Julian Scherer1, Georg Osterhoff2, Ernest Kaufmann3, Katharina Estel4, Valentin Neuhaus5, Christian Willy4, Pierre Hepp2, Hans-Christoph Pape5, David A Back6. 1. Department of Traumatology, University Hospital of Zurich, Raemistrasse 100, 8091 Zurich, Switzerland. Electronic address: julian.scherer@usz.ch. 2. Department of Orthopedics, Trauma Surgery and Plastic Surgery, University Hospital of Leipzig, Liebigstr. 20, 04103 Leipzig, Germany. 3. Department of Urology, University Hospital of Zurich, Raemistrasse 100, 8091 Zurich, Switzerland. 4. Bundeswehr Hospital Berlin, Clinic of Traumatology and Orthopedics, Berlin, Germany. 5. Department of Traumatology, University Hospital of Zurich, Raemistrasse 100, 8091 Zurich, Switzerland. 6. Bundeswehr Hospital Berlin, Clinic of Traumatology and Orthopedics, Berlin, Germany; Charite University Medicine Berlin, Dieter Scheffner Center for Medical Teaching and Educational Research, Berlin, Germany.
Abstract
INTRODUCTION: The purpose of the present study was to assess orthopedic and orthopedic trauma patients' willingness to perform hypothetical remote video consultations, possible advantages as well as concerns. METHODS: Between June 2019 and November 2019, a survey amongst consecutive regular orthopedic and orthopedic trauma patients at the outpatient clinics from three European level I trauma centers was conducted via paper-based questionnaires, composed of participants` demographics as well as five open and closed questions. Participation was voluntary and anonymity was granted. RESULTS: In total, 780 participants (female 302, 38.7%, male 478, 61.3%) with a mean age of 43.8 years (SD 17.1, range from 14 years to 94 years) were included. The majority of the participants (57,6%) were eager to use a remote consultation. Participants with an age of more than 55 years were significantly less likely to use a remote consultation than their younger counterparts (OR= 0.18, p=0.003. r2=0.141). Among the whole study population, 86.2% stated, that they had a device compatible with an online video consultation. The highest willingness to conduct a video consultation in respect of the participants` occupation was observed in "part-time"-jobs (70.6%), whereas the lowest disposition was seen in retired patients (37.1%) (p= 0.0001). The most stated reason why to conduct a video consultation was "communication of medical findings" (67.8%). The most stated advantage was the "reduction of physical consultations" (66.4%). "No physical examination" was the most frequently stated disadvantage (75.9%). CONCLUSION: The majority of orthopedic and orthopedic trauma outpatients would use a video consultation, especially because of commuting and time issues and ideally to communicate medical findings, such as x-ray reports or lab values. Elderly patients appear to be less eager in regard to video consultations. These results may change for even better acceptance in view of a current pandemic situation, as experienced since early 2020. We feel that this assumption may warrant further investigation.
INTRODUCTION: The purpose of the present study was to assess orthopedic and orthopedic traumapatients' willingness to perform hypothetical remote video consultations, possible advantages as well as concerns. METHODS: Between June 2019 and November 2019, a survey amongst consecutive regular orthopedic and orthopedic traumapatients at the outpatient clinics from three European level I trauma centers was conducted via paper-based questionnaires, composed of participants` demographics as well as five open and closed questions. Participation was voluntary and anonymity was granted. RESULTS: In total, 780 participants (female 302, 38.7%, male 478, 61.3%) with a mean age of 43.8 years (SD 17.1, range from 14 years to 94 years) were included. The majority of the participants (57,6%) were eager to use a remote consultation. Participants with an age of more than 55 years were significantly less likely to use a remote consultation than their younger counterparts (OR= 0.18, p=0.003. r2=0.141). Among the whole study population, 86.2% stated, that they had a device compatible with an online video consultation. The highest willingness to conduct a video consultation in respect of the participants` occupation was observed in "part-time"-jobs (70.6%), whereas the lowest disposition was seen in retired patients (37.1%) (p= 0.0001). The most stated reason why to conduct a video consultation was "communication of medical findings" (67.8%). The most stated advantage was the "reduction of physical consultations" (66.4%). "No physical examination" was the most frequently stated disadvantage (75.9%). CONCLUSION: The majority of orthopedic and orthopedic trauma outpatients would use a video consultation, especially because of commuting and time issues and ideally to communicate medical findings, such as x-ray reports or lab values. Elderly patients appear to be less eager in regard to video consultations. These results may change for even better acceptance in view of a current pandemic situation, as experienced since early 2020. We feel that this assumption may warrant further investigation.
Authors: Julian Scherer; David A Back; Friedrich Thienemann; Ernest Kaufmann; Valentin Neuhaus; Christian Willy; Pierre Hepp; Hans-Christoph Pape; Georg Osterhoff Journal: Eur J Trauma Emerg Surg Date: 2021-08-24 Impact factor: 2.374
Authors: Thomas Rauer; Julian Scherer; Pascal Stäubli; Jonas Gerber; Hans-Christoph Pape; Sandro-Michael Heining Journal: JMIR Form Res Date: 2022-09-12