J Telemed Telecare - A hybrid approach to telepathology in Cambodia.

Tópicos

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{ detect(2391) sensit(1101) algorithm(908) }

Resumo

We established a hybrid telepathology network at the Children's Surgical Centre (CSC) in Cambodia, based on store-and-forward communication using iPATH and videoconferencing using Skype. We retrospectively analysed all data from the CSC stored on the iPATH server and reviewed the patient notes over an 8-month period. Of 115 patients for histopathology diagnosis during the study period, 38 cases were uploaded onto iPATH for further telemedicine discussion. The median number of days it took a specialist, other than the local one, to comment on the case on iPATH was 5 days (range 0-15). In three cases (8%) there was no reply from a specialist on iPATH. During the study period, seven clinical conferences were held, with an average of 6 cases (range 4-7) discussed at each conference. All 38 cases discussed had a final agreed diagnosis and firm management plans were made. Of the 24 cases where proactive management was advised, 17 patients followed through with the recommendations. Although the combination of video consultations and store-and-forward communication has not been used much before in the developing world, it has benefited patient care and outcomes at the CSC.

Resumo Limpo

establish hybrid telepatholog network children surgic centr csc cambodia base storeandforward communic use ipath videoconferenc use skype retrospect analys data csc store ipath server review patient note month period patient histopatholog diagnosi studi period case upload onto ipath telemedicin discuss median number day took specialist local one comment case ipath day rang three case repli specialist ipath studi period seven clinic confer held averag case rang discuss confer case discuss final agre diagnosi firm manag plan made case proactiv manag advis patient follow recommend although combin video consult storeandforward communic use much develop world benefit patient care outcom csc

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