J Telemed Telecare - A pilot teleconsultation network for retinal diseases in ophthalmology.

Tópicos

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{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ cost(1906) reduc(1198) effect(832) }
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Resumo

A store-and-forward teleconsultation network was developed as a web application in order to provide second opinions on retinal diseases. The system provided automatic notification messages to the referring doctor and the consulted ophthalmologist by mobile phone message (SMS) and email. Images in the electronic medical record (EMR) could be examined in detail using special magnification software. Of the 19 ophthalmologists who agreed to participate, 17 used the teleconsultation network during the pilot trial (89%). During the four-week study period, a total of 52 EMRs containing 82 images were uploaded by the participating ophthalmologists. In 46 cases (89%), a second opinion was provided by the consulted ophthalmologist. Thirty-three of the cases (72%) were related to macular diseases and anti-VEGF (vascular endothelial growth factor) ophthalmology drugs. At the end of the study period, 18 of the participating ophthalmologists evaluated the cases, using a three-point score (poor, good, very good) for Access, Acceptability, Image Quality and Medical Efficacy. Most cases were rated as very good or good for all four variables. Successful use of the network in future will depend on various technical, policy and human factors. The latter is particularly important and appropriate motivations need to be found in order to promote teleconsultations.

Resumo Limpo

storeandforward teleconsult network develop web applic order provid second opinion retin diseas system provid automat notif messag refer doctor consult ophthalmologist mobil phone messag sms email imag electron medic record emr examin detail use special magnif softwar ophthalmologist agre particip use teleconsult network pilot trial fourweek studi period total emr contain imag upload particip ophthalmologist case second opinion provid consult ophthalmologist thirtythre case relat macular diseas antivegf vascular endotheli growth factor ophthalmolog drug end studi period particip ophthalmologist evalu case use threepoint score poor good good access accept imag qualiti medic efficaci case rate good good four variabl success use network futur will depend various technic polici human factor latter particular import appropri motiv need found order promot teleconsult

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