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22
May, 2013
Wednesday

teleconsultation

Young people’s views on the potential use of telemedicine consultations for sexual health: results of a national survey

Garrett CC et al, BMC Infectious Diseases, 11(1)

BACKGROUND:
Young people are disproportionately affected by sexually transmissible infections in Australia but face barriers to accessing sexual health services, including concerns over confidentiality and, for some, geographic remoteness. A possible innovation to increase access to services is the use of telemedicine.
[ More ]

Published: 25 October 2011 |
Keyword(s): Adolescents, Australia, Sexual Health, Teleconsultation, Telemedicine

Teleconsultation via the web: an analysis of the type of questions that Iranian patients ask

Deldar K eta al, J Telemed Telecare, 2011

We evaluated an ask-the-doctor service which was set up as one of the accessory services of a health education website in Iran. The study lasted for five months. A total of 500 enquiries were submitted to the question and answer system. Eighty enquiries were excluded because they were duplicated submissions, not replied to by doctors or gave insufficient information for a reply. Most enquirers (33%) were female and aged 21-35 years.
[ More ]

Published: 15 August 2011 |
Keyword(s): Education, Ethics, Iran, Teleconsultation, Telemedicine, Websites

Study protocol: optimization of complex palliative care at home via telemedicine. A cluster randomized controlled trial

Duursma F et al, BMC Palliative Care, 10(1)

BACKGROUND:
Due to the growing number of elderly with advanced chronic conditions, healthcare services will come under increasing pressure. Teleconsultation is an innovative approach to deliver quality of care for palliative patients at home. Quantitative studies assessing the effect of teleconsultation on clinical outcomes are scarce. The aim of this present study is to investigate the effectiveness of teleconsultation in complex palliative homecare.
[ More ]

Published: 9 August 2011 |
Keyword(s): Netherlands, Palliative care, Randomized Controlled Trials, Teleconsultation, Telemedicine

Overview of international teledermatology

Desai B et al, The Pan African Medical Journal, 6

Teledermatology is essentially “dermatology at a distance”, using one of many communication technologies to expand the reach of a dermatologist to those in need of their specialized knowledge. Most international teledermatology is store-and-forward in nature, a method in which images are stored on a computer and then transmitted electronically to a consulting dermatologist. This system is more convenient and less costly than real-time teledermatology.
[ More ]

Published: 2010 |
Keyword(s): Dermatology, Developing Countries, Teleconsultation, Teledermatology

The benefit of smart phone usage in liver organ procurement

Croome KP et al, Journal of Telemedicine and Telecare, 17(3)

A 56-year-old man was on the transplant list with end-stage liver disease secondary to hepatitis C when a donor liver became available at a location 545 km away. The procurement team, consisting of a senior and junior fellow, went on the retrieval, while the staff surgeon remained in the hospital with the recipient. At the time of organ procurement, a suspicious lesion was identified in the left lateral lobe. The transplant fellows took intraoperative pictures of the lesion with a smart phone and sent them to the staff surgeon for advice. A teleconsultation, facilitated by images sent from the smart phone, took place over the next 22 min.
[ More ]

Published: 26 January 2011 |
Keyword(s): Canada, Smart Phone, Teleconsultation, Telemedicine, Transplants

Patient adherence to recommendations after teleconsultation: survey of patients from a telemedicine centre in Switzerland

Rimner T et al, Journal of Telemedicine and Telecare, 2011

We investigated patients’ adherence to recommendations after telephone triage at the Swiss Centre for Telemedicine. We studied cases where the medical problem was assessed as not requiring an immediate face-to-face consultation. Two weeks after teleconsultation, follow-up telephone interviews were conducted with 1129 self-care patients. The patients were asked if they had adhered to the telephone recommendations and whether they had had a subsequent face-to-face consultation.
[ More ]

Published: 12 May 2011 |
Keyword(s): Adherence, Patient, Self Care, Survey, Switzerland, Teleconsultation, Telemedicine

The Pacific Asynchronous TeleHealth (PATH) System: Review of 1,000 Pediatric Teleconsultations

Mahnke CB et al, Telemedicine and e-Health, 17(1)

Objective:
The aim of this study was to evaluate the impact on pediatric care of the Pacific Asynchronous TeleHealth (PATH) system, a provider-to-provider teleconsultation platform utilized by military medical facilities throughout the Pacific Region. This review focuses on access to care, quality of care, and cost savings for the Department of Defense as a result of ongoing development of the PATH system from 2006 to 2009.

