Telemedicine in the Northern Territory: An assessment of patient perceptions in the preoperative anaesthetic clinic.

Objective We investigated patient perceptions of a virtual preoperative anaesthesia evaluation clinic linking Royal Darwin Hospital to Katherine Hospital. Design Descriptive study, cross-sectional survey. Setting Regional and rural areas of Northern Territory, Australia. Participants Sample includes 27 respondents, five Indigenous, 18 non- Indigenous and four unknown. Interventions Introduction of a preoperative anaesthesia evaluation clinic. Main outcome measures We designed a 10-item, 5-point Likert scale questionnaire assessing patient perceptions in four domains: (i) technical quality; (ii) perceived efficacy; (iii) affective patient experience; and (iv) patient preference. Qualitative responses are also reported. Results Twenty-seven out of 35 patients (77%) completed the questionnaire. Ninety-eight per cent were in positive agreement on technical quality with a mean score of 1.35 ( SD: 0.53); Ninety-five per cent on perceived efficacy, 1.35 ( SD: 0.65); Eighty-four per cent in negative agreement on affective patient experience (negative perception item), 4.19 ( SD: 1.07); Eighty-one per cent in negative agreement on patient preference (negative perception item), 4.23 ( SD: 1.14). There were no significant differences in the answers between Indigenous (five patients) and non- Indigenous patients (18 patients). Conclusion Our study confirms the acceptability of telemedicine in the remote assessment of preoperative patients in the Northern Territory, with positive perceptions in all four domains. [ABSTRACT FROM AUTHOR]