Postoperative remote first care for financially and environmentally sustainable healthcare
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Authors
Lathan R.
Hitchman L.
Walshaw J.
Ravindhran B.
Carradice D.
Smith G.
Chetter I.
Yiasemidou,M.
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Issue Date
2025
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Article
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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 e(RR 71.0%, p e(RR 71.0%, p 2e(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. Copyright © The Author(s) 2025.
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npj Digital Medicine
Volume
8
Issue
1