Telemedicine Effectiveness in the First Elective Orthopedic Care Compared to a Standard Face-to-face Visit
Abstract Objective The study aimed to compare whether the diagnoses of orthopedic diseases at telemedicine (TM) consultations are the same as those established at face-to-face visits. Method Primary, observational, prospective, analytical study, with subjects from the local municipal network who w...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2023-10-01
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000400580&lng=en&tlng=en |
| _version_ | 1797327703809982464 |
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| author | Jair Moreira Dias Júnior Adriano Fernando Mendes Júnior |
| author_facet | Jair Moreira Dias Júnior Adriano Fernando Mendes Júnior |
| author_sort | Jair Moreira Dias Júnior |
| collection | DOAJ |
| description | Abstract Objective The study aimed to compare whether the diagnoses of orthopedic diseases at telemedicine (TM) consultations are the same as those established at face-to-face visits. Method Primary, observational, prospective, analytical study, with subjects from the local municipal network who were referred to the orthopedics outpatient clinic from May to June 2021. Subjects underwent two assessments: a telemedicine (TM) consultation and a face-to-face (FF) visit. Two different physicians attended to the patients and established a diagnosis. The physician performing the FF visit was not aware of the previous diagnoses. We compared the diagnoses obtained at both modalities to assess the degree of similarity. In addition, we determined the time required for consultations and the degree of satisfaction of the physicians. Results We evaluated 43 patients and seven physicians, totaling 44 TM and 43 FF visits. The diagnostic similarity index was 81.4%. TM consultations were shorter (mean time, 4.8 minutes) than FF visits. Physicians were less satisfied with TM in the four criteria evaluated (respective scores of 79.1, 23.3, 46.6, and 37.2). Conclusion TM consultations have a diagnoses agreement higher than 80% compared with FF visits. On the other hand, TM consultations were faster, and physicians were less satisfied with them in comparison with FF visits. |
| first_indexed | 2024-03-08T06:42:18Z |
| format | Article |
| id | doaj.art-7f51e54ce7c24c789ddd27be308eb063 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T06:42:18Z |
| publishDate | 2023-10-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-7f51e54ce7c24c789ddd27be308eb0632024-02-03T08:34:51ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782023-10-0158458058510.1055/s-0042-1756324Telemedicine Effectiveness in the First Elective Orthopedic Care Compared to a Standard Face-to-face VisitJair Moreira Dias Júniorhttps://orcid.org/0000-0003-4848-1555Adriano Fernando Mendes Júniorhttps://orcid.org/0000-0003-1877-8155Abstract Objective The study aimed to compare whether the diagnoses of orthopedic diseases at telemedicine (TM) consultations are the same as those established at face-to-face visits. Method Primary, observational, prospective, analytical study, with subjects from the local municipal network who were referred to the orthopedics outpatient clinic from May to June 2021. Subjects underwent two assessments: a telemedicine (TM) consultation and a face-to-face (FF) visit. Two different physicians attended to the patients and established a diagnosis. The physician performing the FF visit was not aware of the previous diagnoses. We compared the diagnoses obtained at both modalities to assess the degree of similarity. In addition, we determined the time required for consultations and the degree of satisfaction of the physicians. Results We evaluated 43 patients and seven physicians, totaling 44 TM and 43 FF visits. The diagnostic similarity index was 81.4%. TM consultations were shorter (mean time, 4.8 minutes) than FF visits. Physicians were less satisfied with TM in the four criteria evaluated (respective scores of 79.1, 23.3, 46.6, and 37.2). Conclusion TM consultations have a diagnoses agreement higher than 80% compared with FF visits. On the other hand, TM consultations were faster, and physicians were less satisfied with them in comparison with FF visits.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000400580&lng=en&tlng=entreatment adherence and compliancediagnosisorthopedicsteleconsultation |
| spellingShingle | Jair Moreira Dias Júnior Adriano Fernando Mendes Júnior Telemedicine Effectiveness in the First Elective Orthopedic Care Compared to a Standard Face-to-face Visit Revista Brasileira de Ortopedia treatment adherence and compliance diagnosis orthopedics teleconsultation |
| title | Telemedicine Effectiveness in the First Elective Orthopedic Care Compared to a Standard Face-to-face Visit |
| title_full | Telemedicine Effectiveness in the First Elective Orthopedic Care Compared to a Standard Face-to-face Visit |
| title_fullStr | Telemedicine Effectiveness in the First Elective Orthopedic Care Compared to a Standard Face-to-face Visit |
| title_full_unstemmed | Telemedicine Effectiveness in the First Elective Orthopedic Care Compared to a Standard Face-to-face Visit |
| title_short | Telemedicine Effectiveness in the First Elective Orthopedic Care Compared to a Standard Face-to-face Visit |
| title_sort | telemedicine effectiveness in the first elective orthopedic care compared to a standard face to face visit |
| topic | treatment adherence and compliance diagnosis orthopedics teleconsultation |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000400580&lng=en&tlng=en |
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