The efficacy of telemedicine for ophthalmology triage by a general practitioner

2005 ◽  
Vol 11 (1_suppl) ◽  
pp. 83-85 ◽  
Author(s):  
Alexandre Chater Taleb ◽  
György M Böhm ◽  
Marcos Avila ◽  
Chao Lung Wen
Keyword(s):  
General Practitioner ◽  
Digital Camera ◽  
Brazilian Population ◽  
Slit Lamp ◽  
Face To Face ◽  
Eye Disorders

Although there are enough ophthalmologists for the Brazilian population, they are not evenly distributed throughout the country. Tele-ophthalmology may therefore be a useful tool. We have examined the feasibility of ophthalmology triage, performed by a general practitioner (GP) with remote support from an ophthalmologist. Forty patients with a variety of external and internal eye disorders were examined by the GP and also reassessed by an ophthalmologist, face to face, and then remotely by another ophthalmologist. There was agreement in 95% of the diagnoses between face-to-face and distant evaluation. The use of a digital camera and slit-lamp allowed greater accuracy of telediagnosis than the use of a digital camera alone. The GP would have referred 36 patients to an ophthalmologist, while both the local and the remote ophthalmologist saw the need for referral in 31 cases, i.e. assessment by tele-ophthalmology resulted in a 14% decrease in referrals. GP triage therefore appears to be feasible after appropriate training.

scholarly journals Standing order use in general practice: the views of medicine, nursing and pharmacy stakeholder organisations

2017 ◽  
Vol 9 (1) ◽  
pp. 47 ◽  
Author(s):  
Robyn Taylor ◽  
Eileen McKinlay ◽  
Caroline Morris
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Access To Health Care ◽  
Timely Manner ◽  
Face To Face ◽  
Standing Order ◽  
Access To Health ◽  
General Practices ◽  
Pharmacy Data ◽  
The Impact

ABSTRACT INTRODUCTION Standing orders are used by many general practices in New Zealand. They allow a practice nurse to assess patients and administer and/or supply medicines without needing intervention from a general practitioner. AIM To explore organisational strategic stakeholders’ views of standing order use in general practice nationally. METHODS Eight semi-structured, qualitative, face-to-face interviews were conducted with participants representing key primary care stakeholder organisations from nursing, medicine and pharmacy. Data were analysed using a qualitative inductive thematic approach. RESULTS Three key themes emerged: a lack of understanding around standing order use in general practice, legal and professional concerns, and the impact on workforce and clinical practice. Standing orders were perceived to extend nursing practice and seen as a useful tool in enabling patients to access medicines in a safe and timely manner. DISCUSSION The variability in understanding of the definition and use of standing orders appears to relate to a lack of leadership in this area. Leadership should facilitate the required development of standardised resources and quality assurance measures to aid implementation. If these aspects are addressed, then standing orders will continue to be a useful tool in general practice and enable patients to have access to health care and, if necessary, to medicines without seeing a general practitioner.

A comparative study of teleconsultations versus face-to-face consultations

2001 ◽  
Vol 7 (5) ◽  
pp. 257-265 ◽  
Author(s):  
E J Nordal ◽  
D Moseng ◽  
B Kvammen ◽  
M-L Løchen
Keyword(s):  
General Practitioner ◽  
Comparative Study ◽  
Complete Agreement ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Partial Agreement ◽  
Face To Face ◽  
High Degree ◽  
Made In

We compared the diagnoses made by one dermatologist via telemedicine with those of another dermatologist made in a face-to-face consultation. The patients first underwent a teledermatology consultation and then a face-to-face consultation. A general practitioner was present with the patient in the videoconference studio. Videoconferencing equipment connected at 384 kbit/s was used. The doctor-patient relationship and the satisfaction of the patients and dermatologists in the two settings were assessed, as well as technical conditions during the videoconferences. There were 121 patients, with a mean age of 40 years (range 17-82 years). There was a high degree of concordance between the two sets of diagnoses, with 72% complete agreement and 14% partial agreement between the two dermatologists. A total of 116 patients (96% of those included) completed a questionnaire. Both the patients and the dermatologists were in general satisfied with the videoconferences. Videoconferencing with a participating general practitioner may be useful in dermatology, but the technique should be used only for selected patients.

