Practical experience of telehealth between an Antarctic station and Japan

Ohno, Giichiro; Watanabe, Kouichi; Okada, Yutaka; Higuchi, Kazuo

doi:10.1258/jtt.2012.gth111

Cited by 15 publications

(31 citation statements)

References 2 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Requesting countries in one third of the articles in this class were from Africa varying in medical fields like pediatrics ( 27 , 28 ), orthopedics ( 4 ), surgery ( 29 ), and infectious disease ( 30 ). In addition, experiences of teleconsultation between Antarctic stations with their supporting countries ( 31 - 33 ) or geographically remote islands with other countries were reported ( 34 - 37 ).…”

Section: Resultsmentioning

confidence: 99%

Teleconsultation and Clinical Decision Making: a Systematic Review

2016

View full text Add to dashboard Cite

Background:The goal of teleconsultation is to omit geographical and functional distance between two or more geographically separated health care providers. The purpose of present study is to review and analyze physician-physician teleconsultations. Method: The PubMed electronic database was searched. The primary search was done on January 2015 and was updated on December 2015. A fetch and tag plan was designed by the researchers using an online Zotero library. Results: 174 full-text articles of 1702 records met inclusion criteria. Teleconsultation for pediatric patients accounts for 14.36 percent of accepted articles. Surgery and general medicine were the most prevalent medical fields in the adults and pediatrics, respectively. Most teleconsultations were inland experiences (no=135), and the USA, Italy and Australia were the three top countries in this group. Non-specialists health care providers/centers were the dominant group who requested teleconsultation (no=130). Real time, store and forward, and hybrid technologies were used in 50, 31, and 16.7 percent of articles, respectively. The teleconsultation were reported to result in change in treatment plan, referral or evacuation rate, change in diagnosis, educational effects, and rapid decision making. Use of structured or semi-structured template had been noticed only in a very few articles. Conclusion: The present study focused on the recent ten years of published articles on physician-physician teleconsultations. Our findings showed that although there are positive impacts of teleconsultation as improving patient management, still have gaps that need to be repaired.

show abstract

Section: Resultsmentioning

confidence: 99%

Teleconsultation and Clinical Decision Making: a Systematic Review

2016

View full text Add to dashboard Cite

show abstract

“…In one study, real-time videoconference was found to suitably provide orthopaedic care to rural areas; however, further investigations, including a cost–benefit analysis, were recommended [10]. Also, telehealth via real-time videoconference was reported to be effective by connecting an Antarctic station and Japan to treat orthopaedic cases [11]. However, there are few randomised studies regarding telemedicine and orthopaedic patients, none of which were conducted in Norway [12–16].…”

Section: Introductionmentioning

confidence: 99%

Quality of care for remote orthopaedic consultations using telemedicine: a randomised controlled trial

Buvik

Bugge

Knutsen

et al. 2016

BMC Health Serv Res

204

253

View full text Add to dashboard Cite

BackgroundDecentralised services using outreach clinics or modern technology are methods to reduce both patient transports and costs to the healthcare system. Telemedicine consultations via videoconference are one such modality. Before new technologies are implemented, it is important to investigate both the quality of care given and the economic impact from the use of this new technology. The aim of this clinical trial was to study the quality of planned remote orthopaedic consultations by help of videoconference.MethodWe performed a randomised controlled trial (RCT) with two parallel groups: video-assisted remote consultations at a regional medical centre (RMC) as an intervention versus standard consultation in the orthopaedic outpatient clinic at the University Hospital of North Norway (UNN) as a control. The participants were patients referred to or scheduled for a consultation at the orthopaedic outpatient clinic. The orthopaedic surgeons evaluated each consultation they performed by completing a questionnaire. The primary outcome measurement was the difference in the sum score calculated from this questionnaire, which was evaluated by the non-inferiority of the intervention group. The study design was based on the intention to treat principle. Ancillary analyses regarding complications, the number of consultations per patient, operations, patients who were referred again and the duration of consultations were performed.ResultsFour-hundred patients were web-based randomised. Of these, 199 (98 %) underwent remote consultation and 190 (95 %) underwent standard consultation. The primary outcome, the sum score of the specialist evaluation, was significantly lower (i.e. ‘better’) at UNN compared to RMC (1.72 versus 1.82, p = 0.0030). The 90 % confidence interval (CI) for the difference in score (0.05, 0.17) was within the non-inferiority margin. The orthopaedic surgeons involved evaluated 98 % of the video-assisted consultations as ‘good’ or ‘very good’. In the ancillary analyses, there was no significant difference between the two groups.ConclusionsThis study supports the argument that it is safe to offer video-assisted consultations for selected orthopaedic patients. We did not find any serious events related to the mode of consultation. Further assessments of the economic aspects and patient satisfaction are needed before we can recommend its wider application.Trial registrationClinicalTrials.gov identifier: NCT00616837Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1717-7) contains supplementary material, which is available to authorized users.

