Development and Implementation of a Methodology for Quality Assessment of Asynchronous Teleconsultations.

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Milena Soriano MarcolinoC S Cardoso

Abstract

Background: There is a lack of evidence regarding audits or quality analysis of telehealth strategies in clinical practice. Our aim is to develop and implement a methodology for quality assessment of asynchronous teleconsultations. Materials and Methods: A random sample of asynchronous teleconsultations performed by the specialists from the Telehealth Network of Minas Gerais (TNMG), a public telehealth service in Brazil, was selected. The responses were evaluated regarding size, objectivity, quality, ethics, courtesy, and grammar, and received a score for each category: 1 = fair, 2 = moderate, and 3 = good. As each domain has a different importance in rating the overall quality of teleconsultation, each one was assigned a different weight, and a final score was calculated. Results: A total of 576 teleconsultations were assessed. Overall, the scores were good or moderate for all items. Only a few cases were classified as fair. Among medical specialties, pediatrics was the one that proportionally received the highest number of fair classifications, and the item "quality of the answers" was the one with highest number of worse classifications for this specialty. Corrective actions were implemented. With regard to the nonmedical sp...Continue Reading

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Citations

May 16, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Donald M HiltyPeter M Yellowlees
Jan 28, 2021·Journal of Technology in Behavioral Science·Donald M HiltyElizabeth A Krupinski

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