Telemedicine in the Evaluation and Management of Neurosurgical Spine Patients
| العنوان: | Telemedicine in the Evaluation and Management of Neurosurgical Spine Patients |
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| المؤلفون: | Alexander Greven, Beau M McGinley, Sarah Pirkle, Daniel Refai, Lynessa J McGee, Matthew F. Gary, Gerald E. Rodts, James G. Malcolm, Ndeye F Guisse |
| المصدر: | Spine. 46:472-477 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | 030222 orthopedics, medicine.medical_specialty, Telemedicine, business.industry, Specialty, MEDLINE, Evidence-based medicine, Test (assessment), 03 medical and health sciences, 0302 clinical medicine, Patient satisfaction, Chi-square test, Physical therapy, medicine, Orthopedics and Sports Medicine, Neurology (clinical), business, Socioeconomic status, 030217 neurology & neurosurgery |
| الوصف: | Study design Retrospective questionnaire study of all patients seen via telemedicine during the COVID-19 pandemic at a large academic institution. Objective This study was to compare patient satisfaction of telemedicine clinic to in-person visits; to evaluate the preference for telemedicine to in-person visits; to assess patients' willingness to proceed with major surgery and/or a minor procedure based on a telemedicine visit alone. Summary of background data One study showed promising utility of mobile health applications for spine patients. No studies have investigated telemedicine in the evaluation and management of spine patients. Methods An 11-part questionnaire was developed to assess the attitudes towards telemedicine for all patients seen within a 7-week period during the COVID-19 crisis. Patients were called by phone to participate in the survey. Chi squared and the Wilcoxon Rank-Sum Test were performed to determine significance. Results Ninety-five percent were "satisfied" or "very satisfied" with their telemedicine visit, with 62% stating it was "the same" or "better" than previous in-person appointments. Patients saved a median of 105 minutes by using telemedicine compared to in-person visits. Fifty-two percent of patients have to take off work for in-person visits, compared to 7% for telemedicine. Thirty-seven percent preferred telemedicine to in-person visits. Patients who preferred telemedicine had significantly longer patient reported in-person visit times (score mean of 171) compared to patients who preferred in-person visits (score mean of 137), p = 0.0007. Thirty-seven percent of patients would proceed with surgery and 73% would proceed with a minor procedure based on a telemedicine visit alone. Conclusions Telemedicine can increase access to specialty care for patients with prolonged travel time to in-person visits and decrease the socioeconomic burden for both patients and hospital systems. The high satisfaction with telemedicine and willingness to proceed with surgery suggest that remote visits may be useful for both routine management and initial surgical evaluation for spine surgery candidates. Level of evidence 3. |
| تدمد: | 1528-1159 0362-2436 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::7bd14de8144dc8d44c6b47ead18766a3 https://doi.org/10.1097/brs.0000000000003821 |
| رقم الأكسشن: | edsair.doi...........7bd14de8144dc8d44c6b47ead18766a3 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15281159 03622436 |
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