Tesfalul Martha, Littman-Quinn Ryan, Antwi Cynthia, Ndlovu Siphiwo, Motsepe Didintle, Phuthego Motsholathebe, Tau Boitumelo, Mohutsiwa-Dibe Neo, Kovarik Carrie
University of Pennsylvania, Philadelphia, PA, USA.
Stud Health Technol Inform. 2013;192:1074.
Mobile telemedicine, which involves the use of cellular phone telecommunications to facilitate exchange of information between parties in different locations to assist in the management of patients, has become increasingly popular, particularly in resource-limited settings. In Botswana, small studies of mobile telemedicine programs suggest access to these services positively affect patients, but these programs' impact is difficult to capture given limitations of baseline and comparative data. Our observational study uses each patient receiving mobile oral telemedicine services in Botswana as his/her own control to assess the impact of these services on his/her diagnosis and management plan. At month 5 of 12 total, preliminary analysis of eligible cases (n = 27) reveals management plan discordance between clinicians submitting cases and the specialist was 68.0% (17/25), suggesting that telemedicine can result in significant changes in management of patients.
移动远程医疗利用蜂窝电话通信技术，促进不同地点各方之间的信息交流，以协助患者管理，这种方式越来越受欢迎，尤其是在资源有限的环境中。在博茨瓦纳，对移动远程医疗项目的小型研究表明，使用这些服务对患者有积极影响，但鉴于基线数据和对比数据的局限性，这些项目的影响难以全面评估。我们的观察性研究将博茨瓦纳每一位接受移动口腔远程医疗服务的患者作为其自身对照，以评估这些服务对其诊断和管理计划的影响。在总共12个月的第5个月时，对符合条件的病例（n = 27）进行的初步分析显示，提交病例的临床医生与专家之间的管理计划不一致率为68.0%（17/25），这表明远程医疗可导致患者管理方面的显著变化。
