Rapid utilisation of telehealth services for specialist paediatric general surgery outpatient clinics in response to COVID-19

Abstract Background The COVID-19 pandemic is highly infectious and prompted, amongst other changes, strict social distancing requirements for medical practitioners in Western Australia. Despite significant previous research into telehealth, uptake had been limited beyond servicing rural patients, in...

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Main Authors: David Cruise, Haydn Cruise, Michael Collin, Parshotam Gera
Format: Article
Language:English
Published: SpringerOpen 2022-11-01
Series:Annals of Pediatric Surgery
Online Access:https://doi.org/10.1186/s43159-022-00214-y
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author David Cruise
Haydn Cruise
Michael Collin
Parshotam Gera
author_facet David Cruise
Haydn Cruise
Michael Collin
Parshotam Gera
author_sort David Cruise
collection DOAJ
description Abstract Background The COVID-19 pandemic is highly infectious and prompted, amongst other changes, strict social distancing requirements for medical practitioners in Western Australia. Despite significant previous research into telehealth, uptake had been limited beyond servicing rural patients, in spite of numerous purported benefits. Results Rapid adoption of telehealth for a majority of outpatient appointments was instituted in the sole tertiary paediatric general surgery with high overall success rates — a satisfactory outcome being achieved without requiring an in-person appointment (97.1% for telephone consults, 93.8% for videoconferencing) during the initial COVID-19 crisis from April to June 2020. Success of appointments was lowest for new referrals for undescended testicles at 81.3%. Operations booked through telehealth consultations were only altered in 1 case (5%), and this was not significantly different to in-person bookings (p > 0.05). No cases of COVID-19 were incurred by the surgical team or patients during the study period. Conclusions We found that with existing technology and minimal training, paediatric surgical consultations were able to be performed via telehealth with high success, high accuracy, and without significant adverse outcomes.
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spelling doaj.art-1e900a12739f4c15b9da2cd925cadc6d2022-12-22T04:20:22ZengSpringerOpenAnnals of Pediatric Surgery2090-53942022-11-011811510.1186/s43159-022-00214-yRapid utilisation of telehealth services for specialist paediatric general surgery outpatient clinics in response to COVID-19David Cruise0Haydn Cruise1Michael Collin2Parshotam Gera3Department of Paediatric General Surgery, Perth Children’s HospitalDepartment of Emergency Medicine, Fiona Stanley HospitalDepartment of Paediatric General Surgery, Perth Children’s HospitalDepartment of Paediatric General Surgery, Perth Children’s HospitalAbstract Background The COVID-19 pandemic is highly infectious and prompted, amongst other changes, strict social distancing requirements for medical practitioners in Western Australia. Despite significant previous research into telehealth, uptake had been limited beyond servicing rural patients, in spite of numerous purported benefits. Results Rapid adoption of telehealth for a majority of outpatient appointments was instituted in the sole tertiary paediatric general surgery with high overall success rates — a satisfactory outcome being achieved without requiring an in-person appointment (97.1% for telephone consults, 93.8% for videoconferencing) during the initial COVID-19 crisis from April to June 2020. Success of appointments was lowest for new referrals for undescended testicles at 81.3%. Operations booked through telehealth consultations were only altered in 1 case (5%), and this was not significantly different to in-person bookings (p > 0.05). No cases of COVID-19 were incurred by the surgical team or patients during the study period. Conclusions We found that with existing technology and minimal training, paediatric surgical consultations were able to be performed via telehealth with high success, high accuracy, and without significant adverse outcomes.https://doi.org/10.1186/s43159-022-00214-y
spellingShingle David Cruise
Haydn Cruise
Michael Collin
Parshotam Gera
Rapid utilisation of telehealth services for specialist paediatric general surgery outpatient clinics in response to COVID-19
Annals of Pediatric Surgery
title Rapid utilisation of telehealth services for specialist paediatric general surgery outpatient clinics in response to COVID-19
title_full Rapid utilisation of telehealth services for specialist paediatric general surgery outpatient clinics in response to COVID-19
title_fullStr Rapid utilisation of telehealth services for specialist paediatric general surgery outpatient clinics in response to COVID-19
title_full_unstemmed Rapid utilisation of telehealth services for specialist paediatric general surgery outpatient clinics in response to COVID-19
title_short Rapid utilisation of telehealth services for specialist paediatric general surgery outpatient clinics in response to COVID-19
title_sort rapid utilisation of telehealth services for specialist paediatric general surgery outpatient clinics in response to covid 19
url https://doi.org/10.1186/s43159-022-00214-y
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