CC BY 4.0 · European Journal of General Dentistry 2022; 11(01): 058-063
DOI: 10.1055/s-0042-1742360
Original Article

Virtual Consultations—“Should We Be Using Them?”: A Two-Cycle Clinical Audit

1   Department of Orthodontics, DCT2 Royal Liverpool University Dental Hospital, Pembroke Place, Liverpool, United Kingdom
,
Anika Patel
2   Department of Orthodontics, DCT2 Alder Hey Children's Hospital, Prescot Road, Liverpool, United Kingdom
,
Sandeep Acharya
1   Department of Orthodontics, DCT2 Royal Liverpool University Dental Hospital, Pembroke Place, Liverpool, United Kingdom
,
Madhavi Seshu
3   Department of Orthodontics, Orthodontist Arrowe Park Hospital, Arrowe Park Road, Wirral, United Kingdom
› Author Affiliations
Funding The authors of this manuscript declare that they have no conflicts of interest. No funding was received for the study.

Abstract

Objective In response to the coronavirus disease 2019 pandemic, the use of virtual appointments increased substantially. An audit was designed to evaluate the efficacy of virtual appointments at Alder Hey Children's Hospital. Patients and clinicians satisfaction of virtual appointments were also recorded.

Materials and Methods Patients having virtual appointments were identified, and data were recorded, including demographics and outcome of the appointment. A pilot study was conducted to identify any necessary modifications to the data collection process. Data were collected over two cycles, and the results were analyzed.

Results The first cycle was performed retrospectively and there were 158 patients identified who had a virtual appointment. An outcome could be drawn from the virtual appointment in over 70% of cases. Recommendations following the first cycle were implemented. A second cycle was then completed prospectively. A total of 145 patients were identified. An outcome could be drawn in 51% of cases. Patient and clinician feedback on virtual appointments was generally positive.

Conclusion This study demonstrated that a successful outcome could be drawn in the majority of virtual appointments, and clinicians and patients had positive experiences regarding virtual clinics. This highlights the usefulness of this service, which is particularly relevant due to the increased reliance on virtual clinics during the pandemic.

Authors' Contribution

YWJL lead the study. YWJL, AP, and SA undertook the data collection. YWJL, AP, and SA drafted a paper, and MS contributed to the final draft. All authors gave their final approval and agreed to be accountable for all aspects of the work.




Publication History

Article published online:
07 March 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 McLaren P, Ball CJ. Telemedicine: lessons remain unheeded. BMJ 1995; 310 (6991): 1390-1391
  • 2 Wootton R. Telemedicine in the National Health Service. J R Soc Med 1998; 91 (12) 614-621
  • 3 Abbas B, Wajahat M, Saleem Z, Imran E, Sajjad M, Khurshid Z. Role of teledentistry in COVID-19 pandemic: a nationwide comparative analysis among dental professionals. Eur J Dent 2020; 14 (S 01): S116-S122
  • 4 Capampangan DJ, Wellik KE, Bobrow BJ. et al. Telemedicine versus telephone for remote emergency stroke consultations: a critically appraised topic. Neurologist 2009; 15 (03) 163-166
  • 5 Handschu R, Scibor M, Willaczek B. et al; STENO Project. Telemedicine in acute stroke: remote video-examination compared to simple telephone consultation. J Neurol 2008; 255 (11) 1792-1797
  • 6 Thiyagarajan A, Grant C, Griffiths F, Atherton H. Exploring patients' and clinicians' experiences of video consultations in primary care: a systematic scoping review. BJGP Open 2020;4(01):bjgpopen20X101020
  • 7 Avula H. Tele-periodontics - oral health care at a grass root level. J Indian Soc Periodontol 2015; 19 (05) 589-592
  • 8 Smales FC, Samaranyake LP. Maintaining dental education and specialist dental care during an outbreak of a new coronavirus infection. Part 2: Control of the disease, then elimination. Br Dent J 2003; 195 (12) 679-681
  • 9 Smales FC, Samaranyake LP. Maintaining dental education and specialist dental care during an outbreak of a new coronavirus infection. Part 1: a deadly viral epidemic begins. Br Dent J 2003; 195 (10) 557-561
  • 10 Daniel SJ, Wu L, Kumar S. Teledentistry: a systematic review of clinical outcomes, utilization and costs. J Dent Hyg 2013; 87 (06) 345-352
  • 11 Dar-Odeh N, Babkair H, Alnazzawi A, Abu-Hammad S, Abu-Hammad A, Abu-Hammad O. Utilization of teledentistry in antimicrobial prescribing and diagnosis of infectious diseases during COVID-19 lockdown. Eur J Dent 2020; 14 (S 01): S20-S26
  • 12 Rahman N, Nathwani S, Kandiah T. Teledentistry from a patient perspective during the coronavirus pandemic. Br Dent J 2020
  • 13 Greenhalgh T, Vijayaraghavan S, Wherton J. et al. Virtual online consultations: advantages and limitations (VOCAL) study. BMJ Open 2016; 6 (01) e009388
  • 14 Greenhalgh T, Shaw S, Wherton J. et al. Real-world implementation of video outpatient consultations at macro, meso, and micro levels: mixed-method study. J Med Internet Res 2018; 20 (04) e150
  • 15 Vijayaraghavan S, O'Shea T, Campbell-Richards D. et al. DAWN: Diabetes appointments via webcam in Newham. Br J Diabetes 2015; 15 (03) 123-126
  • 16 Ullah S, Rajan S, Liu T. et al. Why do patients miss their appointments at primary care clinics?. J Fam Med Dis Prev 2018;4(03 Available from https://www.clinmedjournals.org/articles/jfmdp/journal-of-family-medicine-and-disease-prevention-jfmdp-4-090.php?jid=jfmdp cited 2021 Jan 17 [Internet]
  • 17 Rutherford E, Noray R. Ó hEarráin C, et al. Potential benefits and drawbacks of virtual clinics in general surgery: pilot cross-sectional questionnaire study. JMIR Perioper Med 2020; 3 (01) e12491
  • 18 Morris NP. Virtual visits and the future of no-shows. J Gen Intern Med 2020; 35 (08) 2449-2450
  • 19 Bhatia R, C Vora E, Panda A. Pediatric dental appointments no-show: rates and reasons. Int J Clin Pediatr Dent 2018; 11 (03) 171-176
  • 20 Byrne E, Watkinson S. Patient and clinician satisfaction with video consultations during the COVID-19 pandemic: an opportunity for a new way of working. J Orthod 2021; 48 (01) 64-73 DOI: 10.1177/1465312520973677.
  • 21 Wosik J, Fudim M, Cameron B. et al. Telehealth transformation: COVID-19 and the rise of virtual care. J Am Med Inform Assoc 2020; 27 (06) 957-962
  • 22 Randhawa RS, Chandan JS, Thomas T, Singh S. An exploration of the attitudes and views of general practitioners on the use of video consultations in a primary healthcare setting: a qualitative pilot study. Prim Health Care Res Dev 2019; 20: e5
  • 23 Patel T, Wong J. The role of real-time interactive video consultations in dental practice during the recovery and restoration phase of the COVID-19 outbreak. Br Dent J 2020; 229 (03) 196-200
  • 24 Newton T, Asimakopoulou K, Daly B, Scambler S, Scott S. The management of dental anxiety: time for a sense of proportion?. Br Dent J 2012; 213 (06) 271-274