Abstract:
:An e-mail link with the facility to send high-resolution digital images is a cheap and uncomplicated telemedicine method. The Swinfen Charitable Trust helped establish such a link in Patan Hospital Kathmandu, Nepal in March 2000. Over 12 months using this link 42 telemedicine referrals were sent to specialists throughout the world. Referrals were: 36% respiratory medicine; 21% neurology, 21% dermatology; 14% cardiology; 5% nephrology; and 3% radiology--28 had digital pictures attached, of which 96% were of high enough quality on which specialists were able to comment. Thirty-nine replies were received. The average time for a specialist reply was 2 days, and 45% were answered within 24 hours. All replies were judged by independent assessors to be helpful or very helpful for diagnosis, management and education. The assessors decided that in 50% of cases the advice if acted upon would have shortened hospital stay. This pilot study has shown that a low-cost telemedicine link is technically feasible and can be of significant benefit for diagnosis, management and education in a developing world setting.
journal_name
Trop Doctjournal_title
Tropical doctorauthors
Graham LE,Zimmerman M,Vassallo DJ,Patterson V,Swinfen P,Swinfen R,Wootton Rdoi
10.1177/004947550303300118subject
Has Abstractpub_date
2003-01-01 00:00:00pages
36-8issue
1eissn
0049-4755issn
1758-1133journal_volume
33pub_type
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