Teleconsultation from a secondary hospital for paediatric emergencies occurring at rural hospitals in Queensland

Desai, Sachin, Williams, Michael L. and Smith, Anthony C. (2013) Teleconsultation from a secondary hospital for paediatric emergencies occurring at rural hospitals in Queensland. Journal of Telemedicine and Telecare, 19 7: 405-410. doi:10.1177/1357633X13506528


Author Desai, Sachin
Williams, Michael L.
Smith, Anthony C.
Title Teleconsultation from a secondary hospital for paediatric emergencies occurring at rural hospitals in Queensland
Journal name Journal of Telemedicine and Telecare   Check publisher's open access policy
ISSN 1357-633X
1758-1109
Publication date 2013-11-01
Year available 2013
Sub-type Article (original research)
DOI 10.1177/1357633X13506528
Open Access Status
Volume 19
Issue 7
Start page 405
End page 410
Total pages 6
Place of publication London, United Kingdom
Publisher Sage Publications
Language eng
Abstract We reviewed telehealth consultations for acute paediatric patients presenting at rural sites in the Mackay district in 2012. Patient data and outcomes were collected prospectively, and a survey of the referring clinicians was undertaken. Thirty four patient consultations were conducted via telehealth with 14 referring clinicians. Most of the referrals were for respiratory illnesses, including bronchiolitis. We received feedback surveys for 16 consultations (57% response rate). In 47% of the cases, the paediatric team felt that transfer was avoided by using teleconsultation. In 80% of consultations, the referring clinicians felt that video consultation was more effective than telephone alone. In 30% of cases, the referring clinicians felt that the patient would have been transferred to higher facility in the absence of the telehealth facility. Clinicians thought that almost all consultations had educational value and reduced their anxiety in dealing with acute paediatric problems. There were no adverse outcomes or delayed transfers of patients staying at their rural sites. We recommend that telehealth consultation occur for all enquiries about acute paediatric patients at rural sites, especially if transfer of the patient is being considered.
Keyword Health Care Sciences & Services
Health Care Sciences & Services
HEALTH CARE SCIENCES & SERVICES
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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Created: Wed, 13 Nov 2013, 23:57:08 EST by Burke, Eliza on behalf of Centre for On-Line Health