Characterization of patients receiving telemedicine care by an outpatient orthopedics and trauma service in Colombia
DOI:
https://doi.org/10.58814/01208845.33Keywords:
Telemedicine, Remote consultation, Orthopedics, TechnologyAbstract
Introduction: Telemedicine consultation is a health care strategy that uses information and communication technologies to improve access to health services, mainly for people located in geographic areas that are far from the place of care or have difficulties in traveling.
Objective: To describe the sociodemographic and clinical characteristics of patients from the department of Chocó (Colombia) served between January and May 2020 by the orthopedics and traumatology service using telexpertise, as well as the opportunity times and the possibility of making clinical decisions during the consultation.
Methodology: A retrospective descriptive study was carried out on 70 patients with non-traumatic musculoskeletal conditions who, between January and May 2020, and by means of synchronous telexpertise (video call), received specialized care from the orthopedics and trauma service of a digital hospital during a consultation with a general practitioner in a secondary care hospital in Chocó. This strategy was evaluated in terms of timeliness and the possibility of making clinical decisions during the consultation.
Results: 78.57% of the patients were able to continue to receive telemedicine health care after the consultation. Additionally, during the consultation, 10% of these patients were prescribed with infiltration or surgical procedures, while referral for face-to-face consultation with a specialist was requested for 8.57% of the patients. During the telexpertise consultation, therapeutic decisions were made in 91.43% of the patients.
Conclusion: Based on our findings, it can be stated that synchronous telexpertise care can be used in areas where complex geographical conditions and the lack of specialists restrict access to health services, since it allows making timely therapeutic decisions.
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