Transfer of telemedical support to Cornwall from a national telemedicine network during a solar eclipse

Wootton, Richard; McKelvey, A. D.; McNicholl, B; Loane, Maria; Hore, D.; Howarth, P.R.; Tachakra, Sapal; Rocke, L G; Martin, Jennifer V.; Page, G.; Ferguson, James; Chambers, David A.; Hassan, Hazem E.

doi:10.1258/1357633001934609

Cited by 11 publications

(10 citation statements)

References 11 publications

(8 reference statements)

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“…Technical feasibility relates to practical issues with using the technology used for teleconsultations, for example, where a study reports difficulties with the audiovisual link. We identified 18 articles, which reported aspects related to technical feasibility of which there were 8 pilots [14,32,37,39,43,56,82,86], 2 case reports/series [17,36], 1 descriptive study [46], 1 RCT [61], 2 systematic reviews [73,75], 2 nonsystematic reviews [54,67], 1 mixed method study [105], and 1 study protocol [38].…”

Section: Technical Feasibilitymentioning

confidence: 99%

The Use of Patient-Facing Teleconsultations in the National Health Service: Scoping Review

O’Cathail¹,

Sivanandan²,

Diver³

et al. 2020

JMIR Med Inform

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Background The National Health Service (NHS) Long-Term Plan has set out a vision of enabling patients to access digital interactions with health care professionals within 5 years, including by video link. Objective This review aimed to examine the extent and nature of the use of patient-facing teleconsultations within a health care setting in the United Kingdom and what outcome measures have been assessed. Methods We conducted a systematic scoping review of teleconsultation studies following the Joanna Briggs Institute methodology. PubMed, Scopus, the Cochrane Library, and the Cumulative Index to Nursing and Allied Health Literature were searched up to the end of December 2018 for publications that reported on the use of patient-facing teleconsultations in a UK health care setting. Results The search retrieved 3132 publications, of which 101 were included for a full review. Overall, the studies were heterogeneous in design, in the specialty assessed, and reported outcome measures. The technology used for teleconsultations changed over time with earlier studies employing bespoke, often expensive, solutions. Two-thirds of the studies, conducted between 1995 and 2005, used this method. Later studies transitioned to Web-based commercial solutions such as Skype. There were five outcome measures that were assessed: (1) technical feasibility, (2) user satisfaction, (3) clinical effectiveness, (4) cost, (5) logistical and operational considerations. Due to the changing nature of technology over time, there were differing technical issues across the studies. Generally, teleconsultations were acceptable to patients, but this was less consistent among health care professionals. However, among both groups, face-to-face consultations were still seen as the gold standard. A wide range of clinical scenarios found teleconsultations to be clinically useful but potentially limited to more straightforward clinical interactions. Due to the wide array of study types and changes in technology over time, it is difficult to draw definitive conclusions on the cost involved. However, cost savings for health care providers have been demonstrated by the goal-directed implementation of teleconsultations. The integration of technology into routine practice represents a complex problem with barriers identified in funding and hospital reimbursement, information technologies infrastructure, and integration into clinicians’ workflow. Conclusions Teleconsultations appear to be safe and effective in the correct clinical situations. Where offered, it is likely that patients will be keen to engage, although teleconsultations should only be offered as an option to support traditional care models rather than replace them outright. Health care staff should be encouraged and supported in using teleconsultations to diversify their practice. Health care organizations need to consider developing a digital technology strategy and implementation groups to assist health care staff to integrate digitally enabled care into routine practice. The introduction of new technologies should be assessed after a set period with service evaluations, including feedback from key stakeholders.

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Section: Technical Feasibilitymentioning

confidence: 99%

The Use of Patient-Facing Teleconsultations in the National Health Service: Scoping Review

O’Cathail¹,

Sivanandan²,

Diver³

et al. 2020

JMIR Med Inform

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“…Such an example was shown to be possible in the management of the eclipse in Cornwall where a range of doctors in different parts of the country participated [10].…”

Section: Applicabilitymentioning

confidence: 99%

Using handheld pocket computers in a wireless telemedicine system

Tachakra

Tachakra²,

Bañistas³

et al. 2006

Emergency Nurse

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“…in emergency and management of medical data in catastrophes or natural disasters where conventional communication links may be disrupted. 34 Proper mobile communications have always been the weakest link in the management of major disasters. The weakest link has been traditionally between the disaster site and the base hospital.…”

Section: Swift Medical Care Can Be Made Availablementioning

confidence: 99%

Mobile e-Health: The Unwired Evolution of Telemedicine

Tachakra¹,

Wang²,

Istepanian³

et al. 2003

Telemedicine Journal and e-Health

223

108

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The movement of telemedicine from desktop platforms to wireless and mobile configurations may have a significant impact on future health care. This paper reviews some of the latest technologies in wireless communication and their application in health care. The new technologies can make the remote medical monitoring, consulting, and health care more flexible and convenient. But, there are challenges for successful wireless telemedicine, which are addressed in this paper.

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Transfer of telemedical support to Cornwall from a national telemedicine network during a solar eclipse

Cited by 11 publications

References 11 publications

The Use of Patient-Facing Teleconsultations in the National Health Service: Scoping Review

The Use of Patient-Facing Teleconsultations in the National Health Service: Scoping Review

Using handheld pocket computers in a wireless telemedicine system

Mobile e-Health: The Unwired Evolution of Telemedicine

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