show abstract

“…According to the report, telespirometry and more useful systems of teleconsultation are believed to be possible . Similarly, Ohno and Ohno et al [48,49] also conducted a study for delivering telemedicne solutions to be used by the Syowa Station, Japanese Antarctic Research Expedition (JARE). The developed system was intended to handle various practical cases including emergency cases.…”

Section: Discussionmentioning

confidence: 99%

“…The developed system was intended to handle various practical cases including emergency cases. This system has shown the success of telemedicine in handling various medical operations such as surgery, orthopedics, ophthalmology, dermatology, internal medicine, urology, and dentistry [48,49]. In addition, Pillon et al [50] also reports the experiences and success of developing a telemedical solution for the principal Italian Antarctic Base at Terra Nova Bay.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine Services for the Arctic: A Systematic Review

Woldaregay¹,

Walderhaug²,

Hartvigsen³

2017

JMIR Med Inform

View full text Add to dashboard Cite

BackgroundTelemedicine services have been successfully used in areas where there are adequate infrastructures such as reliable power and communication lines. However, despite the increasing number of merchants and seafarers, maritime and Arctic telemedicine have had limited success. This might be linked with various factors such as lack of good infrastructure, lack of trained onboard personnel, lack of Arctic-enhanced telemedicine equipment, extreme weather conditions, remoteness, and other geographical challenges.ObjectiveThe purpose of this review was to assess and analyze the current status of telemedicine services in the context of maritime conditions, extreme weather (ie, Arctic weather), and remote accidents and emergencies. Moreover, the paper aimed to identify successfully implemented telemedicine services in the Arctic region and in maritime settings and remote emergency situations and present state of the art systems for these areas. Finally, we identified the status quo of telemedicine services in the context of search and rescue (SAR) scenarios in these extreme conditions.MethodsA rigorous literature search was conducted between September 7 and October 28, 2015, through various online databases. Peer reviewed journals and articles were considered. Relevant articles were first identified by reviewing the title, keywords, and abstract for a preliminary filter with our selection criteria, and then we reviewed full-text articles that seemed relevant. Information from the selected literature was extracted based on some predefined categories, which were defined based on previous research and further elaborated upon via iterative brainstorming.ResultsThe initial hits were vetted using the title, abstract, and keywords, and we retrieved a total of 471 papers. After removing duplicates from the list, 422 records remained. Then, we did an independent assessment of the articles and screening based on the inclusion and exclusion criteria, which eliminated another 219 papers, leaving 203 relevant papers. After a full-text assessment, 36 articles were left, which were critically analyzed. The inter-rater agreement was measured using Cohen Kappa test, and disagreements were resolved through discussion.ConclusionsDespite the increasing number of fishermen and other seafarers, Arctic and maritime working conditions are mainly characterized by an absence of access to health care facilities. The condition is further aggravated for fishermen and seafarers who are working in the Arctic regions. In spite of the existing barriers and challenges, some telemedicine services have recently been successfully delivered in these areas. These services include teleconsultation (9/37, 24%), teleradiology (8/37, 22%), teledermatology and tele-education (3/37, 8%), telemonitoring and telecardiology (telesonography) (1/37, 3%), and others (10/37, 27%). However, the use of telemedicine in relation to search and rescue (SAR) services is not yet fully exploited. Therefore, we foresee that these implemented and evaluated telemedicine servic...

show abstract

Practical experience of telehealth between an Antarctic station and Japan

Cited by 15 publications

References 2 publications

Teleconsultation and Clinical Decision Making: a Systematic Review

Teleconsultation and Clinical Decision Making: a Systematic Review

Quality of care for remote orthopaedic consultations using telemedicine: a randomised controlled trial

Telemedicine Services for the Arctic: A Systematic Review

Contact Info

Product

Resources

About