Telemedicine journal : the official journal of the American Telemedicine Association最新文献_第4页

How to build a telemedicine system 如何构建远程医疗系统

Telemedicine journal : the official journal of the American Telemedicine Association Pub Date : 1999-01-01 DOI: 10.1089/107830299312195

Searle, Adams

引用次数: 0

Cybermedicine: how computing empowers doctors and patients for better health care 网络医学:计算机如何使医生和病人获得更好的医疗保健

Telemedicine journal : the official journal of the American Telemedicine Association Pub Date : 1999-01-01 DOI: 10.1089/107830299312203

Yellowlees

引用次数: 45

Teledermatology in a capitated delivery system using distributed information architecture: design and development. 基于分布式信息体系结构的远程皮肤病投送系统的设计与开发。

Telemedicine journal : the official journal of the American Telemedicine Association Pub Date : 1999-01-01 DOI: 10.1089/107830299311925

J C Kvedar, E R Menn, S Baradagunta, O Smulders-Meyer, E Gonzalez

{"title":"Teledermatology in a capitated delivery system using distributed information architecture: design and development.","authors":"J C Kvedar, E R Menn, S Baradagunta, O Smulders-Meyer, E Gonzalez","doi":"10.1089/107830299311925","DOIUrl":"https://doi.org/10.1089/107830299311925","url":null,"abstract":"Objective: This report describes the design, development, and technical evaluation of a teledermatology system utilizing digital images and electronic forms captured through, stored on, and viewed through a common web server in an urban capitated delivery system.Materials and methods: The authors designed a system whereby a primary care physician was able to seek a dermatologic consultation electronically, provide the specialist with digital images acquired according to a standardized protocol, and review the specialist response within 2 business days of the request. The settings were two primary care practices in eastern Massachusetts that were affiliated with a large integrated delivery system. Technical evaluation of the effectiveness of the system involved 18 patients. Main outcome measures included physician and patient satisfaction and comfort and efficiency of care delivery.Results: In 15 cases, the consultant dermatologist was comfortable in providing definitive diagnosis and treatment recommendations. In 3 cases, additional information (laboratory studies or more history) was requested. There were no instances where the dermatologist felt that a face-to-face visit was necessary.Conclusions: This novel approach shows promise for the delivery of specialist expertise via the internet. Cost-effectiveness studies may be necessary for more widespread implementation.","PeriodicalId":79734,"journal":{"name":"Telemedicine journal : the official journal of the American Telemedicine Association","volume":"5 4","pages":"357-66"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/107830299311925","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21749939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 45

Heuristic evaluation of a web-based interface for internet telemedicine. 网络远程医疗基于web界面的启发式评价。

Telemedicine journal : the official journal of the American Telemedicine Association Pub Date : 1999-01-01 DOI: 10.1089/107830299312140

C E Lathan, M M Sebrechts, D J Newman, C R Doarn

{"title":"Heuristic evaluation of a web-based interface for internet telemedicine.","authors":"C E Lathan, M M Sebrechts, D J Newman, C R Doarn","doi":"10.1089/107830299312140","DOIUrl":"https://doi.org/10.1089/107830299312140","url":null,"abstract":"A low-cost usability engineering methodology (heuristic evaluation combined with small-scale expert assessment) is examined in the context of the design and development of a Web-based telemedicine system. Six experts - three human-computer interaction (HCI) experts and three medical-content experts - examined the Spacebridge to Russia Web site for usability. The HCI experts identified 52 interface problems using a set of ten usability criteria or heuristics; these problems ranged in severity from cosmetic to a major failure. The content experts completed a series of six simple tasks while describing their actions. The usage difficulties were related to the HCI problems identified and were primarily characterized by a mismatch of the designer model and the content expert model. This heuristic/usage methodology can provide an incremental benefit in a variety of other design activities. It is suggested herein that the combined heuristic/usage methodology should be included as a standard design component of dynamic telemedicine systems.","PeriodicalId":79734,"journal":{"name":"Telemedicine journal : the official journal of the American Telemedicine Association","volume":"5 2","pages":"177-85"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/107830299312140","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21748926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 40

A usability evaluation for telemedicine medical equipment. 远程医疗医疗设备的可用性评价。

Telemedicine journal : the official journal of the American Telemedicine Association Pub Date : 1999-01-01 DOI: 10.1089/107830299312177

D P Birkmire-Peters, L J Peters, L A Whitaker

引用次数: 15

A store-forward ophthalmic telemedicine case report from deployed U. S. Army forces in Kuwait. 从部署在科威特的美国陆军部队储存的眼科远程医疗病例报告。

