Abstract：
:The clavicle is one of the most commonly fractured bones in the adult population. Management has traditionally been conservative, however more recent research has yielded higher non-union rates associated with non-operative management. This study aims to analyse the proportion of operative and non-operative treatment methods for clavicle fracture in a tertiary hospital facility and rural health sites accessed via telehealth, comparing patient outcome between these two methods of fracture management. Following ethical approval, a retrospective review was conducted of patients presenting with clavicle fractures to the Princess Alexandra Hospital Fracture Clinics and to Orthopaedic Fracture Clinics run via teleconference with rural health sites. Only 2% of patients received operative fracture management in the telehealth group, versus 33% in the tertiary hospital sample. Patient outcome was measured in the larger tertiary hospital sample, with clinical notes reflecting good patient outcome in 70% of operatively managed patients and 85% of patients with conservatively managed clavicle fractures. For the patients in the telehealth sample that returned for follow-up appointments, 93% reported a good outcome with one of these individuals undergoing operative treatment and the rest managed conservatively.
journal_name
J Telemed Telecarejournal_title
Journal of telemedicine and telecareauthors
McKerrow M,North Jdoi
10.1177/1357633X17733503subject
Has Abstractpub_date
2017-12-01 00:00:00pages
856-860issue
10eissn
1357-633Xissn
1758-1109journal_volume
23pub_type
杂志文章abstract：BACKGROUND:In France, a specially-designed care plan for the elderly is generally based on an interdisciplinary, complex and time-consuming process. The health system assigns care throughout the social and health care services using multiple providers and sites. OBJECTIVE:The free website www.jesuisautonome.fr offers ...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X15572713
更新日期：2015-07-01 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：:In the UK National Health Service (NHS), NHS Direct, the national 24-h telephone helpline, has been available in England and Wales since 2000 and has been termed a 'single gateway' to health care. We conducted a population survey of 15,004 people in areas covered by the service, which included questions about NHS Dire...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/135763306777889091
更新日期：2006-01-01 00:00:00
abstract：:During an 18-month study period, teleconsultations were conducted by email between a neonatal intensive care unit at an urban teaching hospital in western India and a rural primary care centre 40 km away. There were email consultations about 182 newborn babies; these consultations comprised 309 messages sent from the ...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X020080S209
更新日期：2002-01-01 00:00:00
abstract：:This paper describes a distributed visualization of the operation of a reovirus. This visualization allows several groups of users at different locations to view how the virus behaves in normal and cancer cells. The users at each location can interact with the visualization and the other users. The techniques used to ...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/1357633001935446
更新日期：2000-01-01 00:00:00
abstract：:We evaluated an accident and emergency teleconsultation service provided to 14 community hospitals in north-east Scotland. Each community hospital was equipped with a videoconferencing system and a document camera to allow transmission of radiographs. The network used 384 kbit/s ISDN connections. A total of 1392 telec...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/135763304322764130
更新日期：2004-01-01 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：:We developed an interactive mobile-phone based application, SmartDiet, that analyzes daily nutrition intake and patterns of daily exercise. It provides a personalized diet profile and promotes knowledge about nutrition using a diet game. We evaluated the effectiveness of the SmartDiet application in terms of acquiring...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/jtt.2010.090913
更新日期：2010-01-01 00:00:00
abstract：INTRODUCTION:Patients with inflammatory bowel disease (IBD) require long-term secondary care with periodic specialist follow-up. This can be especially challenging for patients living in remote areas. One possible solution is the implementation of videoconference (VC) clinics as a distance-management tool. Here we asse...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X19849280
更新日期：2020-10-01 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:eConsultation in nephrology is an innovative way for general practitioners (GPs) to consult a nephrologist. Studies have shown that questions from GPs can be answered and intended referrals can be avoided by eConsultation. However, follow-up data are lacking. The primary aim of this study was therefore to ...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X20942037
更新日期：2020-08-03 00:00:00
abstract：:We investigated stereoscopic imaging for gross examination in telepathology. A conventional macroscopic station was equipped with two cameras mounted 6.5 cm apart and images were produced of 30 different routine pathology specimens. Still images were displayed on a three-dimensional auto-stereoscopic display with a le...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/1357633041424403
更新日期：2004-01-01 00:00:00
abstract：:The potential of telemedicine to improve services for patients suffering from coronary heart disease (CHD) was explored. Key issues surrounding the delivery of CHD services in London were identified, such as a shortage of skilled staff, the need for appropriate patient information and problems with waiting times, part...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X010070S120
