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The Use of Remote Presence Robotic Tele-Presentation in Rural and Remote Canada: A Systematic Review.
Kelly Russell1,2,3, Elysa Sandron2, Heather Normand2,3
1Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada.
Summary
Remote presence robotic tele-presentation offers a safe, cost-effective solution for rural healthcare, improving patient satisfaction and reducing transfers. This technology enhances care delivery in distant Canadian communities.
Area of Science:
- Robotics in Medicine
- Telehealth and Telemedicine
- Rural Health Services
Background:
- Limited healthcare access in rural and remote regions necessitates innovative solutions.
- Remote presence robotic tele-presentation enables healthcare providers to remotely care for patients.
Purpose of the Study:
- To synthesize evidence on the use of remote presence robotic tele-presentation in rural/remote Canadian health settings.
- To assess its impact on patient satisfaction, healthcare costs, and clinical outcomes.
Main Methods:
- Systematic literature search of Medline, PubMed, and Embase up to August 2023.
- Inclusion of studies on remote presence robotic tele-presentation in rural/remote Canada.
- Assessment of patient, family, and clinician satisfaction, transfers, costs, and outcomes.
Main Results:
- High satisfaction reported by patients, nurses, and physicians.
- 50-63% of patients managed in home communities, avoiding transfers.
- Variable diagnostic utility for telerobotic ultrasound and challenges in laparoscopic surgery.
Conclusions:
- Remote presence robotic tele-presentation is a safe and cost-effective approach for distant communities.
- It can reduce the need for patient transfers and evacuations to tertiary hospitals.
- Further research needed to optimize its application in specific medical procedures.
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