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Titolo:
Pediatric tele-echocardiography: Evaluation of transmission modalities
Autore:
Mehta, AR; Wakefield, DS; Kienzle, MG; Scholz, TD;
Indirizzi:
Univ Iowa, Dept Pediat, Div Pediat Cardiol, Iowa City, IA 52242 USA Univ Iowa Iowa City IA USA 52242 Pediat Cardiol, Iowa City, IA 52242 USA Univ Iowa, Dept Hlth Policy & Management, Iowa City, IA 52242 USA Univ Iowa Iowa City IA USA 52242 cy & Management, Iowa City, IA 52242 USA Univ Iowa, Dept Internal Med, Iowa City, IA 52242 USA Univ Iowa Iowa CityIA USA 52242 pt Internal Med, Iowa City, IA 52242 USA
Titolo Testata:
TELEMEDICINE JOURNAL AND E-HEALTH
fascicolo: 1, volume: 7, anno: 2001,
pagine: 17 - 25
SICI:
1530-5627(200121)7:1<17:PTEOTM>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
TELEMEDICINE; CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
9
Recensione:
Indirizzi per estratti:
Indirizzo: Scholz, TD Univ Iowa, Dept Pediat, Div Pediat Cardiol, 2852 JPP, Iowa City, IA 52242 USA Univ Iowa 2852 JPP Iowa City IA USA 52242 wa City, IA 52242 USA
Citazione:
A.R. Mehta et al., "Pediatric tele-echocardiography: Evaluation of transmission modalities", TELEMED J E, 7(1), 2001, pp. 17-25

Abstract

Pediatric cardiology consultation has been effectively delivered outside the tertiary care setting through the use of tele-echocardiography. This study examined the effectiveness of several tele-echocardiography connections and the satisfaction of the referring physicians using these services. Studies were transmitted via either a shared fiber-optic (DS3) connection (two sites), a dedicated fast-copper (ISDN-PRI) link, or by courier from a nearby (25-mile) or distant (170-mile) site. Time intervals between when echocardiograms were performed locally until they were received, interpreted, and reported were prospectively recorded. Referring physician satisfaction was assessed through a survey. The critical time between when a remote echocardiogram was performed and when its result was reported to the referring physician was primarily determined by the mode of transmission. The time interval between performing an echocardiogram and receiving the study was significantly longer for echocardiograms sent from the 170-mile courier site (2474+/- 295 min) than either the 25-mile courier site (474 +/- 151 min), DS3 (374 +/- 121 min), or ISDN-PRI (129 +/- 16 min). Regardless of the method oftransmission, all referring physicians felt that the service improved their ability to manage children, and they would recommend the service to theircolleagues. Those using the courier service from the 25-mile away site were more concerned about the availability of a pediatric cardiologist and image quality, presumably due to the delay in response times. The time interval data provided in this study and the assessment of physician satisfaction provide important data as echocardiography laboratories implement tele-echocardiography services.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 01:29:04