-to-face care with some advantages in response time and quality. Patients and providers were satisfied with the systems. Common obstacles included limited bandwidth and small sample sizes. Conclusions Although feasibility remains salient, research regarding the impact of ambulance-based telemedicine on patients and healthcare providers is encouraging, but nascent. As a whole, this body of literature does not yet adequately speak to the most important concerns of medicine: quality, cost, and satisfaction. More research is needed in each of these areas. However, those studies that do address these matters share hopeful results. Future research should test these mechanisms in prehospital settings with greater rigor.

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“…Compounding this is the isolated nature of paramedic work, with limited access to specialist consultation or support in times of indecision or crisis. To mitigate this risk many paramedic services provide access to emergency teleconsultation services [1][2][3][4]. This support has historically been provided by physicians and includes advanced clinical advice, transport decision-making and authorization for resuscitation discontinuation [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

“…To mitigate this risk many paramedic services provide access to emergency teleconsultation services [1][2][3][4]. This support has historically been provided by physicians and includes advanced clinical advice, transport decision-making and authorization for resuscitation discontinuation [1][2][3][4]. However, with the professionalization and self-regulation of paramedics and increasingly common undergraduate and postgraduate education for paramedics [5][6][7], paramedic services have…”

Section: Introductionmentioning

confidence: 99%

Paramedic-delivered teleconsultations: a grounded theory study

2021

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Objective Progression in Anglo-American models of out-of-hospital care has resulted in the development of alternative roles for paramedics, including advanced paramedics providing teleconsultations to frontline paramedics. Traditionally provided by physicians, little is known about how paramedics perceive peer-to-peer teleconsultations. This research aimed to explore paramedic perceptions of paramedic-delivered teleconsultations. Methods This investigation employed a constructivist grounded theory methodology. Six focus groups were conducted with purposive and theoretical sampling and data analyzed using open coding and continual comparative analysis. Results 33 paramedics from across British Columbia, Canada, participated in the focus groups. Seven key themes emerged during the focus groups; the perceived roles and status of paramedic specialists and physicians in healthcare, the influence of relationships and culture on clinical consultations, practicalities of out-of-hospital care and the importance of lived experience, provision of appropriate clinical advice, professional trust and respect, mentorship in out-of-hospital care and clinical governance and education requirements. This led to the development of the grounded theory paramedics increasing ownership of their profession. Conclusion Paramedics reported a number of areas in which paramedic-delivered teleconsultations provided benefits not seen with traditional physician-delivered teleconsultation model. Emergency health systems delivering an Anglo-American model of care should consider the possible benefits of paramedic-delivered teleconsultations.

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Telemedicine-based physician consultation results in more patients treated and released by ambulance personnel

Abstract: Teleconsultation between a physician at the EMCC and ambulance personnel and noncritically ill 1-1-2 patients results in an increased rate of patients treated and released with high satisfaction. The approach does not seem to compromise patient safety.

Cited by 15 publications

References 24 publications

Telemedicine in cystic fibrosis

Telemedicine in cystic fibrosis

Evaluation of the triple aim of medicine in prehospital telemedicine: A systematic literature review

Paramedic-delivered teleconsultations: a grounded theory study

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