Browsing by Author "Eedy, D J"
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- ItemA comparison of real-time and store-and-forward teledermatology: a cost-benefit study.(2001-01-31) Loane, M A; Bloomer, S E; Corbett, R; Eedy, D J; Hicks, N; Lotery, H E; Mathews, C; Paisley, J; Steele, K; Wootton, RIncreasing use of teledermatology should be based on demonstration of favourable accuracy and cost benefit analysis for the different methods of use of this technique Objectives To evaluate the clinical efficacy and cost effectiveness of real time and store and forward teledermatology
- ItemHas teledermatology in the U.K. finally failed?(2007-02-15) English, J S C; Eedy, D J
- ItemMulticentre randomised control trial comparing real time teledermatology with conventional outpatient dermatological care: societal cost-benefit analysis.(2000-06-08) Wootton, R; Bloomer, S E; Corbett, R; Eedy, D J; Hicks, N; Lotery, H E; Mathews, C; Paisley, J; Steele, K; Loane, M AComparison of real time teledermatology with outpatient dermatology in terms of clinical outcomes cost benefits and patient reattendance
- ItemA randomized controlled trial assessing the health economics of realtime teledermatology compared with conventional care: an urban versus rural perspective.(2001-05-07) Loane, M A; Bloomer, S E; Corbett, R; Eedy, D J; Evans, C; Hicks, N; Jacklin, P; Lotery, H E; Mathews, C; Paisley, J; Reid, P; Steele, K; Wootton, RA randomized controlled trial was carried out to measure the cost effectiveness of realtime teledermatology compared with conventional outpatient dermatology care for patients from urban and rural areas One urban and one rural health centre were linked to a regional hospital in Northern Ireland by ISDN at 128 kbit s Over two years 274 patients required a hospital outpatient dermatology referral 126 patients 46 were randomized to a telemedicine consultation and 148 54 to a conventional hospital outpatient consultation Of those seen by telemedicine 61 were registered with an urban practice compared with 71 of those seen conventionally The clinical outcomes of the two types of consultation were similar almost half the patients were managed after a single consultation with the dermatologist The observed marginal cost per patient of the initial realtime teledermatology consultation was 52 85 Pounds for those in urban areas and 59 93 Pounds per patient for those from rural areas The observed marginal cost of the initial conventional consultation was 47 13 Pounds for urban patients and 48 77 Pounds for rural patients The total observed costs of teledermatology were higher than the costs of conventional care in both urban and rural areas mainly because of the fixed equipment costs Sensitivity analysis using a real world scenario showed that in urban areas the average costs of the telemedicine and conventional consultations were about equal while in rural areas the average cost of the telemedicine consultation was less than that of the conventional consultation
- ItemA randomized controlled trial to assess the clinical effectiveness of both realtime and store-and-forward teledermatology compared with conventional care.(2000-05-25) Loane, M A; Bloomer, S E; Corbett, R; Eedy, D J; Hicks, N; Lotery, H E; Mathews, C; Paisley, J; Steele, K; Wootton, RThe clinical effectiveness of realtime teledermatology store and forward teledermatology and conventional outpatient dermatological care were evaluated in a randomized control trial A total of 204 patients took part 102 patients were randomized to the realtime teledermatology consultation 96 of whose cases were also referred using a store and forward technique and 102 to the conventional outpatient consultation There were no differences in the reported clinical outcomes of realtime teledermatology and conventional dermatology Of those randomized to the realtime teledermatology consultation 46 required at least one subsequent hospital appointment compared with 45 of those randomized to the conventional outpatient consultation In contrast the dermatologist requested a subsequent hospital appointment for 69 of those seen by store and forward teledermatology An analysis of costs showed that realtime teledermatology was clinically feasible but more expensive than conventional care while the store and forward teledermatology consultation was less expensive but its clinical usefulness was limited Sensitivity analysis indicated that realtime teledermatology was as economical as conventional care when less artificial assumptions were made about equipment utilization costs and travel distances to hospital
- ItemTeledermatology: a review.(2001-04-12) Eedy, D J; Wootton, RTeledermatology holds great potential for revolutionizing the delivery of dermatology services providing equitable service to remote areas and allowing primary care physicians to refer patients to dermatology centres of excellence at a distance However before its routine application as a service tool its reliability accuracy and cost effectiveness need to be verified by rigorous evaluation Teledermatology can be applied in one of two ways it may be conducted in real time utilizing videoconferencing equipment or by store and forward methods when transmitted digital images or photographs are submitted with a clinical history While there is a considerable range of reported accuracy and reliability evidence suggests that teledermatology will become increasingly utilized and incorporated into more conventional dermatology service delivery systems Studies to date have generally found that real time dermatology is likely to allow greater clinical information to be obtained from the patient This may result in fewer patients requiring conventional consultations but it is generally more time consuming and costly to the health service provider It is often favoured by the patient because of the instantaneous nature of the diagnosis and management regimen for the condition and it has educational value to the primary care physician Store and forward systems of teledermatology often give high levels of diagnostic accuracy and are cheaper and more convenient for the health care provider but lack the immediacy of patient contact with the dermatologist and involve a delay in obtaining the diagnosis and advice on management It is increasingly likely that teledermatology will prove to be a significant tool in the provision of dermatology services in the future These services will probably be provided by store and forward digital image systems with real time videoconferencing being used for case conferences and education However much more research is needed into the outcomes and limitations of such a service and its effect on waiting lists as well as possible cost benefits for patients primary health care professionals and dermatology departments