Smith Anthony C, Coulthard Mark, Clark Ron, Armfield Nigel, Taylor Shauna, Goff Robyn, Mottarelly Ian, Youngberry Karen, Isles Alan, McCrossin Robert, Wootton Richard
Centre for Online Health, University of Queensland, Australia.
J Telemed Telecare. 2005;11 Suppl 2:S81-5. doi: 10.1258/135763305775124669.
A mobile interactive online health system was used to conduct virtual ward rounds at a regional hospital which had no specialist paediatrician. The system was wireless, which allowed telepaediatric services to be delivered direct to the bedside. Between December 2004 and May 2005, 43 virtual ward rounds were coordinated between specialists based in Brisbane and local staff at the Gladstone Hospital. Eighty-six consultations were provided for 64 patients. The most common conditions included asthma (27%), chest infections (12%), gastroenteritis (10%) and urinary tract infections (10%). In the majority of cases, there were partial (67%) or complete changes (11%) in the clinical management of patients. Specialist services were offered by a team of 13 clinicians at the Royal Children's Hospital: 10 general paediatricians, two physiotherapists and one registered nurse. Feedback from all consultants involved in the service and local staff in Gladstone was extremely positive. In 43 videoconference calls there were three technical problems, probably due to an intermittent mains power supply at the regional hospital. There appears to be potential for other rural and regional hospitals to adopt this model of service delivery.
在一家没有专科儿科医生的地区医院，使用了一个移动交互式在线健康系统进行虚拟查房。该系统是无线的，这使得远程儿科服务能够直接提供到病床边。在2004年12月至2005年5月期间，布里斯班的专家与Gladstone医院的当地工作人员之间协调了43次虚拟查房。为64名患者提供了86次会诊。最常见的病症包括哮喘（27%）、肺部感染（12%）、肠胃炎（10%）和尿路感染（10%）。在大多数情况下，患者的临床管理有部分（67%）或完全（11%）的改变。皇家儿童医院的13名临床医生团队提供了专科服务：10名普通儿科医生、2名物理治疗师和1名注册护士。参与该服务的所有顾问和Gladstone当地工作人员的反馈都非常积极。在43次视频会议通话中有3次技术问题，可能是由于地区医院的市电间歇性供电。其他农村和地区医院似乎有采用这种服务提供模式的潜力。
