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 assessed the use of VC clinics for IBD in terms of patient safety and economic benefit for patients with IBD living in rural areas in the Scottish Highlands and Islands. METHODS:Eighty-eight patients participating in the IBD specialist nurses VC clinic administered via Raigmore Hospital, Inverness, Scotland, UK, between January 2016 and June 2017 were included in this study. A total of 229 appointments were assessed. RESULTS:We found the use of a VC clinic to be safe and effective as only 0.9% of appointments required urgent medical assessment and 92% of the VC clinic appointments resulted in further VC clinic follow-up. A total travelling distance of 72,245.3 km and a total travelling time of 71,688 minutes were saved in this patient cohort. It was shown that an average of US$36.61 of potential travelling cost could be saved per appointment. DISCUSSION:VC clinics represent a patient-centred participatory model of care for IBD patients living in remote areas with enormous time- and cost-saving potential while being safe and effective. Further investigations into patient satisfaction and the combination with other telemedicine tools such as telephone conferencing and mobile phone applications are needed to evaluate the full potential of the concept.
journal_name
J Telemed Telecarejournal_title
Journal of telemedicine and telecareauthors
Ruf B,Jenkinson P,Armour D,Fraser M,Watson AJdoi
10.1177/1357633X19849280subject
Has Abstractpub_date
2020-10-01 00:00:00pages
545-551issue
9eissn
1357-633Xissn
1758-1109journal_volume
26pub_type
杂志文章abstract::We evaluated user satisfaction with realtime telemedicine for monitoring vital signs. Over eight weeks, 20 patients and 12 residents in family medicine participated in the study. At the end of the study, the patients and doctors completed a questionnaire detailing satisfaction with the service. Responses were obtained...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X010070S130
更新日期:2001-01-01 00:00:00
abstract::Diagnostic and therapeutic procedures associated with cardiology are heavily supported by diagnostic imaging technology. The management of such images, including radiographs, echocardiography examinations and cardiac angiography studies, requires a suitable means of handling the data. A number of manufacturers are now...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/13576330260440691
更新日期:2002-12-01 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 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:INTRODUCTION:Studies show Aboriginal and Torres Strait Islander people are at increased risk of dementia. Whilst there have been several studies evaluating the use of telehealth for improving Aboriginal and Torres Strait Islander health outcomes, and studies validating telehealth dementia screening tools for the wider ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X19860309
更新日期:2021-01-01 00:00:00
abstract::The Royal Children's Hospital (RCH) in Melbourne has been providing web-based video-consultations for a range of paediatric sub-specialties since 2011. There were 346 video-consultations in the first 16 months, from a total of 65 clinicians. Most teleconsultations were with the family at home. Generally, video-consult...
journal_title:Journal of telemedicine and telecare
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doi:10.1177/1357633X13506530
更新日期:2013-10-01 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::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::We evaluated the diagnostic accuracy of slit-lamp photographs interpreted by telemedicine compared to a conventional clinical examination. A convenience sample of 21 patients with anterior segment disease was enrolled at the Lumbini Eye Institute (LEI) in Bhairahawa, Nepal. An ophthalmologist at the LEI examined each ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X14537769
更新日期:2014-07-01 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
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更新日期:1997-01-01 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:INTRODUCTION:Visual acuity (VA) testing is a vital screening tool for the assessment of ocular function. The coronavirus 2019 pandemic has caused an immediate need for synchronous telemedicine in all specialties, including ophthalmology. While a plethora of mobile VA applications exist, there is no consensus as to what...
journal_title:Journal of telemedicine and telecare
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doi:10.1177/1357633X20970398
更新日期:2020-11-22 00:00:00
abstract:INTRODUCTION:Faster intravenous alteplase (tPA) administration from time of symptom onset is associated with better functional outcome. Lack of recognition of mild ischemic stroke (MIS) might result in delay in treatment with tPA. We hypothesise that patients with MIS have a longer door to needle (DTN) time when compar...
journal_title:Journal of telemedicine and telecare
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doi:10.1177/1357633X18774460
更新日期:2019-07-01 00:00:00
abstract::Elderly individuals involved in a home telenursing project were studied. The project nurses provided home health services from 'telenursing cockpits' located in three separate sites in Kansas. A cable television-based interactive video system was used to transmit video pictures at 30 frames/s, with 288 horizontal line...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633971930436
更新日期:1997-01-01 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
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更新日期:2001-01-01 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
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更新日期:2001-01-01 00:00:00
abstract::Sixty burn wounds were assessed in person. The same observer later assessed them using digital images of different sizes. The file sizes tested were 2.25, 5.5 and 9 MByte per image. There was good agreement between the diagnoses of burn depth made using the digital images and those made in person, with kappa scores of...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763303322196213
更新日期:2003-01-01 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: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
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更新日期:2020-01-05 00:00:00
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journal_title:Journal of telemedicine and telecare
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abstract::Psychiatric applications have predominated in Australian telemedicine in recent years. This paper describes the development of the first telemedicine system for an integrated mental health service based at a teaching hospital. Much effort was devoted to training and education for staff. Within about six weeks of the s...
journal_title:Journal of telemedicine and telecare
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更新日期:1996-01-01 00:00:00
abstract::Introduction Despite the increased interest in telerehabilitation (TR), virtual reality (VR) and outcome measures for stroke rehabilitation, surprisingly little research has been done to map and identify the most common outcome measures used in TR. For this review, we conducted a systematic search of the literature th...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
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更新日期:2017-07-01 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
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更新日期:2002-01-01 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::In July 1998, a telemedicine link was established between the Venizelio General Hospital in Crete and the Paediatric Cardiology Department of the Aghia Sophia Children's Hospital in Athens. The telemedicine link used ISDN at 384 kbit/s for diagnosis, management and education in congenital heart disease. Over 18 months...
journal_title:Journal of telemedicine and telecare
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doi:10.1258/1357633011936462
更新日期:2001-01-01 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::Over one-third of adults are at risk of developing sleep disorders. Telemedicine is emerging as an effective tool in sleep medicine by allowing people to undergo sleep studies without overnight hospital stays (e.g. monitoring at home). Telemedicine has the potential to overcome several obstacles in the diagnosis and t...
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
abstract::We reviewed our experience with the Tanzanian Telemedicine Network in supporting paediatric care at 40 small, rural hospitals in the country. The network began operating in 2008. Store and forward telemedicine was provided via the open source software iPath. The 33 volunteer consultants were based in several countries...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
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更新日期:2012-01-01 00:00:00
abstract::To determine the motivation behind patients attending hospital eye services, 30 in-depth interviews were conducted in Accra, Ghana, using a semi-structured format. Patients were interviewed from five different populations. Discomfort in the eye was the main reason for attending the eye clinic. Patients had high expect...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
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更新日期:2007-01-01 00:00:00
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...
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:2019-09-01 00:00:00