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Comparison of asynchronous and realtime teleconsulting for orthopaedic second opinions.

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Title: Comparison of asynchronous and realtime teleconsulting for orthopaedic second opinions.
Authors: Baruffaldi, F.1 baruffaldi@tecno.ior.it, Gualdrini, G.2, Toni, A.1
Source: Journal of Telemedicine & Telecare. Oct2002, Vol. 8 Issue 5, p297-301. 5p. 8 Charts.
Subjects: Telemedicine, Medical telematics, Medical consultation, Orthopedics, Medical personnel, Medical imaging systems, Comparative studies, Research methodology, Medical cooperation, Medical referrals, Research, Video recording, Workers' compensation, Evaluation research, Teleradiology
Geographic Terms: Italy
Abstract: We studied a teleconsulting service for second opinions in orthopaedics. Three units of the national insurance organization for accidents at work were connected to a large orthopaedic hospital in Bologna. During a 20-month study, 65 consultations were provided: 51 (78%) by asynchronous (store-and-forward) consulting and 14 (22%) by realtime videoconferencing. All the consultations made use of radiology images (radiographs, computerized tomography scans, magnetic resonance imaging scans and ultrasound scans). Video-messages and still images were commonly used to support the asynchronous consultations. More data were transmitted on average for an asynchronous teleconsultation (8 MByte) than in a videoconference (5 MByte). The average time spent by orthopaedic specialists was slightly longer in videoconferences (21 min, SD 8) than in asynchronous teleconsultations (19 min, SD 8). The clinicians confidence in their diagnosis was generally good but was lower in asynchronous consultations. The main problem affecting the telemedicine service was the lack or the low quality of the information received from the referring sites. The clinical complexity of the case and the organizational requirements were declared to be the main factors affecting the choice of consulting procedure. The study showed that the asynchronous method was preferred in the majority of cases and could be easily integrated into clinical practice, although there were some concerns about the diagnostic quality of the information transmitted. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Telemedicine & Telecare is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Engineering Source
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PubType: Academic Journal
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  Data: We studied a teleconsulting service for second opinions in orthopaedics. Three units of the national insurance organization for accidents at work were connected to a large orthopaedic hospital in Bologna. During a 20-month study, 65 consultations were provided: 51 (78%) by asynchronous (store-and-forward) consulting and 14 (22%) by realtime videoconferencing. All the consultations made use of radiology images (radiographs, computerized tomography scans, magnetic resonance imaging scans and ultrasound scans). Video-messages and still images were commonly used to support the asynchronous consultations. More data were transmitted on average for an asynchronous teleconsultation (8 MByte) than in a videoconference (5 MByte). The average time spent by orthopaedic specialists was slightly longer in videoconferences (21 min, SD 8) than in asynchronous teleconsultations (19 min, SD 8). The clinicians confidence in their diagnosis was generally good but was lower in asynchronous consultations. The main problem affecting the telemedicine service was the lack or the low quality of the information received from the referring sites. The clinical complexity of the case and the organizational requirements were declared to be the main factors affecting the choice of consulting procedure. The study showed that the asynchronous method was preferred in the majority of cases and could be easily integrated into clinical practice, although there were some concerns about the diagnostic quality of the information transmitted. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Telemedicine & Telecare is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1177/1357633X0200800509
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        Text: English
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        PageCount: 5
        StartPage: 297
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      – SubjectFull: Telemedicine
        Type: general
      – SubjectFull: Medical telematics
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      – SubjectFull: Medical consultation
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      – SubjectFull: Orthopedics
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      – SubjectFull: Medical personnel
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      – SubjectFull: Medical imaging systems
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      – SubjectFull: Research methodology
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      – SubjectFull: Workers' compensation
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      – SubjectFull: Evaluation research
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      – SubjectFull: Teleradiology
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      – SubjectFull: Italy
        Type: general
    Titles:
      – TitleFull: Comparison of asynchronous and realtime teleconsulting for orthopaedic second opinions.
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              Text: Oct2002
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