The comparative impact of video-consultation on neurosurgical health services

Poon, Wai-sang; Leung, Constant; Lam, Michael Huen Sum; Wai, S.; Ng, Chi-Fai; Kwok, S.P.Y.

doi:10.1016/s1386-5056(01)00161-7

Cited by 21 publications

(13 citation statements)

References 6 publications

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“…Many studies (Johnston et al 2000;Dansky et al 2001;De Lusignan et al 2001;Jerant et al 2001;Poon et al 2001;Dansky & Bowles 2002;Riegel et al 2002) have demonstrated the positive impact of telehomecare on health care outcomes, such as decrease of hospitalisation readmission rates and visits to the emergency room. Visual contact has been found to be important to communication and the transmission of video can assist by providing the professional (1) cognitive cues used to determine understanding (Kahneman 1973;Clark & Schaefer 1989;Clark & Brennan 1991), (2) turn-taking cues afforded by head turning, posture and eye gaze (Argyle et al 1968;Duncan 1972) and (3) social or affective cues that reveal the participants' emotional state or interpersonal attitudes which are manifested in facial express, posture or eye gaze (Mehrabian 1971;Ekman & Friesen 1975;Reid 1977).…”

Section: The Use Of Telemedicine Technologies In Hospicementioning

confidence: 99%

The use of videophones for patient and family participation in hospice interdisciplinary team meetings: a promising approach

Oliver

Demiris

Wittenberg-Lyles

et al. 2009

European Journal of Cancer Care

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Inclusion of patients and caregivers in decisions related to the delivery of care is inherent in the hospice philosophy. Telemedicine technologies offer a potential solution to the challenges presented by the geographic distance between team meetings and the home environment. While inclusion requires additional coordination by the hospice team, it also offers an important opportunity to improve communication between the team and the patient and family. A modified conceptual model based on two previous frameworks is outlined to support patient and family involvement in hospice team meetings. Further research is suggested to determine the structural feasibility of patient and family involvement via videophone as well as the structural and procedural changes resulting from this inclusion. Finally, clinical outcomes and family evaluation of the inclusion experience need to be thoroughly researched before final conclusions may be reached.

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Section: The Use Of Telemedicine Technologies In Hospicementioning

confidence: 99%

The use of videophones for patient and family participation in hospice interdisciplinary team meetings: a promising approach

Oliver

Demiris

Wittenberg-Lyles

et al. 2009

European Journal of Cancer Care

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“…This was caused by a lack of compliance on the part of some of the residents working at our department during the study period. On the other hand, most previous studies refer to pilot projects 2,3,5,6,[9][10][11] , while our results relate to the routine use of a well established teleradiology system.…”

Section: Discussionmentioning

confidence: 61%

“…Neurosurgical teleconsultation is among the more common applications of telemedicine. Several studies indicate that teleconsultations between a regional neurosurgical department and referring hospitals improve patient outcome, produce more appropriate patient transfers and are cost-effective [2][3][4][5][6][7][8][9][10][11] . Only a few studies have systematically evaluated response time 9 , influence on patient management 2,5,6,11 and benefits in routine clinical practice 8 .…”

mentioning

confidence: 99%

Neurosurgical teleconsultations in northern Norway

2004

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We carried out a prospective study of the effect of neurosurgical teleconsultations on patient management in northern Norway. The total number of teleradiology image transfers during an eight-month study period was 723. We recorded data on 99 (14%) of these teleconsultations, which concerned 92 patients; the remainder were transfers to other departments at our hospital and transfers of routine examinations from a small community hospital that did not have a radiologist. The neurosurgeon on call noted the clinical condition and response time for each consultation. The consequences of the teleconsultation and the eventual benefits of the image transfer were evaluated. All 10 referring hospitals in the region used the service. The median response time was 3 hours (range 1-21 hours) in emergency cases and 1 day (range 1-7 days) in ordinary consultations. The response time was significantly shorter for patients with head injuries (median 3 hours) than for those with intracranial tumours (median 24 hours). Image transfer was considered beneficial for the patient in 93% of the cases. Avoidance of unnecessary patient transfer, changes of treatment at the referring hospital on the advice of the neurosurgeon and initiation of emergency transfer occurred in 34%, 42% and 13% of cases, respectively. The results confirm that teleconsultations between referring hospitals and a regional neurosurgical service influence patient management and reduce the frequency of patient transfer.

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“…The methods of providing that expertise will also vary over time. 85,[121][122][123][124][125][126][127][128][129][130] These limitations notwithstanding, we hope to promote systematic consideration of the PCP-specialist interface to promote effective and efficient patient-centered care.…”

Section: Discussionmentioning

confidence: 99%

Providing Specialty Consultant Expertise to Primary Care: An Expanding Spectrum of Modalities

Kirsh

Aron

2014

Mayo Clinic Proceedings

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In most models of health care delivery, the bulk of services are provided in primary care and there is frequent request for the input of specialty consultants. A critical issue for current and future health care systems is the effective and efficient delivery of specialist expertise for clinicians and patients. Input on a patient's care from specialty consultants usually requires a face-to-face visit between the patient and the consultant. New and complementary models of knowledge sharing have emerged. We describe a framework assessment of a spectrum of knowledge-sharing methods in the context of a patient-centered medical home. This framework is based on our experience in the Veterans Health Administration and a purposive review of the literature. These newer modes of specialty consultation include electronic consultation, secure text messaging, telemedicine of various types, and population preemptive consults. In addition to describing these modes of consultation, our framework points to several important areas in which further research is needed to optimize effectiveness.

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The comparative impact of video-consultation on neurosurgical health services

Cited by 21 publications

References 6 publications

The use of videophones for patient and family participation in hospice interdisciplinary team meetings: a promising approach

The use of videophones for patient and family participation in hospice interdisciplinary team meetings: a promising approach

Neurosurgical teleconsultations in northern Norway

Providing Specialty Consultant Expertise to Primary Care: An Expanding Spectrum of Modalities

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