Evaluation of the effectiveness of portable low-bandwidth telemedical applications for postoperative followup: initial results1

Rosser, James C.; Prosst, Ruediger L.; Rodas, Edgar B.; Rosser, Ludie E; Murayama, Michinori; Brem, Harold

doi:10.1016/s1072-7515(00)00354-9

Cited by 27 publications

(21 citation statements)

References 20 publications

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“…Consistent with Mair and Whitten, 4 this review also found that average percentages of patients defined as "satisfied" (usually on the basis of agreement with positively worded statements) are generally greater than 80%, and researchers frequently report 100% satisfaction with their service. 19,20,25,36,39,47,48,71,74,78,84,85,100,107 These findings are also consistent with the patient satisfaction literature for standard medical care, which reveals that patients tend to give high ratings of satisfaction with their healthcare. 11,13,16,111 However, these findings must be interpreted cautiously for several reasons: Given that patient satisfaction measurement is unavoidably tied to service delivery, it is difficult to disentangle the extent to which satisfaction data reflects "real" healthcare evaluation and that which is influenced by the healthcare setting.…”

Section: Patient Satisfaction Measurementsupporting

confidence: 83%

Limitations of Patient Satisfaction Studies in Telehealthcare: A Systematic Review of the Literature

Williams¹,

May²,

Esmail³

2001

Telemedicine Journal and e-Health

191

154

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The objective of this study is to provide a systematic review of studies on patient satisfaction with telemedicine. The review included empirical studies that investigated patient satisfaction with that telemedicine service. The search strategy involved matching at least one of 11 'telemedicine' terms with one of 5 'satisfaction' terms. The following databases were searched: Telemedicine Information Exchange (TIE) database, MEDLINE, Science Citation Index (SCI), Social Science Citation Index (SSCI), Psycinfo, and Citation Index of Nursing and Allied Health (CINAHL). A highly structured instrument was used for data extraction. The review included 93 studies. Telepsychiatry represents the largest portion of these studies (25%), followed by multispecialty care (14%), nursing (11%), and dermatology (8%). Real-time videoconferencing was used in 88% of these studies. Only 19 (20%) included an independent control group, including 9 (10%) randomized control trial (RCT) studies. One third of studies were based on samples of less than 20 patients, and only 21% had samples of over 100 patients. Aspects of patient satisfaction most commonly assessed were: professional-patient interaction, the patient's feeling about the consultation, and technical aspects of the consultation. Only 33% of the studies included a measure of preference between telemedicine and face-to-face consultation. Almost half the studies measured only 1 or 2 dimensions of satisfaction. Reported levels of satisfaction with telemedicine are consistently greater than 80%, and frequently reported at 100%. Progression of telemedicine services from "trial" status to routine health service must be supported by improved research into patients' satisfaction with telemedicine. Further investigation of factors that influence patient acceptance of telemedicine is indicated.

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Section: Patient Satisfaction Measurementsupporting

confidence: 83%

Limitations of Patient Satisfaction Studies in Telehealthcare: A Systematic Review of the Literature

Williams¹,

May²,

Esmail³

2001

Telemedicine Journal and e-Health

191

154

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“…3 Postoperative evaluation following laparoscopic procedures through low-bandwidth video, high-resolution images, and voice was also found to be accurate. 4 …”

Section: Introductionmentioning

confidence: 99%

Pre-surgery evaluations by telephone decrease travel and cost for families of children with cerebral palsy

2017

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Introduction: Children with cerebral palsy need highly specialized care. This can be very burdensome for families, particularly in large rural states, due to the need for long-distance travel to appointments. In this study, children undergoing the selective percutaneous myofascial lengthening surgery utilized a telephone-based telemedicine evaluation to assess for surgical eligibility. The goal was to avoid a separate preoperative clinic visit weeks before the surgery. If possible, eligibility was determined by telephone, and then, the patient could be scheduled for a clinic visit and possible surgery the next day, saving the family a trip. The purposes of the study were to calculate estimated reductions in miles traveled, in travel expenses, and in carbon emissions and to determine whether the telephone assessment was accurate and effective in determining eligibility for surgery. Methods: From 2010 to 2012, 279 patients were retrospectively reviewed, and of those, 161 mailed four-page questionnaire and anteroposterior pelvis X-ray followed by a telephone conference. Geographic information system methods were used to geocode patients by location. Savings in mileage and travel costs were calculated. From 2014 to 2015, 195 patients were additionally studied to determine accuracy and effectiveness. Results: The telephone prescreening method saved 106,070 miles in transportation over 3 years, a 38% reduction with US$55,326 in savings. Each family saved an average of 658 (standard deviation = 340) miles of travel and US$343.64 (standard deviation = US$178) in travel expenses. For each increase of 10 miles in distance from the health center, the odds of a patient utilizing telephone screening increased by 10% (odds ratio: 1.101, 95% confidence interval: 1.073-1.129, p < 0.001). After the telephone prescreening, 86% were determined to be likely candidates for the procedure. For 14%, a clinic visit only was scheduled, and they were not scheduled for surgery. Conclusion: Families seeking specialized surgical care for their disabled children particularly benefited from this approach.

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“…That is to say, the proposed portable high-definition video transmission system based on mobile communication is unique in comparison with other similar systems [7]- [9].…”

Section: Application In An Isolated Islandmentioning

confidence: 99%

Application of a Telemedical Tool in an Isolated Island and a Disaster Area of the Great East Japan Earthquake

Yoshizawa

Yambe

Sugita

et al. 2012

IEICE Trans. Commun.

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SUMMARYThe present paper has reported a case study of the "Electronic Doctor's Bag" which is a telemedical tool for home-visit medical services using the mobile communications environment in an isolated island and a disaster area hit by the tsunami. Clinical trials performed for 20 patients around a clinic in Miyako Island indicated that the communication functions of the proposed system were highly evaluated by patients as well as medical staffs. However, the system still has room for further improvement in operability, portability and mobile communication environment. The experience at the shelter in Kesennuma City suggested that mobile healthcare tools such as the proposed system will be strongly required when there are no or only paramedical staffs after leaving of emergency medical staffs.

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Evaluation of the effectiveness of portable low-bandwidth telemedical applications for postoperative followup: initial results1

Cited by 27 publications

References 20 publications

Limitations of Patient Satisfaction Studies in Telehealthcare: A Systematic Review of the Literature

Limitations of Patient Satisfaction Studies in Telehealthcare: A Systematic Review of the Literature

Pre-surgery evaluations by telephone decrease travel and cost for families of children with cerebral palsy

Application of a Telemedical Tool in an Isolated Island and a Disaster Area of the Great East Japan Earthquake

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