Methods:
This is a retrospective review of 1,000 consecutive teleconsultations occurring from January 2006 to March 2009. Three pediatric subspecialists reviewed the characteristics of each teleconsultation and the ultimate outcome.
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Published: 7 January 2011 |
Keyword(s): Asia, Pediatrics, Teleconsultation, Telemedicine, United States

VISYTER: Versatile and Integrated System for Telerehabilitation

Parmanto B et al, Telemedicine and e-Health, 16(9)

The versatile and integrated system for telerehabilitation (VISYTER) is a software platform for developing various telerehabilitation applications. VISYTER has been designed to take into account the environments and requirements of rehabilitation services. The requirements considered in the platform design include minimal equipment beyond what is available in many rehabilitation settings, minimal maintenance, and ease of setup and operation. In addition, the platform has been designed to be able to adjust to different bandwidths, ranging from the very fast new generation of Internet to residential broadband connections. VISYTER is a secure integrated system that combines high-quality videoconferencing with access to electronic health records and other key tools in telerehabilitation such as stimuli presentation, remote multiple camera control, remote control of the display screen, and an eye contact teleprompter.
[ More ]

Published: 29 October 2010 |
Keyword(s): Telecare, Teleconsultation, Telehealth, Telemedicine, Telerehabilitation

Telemedicine or Telephone Consultation in Patients with Acute Stroke

Demaerschalk BM. Current Neurology and Neuroscience Reports, 11(1)

The advantages of telephone consultations for patients with acute stroke syndromes are history of use, simplicity, availability, portability, short consultation time, and facile implementation. The favorable aspects of telemedicine consultations are high accuracy, reliability, efficacy, and effectiveness, the growing technological sophistication of the offerings and features, and the high grade of recommendation. Between the two modalities, telemedicine is optimal for assessing patients with acute stroke and superior to telephone-only evaluations.
[ More ]

Published: 5 October 2010 |
Keyword(s): Rural Health, Stroke, Teleconsultation, Telemedicine, Telephone, Telestroke

Telemedicine using smartphones for oral and maxillofacial surgery consultation, communication, and treatment planning

Aziz SR, Ziccardi VB. Journal of Oral and Maxillofacial Surgery, 67(11)

Telemedicine is the specialty of medicine that uses the evolving telecommunications industry combined with medical information technology to provide remote medical services. The use of smartphone telemedicine is an efficient and effective way for remote specialist consultation and should be considered by the oral and maxillofacial surgeon.
[ More ]

Published: 16 October 2009 |
Keyword(s): Cellular Phone, Communication, Images, Medical Informatics, Smart Phone, Surgery, Teleconsultation, Telemedicine, Treatment, United States

Tile-Ippokratis: The Experience of an Ehealth Platform for the Provision of Health Care Services in the Island of Chios and Cyprus

Papadopoulos H. International Journal of Telemedicine and Applications, 2010

Tile-Ippokratis proposed an integrated platform for the provision of low-cost ehealth services to citizens in southeast Mediterranean area (Island of Chios and Cyprus). The aim of the paper is to present the architecture, the design, and the evaluation results of this platform. The platform based on already evaluated state-of-the-art mobile ehealth systems and using wireless and terrestrial telecommunication networks is able to provide the following health care services
[ More ]

Published: 2010 |
Keyword(s): Architecture, Chronic Diseases, Design, e-Health, Elderly, Electronic Health Records, Greece, Platform, Teleconsultation, Telemedicine, Wireless

Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis

Clark RA. BMJ, 334(7600)

OBJECTIVE:
To determine whether remote monitoring (structured telephone support or telemonitoring) without regular clinic or home visits improves outcomes for patients with chronic heart failure.

DATA SOURCES:
15 electronic databases, hand searches of previous studies, and contact with authors and experts.
[ More ]

Published: 5 May 2007 |
Keyword(s): Chronic Diseases, Chronic Heart Failure, Randomized Controlled Trials, Teleconsultation, Telephone, Treatment Outcome

A pilot study of nurse-led, home-based telecardiology for patients with chronic heart failure

Scalvini S et al, J Telemed Telecare, 10(2)

We assessed the feasibility of home-based telecardiology for patients with chronic heart failure (CHF). Seventy-four CHF patients were enrolled into a programme of telephone follow-up and single-lead electrocardiography (ECG) monitoring. The patients transmitted their ECG data by fixed telephone line to a receiving station, where a nurse was available for an interactive teleconsultation. Patients were followed up for a mean (SD) of 307 (108) days; 1467 calls were analysed (213 ad hoc consultations and 1254 scheduled consultations).
[ More ]

Published: 2004 |
Keyword(s): Ambulatory Care, Chronic Heart Failure, ECG, Feasibility Studies, Home Monitoring, Italy, Pilot Projects, Teleconsultation, Telephone

The effects of telephone consultation and triage on healthcare use and patient satisfaction: a systematic review

Bunn F et al, The British Journal of General Practice, 55(521)

BACKGROUND:
In recent years there has been a growth in the use of the telephone consultation for healthcare problems. This has developed, in part, as a response to increased demand for GP and accident and emergency department care.

