Effectiveness of an internet-based store-and-forward telemedicine system for pediatric subspecialty consultation
Effectiveness of an internet-based store-and-forward telemedicine system for pediatric subspecialty consultation
复制标题
DOI：
10.1001/archpedi.159.4.389
复制
发表时间：
2005-04-01
影响因子：
--
通讯作者：
Person, DA
中科院分区：
文献类型：
--
作者：
Callahan, CW;Malone, F;Person, DA
背景：由于距离、时间或社会经济因素，儿科专科医生经常与需要他们的儿童分开。太平洋电子儿童医院是一个基于互联网的存储转发儿科咨询系统，旨在克服这些障碍。目的：描述太平洋电子儿童医院的使用情况及其对专科护理的可及性、所提供护理的质量和成本节约的影响。设计：前瞻性试验环境：太平洋地区22个军事治疗设施。参与者：初级保健提供者、儿科顾问和5名审稿人。主要结局指标：会诊反应时间、医师小组回顾和疏散费用的避免。结果：16个部位267例。咨询师的平均+/- SD反应时间为32.8小时。专家组审查认为，15%（39/267）的病例（诊断计划）改变或修改了初始诊断。21%（57/267）的患者改变或修改治疗方案，24%（64/267）的患者改变或修改治疗方案(P
Background: Pediatric subspecialists are often separated from the children who need them by distance, time, Or socioeconomic factors. The Electronic Children's Hospital of the Pacific is an Internet-based store-and-forward pediatric consultation system established to overcome these barriers.Objective: To characterize the use of the Electronic Children's Hospital of the Pacific and its impact on access to specialty care, the quality of the care provided, and cost savings.Design: Prospective trial Setting: Twenty-two military treatment facilities in the Pacific.Participants: Primary care providers, pediatric consultants, and 5 reviewers.Main Outcome Measures: Consult response time, physician panel review, and evacuation cost avoidance.Results: There were 267 cases from 16 sites. The mean +/- SD response time by a consultant was 32 8 hours. The panel review deemed that the initial diagnosis was changed or modified in 15% (39/267) of the cases, the diagnostic plan. was changed or modified in 21% (57/267), and the treatment plan was changed or modified in 24% (64/267) (P