Abstract:
:Telemedicine has the potential substantially to improve the delivery of health care. However, cost-effectiveness studies are needed to help define the appropriate scope and application of telemedicine in different settings. Reports on the evaluation of telemedicine are dominated by technical and feasibility studies. Such studies may be very helpful for initial decision making. However, any cost information at this level tends to be very preliminary and often concerned with making a case to proceed further. Decision makers will wish for further information as the telemedicine application is introduced, to consider its effectiveness - its performance under routine conditions. Without information on the costs and effectiveness of telemedicine services, decision makers run the risk of supporting telemedicine systems that are not responsive to health-care needs or which do not provide cost-effective services. The most immediate needs seem to be improvements in the conduct and reporting of studies, and additional information on the performance of telemedicine in routine practice. Investigators need to provide transparent accounts of their studies, describing in detail the approaches taken, sources of data and assumptions made, and indicating the reliability of their results. Decisions may have to be made on the basis of limited studies, but sufficient detail must be made available to decision makers.
journal_name
J Telemed Telecarejournal_title
Journal of telemedicine and telecareauthors
Hailey Ddoi
10.1177/1357633X0501100801subject
Has Abstractpub_date
2005-01-01 00:00:00pages
379-83issue
8eissn
1357-633Xissn
1758-1109journal_volume
11pub_type
杂志文章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 Italian national telemedicine programme included a broad range of research projects, but they all served the common purpose of bringing about improvements in health-care management and performance. The programme consisted of seven projects, each of which had specific research and training objectives, and a three-y...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1258/1357633021937514
更新日期:2002-01-01 00:00:00
abstract:INTRODUCTION:Access to telehealth services for children living in rural and remote areas of Australia is very limited. The delivery of allied health therapies to children in school via telehealth may help reduce inequality and improve academic outcomes over time. METHODS:A service delivering speech and language therap...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X19875848
更新日期:2019-10-01 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::In 1999 a national study of telemedicine in Australia led to the promotion of the concept of 'e-health', the health sector's equivalent of 'e-commerce'. A new study explored the view that, with the convergence of technologies and the consequent increase in ability to perform multiple functions with those technologies,...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633001934500
更新日期:2000-01-01 00:00:00
abstract::Prison inmates were surveyed about their perceptions of the use of videoconferencing in clinical consultations. A 14-item questionnaire was used to assess satisfaction with the patient-physician clinical interaction. Of the 299 inmates surveyed immediately after their teleconsultations, 221 completed questionnaires th...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633991932397
更新日期:1999-01-01 00:00:00
abstract::The number of people with pacemakers has been steadily increasing over the past 20 years. At present there are about 2,500,000 in the world. All these patients must have a checkup twice a year in hospital, which involves the allocation of significant resources by the national health systems, not to speak of the inconv...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633971930931
更新日期:1997-01-01 00:00:00
abstract:INTRODUCTION:Sepsis is a life-threatening emergency. Together, early recognition and intervention decreases mortality. Protocol-based resuscitation in the emergency department (ED) has improved survival in sepsis patients, but guideline-adherent care is less common in low-volume EDs. This study examined the association...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X19896667
更新日期:2020-01-05 00:00:00
abstract:INTRODUCTION:Evidence of telehealth for chronic disease management is scarce and contradictory. OBJECTIVES:We aimed to evaluate the safety and efficacy of teleconsultations as support in the care transition of patients with stable coronary artery disease (CAD) from tertiary to primary care. METHODS:A randomized nonin...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X20906648
更新日期:2020-03-18 00:00:00
abstract:INTRODUCTION:Telehealth technologies for rural patients are increasingly being used to deliver care within the Department of Veterans Affairs (VA), and treatment of hepatitis C virus (HCV) is no exception. However, data evaluating outcomes with telehealth compared with specialty clinics in the era of direct-acting anti...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X19885750
更新日期:2019-12-06 00:00:00
abstract::We determined the effect of a multifaceted stroke telerehabilitation (STeleR) intervention on falls-related self-efficacy and satisfaction with care. We conducted a prospective, randomized, multisite, single-blinded trial in 52 veterans from three Veterans Affairs Medical Centers. Participants who experienced a stroke...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/1357633X15571995
更新日期:2015-04-01 00:00:00
