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J Telemed Telecare ; 27(1): 32-38, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31280639

RESUMO

INTRODUCTION: Recruitment of advanced-practice physiotherapists to regional and rural healthcare facilities in Queensland, Australia remains a challenge. To overcome this barrier, two different service delivery models (Fly-In, Fly-Out (FIFO), Telehealth) were trialled by one regional facility. This study aims to describe the economic- and service-related outcomes of these two methods of service delivery. METHODS: A retrospective audit was conducted where two nine-week time periods were selected for each service delivery model. Outcomes of interests include patient demographics and case-mix, service utilisation, clinical actions, adverse events and costs. Net financial position for both models was calculated based upon costs incurred and revenue generated by service activity. RESULTS: A total of 33 appointment slots were recorded for each service delivery model. Patient case-mix was variable, where the Telehealth model predominately involved patients with musculoskeletal spinal conditions managed from a neurosurgical waiting list. Appointment slot utilisation and pattern of referral for further investigations were similar between models. No safety incidents occurred in either service delivery model. An estimated cost-savings of 13% for the Telehealth model could be achieved when compared to the FIFO model. DISCUSSION: Telehealth is a safe, efficient and viable option when compared to a traditional in-person outreach service, while providing cost-savings. Telehealth should be seen as a service delivery medium in which sustainable recruitment of advanced-practice physiotherapists to regional and rural healthcare facilities can be achieved.


Assuntos
Atenção à Saúde , Doenças Musculoesqueléticas/terapia , Modalidades de Fisioterapia , Telemedicina , Adulto , Instituições de Assistência Ambulatorial , Agendamento de Consultas , Atenção à Saúde/economia , Atenção à Saúde/métodos , Feminino , Humanos , Masculino , Auditoria Médica , Pessoa de Meia-Idade , Modelos Teóricos , Doenças Musculoesqueléticas/economia , Modalidades de Fisioterapia/economia , Especialidade de Fisioterapia/economia , Especialidade de Fisioterapia/métodos , Medicina Física e Reabilitação/economia , Medicina Física e Reabilitação/métodos , Queensland , Estudos Retrospectivos , Telemedicina/economia , Telemedicina/métodos
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