“I Can’t Go Far”: Perceptions and Experiences of Heart Failure Patients Regarding Physical Activity: A Qualitative Study Using Semistructured Face-to-Face Interviews

2021 ◽  
pp. 109019812110532
Author(s):  
Elodie Charuel ◽  
Martial Bernard ◽  
Hélène Vaillant Roussel ◽  
Benoit Cambon ◽  
Thibault Ménini ◽  
...  
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
New York ◽  
General Practitioner ◽  
Qualitative Study ◽  
Heart Association ◽  
Enabling Factors ◽  
Face To Face ◽  
New York Heart Association

Background Participation in regular physical activity (RPA) is beneficial to the quality of life and life expectancy of patients with chronic heart failure (CHF). However, it is inadequate in many patients. Aims To determine the factors that influence the practice of RPA in patients with CHF managed in general practice. Method This was a qualitative study using semistructured, individual face-to-face interviews. Patients with CHF (New York Heart Association Stages 1–3) capable of participating in RPA were enrolled by their general practitioner. A longitudinal and transversal inductive thematic analysis was performed by two researchers. Results Five themes emerged from the 19 interviews that were conducted. Poor knowledge of the disease and the benefits of participating in RPA, as well as the lack of motivation or enjoyment, in particular due to the absence of previous participation, were considered significant obstacles. Fear associated with CHF or other comorbidities was also an obstacle. Attendance at a rehabilitation center, family and social circles, and having a pet all appeared to be beneficial. Family and friends were important for motivating the patient to participate in an activity but could also be an obstacle when they were overprotective. Conclusion This study helps highlight the difficulties for patients with CHF associated with participation in RPA. Despite the obstacles, there are enabling factors on which the general practitioner may rely to motivate their patients.

Management of the Febrile Child

2012 ◽  
Vol 5 (10) ◽  
pp. 587-594
Author(s):  
Simon Glew ◽  
Joanna Finch
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
Signs And Symptoms ◽  
Clinical Excellence ◽  
Febrile Child ◽  
Traffic Light ◽  
Nice Guidelines ◽  
Face To Face ◽  
Remote Assessment ◽  
Children Under 5

Between 20% and 40% of young children suffer a feverish illness each year and many of these will present to their general practitioner. Although the majority of these children have benign, self-limiting illness, infection remains the leading cause of death in children under the age of 5 years. Appropriate assessment, management and referral of the febrile child are important skills to acquire for doctors working in primary care. This article outlines the signs and symptoms of serious infective illness in children under 5 years of age and describes current National Institute for Health and Clinical Excellence (NICE) guidelines for feverish illness in children and the use of the ‘traffic-light’ risk score in the context of face-to-face and remote assessment.

Formation of emotional stability of citizens 65+ in a pandemic COVID 19 (part 2)

2021 ◽  
pp. 59-67
Author(s):  
Aleksandr Petrovich Krylov
Keyword(s):  
General Practitioner ◽  
Social Life ◽  
Social Activity ◽  
The Elderly ◽  
Emotional Stability ◽  
Current Situation ◽  
Emotional Instability ◽  
Face To Face ◽  
Coronavirus Infection ◽  
Psychological Assistance

The problem of emotional stability of citizens 65+ is sharply expressed in the context of a pandemic and forced self-isolation. The restrictions introduced in connection with the quarantine for coronavirus infection reduced social activity and reduced the possibility of receiving face-to-face psychological assistance for people aged 65 and over. Most of those elderly aged 65+, who had few contacts with loved ones and society earlier, before the pandemic, have become even more alienated from active social life. For social organizations that provide assistance to the elderly, it is necessary to formulate programs and provide certain services for implementation, helping to overcome the current situation in society and not being limited to the delivery of food and medicine. Emotional instability in the elderly should be overcome by a timely set of rehabilitation measures, regular examinations by a general practitioner and, if necessary, by doctors of other specialties.

Realtime teleconsultations versus face-to-face consultations in dermatology: immediate and six-month outcome

2003 ◽  
Vol 9 (4) ◽  
pp. 204-209 ◽  
Author(s):  
Håkan Granlund ◽  
Carl-Johan Thoden ◽  
Christer Carlson ◽  
Kari Harno
Keyword(s):  
Patient Satisfaction ◽  
General Practitioner ◽  
Analogue Scale ◽  
Controlled Study ◽  
Face To Face ◽  
Consultation Group ◽  
The Face ◽  
Patient Groups

We evaluated the outcome of both realtime teleconsultations and face-to-face consultations in dermatology. Forty-six patients were enrolled in an open controlled study. Twenty-nine patients (60%) answered the questionnaire sent to them after six months. Over the six-month follow-up, similar proportions of the two patient groups had visited a general practitioner or a specialist in the consulting hospital. At follow-up, overall patient satisfaction with the consultation, measured on a linear analogue scale (0–10), had fallen only slightly and to the same extent after both types of consultation, that is by 1.2 (SD 3.7) after realtime teleconsultations and by 1.4 (SD 4.5) after face-to-face consultations. The proportions of patients who would prefer the same mode of consultation for their next appointment had decreased from 83% to 50% in the realtime teleconsultation group and from 83% to 62% in the face-to-face consultation group. However, in neither group was the change significant. The study suggests that patient satisfaction with teleconsultation is well preserved after six months.

