Abstract:
:A portable nuclear medicine (NM) processing system was established in Kalgoorlie and an acute myocardial perfusion scintigraphy (MPS) service was provided for the local regional hospital. After scanning the patient, the data were processed on a laptop computer and JPEG images were transmitted to a secure Web server. A secure email message, with the URL link enclosed and a provisional indication of normal or abnormal findings, was sent to the referring clinician from the NM facility. Use of the Internet allowed for a group consultation between the NM technician, the referrer and the cardiologist in Perth. During a three-month study period, 42 patients were referred for exclusion of acute coronary syndrome. Of these, 21 (50%) demonstrated abnormal perfusion studies, two of which were classified as requiring urgent medical intervention. Seventeen studies were normal (41%) and four (10%) were designated equivocal. There was an alteration in the treatment plan for 32 patients (76%), including four for whom admission or further investigation was deemed unwarranted. The results suggest that MPS findings, distributed via the Internet, allow for earlier risk stratification and have a direct affect on clinical decision making.
journal_name
J Telemed Telecarejournal_title
Journal of telemedicine and telecareauthors
Tually P,Janssen J,Cowell S,Walker Jdoi
10.1258/135763303322196411subject
Has Abstractpub_date
2003-01-01 00:00:00pages
S69-71eissn
1357-633Xissn
1758-1109journal_volume
9 Suppl 1pub_type
杂志文章abstract::The use of telemedicine brings with it the risk that the human factor--the teleconsultant--will fail to reach the standard of care that the law requires of medical professionals. It also brings the risk that the telemedical equipment or system will fail at a crucial moment. Such risks, of course, are inherent in many ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1258/1357633981932109
更新日期:1998-01-01 00:00:00
abstract::Oulu University Hospital has a Web-based multimedia medical record in use. One key element in the creation of regional e-health networks is an electronic referral letter and discharge letter service. In Oulu an XML messaging system is used for an integral part of the medical record. The service has now been extended t...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633042614276
更新日期:2004-01-01 00:00:00
abstract::Little is understood about factors that influence speech-language pathologists' (SLPs') acceptance of telepractice. The aim of this study was to investigate SLPs' perceptions and experiences of transitioning to a school-based telepractice service to identify factors that contributed to positive clinician attitudes. In...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15604555
更新日期:2015-12-01 00:00:00
abstract::We assessed the effectiveness of two methods of patient education, a printed manual and a Website, provided to patients waiting for cardiac surgery. The four-phase study was conducted over two and a half years, and included urban and rural subjects in Vancouver and the interior of British Columbia. The Website was bas...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633001935662
更新日期:2000-01-01 00:00:00
abstract::The World Health Assembly has acknowledged that telehealth could play an important role in providing access to health care for populations at risk worldwide. The Cambodia Teleconsultation Programme or Village Leap Programme connects those in need of health care, with those willing to share their medical expertise. Tel...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763306776738576
更新日期:2006-01-01 00:00:00
abstract::Information on the health status of the population of a small Greek island was collected. The information consisted of personal data, clinical history, physical examination, blood pressure evaluation, electrocardiography, and ultrasound scans of neck, breast and abdomen. Ninety-six per cent of the entire island popula...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633991932531
更新日期:1999-01-01 00:00:00
abstract::People with serious mental illness suffer from substantially higher rates of cardiometabolic morbidity and mortality than the general population. We have evaluated the efficacy of telemedicine for providing cardiometabolic risk management services compared to in-person care. A retrospective chart review was conducted ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X14555617
更新日期:2014-12-01 00:00:00
abstract::At present, most hospitals have a department of radiology where images are captured and interpreted. Decentralization is the opposite of centralization and means 'away from the centre'. With a Picture Archiving and Communication System (PACS) and broadband communications, transmitting radiology images between sites wi...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763306777978524
更新日期:2006-01-01 00:00:00
abstract::The Internet is a potentially inexpensive, widely available medium for telepathology, but there are concerns about its reliability and security. Using a digital camera, 41 photomicrographs of transbronchial biopsies, at x 100 optical magnification, were captured and digitized at 2700 x 3400 pixel, 24 bit/pixel resolut...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633991933404
更新日期:1999-01-01 00:00:00
abstract::Evaluation is crucial to the integration of e-health applications into the health-care system and their ultimate sustainability. However, e-health evaluation is often criticized for the poor quality of research design, the lack of common outcome indicators and the absence of an agreed theory. Health technology assessm...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763305775124722
更新日期:2005-01-01 00:00:00
abstract::Evidence is needed for the acceptability and user preferences of receiving skin cancer-related text messages. We prepared 27 questions to evaluate attitudes, satisfaction with program characteristics such as timing and spacing, and overall satisfaction with the Healthy Text program in young adults. Within this randomi...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1177/1357633X15571652
更新日期:2015-06-01 00:00:00
abstract::A literature review was conducted to obtain a high-level view of the value of telemedicine in the management of five common chronic diseases (asthma, COPD, diabetes, heart failure, hypertension). A total of 141 randomised controlled trials (RCTs) was identified, in which 148 telemedicine interventions of various kinds...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1258/jtt.2012.120219
更新日期:2012-06-01 00:00:00
abstract::We have designed and constructed force measurement equipment to assess hand-finger function in pressing tasks. The equipment was used for monitoring the follow-up of five hand-transplanted subjects. Interactive software was integrated into the instrument to monitor the functionality of the hand and fingers during exer...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2008.007011
更新日期:2008-01-01 00:00:00
