Patient satisfaction with remote orthopaedic consultation by using telemedicine: A randomised controlled trial.
Source: Buvik et al. 2018 - Pubmed ID: 29973130
Setting: Norway, University hospital
RCT
Follow up: 12 months
Sample size:
Total: 402 (389)
IG: 199(44)
CG: 190 (143)
Inclusion criteria:
- Orthopedic patients
Video consultation (Cisco TelePresence System and digitalized radiography)
- Data transfer of X-rays
- Monitoring:
– Wounds
– Progress
– Treatment
Intervention: Consultation between nurse and patient at a remote location and an orthopedic surgeon at the clinic. Orthopedic surgeon and radiologist registers in the records. Surgeon navigates the camera to see wound or moving abilities. X-rays taken at the remote clinic
Duration: 2 weeks after surgery to last consultation
Add on: NA
Control group: Usual care
Clinical effect:
- Patient reported health (EQ-5D-3L)→
- Mobility→
- Change in mobility→
- Self-care↑
- Change in self-care→
- Usual activities→
- Change in usual activities→
- Pain /discomfort→
- Change in pain/discomfort↑
- Anxiety /depression→
- QoL (EQ-VAS) →
- Outpatient experience (OPEQ) →
- Staff collaboration↑
- Information about self-care↑
Patient safety: NA
Patient experience:
- Patient satisfaction→
- Patient’s overall satisfaction with the first consultation→
- Want next consultation as video↑
- 82% in IG favors shorter travel time
- 87% support local activity
- Dialog time→
- Understanding→
- Competency→
- Information→
- Caring→
- Staff collaboration↑
- Staff well prepared→
- Information→
- Self-care↑
- Results→
- Condition→
- Treatment→
Staff experience: NA
Investment:
Equipment
- Cisco TelePresence System
- Extra computer and printer at the center
Staff
- 5 orthopedic surgeon trained in technical assistance
- 2 nurses from the remote clinic trained in technical equipment and clinical examination
Running:
Staff
- Remote consultation
- Clinical diagnosis
- Technical support
Organization:
Task shifts
- Remote nurse do the examinations
Development of new skills
- Staff training
- Collaboration between hospital and primary care
Health care utilization: NA