Ullah R et al. 2002 "Otolaryngology consultations by real-time telemedicine."

Ullah R, Gilliland D, Adams D. Otolaryngology consultations by real-time telemedicine. Ulster Med J 2002;71(1):26.
"We aimed to assess the value of real-time telemedicine using low cost videoconferencing equipment for otorhinolaryngology consultations. A general practitioner, using low cost videoconferencing equipment, presented patients to an otorhinolaryngologist. After history taking and clinical examination, investigations were requested if required and a diagnosis and management plan formulated. The patients were then seen, by the same otorhinolaryngologist, for a conventional face-to-face consultation. Differences in the history, clinical examination and investigation requests were reported. The accuracy of diagnosis and correlation of management plans between the two consultations were analysed. Forty-three patients were admitted to the study but one, a young child, refused examination either by tele-link or the conventional approach and had to be excluded. There were thus 42 patients with 55 diagnoses included in the trial, 26 (62%) females and 16 (38%) males. Age range was 5 months to 70 years. There was no difficulty with any of the patients in obtaining an accurate history and ordering investigations, if required, via the tele-link. Clinical examination during the tele-link consultation was inadequate for eight out of the first 20 patients, resulting in a wrong diagnosis in three patients and a missed diagnosis in five patients. All of the next 22 patients had a correct diagnosis and management plan. Comparison of data from the two types of consultation showed that a correct diagnosis and management plan was made in 34 patients. Low cost real-time telemedicine is a useful technique, providing reliable otorhinolaryngology consultations in a general practice setting. However initial difficulties due to inexperience in using the equipment need to be overcome."
"To assess the value of real-time telemedicine using low cost videoconferencing equipment for otorhinolaryngology consultations."
Tools Used
Type Clinic
Primary care and specialty care
Type Specific
Primary care: internal medicine; Specialty: otorhinolaryngology
Type of Health IT
Type of Health IT Functions
"The GP obtained a full, medical history and conducted an examination, which was observed via tele-link by an otorhinolaryngologist situated in an adjacent room. A three-way interaction consultation ensued and the otorhinolaryngologist recoded a history, clinical examination, diagnosis and management plan. Following the tele-consultation, the patient was seen by the otorhinolaryngologist to confirm the history, examination, diagnosis, and management plan."
Workflow-Related Findings
"There is a learning curve in mastering the technique of endoscopic examination."
Study Design
Only postintervention with intervention and control groups
Study Participants
There were 42 patients with 55 diagnoses included in the study.