COVID-19: pivoting from in-person to virtual orthopedic surgical evaluation.

COVID-19: pivoting from in-person to virtual orthopedic surgical evaluation.
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COVID-19:从面对面到虚拟骨科手术评估的转变。

DOI:
10.1503/cjs.022520
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发表时间:
2021-02-18
期刊:
Canadian journal of surgery. Journal canadien de chirurgie
影响因子:
--
通讯作者:
Landells C
Landells C
中科院分区:
其他
文献类型:
--
作者:
Roberts A;Johnston GHF;Landells C

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于2020年3月,2019冠状病毒病(COVID-19)大流行需要大幅缩减以办公室为基础的整形外科实践。为了满足患者评估的持续需求,手术实践从面对面预约转向虚拟平台。通过电话(82%)或视频(18%)联系的患者(n = 1823),在71%的电话联系中将这种新方法判断为优秀或非常好,在84%的通过视频成功采访的患者中判断为优秀或非常好。对于未来的会议,5名患者中有4名更喜欢虚拟而不是面对面接触。面对面预约的往返旅行时间在2小时以下的患者更喜欢未来面对面接触的可能性是超过2小时的两倍。有很远的旅行或使用助行器的患者更有可能陪同旅行。认识到患者重视视频会议和电话联系,外科医生应该提供虚拟访问作为替代亲自评估。患者需要能够使用可靠的互联网。最后,远程医疗是环境友好型的。
In March 2020, the coronavirus disease 2019 (COVID-19) pandemic necessitated substantial downscaling of office-based orthopedic surgical practice. To address the ongoing need for patient assessment, surgical practices pivoted from in-person appointments to a virtual platform. Patients (n = 1823), contacted by telephone (82%) or by video (18%), judged this new approach as excellent or very good in 71% of telephone contacts, and in 84% of those successfully inter-viewed by video. For future meetings, 4 of 5 patients preferred virtual rather than in-person contact. Patients whose round-trip travel time for in-person appointments was under 2 hours were twice as likely to prefer future in-person contact as those more than 2 hours away. Patients who had far to travel or who used walking aids were more likely to travel accompanied. Acknowledging that patients value both videoconferencing and telephone contact, surgeons should offer virtual visits as an alternative to in-person assessments. Patients need to have access to reliable Internet. Finally, telemedicine is environmentally friendly.
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