AIM
:
To assess the effects of telephone consultation and triage on safety, service use, and patient satisfaction.
[ More ]

Published: December 2005 |
Keyword(s): Patient Satisfaction, Randomized Controlled Trials, Safety, Teleconsultation, Telemedicine, Telephone, Triage

Virtual Grand Rounds in Dermatology: an 8-year experience in web-based teledermatology

Hu SW et al, International Journal of Dermatology, 48(12)

Background
Teledermatology utilizes telecommunication technologies for the exchange of dermatologic information across distances. In 2000, we developed the Virtual Grand Rounds in Dermatology (VGRD) as a free, user-friendly platform for dermatologists to present complex dermatologic cases to the international community for clinical feedback, consultation, and continuing education.
[ More ]

Published: December 2009 |
Keyword(s): Dermatology, Teleconsultation, Teledermatology, United States

Teleconsultation using multimedia messaging service for management plan in pediatric orthopaedics: a pilot study

Elkaim M et al, Journal of Pediatric Orthopedics, 30(3)

Background:
Application and assessment of the usefulness of image transfer through a mobile telephone in pediatric orthopaedic practice was investigated.
[ More ]

Published: April 2010 |
Keyword(s): Cellular Phone, France, Images, Messaging, Orthopedics, Pediatrics, Teleconsultation, Telemedicine

Protocol Adherence and Safety of Intravenous Thrombolysis After Telephone Consultation With a Stroke Center

Uchino K et al, Journal of Stroke and Cerebrovascular Diseases, 2010

Intravenous tissue plasminogen activator (tPA) for acute ischemic stroke must be provided in an appropriate setting. The best way to provide thrombolysis in small community hospitals remains uncertain. Medical records were reviewed of tPA treatments at a stroke center between January 2002 and October 2005. The stroke center provides phone consultation for acute stroke to smaller hospitals in the region. Subjects were classified into 3 groups: tPA started at referring hospitals before transfer (treat and transfer group), tPA started at the stroke center after transfer (transfer and treat group), and the control group of patients who presented directly to the stroke center and received tPA (stroke center group). We recorded the patient and treatment characteristics, protocol deviations, symptomatic intracranial hemorrhage (ICH), and in-hospital deaths. There were 133 patients in the treat and transfer group, 35 patients in the transfer and treat group, and 86 patients in the stroke center group.
[ More ]

Published: 17 June 2010 |
Keyword(s): Adherence, Protocol, Quality, Safety, Stroke, Teleconsultation, Thrombolysis, United States

[Telemedicine in diabetes: Current results and perspectives]

Franc S et al, Médecine des Maladies Métaboliques, 4(3)

The goals of telemedicine (TM) probably differ depending on whether one considers patients with type 1 diabetes for whom TM has been designed to help them to better control their blood glucose values or patients with type 2 diabetes (T2D) for whom TM could be used to reinforce an inefficient healthcare system due to the decreasing number of physicians facing a rapidly growing disease. Numerous trials have been published, most of them failed to demonstrate the superiority for TM intervention vs. usual care.
[ More ]

Published: May 2010 |
Keyword(s): Diabetes Mellitus, France, Internet, Smart Phone, Teleconsultation, Telemedicine, Telemonitoring

Asynchronous and Synchronous Teleconsultation for Diabetes Care: A Systematic Literature Review

Verhoeven F et al, Journal of Diabetes Science and Technology, 4(3)

AIM:
A systematic literature review, covering publications from 1994 to 2009, was carried out to determine the effects of teleconsultation regarding clinical, behavioral, and care coordination outcomes of diabetes care compared to usual care. Two types of teleconsultation were distinguished: (1) asynchronous teleconsultation for monitoring and delivering feedback via email and cell phone, automated messaging systems, or other equipment without face-to-face contact; and (2) synchronous teleconsultation that involves real-time, face-to-face contact (image and voice) via videoconferencing equipment (television, digital camera, webcam, videophone, etc.) to connect caregivers and one or more patients simultaneously, e.g., for the purpose of education.
[ More ]

Published: May 2010 |
Keyword(s): Cellular Phone, Diabetes, e-Mail, Literature Review, Teleconsultation, Telemedicine, Videoconferencing

[The analysis of legal basis of telediagnosis and teleconsultation in clinical practice. are we allowed to consult our patients via phone? Part I]

Zajdel R et al, Medycyna Pracy, 61(2)

Background:
Telemedicine means the delivery of medical service without personal contact between the patient and physician. Although Polish legal regulations do not prohibit so called “distant medical treatment”, they do not specify clear and ambiguous terms of such a service. The practitioner faces numerous doubts concerning the telediagnosis and teleconsultation. The authors discuss the problems of acceptability of telediagnosis and teleconsultation in Poland.
[ More ]

Published: 2010 |
Keyword(s): Legal, Poland, Quality, Teleconsultation, Telediagnosis, Telemedicine

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