Abstract：
INTRODUCTION:Decentralised services through outreach clinics or modern technology reduce patient travel time and cost to society. Telemedicine consultation through videoconference is one such modality. Here, we compared patient-reported health outcomes and satisfaction between video-assisted remote and standard face-to-face orthopaedic consultations. METHODS:This randomised controlled trial included two parallel groups: (1) patients receiving video-assisted remote consultation at a regional medical centre (RMC); and (2) patients receiving standard consultation at the orthopaedic outpatient clinic of the University Hospital of North Norway (UNN). This study included patients referred to or scheduled for a consultation at the orthopaedic outpatient clinic. After each consultation, patient satisfaction was determined using patient-completed questionnaires containing questions on patient-reported health (three-level European quality of life five-dimension index (EQ-5D-3L)/European quality of life visual analogue scale (EQ-VAS)) and questions from a validated OutPatient Experiences Questionnaire (OPEQ). RESULTS:This study included 389 patients, of which 199 received remote consultation and 190 received standard consultation (total of 559 consultations). In all, 99% RMC-randomised patients and 99% UNN-randomised patients evaluated the consultation as very satisfactory or satisfactory. Moreover, 86% RMC-randomised patients preferred video-assisted consultation as the next consultation. No difference was observed in patient-reported health after 12 months between the two groups. EQ-5D index scores were 0.77 and 0.75 for RMC- and UNN-randomised patients, respectively (p = 0.42). DISCUSSION:We did not observe any difference in patient-reported satisfaction and health (EQ-5D/EQ-VAS) between video-assisted and standard consultations, suggesting that video-assisted remote consultation can be safely offered to some orthopaedic patients. Moreover, a significantly high proportion of patients selected video-assisted remote consultation as their next consultation, thus strengthening the findings of this study. However, economic aspects should be assessed before widely recommending video-assisted consultation.
journal_name
J Telemed Telecarejournal_title
Journal of telemedicine and telecareauthors
Buvik A,Bugge E,Knutsen G,Småbrekke A,Wilsgaard Tdoi
10.1177/1357633X18783921subject
Has Abstractpub_date
2019-09-01 00:00:00pages
451-459issue
8eissn
1357-633Xissn
1758-1109journal_volume
25pub_type
杂志文章,随机对照试验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：:We piloted a videoconferencing continuing medical education programme for rural physicians in Alberta and compared its feasibility, acceptability and cost implications with currently existing telephone conferencing and regional conference programmes. Videoconferencing clearly had advantages over telephone conferencing...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X020080S249
更新日期：2002-01-01 00:00:00
abstract：:Patients with diabetes were enrolled into a telemonitoring programme. They were offered the choice of collecting their health data either by using Near Field Communication (NFC) enabled mobile phones equipped with a dedicated application (App), or by means of a web-browser based user interface (Web). At the end of the...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/jtt.2012.gth112
更新日期：2012-12-01 00:00:00
abstract：:The international telemedicine conference Chinese TeleMed 96 was held in November 1996. This three-way teleconference included delegates in London (where the international telemedicine conference TeleMed 96 was taking place) and medical staff from one Beijing hospital and one Hong Kong medical faculty. In total, over ...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/1357633981931272
更新日期：1998-01-01 00:00:00
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
更新日期：2007-01-01 00:00:00
abstract：BACKGROUND:Rehabilitation approaches for people with rheumatoid arthritis include joint protection, exercises and self-management strategies. Health interventions delivered via the web have the potential to improve access to health services overcoming time constraints, physical limitations, and socioeconomic and geogra...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X18768400
更新日期：2019-06-01 00:00:00
abstract：:Background Ischemic stroke is a time-sensitive disease, with improved outcomes associated with decreased time from onset to treatment. It was hypothesised that ambulance-based assessment of the National Institutes of Health Stroke Scale (NIHSS) using a Health Insurance Portability and Accountability Act (HIPAA)-compli...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X16648490
更新日期：2017-05-01 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：:Telemedicine may be useful in the delivery of clinical psychology services in the Highlands of Scotland, where geographical size and sociodemographic factors can hinder service delivery. The Highlands have a population of 210,000 at a density of approximately 8 people/km2, one of the lowest in the European Union. Desp...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,评审
doi：10.1258/1357633991933567
