Assessing the Quality of Teleconsultations in a Store-And-Forward Telemedicine Network - Long-Term Monitoring Taking into Account Differences between Cases

Hdl Handle:
http://hdl.handle.net/10144/335725
Title:
Assessing the Quality of Teleconsultations in a Store-And-Forward Telemedicine Network - Long-Term Monitoring Taking into Account Differences between Cases
Authors:
Wootton, Richard; Liu, Joanne; Bonnardot, Laurent
Journal:
Frontiers in Public Health
Abstract:
We have previously proposed a method for assessing the quality of individual teleconsultation cases; this paper proposes an additional step to allow the long-term monitoring of quality. The basic scenario is a teleconsultation system (aka an e-referral system or a tele-expertise system) where the referrer posts a question about a clinical case, the question is relayed to an appropriate expert, and the chosen expert provides an answer. The people running this system want assurances that it is stable, i.e., they want routine quality assurance information about the "output" from the "process." This requires two things. It needs a method of assessing the quality of individual patient consultations. And it needs a method for taking into account differences between patients, so that these quality assessments can be compared longitudinally. Building on the previously proposed methodology, the present paper proposes two techniques for measuring the difficulty posed by a particular teleconsultation. The first is an indirect method, similar to a willingness to pay economic estimation. The second is a direct method. Using these two methods with real data from a telemedicine network showed that the first method was feasible, but did not produce useful results in a pilot trial. The second method, while more laborious, was also feasible and did produce useful results. Thus, when output quality is measured, an allowance can be made for the characteristics of the case submitted. This means that fluctuations in output quality can be attributed to variations in the process (network) or to variations in the raw materials (queries submitted to the network). Long-term quality assurance should assist those providing telemedicine services in low-resource settings to ensure that the services are operated effectively and efficiently, despite the constraints and complexities of the environment.
Publisher:
Frontiers Media
Issue Date:
28-Oct-2014
URI:
http://hdl.handle.net/10144/335725
DOI:
10.3389/fpubh.2014.00211
PubMed ID:
25389525
Language:
en
ISSN:
2296-2565
Appears in Collections:
Reports

Full metadata record

DC FieldValue Language
dc.contributor.authorWootton, Richarden_GB
dc.contributor.authorLiu, Joanneen_GB
dc.contributor.authorBonnardot, Laurenten_GB
dc.date.accessioned2014-11-17T21:12:34Z-
dc.date.available2014-11-17T21:12:34Z-
dc.date.issued2014-10-28-
dc.identifier.citationAssessing the Quality of Teleconsultations in a Store-And-Forward Telemedicine Network - Long-Term Monitoring Taking into Account Differences between Cases. 2014, 2:211 Front Public Healthen_GB
dc.identifier.issn2296-2565-
dc.identifier.pmid25389525-
dc.identifier.doi10.3389/fpubh.2014.00211-
dc.identifier.urihttp://hdl.handle.net/10144/335725-
dc.description.abstractWe have previously proposed a method for assessing the quality of individual teleconsultation cases; this paper proposes an additional step to allow the long-term monitoring of quality. The basic scenario is a teleconsultation system (aka an e-referral system or a tele-expertise system) where the referrer posts a question about a clinical case, the question is relayed to an appropriate expert, and the chosen expert provides an answer. The people running this system want assurances that it is stable, i.e., they want routine quality assurance information about the "output" from the "process." This requires two things. It needs a method of assessing the quality of individual patient consultations. And it needs a method for taking into account differences between patients, so that these quality assessments can be compared longitudinally. Building on the previously proposed methodology, the present paper proposes two techniques for measuring the difficulty posed by a particular teleconsultation. The first is an indirect method, similar to a willingness to pay economic estimation. The second is a direct method. Using these two methods with real data from a telemedicine network showed that the first method was feasible, but did not produce useful results in a pilot trial. The second method, while more laborious, was also feasible and did produce useful results. Thus, when output quality is measured, an allowance can be made for the characteristics of the case submitted. This means that fluctuations in output quality can be attributed to variations in the process (network) or to variations in the raw materials (queries submitted to the network). Long-term quality assurance should assist those providing telemedicine services in low-resource settings to ensure that the services are operated effectively and efficiently, despite the constraints and complexities of the environment.en_GB
dc.language.isoenen
dc.publisherFrontiers Mediaen_GB
dc.rightsArchived with thanks to Frontiers in Public Healthen_GB
dc.titleAssessing the Quality of Teleconsultations in a Store-And-Forward Telemedicine Network - Long-Term Monitoring Taking into Account Differences between Casesen
dc.identifier.journalFrontiers in Public Healthen_GB
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