Int J Med Inform - Setting up a telemedicine service for remote real-time video-EEG consultation in La Rioja (Spain).

Tópicos

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Resumo

RPOSE: The purpose of this paper is to report and discuss a successful experience in the setting up of a telemedicine solution for remote video-electroencephalography consultation (tele-EEG) in La Rioja, Spain. The setup has been implemented between a primary hospital situated in Calahorra (Calahorra Hospital Foundation, FHC) and a secondary hospital in Logro?o (San Pedro Hospital, HSP), the capital city of the region of La Rioja.METHODS: During the twelve first months of the setting-up a detailed evaluation study was performed. During this period we evaluated the technical aspects of the setup and also demonstrated the clinical viability of the system. The impact on hospital organization and the impact on patients regarding the improvement in their quality of life, as well as their financial savings, were also evaluated.RESULTS: During these twelve months a total of 259 consultations were conducted through the telemedicine system. The clinical viability study was completely successful, and technical problems were detected only during the first months of setting-up. Regarding patients' preferences (177 completed an opinion questionnaire), 99% expressed a high degree of satisfaction with the telemedicine service. They also remarked that they preferred the telemedicine service to previous methods for the EEG test, on the grounds that it provided a significant improvement in access to specialized medical care and important financial savings in terms of travel (around 30? per visit) and of time (approximately 2h) invested in consultations.CONCLUSIONS: After one year of evaluation, we concluded that the tele-EEG system had been successfully introduced into the clinical routine. As a matter of fact, the success of the telemedicine system has led to its widespread use and it has now replaced the conventional EEG service for FHC patients almost completely.

Resumo Limpo

rpose purpos paper report discuss success experi set telemedicin solut remot videoelectroencephalographi consult teleeeg la rioja spain setup implement primari hospit situat calahorra calahorra hospit foundat fhc secondari hospit logroo san pedro hospit hsp capit citi region la riojamethod twelv first month settingup detail evalu studi perform period evalu technic aspect setup also demonstr clinic viabil system impact hospit organ impact patient regard improv qualiti life well financi save also evaluatedresult twelv month total consult conduct telemedicin system clinic viabil studi complet success technic problem detect first month settingup regard patient prefer complet opinion questionnair express high degre satisfact telemedicin servic also remark prefer telemedicin servic previous method eeg test ground provid signific improv access special medic care import financi save term travel around per visit time approxim h invest consultationsconclus one year evalu conclud teleeeg system success introduc clinic routin matter fact success telemedicin system led widespread use now replac convent eeg servic fhc patient almost complet

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