‘WALL-E’ – The future of digital healthcare delivery最新文献

{"title":"P200 A virtual age? Evaluating the patient and healthcare worker perspective on virtual clinic delivery for patients with Cystic Fibrosis (CF) and non CF bronchiectasis (nCFB) at a specialist cardio-thoracic hospital","authors":"CF Denny, U. Hill","doi":"10.1136/thorax-2022-btsabstracts.334","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.334","url":null,"abstract":"COVID-19 posed a challenge for delivery of outpatient appointments. Implementation of virtual clinics has changed how clinicians work. Gilbert et. al reported that the use of virtual clinics at the Royal Orthopaedic hospital resulted in high patient satisfaction1. There are obvious advantages to virtual clinic such as reduced risk of transmission of infection, no travel to and from the hospital and also CF patients have home monitoring so data can be gathered remotely. Would patients with CF and nCFB at our specialist hospital be satisfied with virtual clinics?We sent patients with appointments between 1st July and 1st October 2021 a questionnaire. We also invited staff members to complete a survey. 55 nCFB and 54 CF patients responded.ResultsTechnical difficulties were reported by between 7% and 15% patients and occasionally by staff members. Patients felt virtual clinic was more accessible than face-to-face in 87.2% (nCFB) and 90% (CF). For 49% of the nCFB patients, they had either an investigation or face-to-face appointment booked after the virtual appointment, and this was 37% in the CF cohort. Consultants said that virtual clinics for new nCFB patients were often useful;for follow up appointments this was 75% ‘often useful’ and 25% ‘sometimes useful’. Staff responded that they would wish face to face clinics to continue.ConclusionFrom this survey patients have indicated that virtual clinics are accessible and reduce long travel times to come to appointments;staff responded that they find them useful particularly for long term patient follow up, less so for new patient reviews, but they wish them to continue.ReferenceGilbert AW, Billany JCT, Adam R, et al. Rapid implementation of virtual clinics due to COVID-19: report and early evaluation of a quality improvement initiative, BMJ Open Quality 2020;9:e000985. doi:10.1136/bmjoq-2020-000985","PeriodicalId":394485,"journal":{"name":"‘WALL-E’ – The future of digital healthcare delivery","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129079603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P206 Impact of digital interventions on quality of life in patients with asthma: A systematic literature review and meta-analysis","authors":"B. Singh, S. Attri, G. Kaur","doi":"10.1136/thorax-2022-btsabstracts.340","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.340","url":null,"abstract":"","PeriodicalId":394485,"journal":{"name":"‘WALL-E’ – The future of digital healthcare delivery","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115880389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P201 A zoom with a view: service user views on a digital information resource to support remote speech and language therapy (SLT) for inducible laryngeal obstruction (ILO)","authors":"C. Slinger, K. Prior, H. Lever, R. Slinger","doi":"10.1136/thorax-2022-btsabstracts.335","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.335","url":null,"abstract":"IntroductionOur tertiary Airways service offers assessment and treatment for Inducible Laryngeal Obstruction (ILO), (breathing difficulties due to inappropriate adduction of the larynx on inspiration). Speech and Language therapy (SLT) is identified as the ‘cornerstone’ of treatment for ILO.During the Covid-19 pandemic, we produced an online information and therapy resource to support as an adjunct to virtual therapy by SLTs. This included educational information about ILO, videos to support understanding and instructions on how to complete the SLT airway control techniques, as well as symptom monitoring measures.This paper summarises patient feedback on the resource.MethodsAn online survey was sent to 312 patients who had received the resource to support their virtual consultations.Survey questions gathered both quantitative and qualitative data based on Kirkpatrick’s (1993) model of training evaluation, focusing on: Reaction, Learning, Behaviour and Results.Results69 patients (49 females, 19 males, median age= 64, age range=26–78) completed the survey (22% response rate).The resource was rated highly by patients for quality, interest and engagement (Reaction), and for learning from it. Diagrams and demonstration videos helped them understand ILO (Learning) and practice therapy techniques outside of therapy sessions (Behaviour) and were rated as the most helpful aspects of the resource. Following use of the resource 76% reported that their ILO symptoms were either ‘better’ or ‘a lot better’ (Results). Having the resource always accessible online was described as very useful, due to offering a reminder of techniques and to help explain ILO to others.ConclusionDigital resources are a useful adjunct to remote ILO therapy, and continue to be used in our service to support face to face, as well as virtual SLT sessions for the treatment of ILO.","PeriodicalId":394485,"journal":{"name":"‘WALL-E’ – The future of digital healthcare delivery","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132295099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P197 Remote consultation; the clinician’s perspective","authors":"A. Armstrong, C. Randell, H. Williams","doi":"10.1136/thorax-2022-btsabstracts.331","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.331","url":null,"abstract":"","PeriodicalId":394485,"journal":{"name":"‘WALL-E’ – The future of digital healthcare delivery","volume":"334 