To: mr-tom who wrote (4593 ) 4/5/2000 11:11:00 PM From: gg cox Read Replies (1) | Respond to of 5053
dailynews.yahoo.com Wednesday April 5 8:22 PM ET Telemedicine okay for rural patients, doctors NEW YORK, Apr 05 (Reuters Health) -- A program that uses a closed television system to link pediatric specialists with their rural patients has found acceptance from patients and doctors, US researchers report. The telemedicine system allows experts to both diagnose and keep tabs on patients at a distance, according to the report in the journal Pediatrics. ``If you provide a framework that's comfortable for healthcare providers and for the family, you can be successful in developing services for underserved populations like these rural children,' Dr. Warren B. Karp, of the Medical College of Georgia in Augusta, told Reuters Health. Karp led the team that established a telemedicine service between pediatric specialists located in Augusta and rural children with a wide range of special healthcare needs. The service, which provided full diagnostic quality audio and video, allowed doctors to consult with their young patients without making their families drive hundreds of miles with a sick child, the researchers report. Each consultation was facilitated by a nurse at the rural clinic, who prepared the child and parents for what to expect from a telemedicine session and who operated the long-distance diagnostic equipment, which included a stethoscope and instruments for examining the eyes and ears. During an 18-month period, 333 consultations were held for 201 patients aged 6 months to 20 years. Most sessions were for follow-up care, and most involved allergy and immunology issues. Consultations lasted an average of 20 minutes. ``Overall, both the children and their caregivers were very positive and satisfied with the services received via telemedicine,' the authors write. Interestingly, only one third of doctors who were asked their feelings about the project before they became involved thought that patients would accept it. Doctors' attitudes toward telemedicine tended to become more positive with time and experience, report Karp and colleagues. The telemedicine doctors continued to make quarterly visits to the rural health center, 177 miles away. But the monthly telemedicine clinics, note the authors, allowed patients to have more access to the specialists. ``It's important to know that technology can't stand alone,' Karp told Reuters Health. ``People will accept and use these services if you integrate them into the existing healthcare delivery system.' SOURCE: Pediatrics 2000;105:843-847.