Utilization of telemedicine in the U.S. military in a deployed setting.
Background: A retrospective evaluation of the Department of Defense teledermatology consultation program from 2004 to 2012 was performed, focusing on clinical application and outcome measures such as consult volume, response time, and medical evacuation status.Methods: A retrospective review of the...
| Publicado en: | Military Medicine Vol. 179; no. 11; pp. 1347 - 1354 |
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| Autores principales: | , , , |
| Formato: | Journal Article |
| Publicado: |
Oxford University Press / USA
Nov2014
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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=109683159&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109683159 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00264075 4DV jtl: Military Medicine issn: 00264075 maglogo: N pubinfo: dt: Nov2014 vid: 179 iid: 11 pid: 622 pub: Oxford University Press / USA artinfo: ui: 109683159 99528186 NLM25373065 2012789246 10.7205/MILMED-D-14-00115 NLM25373065 109683159 ppf: 1347 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Utilization of telemedicine in the U.S. military in a deployed setting. aug: au: Hwang, Jane S Lappan, Charles M Sperling, Leonard C Meyerle, Jon H sug: subj: Military Personnel Remote Consultation Utilization Skin Diseases Diagnosis Videoconferencing Utilization Antiinflammatory Agents Therapeutic Use Retrospective Design Histamine Antagonists Therapeutic Use Middle Age Adult Skin Neoplasms Diagnosis Eczema Diagnosis Biopsy Utilization Glucocorticoids Therapeutic Use Skin Diseases, Infectious Diagnosis Glucocorticoids Administration and Dosage Clinical Information Systems Utilization Child Female Dermatitis, Contact Diagnosis Antibiotics Therapeutic Use Aged, 80 and Over Infant Child, Preschool Young Adult Male Infant, Newborn United States Antibiotics Administration and Dosage Adolescence Aged Scales Middle Aged: 45-64 years Adult: 19-44 years Child: 6-12 years Aged, 80 & over Infant: 1-23 months Child, Preschool: 2-5 years Infant, Newborn: birth-1 month Adolescent: 13-18 years Aged: 65+ years Female Male ab: Background: A retrospective evaluation of the Department of Defense teledermatology consultation program from 2004 to 2012 was performed, focusing on clinical application and outcome measures such as consult volume, response time, and medical evacuation status.Methods: A retrospective review of the teledermatology program between 2004 and 2012 was evaluated based on defined outcome measures. In addition, 658 teledermatology cases were reviewed to assess how the program was utilized by health care providers from 2011 to 2012.Results: As high as 98% of the teledermatology consults were answered within 24 hours, and 23% of consults within 1 hour. The most common final diagnoses included eczematous dermatitis, contact dermatitis, and evaluation for nonmelanoma skin cancer. The most common medications recommended included topical corticosteroids, oral antibiotics, antihistamines, and emollients. Biopsy was most commonly recommended for further evaluation. Following teleconsultation, 46 dermatologic evacuations were "avoided" as the patient was not evacuated based on the consultants' recommendation. Consultants' recommendations to the referring provider "facilitated" 41 evacuations.Conclusion: Telemedicine in the U.S. military has provided valuable dermatology support to providers in remote locations by delivering appropriate and timely consultation for military service members and coalition partners. In addition to avoiding unnecessary medical evacuations, the program facilitated appropriate evacuations that may otherwise have been delayed. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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