Abstract:
:We are currently evaluating the use of telemedicine for improving the care of patients admitted with neurological symptoms to hospitals that do not have specialist neurologists on site. To do this we have been comparing the outcome of patients admitted to two small hospitals. In one hospital all patients with neurological symptoms are seen by a neurologist at a distance using an interactive video-link transmitting at 384 kbit/s; in the other patients with neurological problems are managed as per usual practices. For the results of this study to be valid, it is essential that the case-mix and process of management for neurological patients are similar at the two hospitals. We therefore compared the case-mix, process of management, and outcome for all patients admitted over a four-month period to either hospital who had been coded using ICD-10 as having a final diagnosis of a neurological condition. No appreciable differences were noted between the two hospitals for measures of case-mix or outcome. Likewise, most measures of process were similar, although there was a significant difference for the overall length of hospital episode between the two hospitals. When patients with prolonged hospital episodes were excluded, or only patients with a diagnosis of headache, epilepsy or transient ischaemic attack were considered (who as a group made up the bulk of neurological admissions), the difference in the length of hospital episode was not significant. It should therefore be possible for us to estimate the effect of telemedicine on the management of patients with neurological problems.
journal_name
J Telemed Telecarejournal_title
Journal of telemedicine and telecareauthors
Craig J,Chua R,Russell C,Patterson V,Wootton Rdoi
10.1258/1357633001934122subject
Has Abstractpub_date
2000-01-01 00:00:00pages
S46-9eissn
1357-633Xissn
1758-1109journal_volume
6 Suppl 1pub_type
杂志文章abstract::Introduction We have conducted a feasibility study on remote autopsy services in order to increase the flexibility of the service with benefits for teaching and interdepartmental collaboration. Methods Three senior staff pathologists, one senior autopsy technician and one junior resident participated in the study. Nin...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X17708947
更新日期:2018-08-01 00:00:00
abstract::Introduction Maternal depression (MD), is an overarching term for depression affecting pregnant women and mothers for up to 12 months postpartum. Because MD may have chronic and long-lasting effects, it is an important public health concern. The extent to which telemedicine may be an effective way to provide services ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,meta分析
doi:10.1177/1357633X18794332
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abstract::We conducted a retrospective chart review to estimate the extent to which palliative home care visits could be carried out using videophones and to explore factors that might inform the eligibility criteria for video-visits. Four hundred palliative home care health records of deceased clients from 2002 were randomly s...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763307780096203
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journal_title:Journal of telemedicine and telecare
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
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journal_title:Journal of telemedicine and telecare
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journal_title:Journal of telemedicine and telecare
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
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journal_title:Journal of telemedicine and telecare
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633981931867
更新日期:1998-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633991932757
更新日期:1999-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
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更新日期:2001-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
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更新日期:2006-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
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更新日期:2011-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633042614339
更新日期:2004-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
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更新日期:2018-09-01 00:00:00
abstract:INTRODUCTION:Using real-world data from the Providence Oregon Telestroke Network, we examined the cost-effectiveness of telestroke from both the spoke and hub perspectives by level of financial responsibility for these costs and by patient stroke severity. METHODS:We constructed a decision analytic model using patient...
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journal_title:Journal of telemedicine and telecare
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更新日期:2005-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
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更新日期:2014-12-01 00:00:00
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journal_title:Journal of telemedicine and telecare
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更新日期:2021-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
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更新日期:2010-01-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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