abstract::A critical review of the published literature investigating the Internet and consumer health information was undertaken in order to inform further research and policy. A qualitative, narrative method was used, consisting of a three-stage process of identification and collation, thematic coding, and critical analysis. ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1258/1357633054461642
更新日期:2005-01-01 00:00:00
abstract::Videoconferencing was introduced in the Queensland health service in 1995. By the end of 1999, there were more than 150 videoconferencing units in health facilities around the state. Six audits of videoconferencing usage were conducted using similar methodology at six-month intervals from November 1997 to May 2000. Be...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633011936516
更新日期:2001-01-01 00:00:00
abstract::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 repli...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2011.101206
更新日期:2011-01-01 00:00:00
abstract::Introduction Knee osteoarthritis is a major cause of disability among the middle to senior age groups. Despite being effective, office-based physical therapy (OBPT) needs professional human resources and is both costly and time-consuming. We aimed to compare the efficacy of tele-rehabilitation (tele-rehab) compared wi...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1177/1357633X17723368
更新日期:2018-09-01 00:00:00
abstract::Telemedicine demonstration projects in the Western Pacific are attempting to provide distance medical consulting and distance medical education for the isolated health-care workforce of the region. The Picasso Phone system is a low-cost telemedicine system which requires only the standard telephone network for its ope...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633971930328
更新日期:1997-01-01 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::We evaluated a shared-care tele-ophthalmology service initiated by the Rotterdam Eye Hospital and 10 optometrists working in retail optician stores. The optometrists screened their clients with a nerve fibre analyser and the resulting images were then further assessed by trained technicians at the hospital. We analyse...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633042602107
更新日期:2004-01-01 00:00:00
abstract:AIMS:We report a novel pilot project that allows access to healthcare for children and staff at school via a mobile clinic or telemedicine portal connected to the mobile clinic. The objectives of this pilot project were (a) to perform physicals for children not attached to a primary care physician; (b) to provide medic...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X20917497
更新日期:2020-05-11 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::Consumer feedback and end-user perceptions provide important information regarding the clinical acceptability of new telepractice systems. This pilot investigation aimed to evaluate end-user perceptions of a new asynchronous telepractice application, ' SwallowIT', designed to support patients to remotely complete inte...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15617887
更新日期:2017-01-01 00:00:00
abstract::In 2001 a radiology information system/picture archiving and communication system (RIS/PACS) was installed at the Princess Alexandra Hospital (PAH) in Brisbane, with electronic image transfer links to other major hospitals in Queensland. An assessment study is being performed of the effect of the ready availability of...
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
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::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::A tele-ultrasound survey was distributed to clinicians and sonographers in regional and rural sites throughout Queensland. In all, 28 centres were invited to complete a profile questionnaire, and 27 centres were invited to complete a case-log. Twenty-five of the 28 questionnaires were returned (89% response rate). Twe...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,多中心研究
doi:10.1258/135763305775124696
更新日期:2005-01-01 00:00:00
abstract::Telepathology is currently performed only on prototype systems. The application of telepathology consultations differs from the conventional procedure because of the technical and cost restrictions. This paper outlines technical concepts and the principal hardware and software modules necessary for telemicroscopy equi...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633961929736
更新日期:1996-01-01 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
abstract::Chronic heart failure (CHF) remains a common cause of disability. We have investigated the use of home-based telecardiology (HBT) in CHF patients. Four hundred and twenty-six patients were enrolled in the study: 230 in the HBT group and 196 in the usual-care group. HBT consisted of trans-telephonic follow-up and elect...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633054461688
更新日期:2005-01-01 00:00:00
abstract::We examined the telephone response rates in a 2-year study of patients with COPD to identify factors associated with non-response. A total of 381 patients received monthly telephone calls to assess symptoms and treatment in 2007 and 2008. A total of 9019 calls were made over 24 months, of which 73% were answered. The ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X12474960
更新日期:2013-01-01 00:00:00
abstract::A rehabilitation outreach team created evidence-based and peer-reviewed educational modules using standard desktop presentation software. Eighteen modules on various topics in physical rehabilitation were published in several formats, including Web pages, directly from the presentation file, for the benefit of health-...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633021937415
更新日期:2002-01-01 00:00:00