Affiliation:
1. St. James’s Hospital, Dublin, Ireland
2. Trinity College Dublin, Dublin, Ireland
Abstract
Introduction The COVID-19 pandemic has demanded radical changes in service delivery. Our centre adopted the use of outpatient telemedicine to reduce close-contact interactions between patients and staff. We hypothesised that incidental gains may be associated with this. We evaluated financial, practical and environmental implications of substituting virtual clinics (VCs) for in-person urology outpatient appointments. Methods VCs were studied over a 3-month period. Based on patient-reported ‘usual mode of transport’ to the hospital, travel distance, time, petrol and parking costs, and the carbon emissions avoided by virtue of remote consultations were calculated. The underlying symptom/diagnosis and the ‘effectiveness’ of the VC were evaluated. Results Of 1,016 scheduled consultations, 736 (72.44%) were conducted by VCs over the study period. VCs resulted in an agreed treatment plan in 98.4% of a representative patient sample. The use of VCs was associated with an overall travel distance saving for patients of 31,038 miles (49,951km) over 3 months, with an average round-trip journey of 93.8 miles (151km) avoided for each rural-dwelling patient and an average financial saving of £25.91 (€28.70) per rural-dwelling car traveller. An estimated 1,257.8 hours of patient time were saved by avoidance of travel and clinic waiting times. Based on car-travelling patients alone, a 6.07-tonne reduction in carbon emissions was achieved with the use of VCs. Conclusions In appropriate clinical circumstances, VCs appear to provide efficiency across a number of domains. Future healthcare may involve offering outpatients the option of telemedicine as an alternative to physical attendance.
Publisher
Royal College of Surgeons of England
Reference18 articles.
1. Telemedicine Usage Among Urologists During the COVID-19 Pandemic: Cross-Sectional Study
2. NHS S National Services Scotland. Outpatient attendance: virtual clinic 2020. ISD Scotland. https://www.ndc.scot.nhs.uk/Data-Dictionary/SMR-Datasets/SMR00-Outpatient-Attendance/Virtual-Clinic/ (accessed 14 October 2020).
3. Globalization, Climate Change, and Human Health
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