Telemedicine for delivery of health care in Parkinson's disease.
We have used telemedicine at the Seattle Veterans Administration Medical Center to deliver follow-up care to patients with Parkinson's disease (PD). Patients were located at eight facilities which were 67-2400 km from the medical centre. Each facility had videoconferencing equipment (connected by In...
| Publicado en: | Journal of Telemedicine & Telecare Vol. 12; no. 1; pp. 16 - 19 |
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| Autores principales: | , , , , , |
| Formato: | questionnaire/scale Journal Article |
| Publicado: |
Sage Publications Inc.
Jan2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106426611&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106426611 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1357633X 8OL jtl: Journal of Telemedicine & Telecare issn: 1357633X maglogo: Y pubinfo: dt: Jan2006 vid: 12 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 106426611 2009145419 10.1258/135763306775321371 NLM16438773 106426611 ppf: 16 ppct: 3 formats: tig: atl: Telemedicine for delivery of health care in Parkinson's disease. aug: au: Samii A Ryan-Dykes P Tsukuda RA Zink C Franks R Nichol WP affil: VAPSHCS, Department of Neurology, Mailstop 127, 1660 S. Columbian Way, Seattle, WA 98108; asamii@u.washington.edu sug: subj: Parkinson Disease Telemedicine After Care Health Care Delivery Teleconferencing Telemedicine Economics Washington ab: We have used telemedicine at the Seattle Veterans Administration Medical Center to deliver follow-up care to patients with Parkinson's disease (PD). Patients were located at eight facilities which were 67-2400 km from the medical centre. Each facility had videoconferencing equipment (connected by Internet Protocol at 384 kbit/s), and computer terminals that could access the patient's electronic medical record. Over a three-year period, we used telemedicine for 100 follow-up visits on 34 PD patients. Visits lasted 30-60 min. Patients and providers were satisfied with the use of the technology. Savings amounted to approximately 1500 attendant travel hours, 100,000 travel kilometres, and US 37,000 dollars in travel and lodging costs. For the first 82 telemedicine visits, the video quality was inadequate for scoring all components of the motor Unified Parkinson Disease Rating Scale (UPDRS). For the last 18 visits, a different videoconferencing unit produced better video quality, which was satisfactory for motor UPDRS measurements, except for components that required physical contact with the patient (rigidity and retropulsion testing). Our experience shows that telemedicine can be used effectively for follow-up visits with selected PD patients who are unable to travel. pubtype: Academic Journal doctype: questionnaire/scale Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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