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127497443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P204 Digital interventions to improve adherence to maintenance medication in asthma: a Cochrane systematic review","authors":"A. Chan, A. De Simoni, V. Wileman, L. Holliday, CJ Newby, C. Chisari, S. Ali, N. Zhu, P. Padakanti, V. Pinprachanan, V. Ting, C. Griffiths","doi":"10.1136/thorax-2022-btsabstracts.338","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.338","url":null,"abstract":"","PeriodicalId":394485,"journal":{"name":"‘WALL-E’ – The future of digital healthcare delivery","volume":"307 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124366909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P199 Sustained patient use and improved outcomes with a COPD digital service","authors":"A. Taylor, A. Cushing, M. Dow, J. Anderson, G. McDowell, S. Lua, M. Manthe, S. Padmanabhan, S. Burns, P. Mcginness, D. Lowe, C. Carlin","doi":"10.1136/thorax-2022-btsabstracts.333","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.333","url":null,"abstract":"","PeriodicalId":394485,"journal":{"name":"‘WALL-E’ – The future of digital healthcare delivery","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114996110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P205 The measurement of adherence to inhaled corticosteroids in asthma using electronic monitoring devices: A systematic review and meta-analysis","authors":"I. Adejumo, C. Chalitsios, D. Shaw, T. Mckeever","doi":"10.1136/thorax-2022-btsabstracts.339","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.339","url":null,"abstract":"","PeriodicalId":394485,"journal":{"name":"‘WALL-E’ – The future of digital healthcare delivery","volume":"3 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123681040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P202 Effect of a technology-enabled multidisciplinary respiratory in-reach service on people admitted with airways disease exacerbations in an acute general hospital","authors":"A. AlHelou, B. Vilcinskaite, K. Russell, K. Jones, T. Abu-Abed, A. Watson, R. Mukherjee","doi":"10.1136/thorax-2022-btsabstracts.336","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.336","url":null,"abstract":"","PeriodicalId":394485,"journal":{"name":"‘WALL-E’ – The future of digital healthcare delivery","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124300954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P198 Service evaluation of home spirometry following lung transplantation","authors":"Bhn Chow, K. Iyer, G. Ridings, L. Webster, H. Clowes, K. Santhanakrishnan, J. Blaikley","doi":"10.1136/thorax-2022-btsabstracts.332","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.332","url":null,"abstract":"Introduction and ObjectivesFollowing Lung Transplantation recipients perform regular spirometry to assess allograft function. Due to infection risks during the COVID pandemic, this was difficult to perform when vulnerable immunosuppressed patients were shielding. Therefore, we provided our patients with home spirometry allowing them to be perform spirometry remotely.MethodsBluetooth spirobank spirometers and an app created by patientMpower to transmit the data were given to 164 lung transplant patients. The service was then evaluated by comparing results from the device against recent (>3 months) spirometry performed at the hospital. The views of clinicians and patients were also obtained about the service through questionnaires.Results164 patients were provided with home spirometers, 112 questionnaires were collected from clinicians following patient consultations and 94 patients were interviewed for their experience. Nearly a quarter of patients (23%) reported difficulties with the spirometer’s initial setting up or using the smartphone app.The FEV1 and FVC readings from home spirometry correlated well with measurements taken in clinic with an R2 of 0.69 and 0.59 respectively (p<0.01 n=78). Clinicians found home spirometry useful in 79.6% (n=112) of consultations and felt the need for hospital spirometry was removed in 63% of cases.Patients were asked to perform spirometry daily or once a week after lung transplantation depending on when they had their transplant. 50% of patients met this goal submitting readings at least three times per week. The median patient rating of the program was 9 out of 10 (10= excellent, n=91). Patient evaluations indicated that the spirometer was easy to use (91.4%), compact (86.0%), and the app was helpful (71.0%) (n=94). In comparison to the previous analogue spirometer, 88.4% of respondents preferred the new Bluetooth spirometer (n=73).ConclusionWe found Bluetooth home spirometer provided accurate results, which was useful in the clinical setting and is acceptable to patients. In addition, it provided real time remote monitoring aiding in assessment of allograft function, which was a benefit over the analogue counterpart particularly during COVID.","PeriodicalId":394485,"journal":{"name":"‘WALL-E’ – The future of digital healthcare delivery","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124539920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P203 Assessing the concordance between patient-reported ICS adherence and objective e-monitoring of ICS therapy","authors":"G. d'Ancona, N. Stewart-Kelcher, A. Patel, N. Holman, L. Green, J. Lam, L. Thompson, A. Nanzer, D. Jackson, J. Holmes, A. Propeller Health, L. Heaney, J. Dhariwal","doi":"10.1136/thorax-2022-btsabstracts.337","DOIUrl":"https://doi.org/10.1136/thorax-2022-btsabstracts.337","url":null,"abstract":"","PeriodicalId":394485,"journal":{"name":"‘WALL-E’ – The future of digital healthcare delivery","volume":"242 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125769809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}