A Retrospective Analysis of Pediatric Cases Handled by the MSF Tele-Expertise System

Hdl Handle:
http://hdl.handle.net/10144/337958
Title:
A Retrospective Analysis of Pediatric Cases Handled by the MSF Tele-Expertise System
Authors:
Martinez Garcia, Daniel; Bonnardot, Laurent; Olson, David; Roggeveen, Harriet; Karsten, Jaap; Moons, Peter; Schaefer, Myrto; Liu, Joanne; Wootton, Richard
Journal:
Frontiers in Public Health
Abstract:
We conducted a retrospective analysis of all pediatric cases referred by Médecins Sans Frontières (MSF) field doctors via the MSF telemedicine system during a 4-year period from April 2010. A total of 467 pediatric cases were submitted, representing approximately 40% of all telemedicine cases. The median age of the patients was 4 years. The median response time (i.e., the interval between the case being submitted and the first response from a specialist) was 13 h (interquartile range 4-32 h). We selected a random sample of 12 pediatric cases in each of four age categories for detailed analysis by an experienced MSF pediatrician. In the 48 randomly selected cases, the mean rating for the quality of information provided by the referrer was 2.8 (on a scale from 1 = very poor to 5 = very good), and the mean rating for the appropriateness of the response was 3.3 (same scale). More than two-thirds of the responses were considered to be useful to the patient, and approximately three-quarters were considered to be useful to the medical team. The usefulness of the responses tended to be higher for the medical team than for the patient, and there was some evidence that usefulness to both groups was lower in newborns and adolescent patients. The telemedicine system allows the quality of the medical support given to medical teams in the field to be controlled objectively as there is a record of all cases and answers. Telemedicine has an important role in supporting the aims of medical humanitarian organizations such as MSF.
Publisher:
Frontiers Media
Issue Date:
8-Dec-2014
URI:
http://hdl.handle.net/10144/337958
DOI:
10.3389/fpubh.2014.00266
PubMed ID:
25538935
Language:
en
ISSN:
2296-2565
Appears in Collections:
Paediatrics

Full metadata record

DC FieldValue Language
dc.contributor.authorMartinez Garcia, Danielen_GB
dc.contributor.authorBonnardot, Laurenten_GB
dc.contributor.authorOlson, Daviden_GB
dc.contributor.authorRoggeveen, Harrieten_GB
dc.contributor.authorKarsten, Jaapen_GB
dc.contributor.authorMoons, Peteren_GB
dc.contributor.authorSchaefer, Myrtoen_GB
dc.contributor.authorLiu, Joanneen_GB
dc.contributor.authorWootton, Richarden_GB
dc.date.accessioned2015-01-08T17:38:56Z-
dc.date.available2015-01-08T17:38:56Z-
dc.date.issued2014-12-08-
dc.identifier.citationA Retrospective Analysis of Pediatric Cases Handled by the MSF Tele-Expertise System. 2014, 2:266 Front Public Healthen_GB
dc.identifier.issn2296-2565-
dc.identifier.pmid25538935-
dc.identifier.doi10.3389/fpubh.2014.00266-
dc.identifier.urihttp://hdl.handle.net/10144/337958-
dc.description.abstractWe conducted a retrospective analysis of all pediatric cases referred by Médecins Sans Frontières (MSF) field doctors via the MSF telemedicine system during a 4-year period from April 2010. A total of 467 pediatric cases were submitted, representing approximately 40% of all telemedicine cases. The median age of the patients was 4 years. The median response time (i.e., the interval between the case being submitted and the first response from a specialist) was 13 h (interquartile range 4-32 h). We selected a random sample of 12 pediatric cases in each of four age categories for detailed analysis by an experienced MSF pediatrician. In the 48 randomly selected cases, the mean rating for the quality of information provided by the referrer was 2.8 (on a scale from 1 = very poor to 5 = very good), and the mean rating for the appropriateness of the response was 3.3 (same scale). More than two-thirds of the responses were considered to be useful to the patient, and approximately three-quarters were considered to be useful to the medical team. The usefulness of the responses tended to be higher for the medical team than for the patient, and there was some evidence that usefulness to both groups was lower in newborns and adolescent patients. The telemedicine system allows the quality of the medical support given to medical teams in the field to be controlled objectively as there is a record of all cases and answers. Telemedicine has an important role in supporting the aims of medical humanitarian organizations such as MSF.en_GB
dc.language.isoenen
dc.publisherFrontiers Mediaen_GB
dc.rightsArchived with thanks to Frontiers in Public Healthen_GB
dc.titleA Retrospective Analysis of Pediatric Cases Handled by the MSF Tele-Expertise Systemen
dc.identifier.journalFrontiers in Public Healthen_GB

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