Evaluation of Satisfaction of Parents With the Use of Videoconferencing for a Pediatric Genetic Consultation
Evaluation of Satisfaction of Parents With the Use of Videoconferencing for a Pediatric Genetic Consultation
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DOI：
10.1375/twin.14.4.343
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发表时间：
2011-08-01
影响因子：
0.9
通讯作者：
Edwards, Matthew
中科院分区：
文献类型：
--
作者：
Hopper, Bruce;Buckman, Melissa;Edwards, Matthew
远程遗传学是澳大利亚遗传服务提供方面的一个新发展。该项目旨在确定在智力残疾的遗传评估中，包括患者的形态评估，这是否是面对面咨询的可接受替代方案。来自新南威尔士州农村地区两个外展诊所的10名儿童由儿科医生转诊，由一名遗传学家通过远程医疗进行评估，然后再次面对面地进行“黄金标准”。然后，满意度调查被发送给父母和儿科医生。面谈结束后，临床遗传学家查看了传输的视频和分别发送的高清视频。有很少的形态学结果错过了远程遗传评估。随着工作人员更加熟悉这些方法，发现的差异可能会减少。患者的父母报告说，摄像头和远程医疗没有问题。他们更喜欢面对面的预约，但如果远程医疗预约意味着更早被看到，他们也会很高兴。这项试点研究表明，临床遗传诊断评估可以通过远程医疗进行。
Telegenetics is a new development in the service delivery of Genetic Services in Australia. This project was designed to establish if it was an acceptable alternative to a face-to-face consultation in the genetic assessment of intellectual disability, including morphological assessment, of the patient. Ten children from two outreach clinics in rural NSW who were referred by their pediatrician were assessed by a single geneticist via telehealth and then seen again face-to-face as a 'gold standard'. Satisfaction surveys were then sent to both the parents and the referring pediatricians. After the face-to-face appointment, the clinical geneticist reviewed the recordings of both the transmitted footage and the high definition footage that was sent separately. There were very few morphological findings missed by the telegenetic assessments. The discrepancies that were noted could decrease in frequency as staff become more familiar with the methods. The parents of the patients reported no problem with the cameras and telehealth. They would have preferred face-to-face appointment but would be happy to have the telehealth appointment if it meant being seen earlier. This pilot study suggests that clinical genetic diagnostic assessment could be performed by telemedicine.