دورية أكاديمية
أعرض في EDS

Developing a synchronous otolaryngology telemedicine Clinic: Prospective study to assess fidelity and diagnostic concordance.

التفاصيل البيبلوغرافية
العنوان: Developing a synchronous otolaryngology telemedicine Clinic: Prospective study to assess fidelity and diagnostic concordance.
المؤلفون: Seim NB; Department of Otolaryngology-Head and Neck Surgery., Philips RHW; The Ohio State University College of Medicine., Matrka LA; Department of Otolaryngology-Head and Neck Surgery., Locklear B; Department of Regional Outreach Development, The Ohio State University Wexner Medical Center, Columbus, Ohio, U.S.A., Inman M; Department of Otolaryngology-Head and Neck Surgery., Moberly AC; Department of Otolaryngology-Head and Neck Surgery., Essig GF Jr; Department of Otolaryngology-Head and Neck Surgery.
المصدر: The Laryngoscope [Laryngoscope] 2018 May; Vol. 128 (5), pp. 1068-1074. Date of Electronic Publication: 2017 Oct 27.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8607378 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-4995 (Electronic) Linking ISSN: 0023852X NLM ISO Abbreviation: Laryngoscope Subsets: MEDLINE
أسماء مطبوعة: Publication: <2009- >: Philadelphia, PA : Wiley-Blackwell
Original Publication: St. Louis, Mo. : [s.n., 1896-
مواضيع طبية MeSH: Otolaryngology/*methods , Otorhinolaryngologic Diseases/*diagnosis , Telemedicine/*methods, Female ; Humans ; Male ; Middle Aged ; Ohio ; Patient Satisfaction ; Pilot Projects ; Prospective Studies ; Rural Population ; Surveys and Questionnaires
مستخلص: Objective: To evaluate diagnostic concordance of a synchronous telemedicine otolaryngology clinic with use of currently available technology.
Study Design: Prospective.
Methods: Patients in a rural otolaryngology clinic were enrolled in a pilot telemedicine clinic. To assess system fidelity, an on-site and remote (consulting) otolaryngologist conducted simultaneous patient evaluations using streaming telecommunication technology for all aspects of the clinical encounter, including high-definition examination and endoscopic images. Both physicians and patients were blinded and diagnoses recorded. Post-encounter physician surveys and an original patient-centered TeleENT Satisfaction Questionnaire (TESQ) were used to assess overall satisfaction.
Results: Twenty-one patients were enrolled consecutively. Visual technology was found acceptable in all cases, and audio technology was acceptable in 20 of 21 encounters. Patient satisfaction was 96%, and patients felt comfortable using a telemedicine system in the future. Encounters were not significantly longer than traditional encounters. Physician diagnostic agreement was found in 95% of cases, and the consulting physician indicated that all encounters provided sufficient history, examination, and high-quality images to generate an accurate diagnosis, order additional workup, and/or make an appropriate referral.
Conclusion: A synchronous otolaryngology telemedicine clinic is comparable to a standard clinic in terms of diagnostic concordance and patient satisfaction when using streaming technology and high-definition images. Using telemedical technology may be a viable way to increase otolaryngology access in remote or underserved areas. With system validity now established, future studies will assess the feasibility of using trained on-site physician extenders (nurse practitioners or physician assistants) to conduct in-person patient encounters with remote otolaryngologist support.
Level of Evidence: 2c. Laryngoscope, 128:1068-1074, 2018.
(© 2017 The American Laryngological, Rhinological and Otological Society, Inc.)
فهرسة مساهمة: Keywords: Telemedicine; diagnostic concordance; patient satisfaction; real-time; synchronous
تواريخ الأحداث: Date Created: 20171028 Date Completed: 20181008 Latest Revision: 20220408
رمز التحديث: 20240628
DOI: 10.1002/lary.26929
PMID: 29076534
قاعدة البيانات: MEDLINE
الوصف
تدمد:1531-4995
DOI:10.1002/lary.26929