Evaluating the potential impact of a mobile telemedicine system on coordination of specialty care for patients with complicated oral lesions in Botswana
| Autor: | Boitumelo Tau, Motsholathebe Phuthego, Carrie L. Kovarik, Didintle Motsepe, Neo Mohutsiwa-Dibe, Ryan Littman-Quinn, Cynthia Antwi, Siphiwo Ndlovu, Martha A. Tesfalul |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Telemedicine Dentists Oral Medicine Specialty Alternative medicine Health Informatics Brief Communication 03 medical and health sciences 0302 clinical medicine Nursing HIV Seropositivity Humans Medicine 030212 general & internal medicine Disease management (health) Referral and Consultation Botswana business.industry Disease Management 030206 dentistry Middle Aged medicine.disease Scale (social sciences) Female Medical emergency Mouth Diseases business Mobile device Health impact assessment Oral medicine Cell Phone Specialization |
| Zdroj: | Journal of the American Medical Informatics Association. 23:e142-e145 |
| ISSN: | 1527-974X 1067-5027 |
| DOI: | 10.1093/jamia/ocv140 |
| Popis: | Mobile telemedicine involves the use of mobile device (e.g., cell phones, tablets) technology to exchange information to assist in the provision of patient care. Throughout the world, mobile telemedicine initiatives are increasing in number and in scale, but literature on their impact on patient outcomes in low-resource areas is limited. This study explores the potential impact of a mobile oral telemedicine system on the oral health specialty referral system in Botswana. Analysis of 26 eligible cases from June 2012 to July 2013 reveals high diagnosis concordance between dental officers and oral health specialists at 91.3% (21/23) but significant management plan discordance at 64.0% (16/25), over two-thirds of which involved the specialists disagreeing with the referring clinicians about the need for a visit to a specialist. These findings suggest mobile telemedicine can optimize the use of insights and skills of specialists remotely in regions where they are scarce. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|