Stern J, Heneghan C, Sclafani A P, Ginsburg J, Sabini P, Dolitsky J N
Department of Otolaryngology, New York Eye and Ear Infirmary, USA.
J Telemed Telecare. 1998;4 Suppl 1:74-5. doi: 10.1258/1357633981931551.
A prospective study of the use of realtime and store-and-forward teleconsulting was carried out in patients who presented to the New York Eye and Ear Infirmary for otolaryngology care. Forty-five patients were seen in the study. There were no significant differences between local and remote otolaryngologists when interpreting the examinations, indicating that transmission did not affect the ability of a qualified physician to make an accurate diagnosis. In the store-and-forward examinations only 62% of the electronic records provided sufficient information for a confident diagnosis. Records were judged inadequate primarily due to poor selection, or an insufficient number of stored images. The study demonstrates that both interactive and store-and-forward techniques can be used to provide accurate clinical consultations in nasopharyngolaryngoscopic examinations. However, since store-and-forward consultations include less information and do not provide immediate feedback, as well defined clinical protocol for assembling the electronic consultation is needed.
一项针对前往纽约眼耳医院接受耳鼻喉科治疗的患者使用实时和存储转发远程会诊的前瞻性研究展开。该研究共纳入45名患者。在解读检查结果时，本地和远程耳鼻喉科医生之间没有显著差异，这表明传输不会影响合格医生做出准确诊断的能力。在存储转发检查中，只有62%的电子记录提供了足以做出可靠诊断的信息。记录被判定不充分主要是由于选择不佳或存储图像数量不足。该研究表明，交互式和存储转发技术均可用于在鼻咽喉镜检查中提供准确的临床会诊。然而，由于存储转发会诊包含的信息较少且不提供即时反馈，因此需要制定明确的临床方案来组装电子会诊。
