Diagnostic accuracy of a rapid telemedicine encounter in the Emergency Department

Izzo, J.A.; Watson, Jonathan; Bhat, Rahul; Wilson, Matthew D.; Blumenthal, Joseph; Houser, Christina; Descallar, Edward; Hoffman, Daniel; Booker, Ethan

doi:10.1016/j.ajem.2018.08.022

Cited by 22 publications

(14 citation statements)

References 9 publications

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“…Several studies have been undertaken in order to investigate the diagnostic accuracy of the telemedicine applied to the emergency department and ophthalmology. 19,20 The results demonstrate telemedicine as a viable alternative to the in-person and a valuable tool where medical service is in high demand.…”

Section: Challengesmentioning

confidence: 92%

Telemedicine – Meaning, Challenges and Opportunities

2019

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Medical service is one of the crucial policies and decent medical service is required by the population in every country. There are three main obstacles which prevent people from obtaining proper medical cares and treatments. First, the deficiency of medical staffs especially physicians which occur even in the developed countries. Second, regarding an important demographic issue, an increase in the number of the elderly makes the medical services more demanding. Finally, geographical aspect also plays a major role in healthcare inequality. The population dwelling in rural or remote areas struggle from accessing proper medical services. Information and communication technologies have become an important infrastructure upon which several domains can build in order to achieve more effective solutions. Integrating such technologies into the medical discipline results in telemedicine which is currently available across the globe. This article describes telemedicine in three key aspects including current state, challenges and opportunities based upon existing studies and implementations.

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Section: Challengesmentioning

confidence: 92%

Telemedicine – Meaning, Challenges and Opportunities

2019

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“…Nuestro protocolo de teletriaje enfocado a urgencias dentales cobra importancia en situaciones hostiles (Binaisse et al, 2019), como hoy en día lo es la actual pandemia. El alto nivel de especificidad de la encuesta permite categorizar de forma rápida y simple qué tan urgente es el motivo de consulta (de Almeida Geraldino et al, 2017;Mohan, et al, 2018), evitando asistencias presenciales que no requieran tratamiento inmediato (Izzo et al, 2018). Asimismo, su nivel de legibilidad permitiría además de educar, una comunica-Tabla V. Áreas de especialización y desempeño de jueces expertos.…”

Section: Discussionunclassified

Protocolo de Teleodontología para Asistencia al Paciente en el Manejo de Urgencia Dental. Cuarentena COVID-19 (SARS-CoV-2). Categorización Remota de Urgencia Dental y Asistencia (C.R.U.D.A.)

Meza-Palma

Rosales-Salas

2020

Int. J. Odontostomat.

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“…Nurse-staffed telephone triage lines may also err toward recommending emergent care more often than is necessary. There is evidence that physician-based telemedicine triage tools are equivalent to in-person physician triage tools 11. However, whether improved mHealth algorithms can outperform nurse-staffed triage remains to be seen.…”

Section: Discussionmentioning

confidence: 99%

Potential of Mobile Health Technology to Reduce Health Disparities in Underserved Communities

Veen

Binz

Muminovic

et al. 2019

WestJEM

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IntroductionMobile health (mHealth) has the potential to change how patients make healthcare decisions. We sought to determine the readiness to use mHealth technology in underserved communities.MethodsWe conducted a cross-sectional survey of patients presenting with low-acuity complaints to an urban emergency department (ED) with an underserved population. Patients over the age of two who presented with low-acuity complaints were included. We conducted structured interview with each patient or parent (for minors) about willingness to use mHealth tools for guidance. Analysis included descriptive statistics and univariate analysis based on age and gender.ResultsOf 560 patients included in the survey, 80% were adults, 64% female, and 90% Black. The mean age was 28 ± 9 years for adults and 9 ± 5 years for children. One-third of patients reported no primary care physician, and 55% reported no access to a nurse or clinician for medical advice. Adults were less likely to have access to phone consultation than parents of children (odds ratio [OR] 0.49, 95% confidence interval [CI], 0.32 – 0.74), as were males compared to females (OR 0.52, 95% CI, 0.37–0.74). Most patients (96%) reported cellular internet access. Two-thirds of patients reported using online references. When asked how they would behave if an mHealth tool advised them that their current health problem was low risk, 69% of patients responded that they would seek care in an outpatient clinic instead of the ED (30%), stay home and not seek urgent medical care (28%), or use telehealth (11%).ConclusionIn this urban community we found a large capacity and willingness to use mHealth technology in medical triage.

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Diagnostic accuracy of a rapid telemedicine encounter in the Emergency Department

Cited by 22 publications

References 9 publications

Telemedicine – Meaning, Challenges and Opportunities

Telemedicine – Meaning, Challenges and Opportunities

Protocolo de Teleodontología para Asistencia al Paciente en el Manejo de Urgencia Dental. Cuarentena COVID-19 (SARS-CoV-2). Categorización Remota de Urgencia Dental y Asistencia (C.R.U.D.A.)

Potential of Mobile Health Technology to Reduce Health Disparities in Underserved Communities

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