Telemedicine and clinical genetics: establishing a successful service

Telemedicine and clinical genetics: establishing a successful service
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DOI:
10.1258/1357633011937191
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发表时间:
2001-01-01
影响因子:
4.7
通讯作者:
Wootton, R
Wootton, R
中科院分区:
医学3区
文献类型:
--
作者:
Gattas, MR;MacMillan, JC;Wootton, R

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被引文献

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有一个令人惊讶的缺乏发表的经验,使用视频会议在临床遗传学。患者被随机分配到远程遗传(病例)或面对面(对照)常规诊所。远程遗传咨询是通过视频会议进行的,使用ISDN线路,速度为384 kbit/s。每次预约后,医生和顾问立即进行评估。在事件发生后约四周,要求患者通过电话问卷对预约进行评估。42例患者被邀请参加,33例(79%)返回了知情同意书。4名患者拒绝参加,在普通的面对面诊所就诊。初步结果显示,医生、咨询师和患者对远程遗传学咨询的评估非常有利,当被问及未来是否愿意使用远程医疗时,他们做出了积极的回应。在选定的咨询中使用,视频会议似乎在临床遗传学中发挥了有益的作用。
There is a surprising lack of published experience on the use of videoconferencing in clinical genetics. Patients were randomly allocated to either a telegenetic (cases) or face-to-face (control) conventional clinic. The telegenetic consultation was done by videoconferencing, using ISDN lines at 384 kbit/s. Evaluation by the doctor and counsellor took place immediately after each appointment. The patient was asked to evaluate the appointment by telephone questionnaire about four weeks after the event. Forty-two patients were invited to participate and 33 (79%) returned their consent forms. Four patients declined to participate and were seen in ordinary face-to-face clinics. Preliminary results showed that the assessment of the telegenetics consultations by doctors, counsellors and patients was very favourable, and they responded positively when asked if they would be happy to use telemedicine in the future. For use in selected consultations, videoconferencing does appear to fulfil a useful role in clinical genetics.