<scp>T</scp>elehealth: experience of the first 120 consultations delivered from a new <scp>R</scp>efugee <scp>T</scp>elehealth clinic

Schulz, Thomas; Richards, M.P.M.; Gasko, Henry; Lohrey, Jay; Hibbert, Marienne; Biggs, Beverley‐Ann

doi:10.1111/imj.12537

Cited by 27 publications

(56 citation statements)

References 8 publications

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“…Specialities represented by less than three papers in total (n=11) were grouped under 'others' in Table 4. These included the following specialities: Hematology, Otolaryngology, General Medicine, Geriatric, Nephrology, Obstetrics, and Orthopaedics (25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the methodologies used to evaluate telemedicine service initiatives in hospital facilities

AlDossary

Martin‐Khan

Bradford

et al. 2017

International Journal of Medical Informatics

108

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Our systematic review identified only 137 telemedicine services. This suggests either telemedicine service implementation is still not a part of mainstream clinical services, or it is not being reported in the peer-reviewed literature. The depth and the quality of information were variable across studies, reducing the generalisability. The reporting of service implementation and planning strategies should be encouraged. Given the fast paced technology driven environment of telemedicine, this may enable others to learn and understand how to implement sustainable services. The key component of planning was underreported in these studies. Studies applying and reporting more rigorous methodology would contribute greatly to the evidence for telemedicine.

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Section: Resultsmentioning

confidence: 99%

A systematic review of the methodologies used to evaluate telemedicine service initiatives in hospital facilities

AlDossary

Martin‐Khan

Bradford

et al. 2017

International Journal of Medical Informatics

108

View full text Add to dashboard Cite

show abstract

“…High-speed cable internet, which has greater bandwidth capabilities and a more reliable signal than satellite, may be available at community-based or critical access hospitals, but may not be available with full reliability in small rural clinics or in the homes of patients. In one study in Australia, 25% of all consultations experienced internet connection dropping and sound issues, concluding the need of a bandwidth of at least 512 kbps and a latency of no more than 300 ms to conduct a satisfactory videoconference [96]. Unexpected technical issues arising with implementation should be expected, hence the importance of strong information technology support with continual protocol updating is essential [60].…”

Section: Challenges In Telemedicine Implementationmentioning

confidence: 99%

Telemedicine and primary care obesity management in rural areas – innovative approach for older adults?

2017

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BackgroundThe growing prevalence of obesity is paralleling a rise in the older adult population creating an increased risk of functional impairment, nursing home placement and early mortality. The Centers for Medicare and Medicaid recognized the importance of treating obesity and instituted a benefit in primary care settings to encourage intensive behavioral therapy in beneficiaries by primary care clinicians. This benefit covers frequent, brief, clinic visits designed to address older adult obesity.DiscussionWe describe the challenges in the implementation and delivery into real-world settings. The challenges in rural settings that have the fastest growing elderly population, high obesity rates, but also workforce shortages and lack of specialized services are emphasized. The use of Telemedicine has successfully been implemented in other specialties and could be a useful modality in delivering much needed intensive behavioral therapy, particularly in distant, under-resourced environments. This review outlines some of the challenges with the current benefit and proposed solutions in overcoming rural primary care barriers to implementation, including changes in staffing models.ConclusionsRecommendations to extend the benefit’s coverage to be more inclusive of non-physician team members is needed but also for improvement in reimbursement for telemedicine services for older adults with obesity.

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“…A computer with a webcam and speaker, and a reasonable speed internet connection is all that is necessary to conduct a consultation. 11 Telehealth is well-accepted by patients and can improve healthcare efficiency. 12 The Victorian Infectious Diseases Service (VIDS) currently provides medical consultations via telehealth for rural and regional patients.…”

Section: Introductionmentioning

confidence: 99%

“…This clinic was initially established for refugees and immigrants who, on arrival in Australia, settled in regional areas. 11 It has now expanded to include patients with HCV who can be seen in conjunction with local general practitioners (GPs).…”

Section: Introductionmentioning

confidence: 99%

Using telehealth to improve access to hepatitis C treatment in the direct-acting antiviral therapy era

et al. 2018

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Introduction One-third of the Australian population lives outside major cities and this group has worse health outcomes. Telehealth is becoming an accepted way to improve patient access to specialist healthcare. Over 200,000 Australian’s have hepatitis C virus (HCV) and new treatments are very effective and well tolerated. We aim to demonstrate that HCV treatment utilising telehealth support for care delivery has cure rates similar to onsite care in clinical trials. We also report length of consultation and calculate reductions in travel and carbon output. Methods Patient demographic, clinical, and treatment outcome data were collected prospectively from hospital software and analysed retrospectively. This was an audit of all patients treated for HCV in one year from a single tertiary hospital that included telehealth in their care delivery. Results Sustained virological response was achieved in 51/52 (98%) patients with completed treatment courses, and 51/58 (88%) of those who had a planned telehealth consultation as part of their management. A median of 634 km of patient travel was saved per telehealth consultation. Discussion We found that a telehealth-supported outreach programme for patients in regional Australia with HCV produced similar outcomes to clinical trials. There was a considerable saving in time and cost for the patients and significant environmental benefit through the reduction in carbon footprint associated with travel to distant specialist health services. We conclude that telehealth facilitated outreach is a feasible and effective way to access HCV treatment and cure in regional Australia.

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Telehealth: experience of the first 120 consultations delivered from a new Refugee Telehealth clinic

Cited by 27 publications

References 8 publications

A systematic review of the methodologies used to evaluate telemedicine service initiatives in hospital facilities

A systematic review of the methodologies used to evaluate telemedicine service initiatives in hospital facilities

Telemedicine and primary care obesity management in rural areas – innovative approach for older adults?

Using telehealth to improve access to hepatitis C treatment in the direct-acting antiviral therapy era

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