IN TELEHEALTH, PHYSIOTHERAPISTS CAN TRIAGE ORTHOPEDIC WAITING LISTS: PILOT STUDY

Objectives: The purpose of this study is to understand the reasons for long waiting lists in orthopedic screening clinics in terms of duration and quantity, as well as to examine physical therapy visibility as an alternative form of management to improve the patient journey according to individual current needs through Telehealth. Background:In public hospitals, there is typically a significant waiting period for outpatient orthopedic appointments with specialists. Subsequently, patients often face another waiting period if surgery is deemed necessary. Unfortunately, individuals with greater medical urgency are seldom given priority, which can lead to heightened morbidity for those who have to wait. Furthermore, alternative care options are generally unavailable during this waiting period. Methods:The current study implemented a telephone triage method executedby two physiotherapists to evaluate new patients on the waiting list of an orthopedic screening clinic. The research took place at Qatif Central Hospital in the Eastern province of Saudi Arabia, spanning from October to December 2021. Telephone triage involves remotely assessing patients over the phone to determine the nature of their condition and determine if physical therapy could serve as a viable alternative treatment option. To ensure consistency in evaluations, the physiotherapists utilized a standardized instrument consisting of a predetermined set of questions and prompts. Results: It was found that 66% of participants experienced a three-month waiting period for their appointments. Additionally, the study revealed a significant number of referrals originating from primary health centers (81%),withknee osteoarthritis being the most commonly diagnosed condition (45%). Another notable finding is that 72% of cases were considered suitable for physical therapy as an alternative treatment option. Conclusion: Integrating physiotherapists into telephone triage for orthopedic outpatient appointments presents a valuable chance to address and prioritize lengthy waiting lists for orthopedic services. This approach offers cost-effectiveness and substantial benefits for institutions facing challenges in managing their orthopedic waiting lists.