通过图像上传技术加强新西兰 Aotearoa 免费健康热线服务。

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES
International Journal of Telemedicine and Applications Pub Date : 2024-02-02 eCollection Date: 2024-01-01 DOI:10.1155/2024/6644580
Miriama K Wilson, Fiona Pienaar, Ruth Large, Matt Wright, Verity F Todd
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引用次数: 0

摘要

背景:Healthline是Whakarongorau Aotearoa/新西兰远程医疗服务公司为新西兰人提供的39项免费远程医疗服务之一。2021 年初,Healthline 服务启用了图像上传系统,用于查看服务用户上传的图像。目的:本研究旨在了解新西兰临床医生和服务用户对 Healthline 图像上传系统的使用情况:这是一项回顾性观察研究,分析 Healthline 两年内的图像上传数据:这是一项回顾性观察研究,分析了2021年3月至2022年12月这两年期间的Healthline图像上传数据。共分析了 40,045 张图片,包括上传图片的服务用户的人口统计学特征:种族、年龄组和居住地区。还根据是否包含图片评估了健康热线呼叫的结果或建议:上传图片占健康热线呼叫总数的 6.0%(n = 671,564 次)。研究发现,与使用该工具的服务用户相比,未上传图片的服务用户被建议去急诊科的比例更高(13.5% 对 7.7%),而如果用户上传了图片,则有更高比例的服务用户被建议去急诊科(24.0% 对 16.9%)和全科医生(36.7% 对 24.3%):结论:与使用该工具的服务用户相比,未上传图片的服务用户在急诊室就诊的比例更高。该图像上传工具显示,通过提高低危急值结果,有可能减轻新西兰奥特亚罗瓦地区急诊科的压力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enhancing Aotearoa, New Zealand's Free Healthline Service through Image Upload Technology.

Background: Healthline is one of the 39 free telehealth services that Whakarongorau Aotearoa/New Zealand Telehealth Services provides to New Zealanders. In early 2021, an image upload system for viewing service user-uploaded images was implemented into the Healthline service.

Aims: The aim of this research was to understand the utilisation of Healthline's image upload system by clinicians and service users in New Zealand.

Methods: This is a retrospective observational study analysing Healthline image upload data over a two-year period: March 2021 through to December 2022. A total of 40,045 images were analysed, including demographics of the service users who uploaded an image: ethnicity, age group, and area of residence. The outcome or recommendation of the Healthline call was also assessed based on whether an image was included.

Results: Images uploaded accounted for 6.0% of total Healthline calls (n = 671,564). This research found that more service users were advised to go to an Emergency Department if they did not upload an image compared to service users who used the tool (13.5% vs. 7.7%), whereas a higher proportion of service users were given a lower acuity outcome if they included an image, including visiting an Urgent Care (24.0% vs. 16.9%) and GP (36.7% vs. 24.3%).

Conclusion: Service users who did not upload an image had a higher proportion of Emergency Department outcomes than service users who did use the tool. This image upload tool has shown the potential to decrease stress on Emergency Departments around Aotearoa, New Zealand, through increased lower acuity outcomes.

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来源期刊
CiteScore
6.90
自引率
2.30%
发文量
19
审稿时长
12 weeks
期刊介绍: The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.
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