Telecardiology Application in Jordan: Its Impact on Diagnosis and Disease Management, Patients' Quality of Life, and Time- and Cost-Savings

被引:10
作者
Khader, Yousef Saleh [1 ]
Jarrah, Mohamad Ismail [2 ]
Al-Shudifat, Abde-Ellah M. [3 ]
Shdaifat, Amjad [3 ]
Aljanabi, Husham [4 ]
Al-Fakeh, Shadwan Ismeil [4 ]
Turk, Elias Emil [4 ]
Zayed, Khaled Ali [4 ]
Al Quran, Hanadi A. [3 ]
Ellauzi, Ziad Mohd [4 ]
Al Tahan, Mohammad [4 ]
机构
[1] Jordan Univ Sci & Technol, Fac Med, Dept Community Med Publ Hlth & Family Med, POB 3030, Irbid 22110, Jordan
[2] Jordan Univ Sci & Technol, Irbid, Jordan
[3] Hashemite Univ, Zarqa, Jordan
[4] Minist Hlth, Amman, Jordan
关键词
D O I
10.1155/2014/819837
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objectives. To assess the impact of live interactive telecardiology on diagnosis and disease management, patients' quality of life, and time-and cost-savings. Methods. All consecutive patients who attended or were referred to the teleclinics for suspected cardiac problems in two hospitals in remote areas of Jordan during the study period were included in the study. Patients were interviewed for relevant information and their quality of life was assessed during the first visit and 8 weeks after the last visit. Results. A total of 76 patients were included in this study. Final diagnosis and treatment plan were established as part of the telecardiology consultations in 71.1% and 77.3% of patients, respectively. Patients' travel was avoided for 38 (50.0%) who were managed locally. The majority of patients perceived that the visit to the telecardiology clinic results in less travel time (96.1%), less waiting time (98.1%), and lower cost (100.0%). Telecardiology consultations resulted in an improvement in the quality of life after two months of the first visit. Conclusions. Telecardiology care in remote areas of Jordan would improve the access to health care, help to reach proper diagnosis and establish the treatment plan, and improve the quality of life.
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页数:6
相关论文
共 25 条
[1]  
Bergmo T S, 1997, J Telemed Telecare, V3, P194, DOI 10.1258/1357633971931156
[2]  
Brown N, 1995, TELEMEDICINE INFORM, V105, P833
[3]   Evaluation of a care coordination/home-telehealth program for veterans with diabetes - Health services utilization and health-related quality of life [J].
Chumbler, NR ;
Neugaard, B ;
Kobb, R ;
Ryan, P ;
Qin, HJ ;
Joo, YS .
EVALUATION & THE HEALTH PROFESSIONS, 2005, 28 (04) :464-478
[4]   Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis [J].
Clark, Robyn A. ;
Inglis, Sally C. ;
McAlister, Finlay A. ;
Cleland, John G. F. ;
Stewart, Simon .
BMJ-BRITISH MEDICAL JOURNAL, 2007, 334 (7600) :942-945
[5]   Systematic review of studies on telemonitoring of patients with congestive heart failure: a meta-analysis [J].
Clarke, Malcolm ;
Shah, Anila ;
Sharma, Urvashi .
JOURNAL OF TELEMEDICINE AND TELECARE, 2011, 17 (01) :7-14
[6]   Telehealth and the diagnosis and management of cardiac disease [J].
Hooper, GS ;
Yellowlees, P ;
Marwick, TH ;
Currie, PJ ;
Bidstrup, BP .
JOURNAL OF TELEMEDICINE AND TELECARE, 2001, 7 (05) :249-256
[7]   Structured telephone support or telemonitoring programmes for patients with chronic heart failure [J].
Inglis, Sally C. ;
Clark, Robyn A. ;
McAlister, Finlay A. ;
Ball, Jocasta ;
Lewinter, Christian ;
Cullington, Damien ;
Stewart, Simon ;
Cleland, John G. F. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2010, (08)
[8]   A Meta-Analysis of Remote Monitoring of Heart Failure Patients [J].
Klersy, Catherine ;
De Silvestri, Annalisa ;
Gabutti, Gabriella ;
Regoli, Francois ;
Auricchio, Angelo .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2009, 54 (18) :1683-1694
[9]  
KLINKMAN MS, 1994, J FAM PRACTICE, V38, P345
[10]   A cost-minimization analysis of the societal costs of realtime teledermatology compared with conventional care: results from a randomized controlled trial in New Zealand [J].
Loane, MA ;
Oakley, A ;
Rademaker, M ;
Bradford, N ;
Fleischl, P ;
Kerr, P ;
Wootton, R .
JOURNAL OF TELEMEDICINE AND TELECARE, 2001, 7 (04) :233-238