Remote Clinics and Investigations in Arrhythmia Services: What Have We Learnt During Coronavirus Disease 2019?
Shohreh Honarbakhsh1, Simon Sporton1, Christopher Monkhouse1
1Department of Arrhythmia Management, Barts Heart Centre, Barts Health NHS Trust, London, UK.
Insights
The COVID-19 pandemic accelerated the adoption of remote healthcare, including virtual clinics and monitoring technologies. This shift enabled continued outpatient care delivery without compromising quality or safety.
Area of Science:
- Medical Informatics
- Telemedicine
- Public Health
Background:
- The COVID-19 pandemic significantly disrupted traditional healthcare delivery models.
- Minimizing in-person hospital visits became crucial for patient and staff safety.
Purpose of the Study:
- To evaluate the impact of the COVID-19 pandemic on outpatient care delivery.
- To assess the effectiveness and safety of remote healthcare strategies implemented during the pandemic.
Main Methods:
- Utilized remote clinics, virtual meetings (e.g., Google Meet, Zoom), and phone consultations.
- Employed remote monitoring technologies such as smartphone ECG, patch ECG, and Holter monitors.
Main Results:
- Remote technologies facilitated effective virtual multidisciplinary meetings and outpatient care.
- The transition to remote care continued outpatient services without apparent compromise to quality or safety.
Conclusions:
- The pandemic has induced a fundamental and likely lasting transformation in outpatient care delivery.
- Prior experience with remote reviews and available monitoring technologies supported the successful adaptation of remote care.
Abstract:
The coronavirus disease 2019 (COVID-19) pandemic has had a dramatic impact on the way that medical care is delivered. To minimise hospital attendance by both patients and staff, remote clinics, meetings and investigations have been used. Technologies including hand-held ECG monitoring using smartphones, patch ECG monitoring and sending out conventional Holter monitors have aided remote investigations. Platforms such as Google Meet and Zoom have allowed remote multidisciplinary meetings to be delivered effectively. The use of phone consultations has allowed outpatient care to continue despite the pandemic. The COVID-19 pandemic has resulted in a radical, and probably permanent, change in the way that outpatient care is delivered. Previous experience in remote review and the available technologies for monitoring have allowed the majority of outpatient care to be conducted without obviously compromising quality or safety.
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