From surgery to rehabilitation: a cross-sectional survey on the feasibility of live digital ward rounds between acute care and rehabilitation clinics in trauma patients
摘要
Telemedicine is increasingly embraced by both patients and healthcare professionals. By bridging the gap between acute care hospitals and rehabilitation clinics, it offers a promising approach to enhance communication and continuity of care. This study aimed to assess the feasibility of telemedicine in the rehabilitation of patients with musculoskeletal injuries or polytrauma.
MethodsA cross-sectional survey was conducted involving healthcare professionals engaged in the telemedical management of patients with musculoskeletal injuries or polytrauma during acute care and rehabilitation clinics. We established digital ward rounds between an acute care hospital and rehabilitation clinics with live patient presentation. A self-developed questionnaire assessed four domains: overall satisfaction, data security, technical setup, and the rehabilitation process. Each item was rated using a 5-point Likert scale. Participation was voluntary and anonymous.
ResultsA total of 39 participants completed the survey, with 23 respondents (59%) from a rehabilitation institute and 14 (41%) from an acute care hospital. The majority were physicians (n = 32, 82.1%), with the most common age group being 50–60 years (n = 12, 30.8%). Overall satisfaction with the telemedicine process was high, with 31 participants rating their experience as either 4 or 5 (very satisfied). Only one respondent expressed concerns regarding data security, while the majority were neutral or disagreed with statements suggesting data security breaches. The reported preparation time for televisits was generally between 5 and 10 min.
ConclusionHealthcare professionals reported high satisfaction with telemedicine-supported digital ward rounds and expressed minimal concern regarding data security. Televisits are perceived as a feasible and practical tool for enhancing communication between acute care hospitals and rehabilitation centers, potentially improving the quality and continuity of musculoskeletal and trauma rehabilitation.