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dc.contributor.authorBuvik, Astrid Synnøve
dc.contributor.authorBugge, Einar
dc.contributor.authorKnutsen, Gunnar
dc.contributor.authorSmåbrekke, Arvid
dc.contributor.authorWilsgaard, Tom
dc.date.accessioned2017-03-16T13:05:29Z
dc.date.available2017-03-16T13:05:29Z
dc.date.issued2016-09-08
dc.description.abstractBackground: 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.en_US
dc.description.sponsorshipThe study was funded by a research grant from the North Norway Regional Health Authorityen_US
dc.identifier.citationBuvik 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;16:483en_US
dc.identifier.cristinIDFRIDAID 1395512
dc.identifier.doi10.1186/s12913-016-1717-7
dc.identifier.issn1472-6963
dc.identifier.urihttps://hdl.handle.net/10037/10738
dc.language.isoengen_US
dc.publisherBioMed Centralen_US
dc.relation.ispartofBuvik, A.S. (2020). Telemedicine in remote orthopaedic consultations: A randomised controlled trial. (Doctoral thesis). <a href=https://hdl.handle.net/10037/19324>https://hdl.handle.net/10037/19324</a>.
dc.relation.journalBMC Health Services Research
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800en_US
dc.subjectTelemedicineen_US
dc.subjectVideoconferenceen_US
dc.subjectOrthopaedicen_US
dc.subjectOutpatient clinic consultationen_US
dc.subjectRandomiseden_US
dc.subjectPhysiciansen_US
dc.subjectSafetyen_US
dc.subjectEvaluationen_US
dc.titleQuality of care for remote orthopaedic consultations using telemedicine: A randomised controlled trialen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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