Establishment of an Effective Acute Stroke Telemedicine Program for Australia: Protocol for the Victorian Stroke Telemedicine Project

Cadilhac, Dominique A.; Moloczij, Natasha; Denisenko, Sonia; Dewey, Helen M; Disler, Peter; Winzar, Bruce; Mosley, Ian; Donnan, Geoffrey A.; Bladin, Christopher

doi:10.1111/ijs.12137

Cited by 32 publications

(38 citation statements)

References 27 publications

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“…Data from a National Stroke Foundation audit in 2009 indicated that 7% of patients with stroke admitted to Bendigo Hospital were treated with stroke thrombolysis. When this study was undertaken, Bendigo hospital did not have any neurologists on staff, and thrombolysis was being provided by visiting medical officers with support from Emergency Medicine physicians, and medical registrars and nursing staff in the emergency department . The VST project was approved by the Bendigo Health Human Research Ethics Committee, Victoria, Australia (HREC/10/BHCG/4).…”

Section: Methodsmentioning

confidence: 99%

“…The telemedicine technology in the ED consists of a mobile computer and camera – a ‘telemedicine cart’ (Polycom http://www.polycom.com.au/products-services/hd-telepresence-video-conferencing/realpresence-room/realpresence-room-practioner-cart-noram.html). A protocol for stroke thrombolysis was developed based on national guidelines in addition to a VST protocol for teleconsultation . During the acute phase of the patient presentation, the medical staff in the ED are able to call a fixed 1300 telephone number to contact a roster of metropolitan‐based stroke specialists who work at various Melbourne‐based hospitals and have agreed to be part of a roster for VST to ensure coverage 24 h/7 days a week .…”

Section: Methodsmentioning

confidence: 99%

“…The VST program is being progressively implemented in the Emergency Departments of 16 hospitals across rural and regional Victoria with planned completion in 2018 . It is supported by Commonwealth and Victorian State Government funding and has a defined governance structure with broad input from the Victorian Health Department and regional health services …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Victorian Stroke Telemedicine Project: implementation of a new model of translational stroke care for Australia

Bladin

Molocijz

Ermel

et al. 2015

Internal Medicine Journal

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Victorian Stroke Telemedicine Project: implementation of a new model of translational stroke care for Australia

Bladin

Molocijz

Ermel

et al. 2015

Internal Medicine Journal

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show abstract

“…Telemedicine, in effect, is the use of electronic communications and telecommunications technology for service support and implementation such as remote clinical care, education, and training to professionals and patients in health-related fields, development of public health, and health management [2]. Telemedicine communication between hospitals and other medical institutions could lead to an overall improvement of healthcare services by focusing and aligning resources (professionals, hardware and software packets) [3].…”

Section: Introductionmentioning

confidence: 99%

Establishment Background and Factors Affecting the Success of Telemedicine Provision

Maher

Malmir

Alimohamadzadeh

2016

ijtmgh

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Introduction: Today, access to healthcare is considered a major indicator of community health. Telemedicine technology is an opportunity to increase access and improve the quality of healthcare in a country's development of a healthcare system. The establishment of a telemedicine system and the provision of healthcare in this way require a proper infrastructure, and multiple factors must be considered. This study investigated the areas of establishing telemedicine and the factors affecting its success in the Health Department of Iran's oil industry. Methods: This study is objective and analytical (non-experimental) and used the research-applied method to collect information. The statistic community included all professionals and personnel of the Health Department of Iran's oil industry in 2014-2015. The establishment background and success factors of telemedicine provision were explored based on the study of 341 health experts and professionals. Data was analyzed by SPSS16 and Lisral Software. Results:The results show that both variables, i.e. establishment background (0.63) and organizational effectiveness factors (0.52), had a significant positive effect on the successful implementation of a telemedicine provision system. Furthermore, the factors of successful establishment of a telemedicine system (0.67) had a significant effect. Among the establishment background factors, financial structure (0.87) had the most significant effect on the successful establishment of a telemedicine system. Among the factors influencing success, organizational regulations and rules (0.83) were the most significant. Conclusion: Based on the results of the current study, it is clear that giving the same attention to the establishment background and organizational effectiveness factors will lead to the successful implementation of telemedicine. It is recommended that the managers and policy makers of the country's health sector use and implement telemedicine in other areas as well. With proper planning, this could lead to increased community access to health services, savings in human and financial resources in the healthcare system, and reduced healthcare costs.

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“…A big challenge in Australia is the geographic isolation of some regions, and the vast distances . The Victorian Stroke Telemedicine project and the rural Prehospital Acute Stroke Triage trial in New South Wales are examples attempting to address this issue . A study from South Australia demonstrated that patients living closer to stroke units were more likely to receive thrombolysis .…”

mentioning

confidence: 99%

Pre‐hospital stroke management: an Australian perspective

Blacker

Hankey

2014

Internal Medicine Journal

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Establishment of an Effective Acute Stroke Telemedicine Program for Australia: Protocol for the Victorian Stroke Telemedicine Project

Abstract: This research will provide evidence for an effective telestroke program for use in regional Australian hospitals.

Cited by 32 publications

References 27 publications

Victorian Stroke Telemedicine Project: implementation of a new model of translational stroke care for Australia

Victorian Stroke Telemedicine Project: implementation of a new model of translational stroke care for Australia

Establishment Background and Factors Affecting the Success of Telemedicine Provision

Pre‐hospital stroke management: an Australian perspective

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