Telemedicine in the Northern Territory: An assessment of patient perceptions in the preoperative anaesthetic clinic. (23rd January 2015)

• Record Type: Journal Article
• Authors: Roberts, Simon; Spain, Brian; Hicks, Chelsea; London, James; Tay, Stanley
• Is Part Of: Australian journal of rural health. Volume 23:Number 3(2015:Jun.)
• Page Start: 136
• Page End: 141
• Publication Date: 2015-01-23
• Subjects: Rural health -- Periodicals; Rural health -- Australia -- Periodicals; 613
• DOI: 10.1111/ajr.12140
• Languages: English
• ISSNs: 1038-5282

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="ajr12140-sec-0001" sec-type="section"> <title>Objective</title> <p>We investigated patient perceptions of a virtual preoperative anaesthesia evaluation clinic linking Royal Darwin Hospital to Katherine Hospital.</p> </sec> <sec id="ajr12140-sec-0002" sec-type="section"> <title>Design</title> <p>Descriptive study, cross‐sectional survey.</p> </sec> <sec id="ajr12140-sec-0003" sec-type="section"> <title>Setting</title> <p>Regional and rural areas of Northern Territory, Australia.</p> </sec> <sec id="ajr12140-sec-0004" sec-type="section"> <title>Participants</title> <p>Sample includes 27 respondents, five Indigenous, 18 non‐Indigenous and four unknown.</p> </sec> <sec id="ajr12140-sec-5000" sec-type="section"> <title>Interventions</title> <p>Introduction of a preoperative anaesthesia evaluation clinic.</p> </sec> <sec id="ajr12140-sec-0005" sec-type="section"> <title>Main outcome measures</title> <p>We designed a 10‐item, 5‐point Likert scale questionnaire assessing patient perceptions in four domains: (i) technical quality; (ii) perceived efficacy; (iii) affective patient experience; and (iv) patient preference. Qualitative responses are also reported.</p> </sec> <sec id="ajr12140-sec-0006" sec-type="section"> <title>Results</title> <p>Twenty‐seven out of 35 patients (77%) completed the questionnaire. Ninety‐eight per cent were in positive agreement on technical quality with a mean score of 1.35 (SD: 0.53); Ninety‐five per cent on perceived efficacy, 1.35 (SD: 0.65); Eighty‐four per cent in negative agreement on affective patient experience (negative perception item), 4.19 (SD: 1.07); Eighty‐one per cent in negative agreement on patient preference (negative perception item), 4.23 (SD: 1.14). There were no significant differences in the answers between Indigenous (five patients) and non‐Indigenous patients (18 patients).</p> </sec> <sec id="ajr12140-sec-0007" sec-type="section"> <title>Conclusion</title> <p>Our study confirms the acceptability of telemedicine in the remote assessment of preoperative patients in the Northern Territory, with positive perceptions in all four domains.</p> </sec> </abstract>