We conducted a post-consultation survey during 1998-2002 (n = 412 consultations) in the Rural Hospital Telehealth Project run by the University of Arkansas for Medical Sciences. Changes in the patient's diagnosis and treatment plan as a result of the telemedicine session were assessed. There were 47 consultants, who conducted 2-82 consultations each. The teleconsultants established a diagnosis in 74 consultations. This was 26% of the 286 respondents. Of the 63 respondents for cases where there was a prior diagnosis and a change was applicable, 17 consultants (27%) reported that there was a change in the patient's diagnosis. The consultants established a patient treatment plan in 139 consultations. This was 52% of the 268 respondents. Of the 123 respondents for cases where there was a prior treatment plan and a change was applicable, 82 (67%) consultants reported a change in the treatment plan. The changes in diagnosis and management imply benefits for the rural population in Arkansas as a result of the use of telemedicine.
"An evaluation of a pulmonary telemedicine clinic (n = 314 patients) demonstrated that teleconsultations resulted in changing the treatment plan for 41% of patients . Findings from a post-use survey of a telehealth project (n = 412 consultations) indicated that 27% of the consultants reported a change in the diagnosis and 67% of the consultants reported a change in the treatment plan . An additional investigation evaluated pediatric, echocardiography studies (n = 769) conducted by telemedicine and found a change in the diagnosis in 10 videotaped studies that were attributed to lack of diagnostic clarity, when compared with on-site studies . "
[Show abstract][Hide abstract] ABSTRACT: This study examined teleconsultants' specialty, practice setting, type of employment, years and training in telemedicine to evaluate the effect of these characteristics on diagnoses and treatment. A postuse survey was conducted during 1998-2003 (n = 454 consultations) in the University of Arkansas for Medical Sciences' Rural Hospital, Telehealth Project. There were 61 consultants who conducted the teleconsultations. The teleconsultants established a diagnosis in 121 consultations and reported a change in diagnoses in 29 consultations. The consultants established a treatment plan in 219 consultations and reported a change in the treatment plan in 100 consultations. Dermatologists were significantly more likely to establish (P < .01) and change (P = .005) the diagnosis and to establish a treatment plan (P = .03), when compared to all other specialties. Teleconsultants who were self-employed were significantly more likely to change the treatment plan (P = .012). The findings suggest that teleconsultants' characteristics can affect diagnoses and treatment in telemedicine.
International Journal of Telemedicine and Applications 05/2011; 2011:701089. DOI:10.1155/2011/701089
"Various specialist equipment was also used during many consults including: Ophthalmoscopes, Dermascopes and document cameras (typically for radiological images), showing the versatility of specialties suited to this form of electronic consultation (Bynum et al., 2006). Not only did this means of communication provide a more convenient mode of communication but in many instances afforded a more timely diagnosis for rural patients versus a deferred face to face consultation. "
[Show abstract][Hide abstract] ABSTRACT: Telemedicine is changing the way medicine can be practiced, and how medical knowledge is communicated, learnt and researched in today’s technologically oriented society. The adoption of internet based communication has significantly expanded the patients’ ability to access a multitude of world class medical information. Research has shown that patients would welcome the ability to consult a doctor using the same computing tools they use to communicate with family, friends and work colleagues. This paper discusses the use of telemedicine today and how it could be used to access medical services from home. Further, it investigates the incentives and barriers to widespread adoption of such services in Australia with particular reference to the issues of information security. The technology to make home telemedicine a reality is already available and all that remains for this to come to fruition is a shift in culture to accept it as a suitable alternative to current medical consultation practice.
[Show abstract][Hide abstract] ABSTRACT: Ces recherches s'inscrivent dans la continuité du projet européen EPI-MEDICS qui a pour objectif la réalisation d'un moniteur personnel d'ECG (PEM). Le PEM est capable d'enregistrer un ECG 3D simplifié et capable d'envoyer par GPRS ou UMTS différents types de messages ou d'alarmes convoyant des ECG et un dossier médical de l'utilisateur. C'est dans ce contexte que nous avons cherché à améliorer l'intelligence du système en développant une plateforme auto-adaptative et auto-évolutive de détection automatique des dysfonctionnements du coeur. Cette plateforme permet de stratifier le risque de la survenue d'un évènement cardiovasculaire moyennant l'interprétation de l'ECG combinée avec l'historique médical de l'utilisateur. Nous avons également étudié un formalisme permettant de rendre l'ECG simplifié du PEM accessible, sous un format compréhensible et interprétable, aux professionnels de santé. Il s'agit de synthétiser un ECG standard 12D à partir de l'ECG 3D du PEM.
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