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Surgery and the Smartphone: Can Technology Improve Equitable Access to Surgical Care?

Published:February 19, 2021DOI:https://doi.org/10.1016/j.jss.2020.12.066

      Abstract

      Unfortunately, many patients in the United States experience disparities in access to surgical care, including geographic constraints, limited transportation and time, and financial hardships. Living in a “surgical care desert” results in a delay in care, driving up health care costs and reducing quality of care. In the age of COVID-19, patient access to health care has been further diminished by physical distancing guidelines, naturally increasing the need for innovative telehealth solutions. In this review, we focus on using smartphones for mobile health technology (mHealth) in the delivery of surgical care. This study is aimed at a general surgical audience that may be interested in exploring how mHealth can improve both access and health care quality for surgical patients and their families. We review the current uses of mHealth by surgeons for surgical site infection, new models of the perioperative surgical home, acute care surgical triage, remote patient monitoring devices, and evaluation and management of surgical consultations in the patient's home. We also review institutional and governmental barriers to the adoption of mHealth and offer some preliminary solutions that may aid the surgeon who wishes to implement this technology in their day-to-day practice.

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      References

        • Khubchandani J.A.
        • Shen C.
        • Ayturk D.
        • Kiefe C.I.
        • Santry H.P.
        Disparities in access to emergency general surgery care in the United States.
        Surgery. 2018; 163: 243-250
        • Free C.
        • Phillips G.
        • Galli L.
        • et al.
        The effectiveness of mobile-health technology-based health behavior change or disease management interventions for health care consumers: a systematic review.
        PLoS Med. 2013; 10: e1001362
        • Chernetsky Tejedor S.
        • Sharma J.
        • Lavallee D.C.
        • Lober W.B.
        • Evans H.L.
        Identification of important features in mobile health applications for surgical site infection surveillance.
        Surg Infect (Larchmt). 2019; 20: 530-534
        • Vetter T.R.
        Perioperative surgical home models.
        Anesthesiol Clin. 2018; 36: 677-687
        • Simpao A.F.
        • Lingappan A.M.
        • Ahumada L.M.
        • et al.
        Perioperative smartphone apps and devices for patient-centered care.
        J Med Syst. 2015; 39: 102
        • Rambourg G.-B.
        A continuum of interfaces to engage surgical staff in efficient collaboration.
        J Med Syst. 2019; 43: 1-9
        • Campbell L.
        Using patient engagement platforms in the postoperative management of patients.
        Curr Rev Musculoskelet Med. 2020; 13: 479-484
        • Wiktor A.J.
        • Madsen L.
        • Carmichael H.
        • et al.
        Multiregional utilization of a mobile device app for triage and transfer of burn patients.
        J Burn Care Res. 2018; 39: 858-862
        • Garcia D.I.
        • Howard H.R.
        • Cina R.A.
        • et al.
        Expert outpatient burn care in the home through mobile health technology.
        J Burn Care Res. 2018; 39: 680-684
        • Thijs I.
        • Fresiello L.
        • Oosterlinck W.
        • Sinnaeve P.
        • Rega F.
        Assessment of physical activity by wearable technology during rehabilitation after cardiac surgery: explorative prospective monocentric observational cohort study.
        JMIR Mhealth Uhealth. 2019; 7: e9865
        • Hohmann S.
        • Veltmann C.
        • Duncker D.
        • et al.
        Initial experience with telemonitoring in left ventricular assist device patients.
        J Thorac Dis. 2019; 11: S853-S863
        • Pew Research Center
        Mobile fact sheet: mobile phone ownership over time.
        (Available at:)
        https://www.pewresearch.org/internet/fact-sheet/mobile/
        Date: 2019
        Date accessed: September 28, 2020
        • Pew Research Center
        Internet/broadband fact sheet.