Abstract
The aim of this study was to determine whether outpatient telemedicine specialty consultations to primary care clinicians result in changes in a patient's diagnosis, treatment management, and clinical outcomes. Medical records of patients who received two or more clinical telemedicine consultations in dermatology, psychiatry, and endocrinology were evaluated in a nonconcurrent retrospective analysis. Three indicators were used to measure changes in the processes of care and clinical outcomes: change in diagnosis, change in treatment, and patient clinical improvement. A retrospective review of 223 individual telemedicine patient medical records was conducted. Specialty telemedicine consultations were found to result in changes in diagnoses in 48% of the cases, changes in treatment therapy in 81.6% of the cases, and clinical improvement in 60.1%. These results are consistent with previous literature that has assessed changes in processes of care and outcomes from face-to-face specialty consultations in outpatient clinics. Changes in diagnosis and treatment therapy were found to be associated with clinical improvement with odds ratios (ORs) of 2.66 (95% confidence interval [CI]: 1.47-4.83) and 11.22 (95% CI: 4.49-31.48), respectively. This study found that telemedicine consultations resulted in changes in diagnosis and treatment regimens and also are associated with clinical improvements.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 36-43 |
| Number of pages | 8 |
| Journal | Telemedicine Journal and e-Health |
| Volume | 11 |
| Issue number | 1 |
| DOIs | |
| State | Published - Feb 2005 |
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ASJC Scopus subject areas
- Medicine(all)
- Bioengineering
- Media Technology
- Nursing(all)
Cite this
Changes in diagnosis, treatment, and clinical improvement among patients receiving telemedicine consultations. / Marcin, James P; Nesbitt, Thomas S; Cole, Stacey L.; Knuttel, Robin M.; Hilty, Donald M.; Prescott, Pamela T; Daschbach, Martha M.
In: Telemedicine Journal and e-Health, Vol. 11, No. 1, 02.2005, p. 36-43.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Changes in diagnosis, treatment, and clinical improvement among patients receiving telemedicine consultations
AU - Marcin, James P
AU - Nesbitt, Thomas S
AU - Cole, Stacey L.
AU - Knuttel, Robin M.
AU - Hilty, Donald M.
AU - Prescott, Pamela T
AU - Daschbach, Martha M.
PY - 2005/2
Y1 - 2005/2
N2 - The aim of this study was to determine whether outpatient telemedicine specialty consultations to primary care clinicians result in changes in a patient's diagnosis, treatment management, and clinical outcomes. Medical records of patients who received two or more clinical telemedicine consultations in dermatology, psychiatry, and endocrinology were evaluated in a nonconcurrent retrospective analysis. Three indicators were used to measure changes in the processes of care and clinical outcomes: change in diagnosis, change in treatment, and patient clinical improvement. A retrospective review of 223 individual telemedicine patient medical records was conducted. Specialty telemedicine consultations were found to result in changes in diagnoses in 48% of the cases, changes in treatment therapy in 81.6% of the cases, and clinical improvement in 60.1%. These results are consistent with previous literature that has assessed changes in processes of care and outcomes from face-to-face specialty consultations in outpatient clinics. Changes in diagnosis and treatment therapy were found to be associated with clinical improvement with odds ratios (ORs) of 2.66 (95% confidence interval [CI]: 1.47-4.83) and 11.22 (95% CI: 4.49-31.48), respectively. This study found that telemedicine consultations resulted in changes in diagnosis and treatment regimens and also are associated with clinical improvements.
AB - The aim of this study was to determine whether outpatient telemedicine specialty consultations to primary care clinicians result in changes in a patient's diagnosis, treatment management, and clinical outcomes. Medical records of patients who received two or more clinical telemedicine consultations in dermatology, psychiatry, and endocrinology were evaluated in a nonconcurrent retrospective analysis. Three indicators were used to measure changes in the processes of care and clinical outcomes: change in diagnosis, change in treatment, and patient clinical improvement. A retrospective review of 223 individual telemedicine patient medical records was conducted. Specialty telemedicine consultations were found to result in changes in diagnoses in 48% of the cases, changes in treatment therapy in 81.6% of the cases, and clinical improvement in 60.1%. These results are consistent with previous literature that has assessed changes in processes of care and outcomes from face-to-face specialty consultations in outpatient clinics. Changes in diagnosis and treatment therapy were found to be associated with clinical improvement with odds ratios (ORs) of 2.66 (95% confidence interval [CI]: 1.47-4.83) and 11.22 (95% CI: 4.49-31.48), respectively. This study found that telemedicine consultations resulted in changes in diagnosis and treatment regimens and also are associated with clinical improvements.
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U2 - 10.1089/tmj.2005.11.36
DO - 10.1089/tmj.2005.11.36
M3 - Article
C2 - 15785219
AN - SCOPUS:15344350278
VL - 11
SP - 36
EP - 43
JO - Telemedicine and e-Health
JF - Telemedicine and e-Health
SN - 1530-5627
IS - 1
ER -