Diagnostic performance of a teleradiology system in primary health care

Paakkala, T.; Aalto, Juha; Kähärä, Veikko; Seppänen, Seppo

doi:10.1016/0169-2607(91)90066-3

Cited by 21 publications

(6 citation statements)

References 7 publications

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“…Several studies have been published in this field [1][2][3][4][5] . Image transfer has proved both clinically effective and costeffective, and teleradiology has been widely used.…”

mentioning

confidence: 99%

Effect of teleradiology on the diagnosis, treatment and prognosis of patients in a primary care centre

et al. 2002

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A prospective study was carried out to evaluate the effect of teleradiology on the diagnosis, treatment and prognosis of patients in primary care. A university hospital was sent 685 plain film examinations via an ISDN connection from a primary care centre, for a radiological report. The study was conducted in two phases: during phase 1 (446 cases) general practitioners (GPs) selected the examinations, and during phase 2 (239 cases) all consecutive examinations were transmitted. In phase 1, 40% of the examinations were of the chest and 24% were of the spine; the remaining 36% were mainly bone and sinus examinations. In phase 2, 28% of the examinations were of the chest and 19% were of the spine. The sensitivity and specificity of the GPs' interpretations (compared with the radiologists') were 0.85 and 0.62 respectively in the first phase, and 0.90 and 0.86 in the second. In at least one-third of all cases, teleradiology helped with the diagnosis, although completely new diagnoses were less common. An effect on treatment was noted in 15% of cases and on prognosis in 5%. However, an appropriate consultation level is required for these positive effects. Adequate accuracy and patient safety cannot be achieved if the examinations sent for radiological reporting are preselected by a GP.

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“…Several studies have been published in this field [1][2][3][4][5] . Image transfer has proved both clinically effective and costeffective, and teleradiology has been widely used.…”

mentioning

confidence: 99%

Effect of teleradiology on the diagnosis, treatment and prognosis of patients in a primary care centre

et al. 2002

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“…We have therefore built the NTUH telemedicine system in order to alleviate these problems. Its specific goals are: (1) to improve medical service in rural areas; (2) to reduce the frequency of referrals; (3) to provide CME opportunities to the physicians in rural areas; and (4) to share advanced knowledge and expertise from the medical center. Using this channel of communication, physicians at a rural site can receive diagnostic opinions through telemedicine and obtain advanced medical knowledge from specialists at the medical center.…”

Section: The Infrastructure Of the Ntuh Telemedicine Projectmentioning

confidence: 99%

“…Telediagnostic services in radiology are now termed teleradiology. Teleradiology has been practiced in the Nordic countries since 1991 [2,3]. Medical information and images formerly were transmitted through a 64-kbps telephone line from a rural health center to a medical center.…”

Section: Introductionmentioning

confidence: 99%

Implementation and evaluation of a multifunctional telemedicine system in NTUH

Lin¹,

Chen²,

Chen³

et al. 2001

International Journal of Medical Informatics

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“…Paakkala et al used a 512 x 512 matrix with 8-bit grey-scale radiographs 0 [47]. These images were transmitted from rural areas, where no radiologist was available, to Tampere University for diagnostic interpretation.…”

Section: Imaging and Picture Archiving Systemsmentioning

confidence: 99%

Communication in Health Care

Branger¹,

Duisterhout²

1995

Methods Inf Med

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Abstract:For routine communication, care providers still mainly rely on paper documents and paper mail. Evidence exists, however, that this communication can be improved, both by a better content of information exchange and by a more timely deliverance of this information. At present, several alternatives to paper-based communication are available, such as the Fax, the Smart Card, electronic mail, and electronic data interchange. This paper describes existing communication problems, and examines the current state of development and research aimed at improving this communication using electronic communication techniques that are gradually replacing paper-based communication. Applicability and shortcomings of these new techniques are also discussed.

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Diagnostic performance of a teleradiology system in primary health care

Cited by 21 publications

References 7 publications

Effect of teleradiology on the diagnosis, treatment and prognosis of patients in a primary care centre

Effect of teleradiology on the diagnosis, treatment and prognosis of patients in a primary care centre

Implementation and evaluation of a multifunctional telemedicine system in NTUH

Communication in Health Care

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