Telemedicine journal : the official journal of the American Telemedicine Association Pub Date : 1999-01-01 DOI: 10.1089/107830299312069

M R Lattimore

{"title":"A store-forward ophthalmic telemedicine case report from deployed U. S. Army forces in Kuwait.","authors":"M R Lattimore","doi":"10.1089/107830299312069","DOIUrl":"https://doi.org/10.1089/107830299312069","url":null,"abstract":"This telemedicine test was developed to determine the relative ease with which an off-the-shelf ophthalmic telemedicine package could be successfully applied from within a remote theatre of operations. The project was conducted at the Camp Doha Health Clinic, located just outside Kuwait City, during the period from April 12(th) through April 23(rd), 1998. The deployed signal unit had contracted for a direct T-1 commercial satellite link (via MCI), which allowed for direct internet connectivity using a PCMCIA network card. Digital images were sent via this connection to 140 e-mail sites throughout the world, including an unsolicited image to each of 134 Army optometry officers for their review, analysis, and diagnosis. Return responses to this unsolicited survey were 53 out of 134, for a 39.7% response rate. Half of the respondents were able to view the image with ease and clarity, rendering an accurate clinical diagnosis. The other half of the respondents either did not have the software to display an image on their clinical desktop PC, or did not know how to use their provided software. This project clearly indicates that an off-the-shelf ophthalmic digital system can be successfully used from a remote deployed site. However, the consulting clinicians require up-to-date training, and their computer packages should have as wide a capability base as possible.","PeriodicalId":79734,"journal":{"name":"Telemedicine journal : the official journal of the American Telemedicine Association","volume":"5 3","pages":"309-13"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/107830299312069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21748842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 17

Handbook of telemedicine 远程医疗手册

Telemedicine journal : the official journal of the American Telemedicine Association Pub Date : 1999-01-01 DOI: 10.1089/107830299312078

Reardon

引用次数: 36

Clinical feasibility of remote angiographic teleconsultation using a ISDN-30 communication network. 使用ISDN-30通信网络进行远程血管造影会诊的临床可行性。

Telemedicine journal : the official journal of the American Telemedicine Association Pub Date : 1999-01-01 DOI: 10.1089/107830299311961

V Umans, W Kok, H J Spruijt, J Bronzwaer

引用次数: 2

Interactive telecardiology for the evaluation of heart murmurs in children. 交互式心电学评价儿童心脏杂音。

Telemedicine journal : the official journal of the American Telemedicine Association Pub Date : 1999-01-01 DOI: 10.1089/107830299312113

M E McConnell, R D Steed, J M Tichenor, D W Hannon

{"title":"Interactive telecardiology for the evaluation of heart murmurs in children.","authors":"M E McConnell, R D Steed, J M Tichenor, D W Hannon","doi":"10.1089/107830299312113","DOIUrl":"https://doi.org/10.1089/107830299312113","url":null,"abstract":"Objective: To study the accuracy, patient satisfaction, and cost of telecardiographic evaluations of pediatric patients.Materials and methods: Patients referred to a rural pediatric cardiology outreach clinic were examined in person by a pediatric cardiologist. A second pediatric cardiologist who had no knowledge of the findings of face-to-face examination reevaluated the same patients utilizing a 768-Kbps telemedicine system. Any additional testing was performed by personnel who had no knowledge of the face-to-face evaluation. The main outcome measures included the final cardiac diagnosis, frequency of additional tests such as electrocardiography, (ECG) echocardiography (ECHO), and patient satisfaction.Results: The diagnosis was agreed upon in 19 of the 21 patients studied. Two patients with small ventricular septal defects were missed during the telemedicine evaluation. The utilization rates of additional studies for both the face-to-face cardiologist and the telemedicine cardiologist were not significantly different. Patient satisfaction with the telemedicine encounter was good.Conclusions: Telemedicine appears to be effective and useful for the cardiac evaluation of pediatric patients. In spite of high data-transfer rates, differences between telemedicine and face-to-face patient encounters were observed.","PeriodicalId":79734,"journal":{"name":"Telemedicine journal : the official journal of the American Telemedicine Association","volume":"5 2","pages":"157-61"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/107830299312113","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21748923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

Human factors in telemedicine. 远程医疗中的人为因素。

Telemedicine journal : the official journal of the American Telemedicine Association Pub Date : 1999-01-01 DOI: 10.1089/107830299312087

R L Bashshur, C E Lathan

引用次数: 14