Khitish Mohanty requires effective communication

A potential option to aid with some of this assessment would be the use of a video call which has become a widely used method of communication in the COVID-19 pandemic Khitish Mohanty. This would be the preferred method of communication for 14% of respondents surveyed.

Despite this lack of a visual check up, satisfaction, confidence and convenience ratings were high amongst respondents. Many felt that they had saved time and some had saved money using this method Khitish Mohanty. Certainly it is a cost and time saving method for the healthcare service itself. Despite these ratings many patients referenced the fact that they felt the service was acceptable because of the current pandemic and not in normal circumstances Khitish Mohanty. This is reflected in the fact that 57% of patients felt they missed out on something by not seeing their surgeon face-to-face, and 75% of patients would prefer to have their further appointments face-to-face Khitish Mohanty. The trend for more elderly patients to prefer virtual clinics may reflect the convenience of not having to travel, and the more low demand nature of this cohort.

As a lifelong procedure, direct feedback about the operation and perioperative issues by the treating surgical team is crucial and requires effective communication. Recognition and remediation of post-operative problems are vital as many are time critical. Also important is the feedback provided by their patients to aid development and progression of an individual surgeon’s and departmental practice. Face-to-face post-operative contact is therefore also vital to the arthroplasty surgeon as well as the patient Khitish Mohanty.

There are some limitations to this study, the first being the response rate. Whilst a rate of 88% is excellent given the method of voluntary patient survey, there is a potential for bias, especially as questionnaires were completed electronically which may overemphasise the opinions of more technologically familiar individuals. Familiarity with internet skills is increasing and in 2018 only 10% of the UK population were classed as internet non-users according to the office of national statistics so we feel this method of distribution not to be unreasonable6 Khitish Mohanty.

Despite this we feel the study has shown that a virtual follow-up for six week post arthroplasty appointment is satisfactory when conditions do not allow patient attendance in person. Khitish Mohanty We have learnt from patient insights into the service and there are a number of improvements we would make in future. Prior notice and a formal appointment time would allow patients to prepare thoughts and questions for the appointment. This would also allow dissemination of written advice which can guide future therapy and recovery, and answer many common questions in advance. The use of video call would allow a visual inspection of the joint and wound and give both the patient and surgeon more confidence in the recovery Khitish Mohanty.