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A Retrospective Analysis of Pediatric Cases Handled by the MSF Tele-Expertise System.

Martinez Garcia D, Bonnardot L, Olson D, Roggeveen H, Karsten J, Moons P, Schaefer M, Liu J, Wootton R - Front Public Health (2014)

Bottom Line: More than two-thirds of the responses were considered to be useful to the patient, and approximately three-quarters were considered to be useful to the medical team.The telemedicine system allows the quality of the medical support given to medical teams in the field to be controlled objectively as there is a record of all cases and answers.Telemedicine has an important role in supporting the aims of medical humanitarian organizations such as MSF.

View Article: PubMed Central - PubMed

Affiliation: Medical Department, Operational Centre Paris, Médecins Sans Frontières , Paris , France.

ABSTRACT
We conducted a retrospective analysis of all pediatric cases referred by Médecins Sans Frontières (MSF) field doctors via the MSF telemedicine system during a 4-year period from April 2010. A total of 467 pediatric cases were submitted, representing approximately 40% of all telemedicine cases. The median age of the patients was 4 years. The median response time (i.e., the interval between the case being submitted and the first response from a specialist) was 13 h (interquartile range 4-32 h). We selected a random sample of 12 pediatric cases in each of four age categories for detailed analysis by an experienced MSF pediatrician. In the 48 randomly selected cases, the mean rating for the quality of information provided by the referrer was 2.8 (on a scale from 1 = very poor to 5 = very good), and the mean rating for the appropriateness of the response was 3.3 (same scale). More than two-thirds of the responses were considered to be useful to the patient, and approximately three-quarters were considered to be useful to the medical team. The usefulness of the responses tended to be higher for the medical team than for the patient, and there was some evidence that usefulness to both groups was lower in newborns and adolescent patients. The telemedicine system allows the quality of the medical support given to medical teams in the field to be controlled objectively as there is a record of all cases and answers. Telemedicine has an important role in supporting the aims of medical humanitarian organizations such as MSF.

No MeSH data available.


Age of pediatric patients (n = 467).
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Figure 1: Age of pediatric patients (n = 467).

Mentions: During the study period, a total of 467 pediatric cases were submitted by medical staff from MSF field sites. These pediatric cases comprised 41% of all telemedicine cases. Among the pediatric patients, there were 256 males and 201 females (in 10 cases, the sex of the patient was not recorded). The median age of the pediatric cases was 4 years (interquartile range 1–9 years). The number of patients in the four age categories was: 26 for 0–30 days, 155 for 1 month to 2 years, 193 for 2–10 years, and 93 for 10–18 years (Figure 1). The cases were submitted from 28 countries (Table 1). Half of the cases were submitted from three countries: Central African Republic (23%), South Sudan (13%), and Ethiopia (11%).


A Retrospective Analysis of Pediatric Cases Handled by the MSF Tele-Expertise System.

Martinez Garcia D, Bonnardot L, Olson D, Roggeveen H, Karsten J, Moons P, Schaefer M, Liu J, Wootton R - Front Public Health (2014)

Age of pediatric patients (n = 467).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4260224&req=5

Figure 1: Age of pediatric patients (n = 467).
Mentions: During the study period, a total of 467 pediatric cases were submitted by medical staff from MSF field sites. These pediatric cases comprised 41% of all telemedicine cases. Among the pediatric patients, there were 256 males and 201 females (in 10 cases, the sex of the patient was not recorded). The median age of the pediatric cases was 4 years (interquartile range 1–9 years). The number of patients in the four age categories was: 26 for 0–30 days, 155 for 1 month to 2 years, 193 for 2–10 years, and 93 for 10–18 years (Figure 1). The cases were submitted from 28 countries (Table 1). Half of the cases were submitted from three countries: Central African Republic (23%), South Sudan (13%), and Ethiopia (11%).

Bottom Line: More than two-thirds of the responses were considered to be useful to the patient, and approximately three-quarters were considered to be useful to the medical team.The telemedicine system allows the quality of the medical support given to medical teams in the field to be controlled objectively as there is a record of all cases and answers.Telemedicine has an important role in supporting the aims of medical humanitarian organizations such as MSF.

View Article: PubMed Central - PubMed

Affiliation: Medical Department, Operational Centre Paris, Médecins Sans Frontières , Paris , France.

ABSTRACT
We conducted a retrospective analysis of all pediatric cases referred by Médecins Sans Frontières (MSF) field doctors via the MSF telemedicine system during a 4-year period from April 2010. A total of 467 pediatric cases were submitted, representing approximately 40% of all telemedicine cases. The median age of the patients was 4 years. The median response time (i.e., the interval between the case being submitted and the first response from a specialist) was 13 h (interquartile range 4-32 h). We selected a random sample of 12 pediatric cases in each of four age categories for detailed analysis by an experienced MSF pediatrician. In the 48 randomly selected cases, the mean rating for the quality of information provided by the referrer was 2.8 (on a scale from 1 = very poor to 5 = very good), and the mean rating for the appropriateness of the response was 3.3 (same scale). More than two-thirds of the responses were considered to be useful to the patient, and approximately three-quarters were considered to be useful to the medical team. The usefulness of the responses tended to be higher for the medical team than for the patient, and there was some evidence that usefulness to both groups was lower in newborns and adolescent patients. The telemedicine system allows the quality of the medical support given to medical teams in the field to be controlled objectively as there is a record of all cases and answers. Telemedicine has an important role in supporting the aims of medical humanitarian organizations such as MSF.

No MeSH data available.