The use of online video consultations in the aftercare of orthopedic patients: a prospective case-control study

Estel, Katharina; Weber, Gordian; Fellmer, Felix; Richter, Luise; Tsitsilonis, Serafeim; Willy, Christian; Back, David Alexander

doi:10.1186/s12891-021-04653-3

Cited by 7 publications

(6 citation statements)

References 27 publications

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“…The patients themselves had a mean travel distance of 141 km, depending on their place of residence, ranging up to 650 km in some cases. The evaluation of OVCs of the two study arms is part of other studies and is not shown here ( [30]; Estel et al…”

Section: Resultsmentioning

confidence: 99%

Implementation of online video consultations in a regional health network: a management feasibility analysis from an orthopedic perspective

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Estel

Pförringer

et al. 2022

BMC Health Serv Res

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Introduction Regional health care networks with interfaces between clinics, general practitioners and patients can act faster when utilizing digital measures. This manuscript describes the establishment of an online video consultation service in a clinic and its broad health care region to exemplify challenges and solutions for potential future approaches from a management perspective. Method The underlying pilot project was planned and implemented for follow-up monitoring and consultative presentation of orthopedic and trauma patients within the Bundeswehr Medical Service from 2018 to 2020. With predominantly positive evaluation results regarding quality and acceptance among users, this research investigated organizational and processual aspects including total quality management, strategic control and change management approaches. Results The affected main and subprocesses of patient treatment could be streamlined by the project, as physician recommendations and arrangements could be accelerated and patient travel could be significantly reduced. A SWOT and portfolio analysis showed a high potential for improving existing patient treatment processes for health care enterprises via the use of digital technology. The involved staff should be strategically included at an early stage and continuously involved. By means of a PDCA cycle, the processes of the given project could be exemplarily illustrated with an outlook in the future. Discussion It has proven successful to consciously use management approaches to establish telemedical integrated care structures in a health region. Recommendations for the strategic introduction of an online video consultation for regional network strengthening and care development for a patient-oriented increase in efficiency could be compiled.

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Section: Resultsmentioning

confidence: 99%

Implementation of online video consultations in a regional health network: a management feasibility analysis from an orthopedic perspective

Back

Estel

Pförringer

et al. 2022

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Implementation of online video consultations in a regional health network: A management feasibility analysis from an orthopedic perspective

Back

Estel

Pförringer³

et al. 2022

Preprint

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Background: Regional health care networks with interfaces between clinics, general practitioners and patients can act faster when utilizing digital measures. This manuscript describes the establishment of an online video consultation service in a clinic and its broad health care region to exemplify challenges and solutions for potential future approaches from a management perspective.Methods: The underlying pilot project was planned and implemented for follow-up monitoring and consultative presentation of orthopedic and trauma patients within the Bundeswehr Medical Service from 2018 to 2020. With predominantly positive evaluation results regarding quality and acceptance among users, this research investigated aspects of organizational and process management within total quality management, strategic control and change management approaches.Results: The affected main and subprocesses of patient treatment could be streamlined by the project, as physician recommendations and arrangements could be accelerated and patient travel could be significantly reduced. A SWOT and portfolio analysis showed a high potential for improving existing patient treatment processes for health care enterprises via the use of digital technology. The involved staff should be strategically included at an early stage and continuously involved. By means of a PDCA cycle, the processes of the given project could be exemplarily illustrated with an outlook in the future.Conclusions: It has proven successful to consciously use management approaches to establish telemedical integrated care structures in a health region. Recommendations for the strategic introduction of an online video consultation for regional network strengthening and care development for a patient-oriented increase in efficiency could be compiled.

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“…Raad et al [90] observed that telephone clinics were practical and superior to traditional clinics for a specific set of patients during the pandemic. Estel et al [110] recommended orthopedic telemedical consultation because of the high acceptance, objective benefits, and similarity of clinical results with F2F visits.…”

Section: Discussionmentioning

confidence: 99%

Orthopedic Telemedicine Outpatient Practice Diagnoses Set during the First COVID-19 Pandemic Lockdown—Individual Observation

Glinkowski

2022

IJERPH

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The COVID-19 pandemic has caused a substantial intensification of the telemedicine transformation process in orthopedics since 2020. In the light of the legal regulations introduced in Poland, from the beginning of the SARS-CoV-2 pandemic, physicians, including orthopedic surgeons, have had the opportunity to conduct specialist teleconsultations. Teleconsultations increase epidemiological safety and significantly reduce the exposure of patients and medical staff to direct transmission of the viral vector and the spread of infections. The study aimed to describe diagnoses and clinical aspects of consecutive orthopedic teleconsultations (TC) during the pandemic lockdown. The diagnoses were set according to the International Classification of Diseases (ICD-10). Hybrid teleconsultations used smartphones and obligatory Electronic Health Record (EHR) with supplemental voice, SMS, MMS, Medical images, documents, and video conferencing if necessary. One hundred ninety-eight consecutive orthopedic teleconsultations were served for 615 women and 683 men (mean age 41.82 years ± 11.47 years). The most frequently diagnosed diseases were non-acute orthopedic disorders “M” (65.3%) and injuries “S” (26.3%). Back pain (M54) was the most frequent diagnosis (25.5%). Although virtual orthopedic consultation cannot replace an entire personal visit to a specialist orthopedic surgeon, in many cases, teleconsultation enables medical staff to continue to participate in providing medical services at a sufficiently high medical level to ensure patient and physician. The unified approach to TC diagnoses using ICD-10 or ICD-11 may improve further research on telemedicine-related orthopedics repeatability. Future research directions should address orthopedic teleconsultations’ practical aspects and highlight legal, organizational, and technological issues with their implementations.

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The use of online video consultations in the aftercare of orthopedic patients: a prospective case-control study

Cited by 7 publications

References 27 publications

Implementation of online video consultations in a regional health network: a management feasibility analysis from an orthopedic perspective

Implementation of online video consultations in a regional health network: a management feasibility analysis from an orthopedic perspective

Implementation of online video consultations in a regional health network: A management feasibility analysis from an orthopedic perspective

Orthopedic Telemedicine Outpatient Practice Diagnoses Set during the First COVID-19 Pandemic Lockdown—Individual Observation

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