Department of Traumatology, University Hospital of Zurich, Raemistrasse 100, 8091 Zurich, Switzerland.
Department of Orthopedics, Trauma Surgery and Plastic Surgery, University Hospital of Leipzig, Liebigstr. 20, 04103 Leipzig, Germany.
Injury. 2021 Nov;52(11):3304-3308. doi: 10.1016/j.injury.2021.02.023. Epub 2021 Feb 24.
The purpose of the present study was to assess orthopedic and orthopedic trauma patients' willingness to perform hypothetical remote video consultations, possible advantages as well as concerns.
Between June 2019 and November 2019, a survey amongst consecutive regular orthopedic and orthopedic trauma patients at the outpatient clinics from three European level I trauma centers was conducted via paper-based questionnaires, composed of participants` demographics as well as five open and closed questions. Participation was voluntary and anonymity was granted.
In total, 780 participants (female 302, 38.7%, male 478, 61.3%) with a mean age of 43.8 years (SD 17.1, range from 14 years to 94 years) were included. The majority of the participants (57,6%) were eager to use a remote consultation. Participants with an age of more than 55 years were significantly less likely to use a remote consultation than their younger counterparts (OR= 0.18, p=0.003. r=0.141). Among the whole study population, 86.2% stated, that they had a device compatible with an online video consultation. The highest willingness to conduct a video consultation in respect of the participants` occupation was observed in "part-time"-jobs (70.6%), whereas the lowest disposition was seen in retired patients (37.1%) (p= 0.0001). The most stated reason why to conduct a video consultation was "communication of medical findings" (67.8%). The most stated advantage was the "reduction of physical consultations" (66.4%). "No physical examination" was the most frequently stated disadvantage (75.9%).
The majority of orthopedic and orthopedic trauma outpatients would use a video consultation, especially because of commuting and time issues and ideally to communicate medical findings, such as x-ray reports or lab values. Elderly patients appear to be less eager in regard to video consultations. These results may change for even better acceptance in view of a current pandemic situation, as experienced since early 2020. We feel that this assumption may warrant further investigation.
本研究的目的是评估骨科和骨科创伤患者对进行假设远程视频咨询的意愿、可能的优势以及顾虑。
2019 年 6 月至 2019 年 11 月，通过纸质问卷对来自欧洲三级创伤中心的三个门诊的连续普通骨科和骨科创伤患者进行了一项调查，问卷由参与者的人口统计学资料以及五个开放式和封闭式问题组成。参与是自愿的，并且保证匿名。
共有 780 名参与者（女性 302 名，占 38.7%，男性 478 名，占 61.3%），平均年龄为 43.8 岁（SD 17.1，年龄范围为 14 岁至 94 岁）。大多数参与者（57.6%）渴望使用远程咨询。年龄超过 55 岁的参与者使用远程咨询的可能性明显低于年轻参与者（OR=0.18，p=0.003，r=0.141）。在整个研究人群中，86.2%的人表示他们拥有兼容在线视频咨询的设备。在参与者的职业中，最愿意进行视频咨询的是“兼职”工作（70.6%），而退休患者的意愿最低（37.1%）（p=0.0001）。表示进行视频咨询的主要原因是“传达医疗结果”（67.8%）。表示视频咨询的最大优势是“减少物理咨询”（66.4%）。“无法进行体格检查”是最常提到的缺点（75.9%）。
大多数骨科和骨科创伤门诊患者会使用视频咨询，尤其是因为交通和时间问题，并且理想情况下是为了传达医疗结果，例如 X 光报告或实验室值。老年患者对视频咨询的兴趣似乎较低。鉴于自 2020 年初以来的当前大流行情况，这些结果可能会因为更好的接受程度而发生变化。我们认为这种假设可能需要进一步调查。
