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1 results

  • Novel ENT live telehealth and live video-otoscopy clinics in remote Australia: outcomes and comparisons to traditional clinic models

  • Luke M O'Neil, Margie O'Neill, Fiona Whelan, Travis Leahy, Robert Wormald, Anton D Hinton-Bayre, Joseph Ghandour, Jafri Kuthubutheen
  • Journal:
    The Journal of Laryngology & Otology / Volume 138 / Issue 3 / March 2024
    Published online by Cambridge University Press:
    12 September 2023, pp. 253-257
    Print publication:
    March 2024
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  • Background

    Coronavirus disease 2019 challenged the delivery of healthcare in Australia, disproportionately impacting vulnerable patients, including Aboriginal and/or Torres Strait Islander peoples and those living in remote regions. The otolaryngology service provided to remote Western Australia adapted to these barriers by altering clinical consultations to a digital model.

    Methods

    A review was undertaken of patients in regional Western Australia. Demographics and clinical outcomes from 20 live telehealth clinics were retrospectively reviewed and compared to 16 face-to-face clinics.

    Results

    The demographics of patients reviewed in both live telehealth and face-to-face clinics were similar, except for a larger proportion of Aboriginal and/or Torres Strait Islander patients utilising telehealth. The outcomes of patients reviewed through each model of care were comparable. Live video-otoscopy provided diagnostic quality images in 92 per cent of cases.

    Conclusion

    The findings of our review suggest that, despite its limitations, a large proportion of ENT patients may be safely assessed through a live telehealth model.