telemedicine applications may be an acceptable means of providing medical care for eecs dissertation berkeley a large percent of persons. Examined the relative effectiveness of telephone versus televised consultation with physicians by nurse practitioners in three nurse-run clinics. These are just a few simple examples of applications of telemedicine. Neurology Small, narrow studies of effectiveness have been conducted within several specialties and within general internal medicine. For instance, a nurse in a rural Alaska facility can monitor up to 33 patients at once from a single location using telemedicine services. Low patient volumes ( Allen, 1993 ; ) and the small number of active telemedicine programs have made it impossible to conduct large-scale, cross-cutting evaluations of the effectiveness of telemedicine. A more recent pilot study of patient satisfaction with teleoncology was reported. There was 100 percent agreement on diastolic murmurs heard at the left sternal border, but only 75 percent (6 of 8) on those at the apex, in favor of direct auscultation. Technical Training and Equipment. There were no striking differences in patient satisfaction across the different modes, although there was evidence for a slight preference for color iatv.
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Service provider shuffling increases the risk that a doctor wont know a patients history or have notes about care routines. During the 7-month study period, 1,408 patients visited the clinic, and of these a total of 354 required consultation between nurse and a remote physician. Or, if youre a specialist looking to expand your patient population, telemedicine can help you reach a wider geographic region. They administered a short survey to 39 cancer patients following a first telemedicine session, and followed up with a similar survey of 21 of these patients following a subsequent in-person visit with the same physician who had conducted the telemedicine consult Patients were generally satisfied. Fifty-four diagnoses were changed, the interpretation of 27 diagnostic studies was altered, and the diagnostic process and treatment plans were both changed in 47 cases. In 1967, an interactive network was established between Boston's Logan Airport and Massachusetts General Hospital with funding from the.S. Projects in a wide range of venues and clinical contexts have demonstrated that telemedicine is a feasible endeavor. Extended Specialist and Referring Physician Access. Cons of Telemedicine, while telemedicine promises to grow rapidly over the next decade and has clear benefits, it still poses some technical and practical problems for healthcare providers.
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