scholarly journals Slit lamp photography for objective assessment of topical eye disorders

2022 ◽  
Vol 7 (4) ◽  
pp. 648-654
Author(s):  
A B Biradar ◽  
Arun Das ◽  
Adeeb A
Keyword(s):  
Objective Assessment ◽  
Smart Phone ◽  
Research Society ◽  
Evidence Based ◽  
Slit Lamp ◽  
Eye Disorders ◽  
Scientific Analysis ◽  
Quantitative Data Analysis ◽  
Clinical Conditions ◽  
Conjunctival Hemorrhage

Evidence based scientific studies has weightage, when they are presented with quantitative data analysis. Documentation and parametric analysis has become an integral part of present day research. Any publications or write-ups without explanation through standard parameters are not appreciated by the research society. In Ophthalmology assessment of various parameters through photography is a debatable issue. Affordability for higher end diagnostic / OPD instruments may not be feasible for all. In such a scenario, here is an attempt made to standardize the slit lamp photography with a smart phone and its scientific analysis for evaluating clinical conditions like sub-conjunctival hemorrhage, etc. This technique can become a tool for assessment and response of the therapies as well as an important tool to seek help from higher centers. Various add-on benefits in research, limitation and scope for further evaluation also being discussed.

scholarly journals Stereoscopic three-dimensional (3D) slit-lamp photography using a compact 3D digital camera

2021 ◽  
Vol 69 (5) ◽  
pp. 1303
Author(s):  
Omar Solyman ◽  
Meleha Ahmad ◽  
Karun Arora ◽  
AmandaD Henderson ◽  
Andrew Carey
Keyword(s):  
Three Dimensional ◽  
Digital Camera ◽  
Slit Lamp

scholarly journals Translation, Cultural Adaptation, and Evaluation of a Brazilian Portuguese Questionnaire to Estimate the Self-Reported Prevalence of Gluten-Related Disorders and Adherence to Gluten-Free Diet

Medicina ◽  
2019 ◽  
Vol 55 (9) ◽  
pp. 593 ◽  
Author(s):  
Jesús Arámburo-Gálvez ◽  
Itallo Carvalho Gomes ◽  
Tatiane André ◽  
Carlos Beltrán-Cárdenas ◽  
María Macêdo-Callou ◽  
...  
Keyword(s):  
Latin American ◽  
Cultural Adaptation ◽  
Online Survey ◽  
Brazilian Portuguese ◽  
Brazilian Population ◽  
The Self ◽  
Spanish Version ◽  
Gluten Free ◽  
Prevalence Rates ◽  
Face To Face

Background: A Spanish version of a questionnaire intended to estimate, at the population level, the prevalence rates of self-reported gluten-related disorders and adherence to gluten-free diets has been applied in four Latin American countries. However, idiom issues have hampered the questionnaire application in the Brazilian population. Thus, the aim of the present study was to carry out a translation, cultural adaptation, and evaluation of a Brazilian Portuguese questionnaire to estimate the self-reported prevalence of gluten-related disorders and adherence to gluten-free diets in a Brazilian population. Materials and Methods: Two bilingual Portuguese–Spanish health professionals carried out the translation of the original Spanish version of the questionnaire to Brazilian-Portuguese. Matching between the two translations was evaluated using the WCopyFind.4.1.5 software. Words in conflict were conciliated, and the conciliated version of the Brazilian Portuguese instrument was evaluated to determine its clarity, comprehension, and consistency. A pilot study was carried out using an online platform. Results: The two questionnaires translated into Brazilian Portuguese were highly matched (81.8%–84.1%). The questions of the conciliated questionnaire were clear and comprehensible with a high agreement among the evaluators (n = 64) (average Kendall’s W score was 0.875). The participants did not suggest re-wording of questions. The answers to the questions were consistent after two applications of the questionnaire (Cohen’s k = 0.869). The pilot online survey yielded low response rates (9.0%) highlighting the need for face-to-face interviews. Conclusions: The translation and evaluation of a Brazilian Portuguese questionnaire to estimate the self-reported prevalence rates of gluten-related disorders and adherence to gluten-free diets was carried out. The instrument is clear, comprehensible, and generates reproducible results in the target population. Further survey studies involving face-to-face interviews are warranted.

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