Comparison of European (ESR) and American (ACR) White Papers on Teleradiology: Patient Primacy Is Paramount

Ranschaert, Erik; Boland, Giles W.; Duerinckx, André J.; Binkhuysen, F. H. Barneveld

doi:10.1016/j.jacr.2014.09.027

Cited by 10 publications

(7 citation statements)

References 13 publications

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“…The ACR and the European Society of Radiology recently released white papers on teleradiology practice, identifying the pros and cons as well as commenting on best practices. [50][51][52] The ACR stipulated that teleradiology equipment must receive approval from the Food and Drug Administration (FDA) and that image data integrity must be maintained at all system levels and times for both U.S. and international teleradiology. 53,54 With respect to licensing, the ACR has affirmed its position regarding state control at both ends, namely physicians who interpret images originating from another state must be licensed and credentialed at the site of origin of the images and in the state they are doing the interpretation.…”

Section: Teleradiologymentioning

confidence: 99%

“…Our literature search for evidence regarding feasibility/ acceptance of teleradiology yielded a total of 52 Six studies investigated the feasibility/acceptance of teleradiology in the year 2005, three from the U.S. and one each from Switzerland, Ireland, and Germany. The first U.S. study was based on a 1999 national survey (n = 970 practices and a response rate of 77%) by the ACR.…”

Section: New Evidencementioning

confidence: 99%

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The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

Bashshur

Krupiński

Thrall

et al. 2016

Telemedicine and e-Health

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Introduction: Radiology was founded on a technological discovery by Wilhelm Roentgen in 1895. Teleradiology also had its roots in technology dating back to 1947 with the successful transmission of radiographic images through telephone lines. Diagnostic radiology has become the eye of medicine in terms of diagnosing and treating injury and disease. This article documents the empirical foundations of teleradiology. Methods: A selective review of the credible literature during the past decade (2005-2015) was conducted, using robust research design and adequate sample size as criteria for inclusion. Findings: The evidence regarding feasibility of teleradiology and related information technology applications has been well documented for several decades. The majority of studies focused on intermediate outcomes, as indicated by comparability between teleradiology and conventional radiology. A consistent trend of concordance between the two modalities was observed in terms of diagnostic accuracy and reliability. Additional benefits include reductions in patient transfer, rehospitalization, and length of stay.

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Section: Teleradiologymentioning

confidence: 99%

Section: New Evidencementioning

confidence: 99%

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

Bashshur

Krupiński

Thrall

et al. 2016

Telemedicine and e-Health

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“…Ensuring the local responsiveness or adaptability of innovations within guidelines is important for diffusion of novel approaches to health care delivery such as the remote radiology model. Though local responsiveness is important in implementation, it has been established that, at a minimum, the safe use of teleradiology requires the use of available teleradiology guidelines, national and jurisdictional regulatory, monitoring and patient privacy processes, and a requirement for remote radiologists to meet professional standards and credentialing at the local site [16,38,39]. Furthermore, the use of teleradiology should be a supplement to, rather than a replacement for, existing services [16,38,39].…”

Section: Discussionmentioning

confidence: 99%

“From the technology came the idea”: safe implementation and operation of a high quality teleradiology model increasing access to timely breast cancer assessment services for women in rural Australia

Johnston

Smith

Preston

et al. 2020

BMC Health Serv Res

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Breast cancer is the most commonly diagnosed cancer in Australian women. Providing timely diagnostic assessment services for screen-detected abnormalities is a core quality indicator of the population-based screening program provided by BreastScreen Australia. However, a shortage of local and locum radiologists with availability and appropriate experience in breast work to attend onsite assessment clinics, limits capacity of services to offer assessment appointments to women in some regional centres. In response to identified need, local service staff developed the remote radiology assessment model for service delivery. This study investigated important factors for establishing the model, the challenges and enablers of successful implementation and operation of the model, and factors important in the provision of a model considered safe and acceptable by service providers. Methods Semi-structured interviews were conducted with service providers at four assessment services, across three jurisdictions in Australia. Service providers involved in implementation and operation of the model at the service and jurisdictional level were invited to participate. A social constructivist approach informed the analysis. Deductive analysis was initially undertaken, using the interview questions as a classifying framework. Subsequently, inductive thematic analysis was employed by the research team. Together, the coding team aggregated the codes into overarching themes. Results 55 service providers participated in interviews. Consistently reported enablers for the safe implementation and operation of a remote radiology assessment clinic included: clinical governance support; ability to adapt; strong teamwork, trust and communication; and, adequate technical support and equipment. Challenges mostly related to technology and internet (speed/bandwidth), and maintenance of relationships within the group. Conclusions Understanding the key factors for supporting innovation, and implementing new and safe models of service delivery that incorporate telemedicine, will become increasingly important as technology evolves and becomes more accessible. It is possible to take proposed telemedicine solutions initiated by frontline workers and operationalise them safely and successfully: (i) through strong collaborative relationships that are inclusive of key experts; (ii) with clear guidance from overarching bodies with some flexibility for adapting to local contexts; (iii) through establishment of robust teamwork, trust and communication; and, (iv) with appropriate equipment and technical support.

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“…This is a point of major concern also for radiologists in other countries. Indeed, the European Society of Radiology (ESR) and the American College of Radiologist ACR white papers state that "patients are the primary focus; first and foremost, all TR relationships should be patient centred" [18,21,22] and that the Royal College of Radiologists (RCR) similarly affirms that the "optimum radiology service is one provided locally where radiologists can maintain a regular dialogue with both referrers and those acquiring the images, only in this model can patients benefit fully from the integration of imaging into the pathway of care" [23][24][25]. Italian radiologists seem to believe that the optimum radiology service is one provided locally where radiologists can maintain a regular dialogue with both referrers and those acquiring the images; only in this model can patients benefit fully from the integration of imaging into the pathway of care.…”

Section: Discussionmentioning

confidence: 99%

Results of an Italian survey on teleradiology

Coppola

Bibbolino²,

Grassi

et al. 2016

Radiol med

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Comparison of European (ESR) and American (ACR) White Papers on Teleradiology: Patient Primacy Is Paramount

Cited by 10 publications

References 13 publications

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

“From the technology came the idea”: safe implementation and operation of a high quality teleradiology model increasing access to timely breast cancer assessment services for women in rural Australia

Results of an Italian survey on teleradiology

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