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Telemedicine: Quality of Care

Telemedicine: Quality of Care and EfficacyWhen assessing the quality of care derived from Telemedicine there are a number of factors that are involved in the ability of the physician to provide a level of care that is equivalent or superior to the level of care that is afforded the patient through traditional methods of client communication, diagnostics, and treatment. It is the responsibility of the doctor practicing telemedicine to ensure that the equipment necessary for the telemedical services provided is of sufficiently high standard and adequately operational. The doctor must carefully evaluate the data and other information received, and medical opinions and recommendations can only be given and medical decisions made if the quality and quantity of data or other information received is sufficient and relevant to the case in question.The quality of care in Telemedicine is greatly influenced by the type of technology that is used in the different fields of telemedicine. Telemedicine technology often is a means to facilitate or transmit care, or is used in conjunction with other technologies. Telemedicine uses networks of computers, video cameras and telephone lines to link patients with physicians and other medical practi


The most recent study to evaluate the quality and efficacy of telemedicine was a systematic review of telemedicine assessments was completed in May 2003. If the patient were to be evaluated over a telemedicine connection that allowed for too few screens per second, the clinician could not appropriately evaluate the tremor, and this technology would be ineffective for this particular indication. Digital imaging is used in the capture of images for radiology consultation, the new radiograph systems use a digital capture system that allows the physician to obtain radiographs directly in a digital format which not only increases the quality of the images that are captured but also the quality of images that can be sent over the internet. This systematic review evaluated 46 different studies that met strict criteria that evaluated the quality of the studies themselves. In past studies of the quality of care provided by telemedicine it was found that physicians agreed 90 percent of the time on the diagnosis. The studies reviewed were published from 1977 onwards; using the most recent studies to provide the most current information available so that they could provide critical data for decision makers on health care for the status of telemedicine technology. It is difficult to perform an all-encompassing evaluation of telemedicine because it is not the answer for all areas of medicine.

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