The Virtual Care Experience of Patients Diagnosed With COVID-19

Raffan, Freya; Anderson, Teresa; Sinclair, Tim; Shaw, Miranda; Amanatidis, Sue; Thapa, Roshan; Nilsson, Sarah Jane; Jagers, Dianna; Wilson, Andrew; Haigh, Fiona

doi:10.1177/23743735211008310

Cited by 25 publications

(44 citation statements)

References 8 publications

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“…One such intervention is the RPA Virtual Hospital (rpavirtual), launched in February 2020 as a new model of care that combines integrated hospital and community care with digital solutions. It was the first service to introduce virtual care for COVID-19-stable patients in isolation in New South Wales, Australia, and has been demonstrated to be widely accepted by patients [ 29 ]. However, the potential equity issues related to rpavirtual and other similar virtual care interventions have not yet been adequately explored and described.…”

Section: Introductionmentioning

confidence: 99%

Inequity in Access and Delivery of Virtual Care Interventions: A Scoping Review

Mistry

Shaw²,

Raffan³

et al. 2022

IJERPH

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The objectives of this review were to map and summarize the existing evidence from a global perspective about inequity in access and delivery of virtual care interventions and to identify strategies that may be adopted by virtual care services to address these inequities. We searched MEDLINE, EMBASE, and CINAHL using both medical subject headings (MeSH) and free-text keywords for empirical studies exploring inequity in ambulatory services offered virtually. Forty-one studies were included, most of them cross-sectional in design. Included studies were extracted using a customized extraction tool, and descriptive analysis was performed. The review identified widespread differences in accessing and using virtual care interventions among cultural and ethnic minorities, older people, socioeconomically disadvantaged groups, people with limited digital and/or health literacy, and those with limited access to digital devices and good connectivity. Potential solutions addressing these barriers identified in the review included having digitally literate caregivers present during virtual care appointments, conducting virtual care appointments in culturally sensitive manner, and having a focus on enhancing patients’ digital literacy. We identified evidence-based practices for virtual care interventions to ensure equity in access and delivery for their virtual care patients.

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Section: Introductionmentioning

confidence: 99%

Inequity in Access and Delivery of Virtual Care Interventions: A Scoping Review

Mistry

Shaw²,

Raffan³

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

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“…The COVID‐19 pandemic radically transformed health care delivery, with massive increases in telehealth and remote services (Jonnagaddala et al, 2021 ; Raffan et al, 2021 ; Slomski, 2020 ). Early reports suggested that blood‐oxygen saturation was an important, but silent, clinical warning sign of deterioration among COVID‐19 patients (Shah et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Early versus late COVID‐19 Home Health Care patient population: Shifting sociodemographics and comparable outcomes

Videon

Rosati

Landers

2022

Research in Nursing & Health

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Early in the pandemic when hospitals reached capacity, Home Health Care (HHC) became a critical source of care for COVID‐19 patients and continues to be an important source of care for recovering COVID‐19 patients. Little is known about the COVID‐19 patient population treated in HHC. This retrospective observational cohort follows 1614 HHC patients with a COVID‐19 diagnosis and compares an “Early Cohort” between March 31 and May 31, 2020 to a “Late Cohort” between June 1 and December 31, 2020 for differences in: (1) sociodemographic and clinical characteristics (2) health care utilization, and (3) outcomes. Early patients were younger, more likely to be a minority, referred from hospitals or directly from emergency departments, started their care with greater independence in functional abilities, and had fewer comorbidities. Early patients were more likely to have COVID‐19 as their primary diagnosis (88.5% vs. 79.4%, p < 0.001), and were assessed as having more severe COVID‐19 symptoms. Early and Late Cohorts were assessed similarly for dyspnea at the start of care. COVID‐19 patients in the Early Cohort were more likely to have their vital signs monitored remotely (7.3% vs. 1.4%; p < 0.001), have received oxygen in their home (27.8% vs. 15.3%; p < 0.001), and received more virtual care than patients in the Late Cohort (2.04 visits vs. 0.86 visits; p < 0.001), although they had approximately two fewer total visits (12.48 vs. 14.45; p < 0.001). Patients in both cohorts had substantial improvement in dyspnea and functional ability during the course of HHC.

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“…In our health service of four hospitals and five community centres, a virtual care service for remote patient monitoring was launched in 2020 to provide additional pathway of care between primary care providers, individuals, and tertiary centres, where this model provides an opportunity to improve patient centred care. The virtual care service caters for (a) people in the community who are immune‐suppressed; (b) mental health patients; (c) patients of the fracture clinic; and (d) COVID‐19 patients in home isolation 17,18 . Almost 4000 people were cared for in the first year of its launch with patients reporting a high degree of satisfaction, particularly in relation to being monitored virtually, increased confidence in their own care, and improved access to specialist services 19…”

Section: Introductionmentioning

confidence: 99%

“…The virtual care service caters for (a) people in the community who are immune-suppressed; (b) mental health patients; (c) patients of the fracture clinic; and (d) COVID-19 patients in home isolation. 17,18 Almost 4000 people were cared for in the first year of its launch with patients reporting a high degree of satisfaction, particularly in relation to being monitored virtually, increased confidence in their own care, and improved access to specialist services. 19 Our previous study, 20 conducted in one health service in Australia, tested the acceptability and effectiveness of the Tissue Analytics™ digital wound application (digital app) 21 among clinicians.…”

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confidence: 99%

The viability and acceptability of a Virtual Wound Care Command Centre in Australia

Barakat‐Johnson

Kita

Jones

et al. 2022

International Wound Journal

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The objective of this study was to assess the viability and acceptability of an innovative Virtual Wound Care Command Centre where patients in the community, and their treating clinicians, have access to an expert wound specialist service that comprises a digitally enabled application for wound analysis, decision‐making, remote consultation, and monitoring. Fifty‐one patients with chronic wounds from 9 centres, encompassing hospital services, outpatient clinics, and community nurses in one metropolitan and rural state in Australia, were enrolled and a total of 61 wounds were analysed over 7 months. Patients received, on average, an occasion of service every 4.4 days, with direct queries responded to in a median time of 1.5 hours. During the study period, 26 (42.6%) wounds were healed, with a median time to healing of 66 (95% CI: 56‐88) days. All patients reported high satisfaction with their wound care, 86.4% of patients recommended the Virtual Wound Care Command Centre with 84.1% of patients reporting the digital wound application as easy to use. Potential mean travel savings of $99.65 for rural patients per visit were recognised. The data revealed that the Virtual Wound Care Command Centre was a viable and acceptable patient‐centred expert wound consultation service for chronic wound patients in the community.

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The Virtual Care Experience of Patients Diagnosed With COVID-19

Cited by 25 publications

References 8 publications

Inequity in Access and Delivery of Virtual Care Interventions: A Scoping Review

Inequity in Access and Delivery of Virtual Care Interventions: A Scoping Review

Early versus late COVID‐19 Home Health Care patient population: Shifting sociodemographics and comparable outcomes

The viability and acceptability of a Virtual Wound Care Command Centre in Australia

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