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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.


Types of queries in the pediatric cases, categorized by the specialty of the expert to whom they were sent (n = 761). “Pediatrics” represents general pediatrics.
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Figure 2: Types of queries in the pediatric cases, categorized by the specialty of the expert to whom they were sent (n = 761). “Pediatrics” represents general pediatrics.

Mentions: The queries covered a wide range of medical and surgical specialties (Figure 2). Among medical subspecialties, the three most common types of referral were for tropical diseases (36), dermatology (36), and neurology (9); among surgical subspecialties, the three most common types of referral were for ophthalmology (21), ENT (20), and orthopedics (18).


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)

Types of queries in the pediatric cases, categorized by the specialty of the expert to whom they were sent (n = 761). “Pediatrics” represents general pediatrics.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: Types of queries in the pediatric cases, categorized by the specialty of the expert to whom they were sent (n = 761). “Pediatrics” represents general pediatrics.
Mentions: The queries covered a wide range of medical and surgical specialties (Figure 2). Among medical subspecialties, the three most common types of referral were for tropical diseases (36), dermatology (36), and neurology (9); among surgical subspecialties, the three most common types of referral were for ophthalmology (21), ENT (20), and orthopedics (18).

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.