Comparison of Television and Telephone for Remote Medical Consultation

Gt, Moore; Tr, Willemain; Bonanno, Rosemary A.; Wd, Clark; Ar, Martin; Rp, Mogielnicki

doi:10.1056/nejm197504032921406

Cited by 63 publications

(25 citation statements)

References 7 publications

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“…30 The design offers direct comparison between different treatments, or in this case, alternative delivery methods. Although such research had an early start in telemedicine, 31 there are very few RCTs within telemental health. There are many barriers to RCTs in telemedicine including distances to provide F2F care, difficulty reaching adequate sample size, and rapidly changing technologies.…”

Section: Definitions Of Successmentioning

confidence: 99%

Treating Childhood Depression over Videoconferencing

Nelson¹,

Barnard²,

Cain³

2003

Telemedicine Journal and e-Health

248

196

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Effective cognitive-behavioral treatments for childhood depression have developed over the last decade, but many families face barriers to such care. Telemedicine increases access to psychological interventions by linking the child and the clinician using videoconferencing (VC). The current study evaluated an 8-week, cognitive-behavioral therapy (CBT) intervention for childhood depression either face-to-face (F2F) or over VC. The telemedicine setup included two PC-based PictureTel systems at 128 kilibits per second (kbps). Success was defined by (1) decreasing depressive symptoms at similar rates in both the VC group and the F2F group and (2) demonstrating the feasibility of a randomized controlled trial in telemental health. Children were assessed for childhood depression using the mood section of the Schedule for Affective Disorders and Schizophrenia for School Age Children-Present Episode (K-SADS-P). Twenty-eight children were randomized to either F2F or VC treatment. The participants completed the K-SADS-P and the Children's Depression Inventory (CDI) at pre- and post-treatment. The CBT treatment across the two conditions was effective. The overall response rate based on post-evaluation with the K-SADS-P was 82%. For the CDI total score, both the Time and the Group by Time effects were significant (p < 0.05). The interaction effect reflected a faster rate of decline in the CDI total score for the VC group. The study serves as a model for building on past research to implement a randomized controlled trial. This information provides persuasive research data concerning treatment effectiveness for clinicians, families, and funders.

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Section: Definitions Of Successmentioning

confidence: 99%

Treating Childhood Depression over Videoconferencing

Nelson¹,

Barnard²,

Cain³

2003

Telemedicine Journal and e-Health

248

196

View full text Add to dashboard Cite

show abstract

“…Moore [ 128 ] described the Cambridge Telemedicine Project, which employed audio-visual links to support consultations from physicians at Cambridge Hospital to nurse practitioners at three satellite neighborhood health clinics. Dunn [ 46 ] described an evaluation of the effi cacy of four, two-way telemedicine systems -black and white television, color television, hand-free telephone, and regular telephone -in a community health center caring for more than 1,000 patients.…”

Section: Telemedicine and Mobile Health Carementioning

confidence: 99%

Outpatient Information Systems (OISs) for Ambulatory Care

2015

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Of the relatively few outpatient information systems (OISs) operational in the United States in the 1960s, most were in ambulatory clinics that shared time on mainframe computers with affi liated hospitals. In the 1970s some larger physician practices launched standalone OISs on minicomputers. With the advent of microcomputers in the 1980s, OISs began to diffuse rapidly, some as federally funded pilots. By the end of the 1980s, about 80 % of physicians had some type of computer in their offi ces, primarily for administrative and business functions; computer-based patient records and other OIS clinical applications were still infrequently used. When admitting a patient to the hospital, few physicians could transfer data from their OIS to the hospital information system. For the most part, lack of standardization made the interchange of data diffi cult or impossible. However, three OISs achieved notable success in the 1970s and 1980s. Each was developed in an academic environment and led by a committed physician; each developed a "chartless" record, continuously updated and stored in the computer; two of the three had linkages to large affi liated hospitals. Yet they were the exception. Few evaluations of OISs were convincing as to their benefi ts. Low physician adoption of OISs suggested computer-based records were not considered more effi cient for offi ce practice than paper-based records. Expectations for the 1990s were that OISs would change to support electronic claims reporting and quality of care monitoring. In the 2010s, federal funding became available for physicians who purchased electronic health record systems complying with "Meaningful Use." Keywords

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“…Furthermore, none of the five are designed to compare alternative communications technologies and only two of the 20 studies are designed to do this. Moore et al (1975) compared the effects of television and telephone for remote medical consultation between two inner city clinics and a central hospital. They found that television consultations led to a significantly lower rate of immediate referrals of patients to hospital physicians or specialists, 6 percent vs. 12 percent.…”

Section: Use Of Telecommunications In Medicinementioning

confidence: 99%

“…We did not have access to the Moore et al (1975) results until recently. We formulated the following hypotheses:…”

Section: Some Hypothesesmentioning

confidence: 99%

An experimental evaluation of alternative communication systems as used for medical diagnosis

Conrath

Buckingham²,

Dunn

et al. 1975

Syst. Res.

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While the problem of providing adequate health care to remote populations has been widely recognized, little research has been undertaken to evaluate alternative systems designed to provide such care. An essential part of such a system is the communications link between the doctor and the community he is serving. Studying this two-way subsystem is the context of primary diagnosis and patient management, efficiency and effectiveness of color television, black and white television and hands-free telephone were compared with physical presence consultation. No significant differences in performance were found among the three systems using telecommunications. Physical presence consultation was found superior only for detecting secondary medical problems. Significant rank order correlations were found, however, between the years of experience of the consulting physician and both diagnostic accuracy and appropriate patient management. Also, the attitudes of the patients, doctors and nurses alike ranked physical presence over color television over black and white television over hands-free telephone for medical consultations.

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Comparison of Television and Telephone for Remote Medical Consultation

Cited by 63 publications

References 7 publications

Treating Childhood Depression over Videoconferencing

Treating Childhood Depression over Videoconferencing

Outpatient Information Systems (OISs) for Ambulatory Care

An experimental evaluation of alternative communication systems as used for medical diagnosis

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