Mrs Rowena Charteris1,2, Dr Adrian Traeger1,2, Dr Tessa Copp1,3, Dr Kristen Pickles1,2,3, Dr Chris Maher1,2, Dr Joshua Zadro1,2
1Institute for Musculoskeletal Health, Sydney Local Health District, Camperdown, Australia, 2Sydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia, 3Sydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia, 4Wiser Healthcare, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
Biography:
Rowena is a PhD student at the Institute of Musculoskeletal Health, at the University of Sydney. She is currently working on research exploring the implementation of virtual fracture clinics. In addition to her research role, she works clinically as a Senior Advanced Practice Physiotherapist in the Emergency Department at Concord Repatriation General Hospital, Sydney.
Abstract:
Virtual Fracture Clinics (VFCs) are becoming increasingly common in Australia and internationally to treat patients with simple fractures, reduce the burden on traditional in-person fracture clinics and improve the sustainability of orthopaedic services. No studies have explored clinicians’ experiences in delivering fracture care in a virtual setting. Factors that influence the efficiency of VFCs and the barriers impacting their implementation are uncertain. This research aimed to identify pragmatic solutions for optimal implementation, the drivers of overuse of imaging, unnecessary appointments and representations and to identify ways to deliver a sustainable VFC service.
We conducted a qualitative study with clinicians across 3 countries involved in the delivery of virtual fracture care. Participants were purposively sampled. Interviews explored clinicians’ perspectives and experiences in delivering fracture care virtually, and the potential for future use and development services. Interviews were audio recorded, transcribed verbatim and analysed thematically using framework analysis.
We have completed 29 interviews with clinicians, ranging in duration from 20 to 65 minutes. To date, three preliminary themes have been identified: 1) Acceptance of the VFC model of care, 2) Training and resource variance 3) Enablers and barriers to VFC sustainability. Analysis will be completed by mid-2025 and will be presented at the conference.
Our study results will inform improved delivery of safe and effective virtual fracture care and provide suggestions to ensure the sustainability of the orthopaedic fracture service. While learnings from established VFCs will be able to shape the protocols and training requirements when implementing VFC services.