Accession Number : ADA321033

Title :   Domestic Use of Telemedicine Technology: Lessons Learned From Initial Consultations.

Descriptive Note : Final rept. 1 Feb 95-30 Sep 95,

Corporate Author : UNIFORMED SERVICES UNIV OF THE HEALTH SCIENCES BETHESDA MD

Personal Author(s) : Jacoby, Itzhak

PDF Url : ADA321033

Report Date : 30 OCT 1995

Pagination or Media Count : 11

Abstract : Twenty-one patients presenting to the Dunham U.S. Army Health Clinic (DUSAHC) were evaluated by specialists at Walter Reed Army Medical Center (WRAMC) between June 1-30, 1995, using videoconferencing technology (Telemedicine). The project involved DUSAHC physicians and physicians' assistants, consulting physicians at WRAMC, Mystech computer system developers, WRAMC support staff, DUSAHC support staff, and a data gatherer from the Uniformed Services University of the Health Sciences (USUHS). Following a May 19 meeting with the medical staff of DUSAHC (during Grand Rounds), telemedicine consults began to be scheduled almost daily, often twice a day. Three major points were agreed upon at that meeting: consults would be scheduled at the clinic's convenience, with WRAMC staff making themselves available on a flexible basis; a Mystech programmer would be assigned to work at the clinic to debug and operate the equipment during consults; and those telemedicine patients requiring follow-up appointments would have them scheduled either during the consult or on an expedited basis. The DUSAHC trial indicated that a designated telemedicine coordinator with specific skills is an absolute requirement.

Descriptors :   *COMPUTER PROGRAMS, *LESSONS LEARNED, *DOMESTIC, *MEDICAL SERVICES, SYSTEMS ENGINEERING, ARMY PERSONNEL, STATE OF THE ART, HEALTH, ARMY FACILITIES, CLINICAL MEDICINE, TELEVISION SYSTEMS, TECHNICIANS, MEDICINE, TELECOMMUNICATIONS, OUTPATIENT CLINICS, PHYSICIANS, VIDEO SIGNALS, DEBUGGING(COMPUTERS), CONFERENCING(COMMUNICATIONS).

Subject Categories : Computer Programming and Software
      Radio Communications
      Non-radio Communications
      Medicine and Medical Research

Distribution Statement : APPROVED FOR PUBLIC RELEASE