Quality of care for remote orthopaedic consultations using telemedicine: A randomised controlled trial
Background: Decentralised services using outreach clinics or modern technology are methods to reduce both patient transports and costs to the healthcare system. Telemedicine consultations via videoconference are one such modality. Before new technologies are implemented, it is important to investiga...
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Online Access: | https://hdl.handle.net/10037/10738 https://doi.org/10.1186/s12913-016-1717-7 |
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ftunivtroemsoe:oai:munin.uit.no:10037/10738 2023-05-15T17:39:25+02:00 Quality of care for remote orthopaedic consultations using telemedicine: A randomised controlled trial Buvik, Astrid Synnøve Bugge, Einar Knutsen, Gunnar Småbrekke, Arvid Wilsgaard, Tom 2016-09-08 https://hdl.handle.net/10037/10738 https://doi.org/10.1186/s12913-016-1717-7 eng eng BioMed Central Buvik, A.S. (2020). Telemedicine in remote orthopaedic consultations: A randomised controlled trial. (Doctoral thesis). https://hdl.handle.net/10037/19324 . BMC Health Services Research Buvik AS, Bugge E, Knutsen G, Småbrekke A, Wilsgaard T. Quality of care for remote orthopaedic consultations using telemedicine: A randomised controlled trial. BMC Health Services Research. 2016;16:483 FRIDAID 1395512 doi:10.1186/s12913-016-1717-7 1472-6963 https://hdl.handle.net/10037/10738 openAccess VDP::Medisinske Fag: 700::Helsefag: 800 VDP::Medical disciplines: 700::Health sciences: 800 Telemedicine Videoconference Orthopaedic Outpatient clinic consultation Randomised Physicians Safety Evaluation Journal article Tidsskriftartikkel Peer reviewed 2016 ftunivtroemsoe https://doi.org/10.1186/s12913-016-1717-7 2021-06-25T17:55:05Z Background: Decentralised services using outreach clinics or modern technology are methods to reduce both patient transports and costs to the healthcare system. Telemedicine consultations via videoconference are one such modality. Before new technologies are implemented, it is important to investigate both the quality of care given and the economic impact from the use of this new technology. The aim of this clinical trial was to study the quality of planned remote orthopaedic consultations by help of videoconference. Method: We performed a randomised controlled trial (RCT) with two parallel groups: video-assisted remote consultations at a regional medical centre (RMC) as an intervention versus standard consultation in the orthopaedic outpatient clinic at the University Hospital of North Norway (UNN) as a control. The participants were patients referred to or scheduled for a consultation at the orthopaedic outpatient clinic. The orthopaedic surgeons evaluated each consultation they performed by completing a questionnaire. The primary outcome measurement was the difference in the sum score calculated from this questionnaire, which was evaluated by the non-inferiority of the intervention group. The study design was based on the intention to treat principle. Ancillary analyses regarding complications, the number of consultations per patient, operations, patients who were referred again and the duration of consultations were performed. Results: Four-hundred patients were web-based randomised. Of these, 199 (98 %) underwent remote consultation and 190 (95 %) underwent standard consultation. The primary outcome, the sum score of the specialist evaluation, was significantly lower (i.e. ‘better’) at UNN compared to RMC (1.72 versus 1.82, p = 0.0030). The 90 % confidence interval (CI) for the difference in score (0.05, 0.17) was within the non-inferiority margin. The orthopaedic surgeons involved evaluated 98 % of the video-assisted consultations as ‘good’ or ‘very good’. In the ancillary analyses, there was no significant difference between the two groups. Conclusions: This study supports the argument that it is safe to offer video-assisted consultations for selected orthopaedic patients. We did not find any serious events related to the mode of consultation. Further assessments of the economic aspects and patient satisfaction are needed before we can recommend its wider application. Article in Journal/Newspaper North Norway University of Tromsø: Munin Open Research Archive Norway BMC Health Services Research 16 1 |
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Open Polar |
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University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
VDP::Medisinske Fag: 700::Helsefag: 800 VDP::Medical disciplines: 700::Health sciences: 800 Telemedicine Videoconference Orthopaedic Outpatient clinic consultation Randomised Physicians Safety Evaluation |
spellingShingle |
