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The application of telemedicine in orthopedic surgery in singapore: a pilot study on a secure, mobile telehealth application and messaging platform.

Daruwalla ZJ, Wong KL, Thambiah J - JMIR Mhealth Uhealth (2014)

Bottom Line: The majority felt that virtual consults through MyDoc should be made available to inpatients as well as outpatients to potentially lessen clinic loads and provide a secure manner in which patients can communicate with their primary teams any time convenient to both.It was also agreed by most that the potential of telerounding had advantages, especially on weekends as a supplement to normal rounds.More so in this era where downsizing hospital costs is beneficial, doing so may also be mandatory in order to comply with the soon to be introduced personal data protection act.

View Article: PubMed Central - HTML - PubMed

Affiliation: National University Hospital, Singapore, Department of Orthopaedic Surgery, National University of Singapore, Singapore, Singapore. zubin_jimmy_daruwalla@nuhs.edu.sg.

ABSTRACT

Background: The application of telemedicine has been described for its use in medical training and education, management of stroke patients, urologic surgeries, pediatric laparoscopic surgeries, clinical outreach, and the field of orthopedics. However, the usefulness of a secure, mobile telehealth application, and messaging platform has not been well described.

Objective: A pilot study was conducted to implement a health insurance portability and accountability act (HIPAA) compliant form of communication between doctors in an orthopedic clinical setting and determine their reactions to MyDoc, a secure, mobile telehealth application, and messaging platform.

Methods: By replacing current methods of communication through various mobile applications and text messaging services with MyDoc over a six week period, we gained feedback and determined user satisfaction with this innovative system from questionnaires handed to the program director, program coordinator, one trauma consultant, all orthopedic residents, and six non-orthopedic residents at the National University Hospital in Singapore.

Results: Almost everyone who completed the questionnaire strongly agreed that MyDoc should replace current systems of peer to peer communication in the hospital. The majority also felt that the quality of images, videos, and sound were excellent. Almost everyone agreed that they could communicate easily with each other and would feel comfortable doing so routinely. The majority felt that virtual consults through MyDoc should be made available to inpatients as well as outpatients to potentially lessen clinic loads and provide a secure manner in which patients can communicate with their primary teams any time convenient to both. It was also agreed by most that the potential of telerounding had advantages, especially on weekends as a supplement to normal rounds.

Conclusions: Potential uses of MyDoc in an orthopedic clinical setting include HIPAA-compliant peer to peer communication, clinical outreach in the setting of trauma, supervision in the operating room or watching procedures being performed remotely, providing both patient and parent reassurance in pediatric orthopedic patients, and finally in the setting of outpatient clinics. With our pilot study having excellent results in terms of acceptance and satisfaction, the integration of a secure, mobile telehealth application, and messaging platform, not only in the orthopedic department but also the hospital in general, has an exciting and limitless potential. More so in this era where downsizing hospital costs is beneficial, doing so may also be mandatory in order to comply with the soon to be introduced personal data protection act.

No MeSH data available.


Related in: MedlinePlus

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figure3: Screenshot of a case discussion including a clinical photograph.

Mentions: A prospective study was done to assess the effects of the implementation of an alternative secure messaging system and its effect on staff satisfaction. The orthopedic surgery program director, program coordinator, one trauma consultant, all orthopedic surgical residents, and six non-orthopedic residents at the National University Hospital (NUH) in Singapore were included as participants in the pilot study. All participants were able to understand, speak, and read English. Verbal consent was obtained prior to the study. Our study had a total of 25 staff members with an average age of 32 years (ranging from 25 to 53 years) and comprised of 23 males and 2 females. By using MyDoc as an alternative messaging tool, we commenced communication in the form of personal messages (Figure 1), announcements for residents, case discussions (Figures 2 and 3), as well as providing patient details for referrals. Figure 4 shows a photo of a radiograph being taken to upload on MyDoc for a referral (Figure 5). The feedback from the use of these applications on MyDoc helped determine participants’ satisfaction. At the end of six weeks, the lead author designed a questionnaire based on a previously validated questionnaire [9] and all study participants were asked to complete it.


