Implementation and evaluation of a multifunctional telemedicine system in NTUH

Lin, Chung‐Chih; Chen, Heng-Shuen; Chen, Ching-Yu; Hou, Sheng‐Mou

doi:10.1016/s1386-5056(01)00140-x

Cited by 16 publications

(3 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Comparing reported satisfaction levels across studies in different specialties is difficult because of variation in research methodology, and the failure to report on important study details. Although a large number of studies in this review reported data from a range of specialties, 29,32,54,57,58,61,63,65,70,75,87,93,106 differences between groups in terms of reported satisfaction were generally not examined. Small sample size prohibits the analysis of satisfaction across subgroups in several of these multispecialty studies.…”

Section: Factors That Mediate Patient Satisfaction With Telemedicinementioning

confidence: 99%

Limitations of Patient Satisfaction Studies in Telehealthcare: A Systematic Review of the Literature

Williams¹,

May²,

Esmail³

2001

Telemedicine Journal and e-Health

193

154

View full text Add to dashboard Cite

The objective of this study is to provide a systematic review of studies on patient satisfaction with telemedicine. The review included empirical studies that investigated patient satisfaction with that telemedicine service. The search strategy involved matching at least one of 11 'telemedicine' terms with one of 5 'satisfaction' terms. The following databases were searched: Telemedicine Information Exchange (TIE) database, MEDLINE, Science Citation Index (SCI), Social Science Citation Index (SSCI), Psycinfo, and Citation Index of Nursing and Allied Health (CINAHL). A highly structured instrument was used for data extraction. The review included 93 studies. Telepsychiatry represents the largest portion of these studies (25%), followed by multispecialty care (14%), nursing (11%), and dermatology (8%). Real-time videoconferencing was used in 88% of these studies. Only 19 (20%) included an independent control group, including 9 (10%) randomized control trial (RCT) studies. One third of studies were based on samples of less than 20 patients, and only 21% had samples of over 100 patients. Aspects of patient satisfaction most commonly assessed were: professional-patient interaction, the patient's feeling about the consultation, and technical aspects of the consultation. Only 33% of the studies included a measure of preference between telemedicine and face-to-face consultation. Almost half the studies measured only 1 or 2 dimensions of satisfaction. Reported levels of satisfaction with telemedicine are consistently greater than 80%, and frequently reported at 100%. Progression of telemedicine services from "trial" status to routine health service must be supported by improved research into patients' satisfaction with telemedicine. Further investigation of factors that influence patient acceptance of telemedicine is indicated.

show abstract

Section: Factors That Mediate Patient Satisfaction With Telemedicinementioning

confidence: 99%

Limitations of Patient Satisfaction Studies in Telehealthcare: A Systematic Review of the Literature

Williams¹,

May²,

Esmail³

2001

Telemedicine Journal and e-Health

193

154

View full text Add to dashboard Cite

show abstract

“…However, the system is still being developed and some desirable features are still not available. The introduction of a teleradiology system between the SGH on Sado Island and hospitals in Niigata City was beneficial for both the diagnostic radiologist at the SGH and patients on the island, as has been found in other studies of telemedicine systems for islands [8][9][10] . The teleradiology system enables a prompt consultation with specialists in Niigata City.…”

Section: Evaluation Of the System By Radiologistsmentioning

confidence: 59%

Development and evaluation of a teleradiology and videoconferencing system

et al. 2004

View full text Add to dashboard Cite

We developed a teleradiology system linking a general hospital on Sado Island to tertiary care hospitals in Niigata City. The island is 40 km from Niigata City on the mainland and has only one diagnostic radiologist (for 72,000 islanders). Fibre optic cables between Sado Island and Niigata City were used for transmission. The introduction of the teleradiology system facilitated diagnostic and therapeutic consultation with specialists in Niigata City. The performance of the system was evaluated (on a scale of 0-6, with higher scores indicating better performance) by five diagnostic radiologists, who rated 32 features of the system twice, once in April 2002 and once in September 2003. The performance ratings improved from 1.38 to 2.86. While many of the initial problems with the software had been resolved, many still remained.

show abstract

“…To facilitate rapid development of a non-proprietary, low-cost teleradiology solution, Puech [29] introduced a software framework for reading and working on DICOM (Digital Imaging and Communications in Medicine) images, while Shen et al [30] developed a medical image access and presentation system (MIAPS) for remotely accessing and presenting DICOM images. In addition, a multi-functional telemedicine system that supported both telediagnosis and teleconsultation services was proposed by Lin et al [31]. For the purpose of integrating DICOM and common Internet services into an operational domain that allowed access to all levels of the DICOM information hierarchy, Koutelakis et al [32] implemented a modular multiprotocol teleradiology architecture, while Mitchell et al [33] introduced a client-server teleradiology system for the diagnosis of acute stroke, which could interactively visualize 2D and 3D brain images on a smartphone device.…”

Section: Related Workmentioning

confidence: 99%

A Web-Based Synchronized Architecture for Collaborative Dynamic Diagnosis and Therapy Planning

Zhang

2023

IEEE Access

View full text Add to dashboard Cite

Clinical treatment delivery often involves multiple medical professionals, where collaborative teamwork is crucial to ensure the quality of diagnosis and therapeutic decision making. With the development of Internet of Medical Things (IoMT) and its applications in mobile health (mHealth), healthcare services can be delivered to remote users. However, a challenging situation arises when the data are volumetric and dynamic, it will be difficult to achieve real-time performance in information streaming and data dynamic rendering and synchronization over Internet, as is the case with cardiac procedures, where both the anatomy and dynamic function characteristics of the organ must be considered. To address this issue, we have developed new algorithms and a web-based collaborative software architecture to display dynamic volumetric data in a web browser to enable dynamic data sharing with remote healthcare professionals. We illustrate our system using the diagnosis and treatment planning of an atrial septal defect (ASD) repair as an example to evaluate the capabilities of our platform. In this example, a series of three-dimensional (3D) ultrasound images are registered and fused with the high-quality magnetic resonance (MR) cardiac data to provide complementary information; virtual septal occluder patches are modeled and integrated into the beating heart views to facilitate the planning of the procedure to occlude the ASD, and feedback is streamed amongst all participating professionals. Our algorithm runs on a Node.js server with WebSocket protocol to synchronize dynamic heart rendering, so all the connected users can observe the same fourdimensional (4D) display of the dual-modality heart data during the process of examining cardiac anatomy, performing functional analysis, and sharing treatment strategies across distributed geographic locations. The presented computational models and software architecture create a new vehicle for collaborative exploration and manipulation of dynamic volumetric medical datasets.

show abstract

Implementation and evaluation of a multifunctional telemedicine system in NTUH

Cited by 16 publications

References 14 publications

Limitations of Patient Satisfaction Studies in Telehealthcare: A Systematic Review of the Literature

Limitations of Patient Satisfaction Studies in Telehealthcare: A Systematic Review of the Literature

Development and evaluation of a teleradiology and videoconferencing system

A Web-Based Synchronized Architecture for Collaborative Dynamic Diagnosis and Therapy Planning

Contact Info

Product

Resources

About