Key result
Live interactive telecardiology established a final diagnosis in 71.1% and a treatment plan in 77.3% of 76 patients with suspected cardiac problems, avoiding travel for 50.0% of patients.
Why the study?
Does live interactive telecardiology improve diagnosis, disease management, quality of life, and time/cost savings in patients with suspected cardiac problems in remote areas?
Observational (n=76)
Yes
Does live interactive telecardiology improve diagnosis, disease management, quality of life, and time/cost savings in patients with suspected cardiac problems in remote areas?
Telecardiology in remote areas improves access to care, facilitates diagnosis and treatment planning, and enhances patient-reported quality of life and cost savings.
May support telecardiology for remote cardiac diagnosis and planning; leaves open need for RCTs on outcomes and cost-effectiveness.
Objectives. To assess the impact of live interactive telecardiology on diagnosis and disease management, patients' quality of life, and time- and cost-savings. Methods. All consecutive patients who attended or were referred to the teleclinics for suspected cardiac problems in two hospitals in remote areas of Jordan during the study period were included in the study. Patients were interviewed for relevant information and their quality of life was assessed during the first visit and 8 weeks after the last visit. Results. A total of 76 patients were included in this study. Final diagnosis and treatment plan were established as part of the telecardiology consultations in 71.1% and 77.3% of patients, respectively. Patients' travel was avoided for 38 (50.0%) who were managed locally. The majority of patients perceived that the visit to the telecardiology clinic results in less travel time (96.1%), less waiting time (98.1%), and lower cost (100.0%). Telecardiology consultations resulted in an improvement in the quality of life after two months of the first visit. Conclusions. Telecardiology care in remote areas of Jordan would improve the access to health care, help to reach proper diagnosis and establish the treatment plan, and improve the quality of life.
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Khader et al. (2014) conducted an observational in suspected cardiac problems (n=76). Live interactive telecardiology was evaluated on Establishment of final diagnosis. Live interactive telecardiology established a final diagnosis in 71.1% and a treatment plan in 77.3% of 76 patients with suspected cardiac problems, avoiding travel for 50.0% of patients.
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