Telemedicine — The Way Ahead for Medicine in the Developing World

Graham, L E; Zimmerman, M; Vassallo, David; Patterson, Victor; Swinfen, P; Swinfen, R; Wootton, Richard

doi:10.1177/004947550303300118

Cited by 61 publications

(28 citation statements)

References 7 publications

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“…This has also been referred to in a previous study. 9 Private email addresses may be more reliable, and anonymity protocols makes their use possible.…”

Section: Discussionmentioning

confidence: 99%

Email triage of new neurological outpatient referrals from general practice

Patterson

Humphreys²,

Chua³

2004

Journal of Neurology, Neurosurgery & Psychiatry

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Objectives: To determine whether an email triage system between general practitioners and a neurologist for new outpatient referrals is feasible, acceptable, efficient, safe, and effective. Methods: This was a prospective single cohort study on the interface between primary care practitioners and the neurology clinic of a district general hospital. Seventy six consecutive patients with neurological symptoms from nine GPs, for whom a specialist opinion was deemed necessary, were entered in the study. The number of participants managed without clinic attendance and the reduction in neurologist's time compared with conventional consultation was measured, as was death, other specialist referral, and change in diagnosis in the 6 months after episode completion. The acceptability for GPs was ascertained by questionnaire. Results: Forty three per cent of participants required a clinic appointment, 45% were managed by email advice alone, and 12% by email plus investigations. GP satisfaction was high. Forty four per cent of the neurologist's time was saved compared with conventional consultation. No deaths or significant changes in diagnosis were recorded during the 6 month follow up period. Conclusions: Email triage is feasible, acceptable to GPs, and safe. It has the potential for making the practice of neurologists more efficient, and this needs to be tested in a larger randomised study.

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“…This has also been referred to in a previous study. 9 Private email addresses may be more reliable, and anonymity protocols makes their use possible.…”

Section: Discussionmentioning

confidence: 99%

Email triage of new neurological outpatient referrals from general practice

Patterson

Humphreys²,

Chua³

2004

Journal of Neurology, Neurosurgery & Psychiatry

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“…More recently, this concept has been extended to resource-constrained parts of the world [39,40] and also to chronic phases of neurological disease [37,[41][42][43].…”

Section: Telestrokementioning

confidence: 99%

“…General neurological outpatient clinics and neuro-ophthalmology clinics using telemedicine can be conducted using telemedicine with similar investigation and followup rates as face-to-face consultation [13,49]. E-mail has been used to triage general neurological outpatient referrals [50], self-referral from patients and carers of patients with dementia [16,51], and referral across continents [40,52,53].…”

Section: Epilepsy and Neurology Outpatient Clinicsmentioning

confidence: 99%

Teleneurology: is it really at a distance?

Agarwal

Warburton

2011

J Neurol

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Telemedicine refers to the transfer of medical information from one site to another using distance communications technology. This approach has benefitted many medical specialties, with telestroke being a prelude to its applications in neurology. Our review will focus on the use of telemedicine in neurological practice (teleneurology) following a brief discussion of telestroke. Given the emerging nature of trial evidence in teleneurology, our aim is to provide a narrative review and highlight areas that merit further investigation.

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“…Transmission of still radiographic images and cross-sectional imaging has been widely used in both developed and developing world [6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Image Quality in Real-Time Teleultrasound of Infant Hip Exam Over Low-Bandwidth Internet Links: a Transatlantic Feasibility Study

et al. 2012

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Evolution of communication systems, especially internet-based technologies, has probably affected Radiology more than any other medical specialty. Tremendous increase in internet bandwidth has enabled a true revolution in image transmission and easy remote viewing of the static images and real-time video stream. Previous reports of realtime telesonography, such as the ones developed for emergency situations and humanitarian work, rely on high compressions of images utilized by remote sonologist to guide and supervise the unexperienced examiner. We believe that remote sonology could be also utilized in teleultrasound exam of infant hip. We tested feasibility of a low-cost teleultrasound system for infant hip and performed data analysis on the transmitted and original images. Transmission of data was accomplished with Remote Ultrasound (RU), a software package specifically designed for teleultrasound transmission through limited internet bandwidth. While image analysis of image pairs revealed statistically significant loss of information, panel evaluation failed to recognize any clinical difference between the original saved and transmitted still images.

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Telemedicine — The Way Ahead for Medicine in the Developing World

Cited by 61 publications

References 7 publications

Email triage of new neurological outpatient referrals from general practice

Email triage of new neurological outpatient referrals from general practice

Teleneurology: is it really at a distance?

Image Quality in Real-Time Teleultrasound of Infant Hip Exam Over Low-Bandwidth Internet Links: a Transatlantic Feasibility Study

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