abstract::We reviewed the literature on distance training for the restoration of motor function. Computerized literature searches were performed using the MEDLINE, EMBASE, Cinahl and Cochrane databases. Articles that met the criteria for inclusion were divided into three general areas concerning the type of training in relation...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1258/135763304773391486
更新日期:2004-01-01 00:00:00
abstract::Well-implemented telehealth systems can reduce the total costs of care by reducing emergency hospital visits and unnecessary treatment. Telehealth is especially well-suited to supporting patients with chronic, complex or co-morbid conditions. A substantial body of research--much from the USA--documents the value of a ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2010.004006
更新日期:2010-01-01 00:00:00
abstract::We evaluated an epilepsy education programme based on text messaging (SMS). Epilepsy outpatients from three hospitals in Malaysia were randomised into two groups: intervention and control. Patients in the control group were supplied with printed epilepsy educational material while those in the intervention group also ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1177/1357633X12473920
更新日期:2013-01-01 00:00:00
abstract::A non-supervised call centre was used to allow oncology patients to contact their personal doctors 24 hours a day. Incoming patient calls to the centre were automatically routed to the doctor's mobile phone or office telephone. Over four years, an average of 407 calls were made each year, by an average of 274 oncology...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763302320939211
更新日期:2002-01-01 00:00:00
abstract::Between 1996 and 2003, a network of 85 telehealth videoconference sites was implemented in Western Australia (WA), together with 19 teleradiology facilities. Telehealth services have been growing steadily, and in 2002 there were over 30,000 teleradiology transmissions and 1250 clinical occasions of service via videoco...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763303322596147
更新日期:2003-01-01 00:00:00
abstract::We have developed a system for remote three-dimensional reconstruction, which facilitates telediagnosis. The telereconstruction system is based on a computerized tomography (CT) scanner, a workstation connected to the CT scanner, a PC, which can be geographically far away from the workstation, and a computer program t...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633001935770
更新日期:2000-01-01 00:00:00
abstract::Introduction The purpose of this study was to assess the clinical and financial outcomes of a novel outreach syncope clinic. Methods We compared the clinical outcome of the Faint and Fall Clinic at the American Center (January-June 2016) with that of the University of Wisconsin Health and Clinics Faint and Fall Clinic...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X17718087
更新日期:2018-09-01 00:00:00
abstract::Telemedicine embraces the concept of global health-care. In order to realize the internationalization of the practice of medicine, licensing issues need to be addressed. Most countries have their own regulations on licensing to protect the patient and ensure high-quality care. International licensing regulations are l...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633001934564
更新日期:2000-01-01 00:00:00
abstract:INTRODUCTION:Mobile-technology-based interventions are promising strategies for promoting behavioural change in obese patients. The aims of this study were to evaluate the feasibility of implementing a text message intervention, and to assess the effects of the intervention on body mass index (BMI) and self-reported be...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X18782092
更新日期:2019-09-01 00:00:00
abstract:INTRODUCTION:This study aimed to (a) review what theories have been applied to the development of digital self-management interventions for people with neurological disorders; (b) examine their effectiveness to improve depression, anxiety, fatigue and self-efficacy; and (c) identify the optimal mode of intervention del...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X20955122
更新日期:2020-09-20 00:00:00
abstract:INTRODUCTION:Bladder cancer is the most costly malignancy to manage per capita due to the technical nature and intensity of follow-up. There are few urologists in rural areas, often necessitating that patients travel hours to receive follow-up care multiple times per year. We plan to train registered nurses and allied ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15610040
更新日期:2016-10-01 00:00:00
abstract::Telemedicine has been used in the Solomon Islands since 2000. We used quantitative and qualitative methods to examine telemedicine use in the Solomon Islands from January 2006 to June 2009. During the study period 66 telemedicine cases were submitted to the store and forward telemedicine system being used there. These...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2011.100920
更新日期:2011-01-01 00:00:00
abstract::Introduction Pulmonary rehabilitation (PR) is an integral part of the management of chronic obstructive pulmonary disease (COPD). However, many patients do not access or complete PR, and long-term exercise maintenance has been difficult to achieve after PR. This study aimed to investigate feasibility, long-term exerci...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15625545
更新日期:2017-01-01 00:00:00
abstract::We performed two cycles of laboratory-based usability testing of three food registration prototypes for people with diabetes. The design concepts were a commercial web application, various smartphones and a mobile phone photo blogging approach. Six adults with Type 1 diabetes and three adults with Type 2 diabetes part...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2008.007001
更新日期:2008-01-01 00:00:00
abstract::An emergency ambulance was equipped with three video-cameras and a system for transmitting slow-scan video-pictures through a cellular telephone link to a hospital accident and emergency department. Video-pictures were trasmitted at a resolution of 320 x 240 pixels and a frame rate of 15 pictures/min. In addition, a h...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633981932299
更新日期:1998-01-01 00:00:00
abstract::Background Access to dental care is important for overall health, but can remain problematic for those in rural or isolated locations. It can be difficult to encourage clinicians to choose or continue a rural health career. Teledentistry is showing some promise as a strategy to support rural, isolated and new health c...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1177/1357633X16686776
更新日期:2018-04-01 00:00:00
abstract::We evaluated the outcome of both realtime teleconsultations and face-to-face consultations in dermatology. Forty-six patients were enrolled in an open controlled study. Twenty-nine patients (60%) answered the questionnaire sent to them after six months. Over the six-month follow-up, similar proportions of the two pati...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763303322225526
更新日期:2003-01-01 00:00:00