更新日期：1999-01-01 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：: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：:A distance continuing medical education programme was established at the Katholieke Universiteit Leuven in Belgium using multipoint videoconferencing via ISDN lines at 384 kbit/s. The sessions, held in the evening, comprised oral presentations followed by interactive questions and answers, and concluded with a multi-s...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/135763303321327966
更新日期：2003-01-01 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：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：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：:Desktop videoconferencing at 384 kbit/s was used for a trial of tele-ophthalmology consultations between a general practitioner (GP) and an experienced ophthalmologist. Forty-two consecutive patients from St Erik's Eye Hospital emergency ward with disorders in the anterior part of the eye were examined. There was an e...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X010070S110
更新日期：2001-01-01 00:00:00
abstract：:The ongoing coronavirus disease 2019 pandemic has forced providers to dramatically scale down in-person clinic visits to enforce social distancing and triage care to the neediest patients. We describe our five-month experience with a hybrid gastroenterology electronic consultation programme starting in 2019 in which w...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X20957224
更新日期：2020-09-20 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 investigated the perceived quality of teleradiology services offered at a rural hospital in comparison with radiology provided by three other methods: 'circuit riding', an on-site radiologist, and a hybrid arrangement. The research design was a case study, with interviews of administrators, technologists and physic...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/1357633961929989
更新日期：1996-01-01 00:00:00
abstract：:Electromyographic (EMG) biofeedback can be used to train motor functions at a distance, which makes therapy at home a possibility. To enable patients to train properly without the presence of a therapist, artificial feedback is considered essential. We studied the combined effect of age and timing of artificial feedba...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/135763306777978588
更新日期：2006-01-01 00:00:00
abstract：AIMS:Our study aimed to compare the effectiveness of telemonitoring over structured telephone support in reducing heart failure-related healthcare utilization. METHODS:This was a non-randomised controlled study comparing 150 recently discharged heart failure patients enrolled into telemonitoring and 55 patients who on...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X18825164
更新日期：2020-07-01 00:00:00
abstract：:We investigated the accuracy and reliability of observational kinematic gait assessments performed via a low-bandwidth Internet link (18 kbit/s) and a higher-speed Internet link (128 kbit/s). Twenty-four subjects were randomized to either bandwidth group. Gait was assessed with the Gait Assessment Rating Scale (GARS) ...
journal_title：Journal of telemedicine and telecare
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1258/135763303322596255
更新日期：2003-01-01 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：: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：:We studied the patient experience of a telephone booster intervention, i.e. weekly reinforcement of the clinic advice regarding lifestyle modification advice to support weight loss. Forty six adults with Type 2 diabetes and a body mass index >28 kg/m(2) were randomised into either intervention (n = 25) or control (n =...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,随机对照试验
doi：10.1258/jtt.2010.004016
更新日期：2010-01-01 00:00:00
abstract：:Twenty consecutive cases of melanocytic lesions were chosen from the archives of the archives of the institute of Anatomic Pathology at Santa Chiara Hospital, Trento. Representative images were acquired at a spatial resolution of 512 x 512 pixels, saved in IPEG format and delivered to the remote pathologist by multime...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/1357633971930841
更新日期：1997-01-01 00:00:00
abstract：:The prevention of falls in the elderly could be based on risk assessment and the prediction of when an individual is likely to sustain an injury. A telecare system should allow the dynamic assessment of risk to be produced by a control centre computer, based on data transmitted from local sensors in the elderly person...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/1357633981931605
更新日期：1998-01-01 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：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 studied the feasibility, acceptability and cost-effectiveness of using telemedicine to provide geriatric services to residents of nursing homes. A local 200-bed nursing home supported by the community geriatric assessment team (CGAT) participated in a one-year study, during which videoconferencing was used to repla...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/13576330260440808
更新日期：2002-12-01 00:00:00
