Postoperative remote first care for financially and environmentally sustainable healthcare
Abstract This study aims to quantify the financial and environmental savings associated with remote follow up in patients undergoing lower limb arterial surgery. A prospective observational study evaluating financial cost(fC) and environmental cost(eC) of postoperative follow-up models. Remote-first...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2025-05-01
|
| Series: | npj Digital Medicine |
| Online Access: | https://doi.org/10.1038/s41746-025-01585-3 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849730865772363776 |
|---|---|
| author | Ross Lathan Louise Hitchman Josephine Walshaw Bharadhwaj Ravindhran Daniel Carradice George Smith Ian Chetter Marina Yiasemidou |
| author_facet | Ross Lathan Louise Hitchman Josephine Walshaw Bharadhwaj Ravindhran Daniel Carradice George Smith Ian Chetter Marina Yiasemidou |
| author_sort | Ross Lathan |
| collection | DOAJ |
| description | Abstract This study aims to quantify the financial and environmental savings associated with remote follow up in patients undergoing lower limb arterial surgery. A prospective observational study evaluating financial cost(fC) and environmental cost(eC) of postoperative follow-up models. Remote-first screening(RFS), where all patients were reviewed remotely, and complications triaged for face-to-face assessment and treatment. The second model was remote-first treatment(RFT): all patients were reviewed remotely, but only high-risk complications trigger face-to-face review. Both were compared with conventional face-to-face review. All participants received both face-to-face and remote review. 105 patients were included. RFS has a per patient mean reduction of 30.8.0±26.2 kgCO2e(RR 71.0%, p < 0.001) and fC reduction of £60.17±42.98(RR 87.0%, p < 0.001). RFT has a mean reduction of 38.5±17.4 kgCO2e(RR 88.8%, p < 0.001) and fC reduction of £83.29±45.51(RR 87.0%, p < 0.001). Remote models demonstrated economic and environmental gains over routine face-to-face assessments. Integration of these analyses into health intervention assessment is important to reducing climate change. |
| format | Article |
| id | doaj-art-ecbc48e79f86414cb9c22b3ea05804a4 |
| institution | DOAJ |
| issn | 2398-6352 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | npj Digital Medicine |
| spelling | doaj-art-ecbc48e79f86414cb9c22b3ea05804a42025-08-20T03:08:44ZengNature Portfolionpj Digital Medicine2398-63522025-05-01811810.1038/s41746-025-01585-3Postoperative remote first care for financially and environmentally sustainable healthcareRoss Lathan0Louise Hitchman1Josephine Walshaw2Bharadhwaj Ravindhran3Daniel Carradice4George Smith5Ian Chetter6Marina Yiasemidou7Academic Vascular Surgical Unit, Hull University Teaching Hospital NHS TrustAcademic Vascular Surgical Unit, Hull University Teaching Hospital NHS TrustCentre for Clinical Sciences, Hull York Medical SchoolAcademic Vascular Surgical Unit, Hull University Teaching Hospital NHS TrustAcademic Vascular Surgical Unit, Hull University Teaching Hospital NHS TrustAcademic Vascular Surgical Unit, Hull University Teaching Hospital NHS TrustAcademic Vascular Surgical Unit, Hull University Teaching Hospital NHS TrustCentre for Clinical Sciences, Hull York Medical SchoolAbstract This study aims to quantify the financial and environmental savings associated with remote follow up in patients undergoing lower limb arterial surgery. A prospective observational study evaluating financial cost(fC) and environmental cost(eC) of postoperative follow-up models. Remote-first screening(RFS), where all patients were reviewed remotely, and complications triaged for face-to-face assessment and treatment. The second model was remote-first treatment(RFT): all patients were reviewed remotely, but only high-risk complications trigger face-to-face review. Both were compared with conventional face-to-face review. All participants received both face-to-face and remote review. 105 patients were included. RFS has a per patient mean reduction of 30.8.0±26.2 kgCO2e(RR 71.0%, p < 0.001) and fC reduction of £60.17±42.98(RR 87.0%, p < 0.001). RFT has a mean reduction of 38.5±17.4 kgCO2e(RR 88.8%, p < 0.001) and fC reduction of £83.29±45.51(RR 87.0%, p < 0.001). Remote models demonstrated economic and environmental gains over routine face-to-face assessments. Integration of these analyses into health intervention assessment is important to reducing climate change.https://doi.org/10.1038/s41746-025-01585-3 |
| spellingShingle | Ross Lathan Louise Hitchman Josephine Walshaw Bharadhwaj Ravindhran Daniel Carradice George Smith Ian Chetter Marina Yiasemidou Postoperative remote first care for financially and environmentally sustainable healthcare npj Digital Medicine |
| title | Postoperative remote first care for financially and environmentally sustainable healthcare |
| title_full | Postoperative remote first care for financially and environmentally sustainable healthcare |
| title_fullStr | Postoperative remote first care for financially and environmentally sustainable healthcare |
| title_full_unstemmed | Postoperative remote first care for financially and environmentally sustainable healthcare |
| title_short | Postoperative remote first care for financially and environmentally sustainable healthcare |
| title_sort | postoperative remote first care for financially and environmentally sustainable healthcare |
| url | https://doi.org/10.1038/s41746-025-01585-3 |
| work_keys_str_mv | AT rosslathan postoperativeremotefirstcareforfinanciallyandenvironmentallysustainablehealthcare AT louisehitchman postoperativeremotefirstcareforfinanciallyandenvironmentallysustainablehealthcare AT josephinewalshaw postoperativeremotefirstcareforfinanciallyandenvironmentallysustainablehealthcare AT bharadhwajravindhran postoperativeremotefirstcareforfinanciallyandenvironmentallysustainablehealthcare AT danielcarradice postoperativeremotefirstcareforfinanciallyandenvironmentallysustainablehealthcare AT georgesmith postoperativeremotefirstcareforfinanciallyandenvironmentallysustainablehealthcare AT ianchetter postoperativeremotefirstcareforfinanciallyandenvironmentallysustainablehealthcare AT marinayiasemidou postoperativeremotefirstcareforfinanciallyandenvironmentallysustainablehealthcare |