Agreement between telehealth and in-person assessment of patients with chronic musculoskeletal conditions presenting to an advanced-practice physiotherapy screening clinic.
Musculoskelet Sci Pract
; 38: 99-105, 2018 12.
Article
en En
| MEDLINE
| ID: mdl-30366292
ABSTRACT
OBJECTIVE:
To determine the level of agreement between a telehealth and in-person assessment of a representative sample of patients with chronic musculoskeletal conditions referred to an advanced-practice physiotherapy screening clinic.DESIGN:
Repeated-measures study design.PARTICIPANTS:
42 patients referred to the Neurosurgical & Orthopaedic Physiotherapy Screening Clinic (Queensland, Australia) for assessment of their chronic lumbar spine, knee or shoulder condition. INTERVENTION Participants underwent two consecutive assessments by different physiotherapists within a single clinic session. In-person assessments were conducted as per standard clinical practice. Telehealth assessments took place remotely via videoconferencing. Six Musculoskeletal Physiotherapists were paired together to perform both assessment types. MAIN OUTCOMEMEASURES:
Clinical management decisions including (i) recommended management pathways, (ii) referral to allied health professions, (iii) clinical diagnostics, and (iv) requirement for further investigations were compared using reliability and agreement statistics.RESULTS:
There was substantial agreement (83.3%; 35/42 cases) between in-person and telehealth assessments for recommended management pathways. Moderate to near perfect agreement (AC1â¯=â¯0.58-0.9) was reached for referral to individual allied health professionals. Diagnostic agreement was 83.3% between the two delivery mediums, whilst there was substantial agreement (81%; AC1â¯=â¯0.74) when requesting further investigations. Overall, participants were satisfied with the telehealth assessment.CONCLUSION:
There is a high level of agreement between telehealth and in-person assessments with respect to clinical management decisions and diagnosis of patients with chronic musculoskeletal conditions managed in an advanced-practice physiotherapy screening clinic. Telehealth can be considered as a viable and effective medium to assess those patients who are unable to attend these services in person.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Tamizaje Masivo
/
Triaje
/
Enfermedades Musculoesqueléticas
/
Telemedicina
/
Comunicación por Videoconferencia
/
Atención Ambulatoria
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
/
Screening_studies
País/Región como asunto:
Oceania
Idioma:
En
Revista:
Musculoskelet Sci Pract
Año:
2018
Tipo del documento:
Article