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- Title
Novel ENT live telehealth and live video-otoscopy clinics in remote Australia: outcomes and comparisons to traditional clinic models.
- Authors
O'Neil, Luke M; O'Neill, Margie; Whelan, Fiona; Leahy, Travis; Wormald, Robert; Hinton-Bayre, Anton D; Ghandour, Joseph; Kuthubutheen, Jafri
- Abstract
Background: Coronavirus disease 2019 challenged the delivery of healthcare in Australia, disproportionately impacting vulnerable patients, including Aboriginal and/or Torres Strait Islander peoples and those living in remote regions. The otolaryngology service provided to remote Western Australia adapted to these barriers by altering clinical consultations to a digital model. Methods: A review was undertaken of patients in regional Western Australia. Demographics and clinical outcomes from 20 live telehealth clinics were retrospectively reviewed and compared to 16 face-to-face clinics. Results: The demographics of patients reviewed in both live telehealth and face-to-face clinics were similar, except for a larger proportion of Aboriginal and/or Torres Strait Islander patients utilising telehealth. The outcomes of patients reviewed through each model of care were comparable. Live video-otoscopy provided diagnostic quality images in 92 per cent of cases. Conclusion: The findings of our review suggest that, despite its limitations, a large proportion of ENT patients may be safely assessed through a live telehealth model.
- Subjects
WESTERN Australia; EVALUATION of medical care; TORRES Strait Islanders; RURAL conditions; OTOSCOPY; VIDEOCONFERENCING; RETROSPECTIVE studies; DIAGNOSTIC imaging; DESCRIPTIVE statistics; TELEMEDICINE; OUTPATIENT services in hospitals
- Publication
Journal of Laryngology & Otology, 2024, Vol 138, Issue 3, p253
- ISSN
0022-2151
- Publication type
Article
- DOI
10.1017/S0022215123001561