PMID: 10534849Oct 27, 1999Paper

Realtime remote consultation in the outpatient clinic--experience at a teaching hospital

Journal of Telemedicine and Telecare
A C WanA Darzi

Abstract

We used an outpatients' telemedicine clinic to evaluate remote consultation in a London hospital practice. Video-images were relayed by ISDN at 384 kbit/s between the main hospital site and the sister hospital. Teleconsultation was evaluated in three different specialties: pain management, orthopaedics and general surgery. Medical personnel involved in the consultation consisted of a resident or senior house officer at the remote site and a senior registrar or consultant at the main hospital. A total of 146 consultations was held over a six-month period in the three clinical specialties involved. Questionnaires were completed by 58% of patients and over 90% of the medical personnel involved. The mean scores (on a five-point Likert scale) for physician satisfaction at the main and distant site were 3.6 and 3.8, respectively. On a scale of 0-10, 92% of patients rated the consultation 8-10 and 90% indicated that they would return for a similar consultation. Seventy-three per cent felt that a similar consultation from their referring doctor would have been appropriate. Confidence in the diagnosis was high among the specialists at the main hospital site.

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Citations

Jun 2, 2009·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Antoine PronovostRalph Kern
Jul 10, 2012·BMC Medical Informatics and Decision Making·Ted E PalenKristin B Wallace
Sep 10, 2016·BMC Health Services Research·Astrid BuvikTom Wilsgaard
Jan 11, 2000·Journal of Telemedicine and Telecare·R Wootton
Mar 17, 2020·JMIR Medical Informatics·Micheal O'CathailJudith Christian
Nov 3, 2005·International Journal of Technology Assessment in Health Care·Pamela S Whitten, Michael S Mackert
Mar 12, 2002·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·T L WilliamsA Esmail
May 3, 2018·Journal of Innovation in Health Informatics·Stefanie M CroghanPaul F Ridgway
Feb 20, 2019·Journal of Medical Internet Research·Astrid BuvikJan Abel Olsen
Nov 29, 2017·Australian Health Review : a Publication of the Australian Hospital Association·Monica TaylorAnthony C Smith
Oct 25, 2002·Journal of Telemedicine and Telecare·F BaruffaldiA Toni
Aug 25, 2020·Journal of Clinical Orthopaedics and Trauma·Sandeep KumarRakesh Sehrawat
Feb 28, 2021·Postgraduate Medical Journal·Yarrow Scantling-BirchMahmood F Bhutta
Nov 26, 1999·Journal of the American Dietetic Association·A D Cline, M Wong

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