J Telemed Telecare - Eleven years of experience with low-bandwidth telemedicine in a nurse-led rural clinic in Scotland.

Tópicos

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Resumo

A pilot trial of telemedicine in primary care began in the village of Letham in 1998. The service provided conventional consultations with the district nurse, plus teleconsultations with a general practitioner (GP) at the health centre in Forfar, a few km away. In the first year, the videoconferencing link was used by 14 patients, all aged over 65 years. The telemedicine service was judged to be successful and subsequently expanded to patients of any age. It was used for a wide range of health matters, including postnatal care, mental health problems, physical ailments, receiving test results and discussions with the doctor. During the 11-year study period, a total of 646 teleconsultations were conducted, a median rate of 65 per year. A qualitative evaluation of the service was conducted in 1999. Although the GPs involved expressed some reservations about the limited video quality, all three user groups were positive about the service. Nonetheless, the telemedicine service was not adopted as a routine method of health-care delivery by the NHS. To enable any telemedicine application to move from the pilot trial stage to routine service requires several things to happen at an organisational and contractual level. Ultimately an organizational decision about adoption is required, followed by appropriate mechanisms to enable diffusion.

Resumo Limpo

pilot trial telemedicin primari care began villag letham servic provid convent consult district nurs plus teleconsult general practition gp health centr forfar km away first year videoconferenc link use patient age year telemedicin servic judg success subsequ expand patient age use wide rang health matter includ postnat care mental health problem physic ailment receiv test result discuss doctor year studi period total teleconsult conduct median rate per year qualit evalu servic conduct although gps involv express reserv limit video qualiti three user group posit servic nonetheless telemedicin servic adopt routin method healthcar deliveri nhs enabl telemedicin applic move pilot trial stage routin servic requir sever thing happen organis contractu level ultim organiz decis adopt requir follow appropri mechan enabl diffus

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