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Making a Traditional Spine Surgery Clinic Telemedicine-Ready in the “New Normal” of Coronavirus Disease 2019

Asian Spine Journal 2021년 15권 2호 p.164 ~ 171
Liu Ka-Po Gabriel, Tan Wei Loong Barry, Yip Wei Luen James, Tan Jun-Hao, Wong Hee-Kit,
소속 상세정보
 ( Liu Ka-Po Gabriel ) - National University Health System University Orthopaedics
 ( Tan Wei Loong Barry ) - National University Health System University Orthopaedics
 ( Yip Wei Luen James ) - National University Heart Centre Department of Cardiology
 ( Tan Jun-Hao ) - National University Health System University Orthopaedics
 ( Wong Hee-Kit ) - National University Health System University Orthopaedics

Abstract


Study Design: An original article describing a comprehensive methodology for making a traditional spine surgery clinic telemedicine-ready in terms of logistical considerations and workflow.

Purpose: The aim of this study is to promote the use of telemedicine via videoconferencing to reduce human exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and reduce the risk of coronavirus disease 2019 (COVID-19) transmission at outpatient clinics.

Overview of Literature: The COVID-19 pandemic is the biggest healthcare crisis in the 21st century. Until a vaccine is developed or herd immunity against SARS-CoV-2 is achieved, social distancing to avoid crowding is an important strategy to reduce disease transmission and resurgence. Telemedicine has already been applied in the field of orthopedics with encouraging results.

Methods: We reviewed the evidence behind telemedicine and described our clinical protocol, patient selection criteria, and workflow for telemedicine. We discussed a simple methodology to convert pre-existing traditional clinic resources into telemedicine tools, along with future challenges.

Results: Our methodology was successfully and easily applied in our clinical practice, with a streamlined workflow allowing our spine surgery service to implement telemedicine as a consultation modality in line with the national recommendations of social distancing.

Conclusions: Telemedicine was well incorporated into our outpatient practice using the above workflow. We believe that the use of telemedicine via videoconferencing can become part of the new normal and a safe strategy for healthcare systems as both a medical and an economic countermeasure against COVID-19.

키워드

SARS-CoV-2; COVID-19; Telemedicine; Remote consultation; Videoconferencing; Spine surgery; Spine clinic

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