VDP::Medisinske Fag: 700::Helsefag: 800 VDP::Medical disciplines: 700::Health sciences: 800 Telemedicine Videoconference Orthopaedic Outpatient clinic consultation Randomised Physicians Safety Evaluation Buvik, Astrid Synnøve Bugge, Einar Knutsen, Gunnar Småbrekke, Arvid Wilsgaard, Tom Quality of care for remote orthopaedic consultations using telemedicine: A randomised controlled trial |
topic_facet |
VDP::Medisinske Fag: 700::Helsefag: 800 VDP::Medical disciplines: 700::Health sciences: 800 Telemedicine Videoconference Orthopaedic Outpatient clinic consultation Randomised Physicians Safety Evaluation |
description |
Background: Decentralised services using outreach clinics or modern technology are methods to reduce both patient transports and costs to the healthcare system. Telemedicine consultations via videoconference are one such modality. Before new technologies are implemented, it is important to investigate both the quality of care given and the economic impact from the use of this new technology. The aim of this clinical trial was to study the quality of planned remote orthopaedic consultations by help of videoconference. Method: We performed a randomised controlled trial (RCT) with two parallel groups: video-assisted remote consultations at a regional medical centre (RMC) as an intervention versus standard consultation in the orthopaedic outpatient clinic at the University Hospital of North Norway (UNN) as a control. The participants were patients referred to or scheduled for a consultation at the orthopaedic outpatient clinic. The orthopaedic surgeons evaluated each consultation they performed by completing a questionnaire. The primary outcome measurement was the difference in the sum score calculated from this questionnaire, which was evaluated by the non-inferiority of the intervention group. The study design was based on the intention to treat principle. Ancillary analyses regarding complications, the number of consultations per patient, operations, patients who were referred again and the duration of consultations were performed. Results: Four-hundred patients were web-based randomised. Of these, 199 (98 %) underwent remote consultation and 190 (95 %) underwent standard consultation. The primary outcome, the sum score of the specialist evaluation, was significantly lower (i.e. ‘better’) at UNN compared to RMC (1.72 versus 1.82, p = 0.0030). The 90 % confidence interval (CI) for the difference in score (0.05, 0.17) was within the non-inferiority margin. The orthopaedic surgeons involved evaluated 98 % of the video-assisted consultations as ‘good’ or ‘very good’. In the ancillary analyses, there was no significant difference between the two groups. Conclusions: This study supports the argument that it is safe to offer video-assisted consultations for selected orthopaedic patients. We did not find any serious events related to the mode of consultation. Further assessments of the economic aspects and patient satisfaction are needed before we can recommend its wider application. |
format |
Article in Journal/Newspaper |
author |
Buvik, Astrid Synnøve Bugge, Einar Knutsen, Gunnar Småbrekke, Arvid Wilsgaard, Tom |
author_facet |
Buvik, Astrid Synnøve Bugge, Einar Knutsen, Gunnar Småbrekke, Arvid Wilsgaard, Tom |
author_sort |
Buvik, Astrid Synnøve |
title |
Quality of care for remote orthopaedic consultations using telemedicine: A randomised controlled trial |
title_short |
Quality of care for remote orthopaedic consultations using telemedicine: A randomised controlled trial |
title_full |
Quality of care for remote orthopaedic consultations using telemedicine: A randomised controlled trial |
title_fullStr |
Quality of care for remote orthopaedic consultations using telemedicine: A randomised controlled trial |
title_full_unstemmed |
Quality of care for remote orthopaedic consultations using telemedicine: A randomised controlled trial |
title_sort |
quality of care for remote orthopaedic consultations using telemedicine: a randomised controlled trial |
publisher |
BioMed Central |
publishDate |
2016 |
url |
https://hdl.handle.net/10037/10738 https://doi.org/10.1186/s12913-016-1717-7 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
North Norway |
genre_facet |
North Norway |
op_relation |
Buvik, A.S. (2020). Telemedicine in remote orthopaedic consultations: A randomised controlled trial. (Doctoral thesis). https://hdl.handle.net/10037/19324 . BMC Health Services Research Buvik AS, Bugge E, Knutsen G, Småbrekke A, Wilsgaard T. Quality of care for remote orthopaedic consultations using telemedicine: A randomised controlled trial. BMC Health Services Research. 2016;16:483 FRIDAID 1395512 doi:10.1186/s12913-016-1717-7 1472-6963 https://hdl.handle.net/10037/10738 |
op_rights |
openAccess |
op_doi |
https://doi.org/10.1186/s12913-016-1717-7 |
container_title |
BMC Health Services Research |
container_volume |
16 |
container_issue |
1 |
_version_ |
1766140193484570624 |