In:
Internal Medicine Journal, Wiley, Vol. 44, No. 10 ( 2014-10), p. 981-985
Abstract:
In 2011, the A ustralian G overnment introduced M edicare item numbers for telehealth consultations. This is a rapidly expanding method of healthcare provision. Aims We assessed the demographic and disease profile of refugee patients attending a new telehealth clinic, and calculated the patient travel avoided. We examined technical challenges and assessed the performance of two videoconferencing solutions using different bandwidth and latencies. Methods We audited the first 120 patients attending the telehealth clinic. During consultations, the patient was with the general practitioner ( GP ) and linked by internet videoconference using VIDYO , G o T o M eeting or S kype, to the specialist at a tertiary referral hospital. Travel avoided was calculated and technical problems were assessed by the participating specialist. Bandwidth and latency variations were examined within a university broadband testing facility. Results The two most frequently managed conditions were hepatitis C and latent tuberculosis. Twenty‐nine different GP were included and 42 consultations required an interpreter. Nearly 500 km of travel and 127 kg of CO 2 production was avoided per consultation. Technical issues were faced in 25% of consultations, most frequently sound problems and connections dropping out. A bandwidth of at least 512 kbps and latency of no more than 300 ms was necessary to conduct an adequate multipoint videoconference. Conclusions Telehealth using videoconferencing adds a new component to care of refugee and immigrant patients settling in regional areas. T elehealth will be improved by changes to improve simplicity and standardisation of videoconferencing, but requires ongoing M edicare funding to allow sufficient administrative support.
Type of Medium:
Online Resource
ISSN:
1444-0903
,
1445-5994
DOI:
10.1111/imj.2014.44.issue-10
Language:
English
Publisher:
Wiley
Publication Date:
2014
detail.hit.zdb_id:
2044081-9
