Remote Clinics During Coronavirus Disease 2019: Lessons for a Sustainable Future.
Remote Clinics During Coronavirus Disease 2019: Lessons for a Sustainable Future.
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DOI：
10.7759/cureus.14114
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发表时间：
2021-03-25
期刊：
影响因子：
--
通讯作者：
Stevenson A
中科院分区：
文献类型：
--
作者：
Curtis A;Parwaiz H;Winkworth C;Sweeting L;Pallant L;Davoudi K;Smith E;Chin K;Kelsey M;Stevenson A
背景2019冠状病毒病（COVID-19）大流行导致人们关注非面对面（NF 2F）骨科诊所。在这项研究中，我们的目的是通过考虑对患者，地球和财务成本的影响，根据“三重底线”框架确定NF 2F诊所是否可持续。这项回顾性队列研究在一家大型地区综合医院进行，共有261名患者接受了面对面（F2 F）或NF 2F骨科咨询（2020年4月）。通过电话联系这些患者，以确定他们的经验，运输方式和未来咨询的偏好。还收集了与患者和信托的环境和财务成本有关的数据。结果最终分析包括180例（69%）患者：42%有F2 F咨询，58%有NF 2F咨询。在便利性、沟通容易性、患者主观安全性或总体满意度方面，各组之间没有显著差异（p > 0.05）。总体而言，80%的NF 2F患者对未来的虚拟咨询感到满意。平均行驶距离为18.6英里，导致碳排放总量减少563.9 kgCO 2 e（66%），相当于中型汽车的2，106英里。医院就诊的碳成本（供暖、照明和废物产生）减少了3，967 kgCO 2 e（58%）。财务费用（汽油和停车费）也平均每人减少了8.96英镑。NF 2F咨询与国家卫生服务的“长期计划”相一致：（i）提供与F2 F咨询相同结果的高患者满意度;（ii）减少交通和医院运营的碳排放;（iii）变得更便宜。
Background The coronavirus disease 2019 (COVID-19) pandemic has led to a focus on non-face-to-face (NF2F) orthopedic clinics. In this study, our aim was to establish whether NF2F clinics are sustainable according to the “triple bottom line” framework by taking into account the impact on patients, the planet, and the financial cost. Methodology This retrospective cohort study was carried out at a large district general hospital with 261 patients identified as having undergone face-to-face (F2F) or NF2F orthopedic consultations (April 2020). These patients were contacted by telephone to establish their experience, mode of transport, and preference for future consultations. Data were also collected relating to environmental and financial costs to the patient and the trust. Results The final analysis included 180 (69%) patients: 42% had an F2F consultation and 58% NF2F consultation. There was no significant difference between each group in terms of convenience, ease of communication, subjective patient safety, or overall satisfaction rating (p > 0.05). Overall, 80% of NF2F patients would be happy with virtual consultations in the future. The mean journey distance was 18.6 miles leading to a reduction in total carbon emissions of 563.9 kgCO2e (66%), equating to 2,106 miles in a medium-sized car. The hospital visit carbon cost (heating, lighting, and waste generation) was reduced by 3,967 kgCO2e (58%). The financial cost (petrol and parking) was also reduced by an average of £8.96 per person. Conclusions NF2F consultations are aligned to the National Health Service’s “Long Term Plan”: (i) delivering high patient satisfaction with equivalent outcomes as F2F consultations; (ii) reducing carbon emissions from transportation and hospital running; and (iii) becoming cheaper.
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