An analysis of the images attached to referral messages in an e-mail based telemedicine system for developing countries

Jakowenko, Janelle and Wootton, Richard (2006) An analysis of the images attached to referral messages in an e-mail based telemedicine system for developing countries. Journal of Telemedicine and Telecare, 12 S3: 49-53.


Author Jakowenko, Janelle
Wootton, Richard
Title An analysis of the images attached to referral messages in an e-mail based telemedicine system for developing countries
Journal name Journal of Telemedicine and Telecare   Check publisher's open access policy
ISSN 1357-633X
1758-1109
Publication date 2006
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1258/135763306779380066
Volume 12
Issue S3
Start page 49
End page 53
Total pages 5
Place of publication London, United Kingdom
Publisher Royal Society of Medicine Press
Collection year 2006
Language eng
Subject C1
321099 Clinical Sciences not elsewhere classified
730399 Health and support services not elsewhere classified
Abstract Little is known about the quality of the images transmitted in email telemedicine systems. The present study was designed to survey the quality of images transmitted in the Swinfen Charitable Trust email referral system. Telemedicine cases were examined for a 3 month period in 2002 and a 3 month period in 2006. The number of cases with images attached increased from 8 (38%) to 37 (53%). There were four types of images (clinical photographs, microscope pictures, notes and X-ray images) and the proportion of radiology images increased from 27 to 48%. The cases in 2002 came from four different hospitals and were associated with seven different clinical specialties. In 2006, the cases came from 19 different hospitals and 20 different specialties. The 46 cases (from both study periods) had a total of 159 attached images. The quality of the images was assessed by awarding each image a score in four categories: focus, anatomical perspective, composition and lighting. The images were scored on a five-point scale (1 = very poor to 5 =very good) by a qualified medical photographer. In comparing image quality between the two study periods, there was some evidence that the quality had reduced, although the average size of the attached images had increased. The median score for all images in 2002 was 16 (interquartile range 14-19) and the median score in 2006 was 15 (13-16). The difference was significant (P < 0.001, Mann-Whitney test).
Keyword Health Care Sciences and Services
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Excellence in Research Australia (ERA) - Collection
2007 Higher Education Research Data Collection
Centre for Online Health Publications
 
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Created: Wed, 15 Aug 2007, 10:42:40 EST