The application of telemedicine in orthopedic surgery in singapore: a pilot study on a secure, mobile telehealth application and messaging platform.

Daruwalla ZJ, Wong KL, Thambiah J - JMIR Mhealth Uhealth (2014)

Screenshot of a case discussion including a clinical photograph.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4114459&req=5

figure3: Screenshot of a case discussion including a clinical photograph.
Mentions: A prospective study was done to assess the effects of the implementation of an alternative secure messaging system and its effect on staff satisfaction. The orthopedic surgery program director, program coordinator, one trauma consultant, all orthopedic surgical residents, and six non-orthopedic residents at the National University Hospital (NUH) in Singapore were included as participants in the pilot study. All participants were able to understand, speak, and read English. Verbal consent was obtained prior to the study. Our study had a total of 25 staff members with an average age of 32 years (ranging from 25 to 53 years) and comprised of 23 males and 2 females. By using MyDoc as an alternative messaging tool, we commenced communication in the form of personal messages (Figure 1), announcements for residents, case discussions (Figures 2 and 3), as well as providing patient details for referrals. Figure 4 shows a photo of a radiograph being taken to upload on MyDoc for a referral (Figure 5). The feedback from the use of these applications on MyDoc helped determine participants’ satisfaction. At the end of six weeks, the lead author designed a questionnaire based on a previously validated questionnaire [9] and all study participants were asked to complete it.

Bottom Line: The majority felt that virtual consults through MyDoc should be made available to inpatients as well as outpatients to potentially lessen clinic loads and provide a secure manner in which patients can communicate with their primary teams any time convenient to both.It was also agreed by most that the potential of telerounding had advantages, especially on weekends as a supplement to normal rounds.More so in this era where downsizing hospital costs is beneficial, doing so may also be mandatory in order to comply with the soon to be introduced personal data protection act.

View Article: PubMed Central - HTML - PubMed

Affiliation: National University Hospital, Singapore, Department of Orthopaedic Surgery, National University of Singapore, Singapore, Singapore. zubin_jimmy_daruwalla@nuhs.edu.sg.

ABSTRACT

Background: The application of telemedicine has been described for its use in medical training and education, management of stroke patients, urologic surgeries, pediatric laparoscopic surgeries, clinical outreach, and the field of orthopedics. However, the usefulness of a secure, mobile telehealth application, and messaging platform has not been well described.

Objective: A pilot study was conducted to implement a health insurance portability and accountability act (HIPAA) compliant form of communication between doctors in an orthopedic clinical setting and determine their reactions to MyDoc, a secure, mobile telehealth application, and messaging platform.

Methods: By replacing current methods of communication through various mobile applications and text messaging services with MyDoc over a six week period, we gained feedback and determined user satisfaction with this innovative system from questionnaires handed to the program director, program coordinator, one trauma consultant, all orthopedic residents, and six non-orthopedic residents at the National University Hospital in Singapore.

Results: Almost everyone who completed the questionnaire strongly agreed that MyDoc should replace current systems of peer to peer communication in the hospital. The majority also felt that the quality of images, videos, and sound were excellent. Almost everyone agreed that they could communicate easily with each other and would feel comfortable doing so routinely. The majority felt that virtual consults through MyDoc should be made available to inpatients as well as outpatients to potentially lessen clinic loads and provide a secure manner in which patients can communicate with their primary teams any time convenient to both. It was also agreed by most that the potential of telerounding had advantages, especially on weekends as a supplement to normal rounds.

Conclusions: Potential uses of MyDoc in an orthopedic clinical setting include HIPAA-compliant peer to peer communication, clinical outreach in the setting of trauma, supervision in the operating room or watching procedures being performed remotely, providing both patient and parent reassurance in pediatric orthopedic patients, and finally in the setting of outpatient clinics. With our pilot study having excellent results in terms of acceptance and satisfaction, the integration of a secure, mobile telehealth application, and messaging platform, not only in the orthopedic department but also the hospital in general, has an exciting and limitless potential. More so in this era where downsizing hospital costs is beneficial, doing so may also be mandatory in order to comply with the soon to be introduced personal data protection act.

No MeSH data available.


Related in: MedlinePlus