更新日期：2001-01-01 00:00:00
abstract：:The current trend among many universities is to increase the number of courses available online. However, there are fundamental problems in transferring traditional education courses to virtual formats. Delivering current curricula in an online format does not assist in overcoming the negative effects on student motiv...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/13576330260440907
更新日期：2002-12-01 00:00:00
abstract：:We carried out a study to explore the potential of telemedicine and telecare to improve health-care for the population served by a health centre based in Deptford in south-east London. A wide range of potentially useful telemedicine and telecare applications was identified, nine of which could provide some immediate b...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/1357633001934230
更新日期：2000-01-01 00:00:00
abstract：:We conducted a retrospective study of incident reports concerning the national, nurse-led telephone triage system in Sweden. The Swedish Health Care Direct organization (SHD) is staffed by registered nurses who act as telenurses and triage the callers' need for care, using a computerized decision support system. Data ...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,多中心研究
doi：10.1258/jtt.2009.090813
更新日期：2010-01-01 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：INTRODUCTION:Sufficient infrastructure for information and communications technology (ICT) and a well-established policy are necessary factors for smooth implementation of telemedicine. However, despite these necessary conditions being met, there are situations where telemedicine still fails to be accepted as a system ...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X18775853
更新日期：2019-07-01 00:00:00
abstract：:We explored the experiences of patients using the Townsville Tele-oncology clinic, where most patients are no longer seen face-to-face. All medical oncology patients who received services via telehealth at the Townsville Cancer Centre in 2012 were invited to participate in an interview. None refused. Thirty two patien...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X14529237
更新日期：2014-06-01 00:00:00
abstract：:We compared the costs and cost-effectiveness of telemonitoring vs usual care for patients with chronic obstructive pulmonary disease (COPD). A total of 256 patients were randomised to either telemonitoring or usual care. In the telemonitoring arm, the touch-screen telemonitoring equipment transmitted data to clinical ...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,随机对照试验
doi：10.1177/1357633X14566574
更新日期：2015-03-01 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：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：:There are a number of different costs associated with the development and operation of telemedicine services. A model is proposed in order to assist in strengthening the evidence base for telemedicine. It includes the following components: project establishment costs; equipment costs; maintenance costs; communication ...
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
abstract：:This research was conducted to evaluate the efficacy of an online speech perception test (SPT) for the measurement of hearing and hearing aid fitting in comparison with conventional methods. Phase 1 was performed with 88 people to evaluate the SPT for the detection of significant hearing loss. The SPT had high sensiti...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X15611568
更新日期：2015-12-01 00:00:00
abstract：:A pilot telemedicine network was established in 11 sites using funding provided by the Department of Trade and Industry in the UK. The main purpose of the project was to develop and evaluate clinical and educational links between central and peripheral sites in Scotland. The results were very encouraging, and clinical...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/1357633011937254
更新日期：2001-01-01 00:00:00
abstract：:We carried out a four-month pilot study of telemedicine for the delivery of training and diagnostic ultrasound services for general practitioners (GPs). Two health centres and a district general hospital were linked using ISDN (128 kbit/s) and PC-based videoconferencing units. Sixteen videoconferencing sessions were c...
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
abstract：:We studied a web-based triage system which was accessible to the general public in the Netherlands. In a retrospective analysis we investigated the type of complaints that were submitted and the kind of advice provided. Over a period of 15 months, 13,133 different people began using the web-based triage system and 381...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/jtt.2009.001004
更新日期：2010-01-01 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...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X15613920
更新日期：2016-10-01 00:00:00
abstract：:We assessed the clinical course of patients after store and forward teledermatology in comparison with conventional consultations. Patients being referred from primary care to dermatology clinics were randomly assigned to teledermatology or a conventional consultation. A total of 392 patients were randomized; 261 pati...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,随机对照试验
doi：10.1177/1357633x13487116
更新日期：2013-06-01 00:00:00
abstract：:Telepaediatrics is becoming increasingly popular for several reasons, including improved access to specialist care in tertiary hospitals and savings in travel costs, especially to the families concerned. There are well known examples of clinical telepaediatric services in areas such as cardiology, fetal medicine, scho...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/135763307780908021
更新日期：2007-01-01 00:00:00
