Telemed J E Health - Using telehealth for assessment of fetal alcohol spectrum disorder: the experience of two Canadian rural and remote communities.

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Resumo

TRODUCTION: Telehealth has been used for fetal alcohol spectrum disorder (FASD) diagnostic assessment in select Manitoban communities since 2000.OBJECTIVE: The purpose of this study was to evaluate the FASD telehealth program within two rural and remote Northern Manitoban communities by comparing community practices from the perspective of professionals working with the FASD diagnostic clinics in these communities. Recommendations for the further development of FASD assessment by telehealth were made to further improve current implementation and guide expansion of the FASD telehealth program within the province.METHODOLOGY: Semistructured interviews were conducted from October 19 to December 11, 2009. Participants (N = 26) were comprised of professionals, including those in the education, social services, and health sectors.RESULTS AND RECOMMENDATIONS: Two themes emerged from the data and covered the perceived strengths and drawbacks with the program, and meaningful suggestions to improve the service. Participants regarded the FASD telehealth program as successful and useful, especially given the remote location of the communities and the lack of on-site services. Recommendations addressing the barriers pertaining to the process were made from the study's findings and available scientific literature.CONCLUSIONS: This study will provide a solid basis for the successful further development of the FASD telehealth programs.

Resumo Limpo

troduct telehealth use fetal alcohol spectrum disord fasd diagnost assess select manitoban communiti sinc object purpos studi evalu fasd telehealth program within two rural remot northern manitoban communiti compar communiti practic perspect profession work fasd diagnost clinic communiti recommend develop fasd assess telehealth made improv current implement guid expans fasd telehealth program within provincemethodolog semistructur interview conduct octob decemb particip n compris profession includ educ social servic health sectorsresult recommend two theme emerg data cover perceiv strength drawback program meaning suggest improv servic particip regard fasd telehealth program success use especi given remot locat communiti lack onsit servic recommend address barrier pertain process made studi find avail scientif literatureconclus studi will provid solid basi success develop fasd telehealth program

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