Televascular consultation is one answer to rural vascular surgery shortage

2021 ◽  
pp. 1357633X2110034
Author(s):  
Jing Li ◽  
Derrick L Green ◽  
Steve Santilli ◽  
Dan Ihnat ◽  
R James Valentine ◽  
...  

Telemedicine provides an opportunity for virtual consultation between physicians and patients in remote locations. We sought to evaluate whether telemedicine consultation for vascular surgery can replace direct visits for patients in remote areas. Patients undergoing telemedicine consultation from 2014–2019 at the Veterans Affairs Medical Center (VAMC) with a large rural catchment area, were reviewed. Primary outcomes included diagnosis, type and number of telemedicine visits, and types of surgical procedures scheduled after initial visit. 574 patients participated in 708 out-patient telemedicine consultations conducted by four vascular surgeons and two advanced practitioners. Visits took place at 21 clinics across Minnesota ( n = 305), North Dakota ( n = 96), South Dakota ( n = 82), Wisconsin ( n = 20), and Iowa ( n = 2) with an average distance of 159 miles from the VAMC. There were 429 (75%) new patient visits and 279 (25%) follow-ups. After initial telemedicine consultation, 236 (55%) patients were booked for procedures. Telemedicine is feasible for vascular surgery consultation and increases patient convenience with decreased overall travel expense and wait time. Telemedicine can be a viable solution to the shortage of vascular surgeons in the rural United States.

Crisis ◽  
2016 ◽  
Vol 37 (1) ◽  
pp. 59-67 ◽  
Author(s):  
Nicole J. Peak ◽  
James C. Overholser ◽  
Josephine Ridley ◽  
Abby Braden ◽  
Lauren Fisher ◽  
...  

Abstract. Background: People who feel they have become a burden on others may become susceptible to suicidal ideation. When people no longer feel capable or productive, they may assume that friends and family members would be better off without them. Aim: The present study was designed to assess preliminary psychometric properties of a new measure, the Perceived Burdensomeness (PBS) Scale. Method: Depressed psychiatric patients (N = 173) were recruited from a veterans affairs medical center. Patients were assessed with a structured diagnostic interview and self-report measures assessing perceived burdensomeness, depression severity, hopelessness, and suicidal ideation. Results: The present study supported preliminary evidence of reliability and concurrent validity of the PBS. Additionally, perceived burdensomeness was significantly associated with higher levels of hopelessness and suicidal ideation. Conclusion: It is hoped that with the aid of the PBS clinicians may be able to intervene more specifically in the treatment of suicidality.


2016 ◽  
Vol 146 (suppl_1) ◽  
Author(s):  
Eugene Pearlman ◽  
Joseph Kaminsky ◽  
William Sago ◽  
Elizabeth Sansing

1996 ◽  
Vol 11 (3) ◽  
pp. 146-150 ◽  
Author(s):  
Peter Stajduhar ◽  
Janet A. Deneselya ◽  
Mathikere Rajachar ◽  
Gerhard Werner ◽  
David W. Kennard ◽  
...  

2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Sangri Kim ◽  
Ashwin Gupta ◽  
Joye Allen ◽  
Paul S. Kim ◽  
Christopher Grondin

Author(s):  
Joshua P. Kronenfeld ◽  
Naixin Kang ◽  
Stefan Kenel-Pierre ◽  
Alberto Lopez ◽  
Jorge Rey ◽  
...  

2016 ◽  
Vol 5 (12) ◽  
pp. 117 ◽  
Author(s):  
Mark Detweiler ◽  
Bhuvaneshwar Pagadala ◽  
Joseph Candelario ◽  
Jennifer Boyle ◽  
Jonna Detweiler ◽  
...  

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