Browsing by Author "Kimble, Roy"
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- ItemDiagnostic accuracy of and patient satisfaction with telemedicine for the follow-up of paediatric burns patients.(2004-07-26) Smith, Anthony C; Kimble, Roy; Mill, Julie; Bailey, Deborah; O'Rourke, Peter; Wootton, RichardVideoconferencing has become a routine technique for the post acute burns care of children in Queensland We compared the agreement between clinical assessments conducted via videoconference and assessments conducted in the conventional face to face manner FTF A total of 35 children with a previous burn injury were studied Twenty five children received three consecutive assessments first FTF by a consultant in the outpatient department then by a second consultant who reviewed the patient via videoconference and then by the second consultant in person The second consultant also reviewed another 10 children twice At each review the following variables were measured scar colour scar thickening contractures range of motion the patient s level of general activity any breakdown of the graft site and adequacy of the consultation Agreement between the two consultants when seeing patients FTF was moderately high with an overall concordance of 85 When videoconferencing was used the level of agreement was almost the same at 84 If one consultant reviewed patients FTF first and then via videoconference the overall concordance was 98 if the process was reversed the overall concordance was 97 This study confirms that the quality of information collected during a videoconference appointment is comparable to that collected during a traditional FTF appointment for a follow up burns consultation
- ItemA feasibility study of email communication between the patient's family and the specialist burns team.(2004-12-17) Johansen, Monika Alise; Wootton, Richard; Kimble, Roy; Mill, Julie; Smith, Anthony; Hockey, AndrewWe investigated whether the parents of burns patients could capture suitable clinical images with a digital camera and add the necessary text information to enable the paediatric burns team to provide follow up care via email Four families were involved in the study each of whom sent regular email consultations for six months The results were very encouraging The burns team felt confident that the clinical information in 30 of the 32 email messages 94 they received was accurate although in 11 of these 30 cases 37 they stated that there was room for improvement the quality was nonetheless adequate for clinical decision making The study also showed that low resolution images average size 37 kByte were satisfactory for diagnosis Families were able to participate in the service without intensive training and support The user survey showed that all four families found it easy and convenient to take the digital photographs and to participate in the study The results suggest that the technique has potential as a low cost telemedicine service in burns follow up and that it requires only modest investment in equipment training and support
- ItemPost-acute care for a paediatric burns patient in regional Queensland.(2002-10-24) Smith, Anthony C; Kairl, Jodie-Anne; Kimble, Roy
- ItemA review of three years experience using email and videoconferencing for the delivery of post-acute burns care to children in Queensland.(2004-04-14) Smith, Anthony C; Youngberry, Karen; Mill, Julie; Kimble, Roy; Wootton, RichardA virtual outpatient service has been established in Queensland for the delivery of post acute burns care to children living in rural and remote areas of the state The integration of telepaediatrics as a routine service has reduced the need for patient travel to the specialist burns unit situated in Brisbane We have conducted 293 patient consultations over a period of 3 years A retrospective review of our experience has shown that post acute burns care can be delivered using videoconferencing email and the telephone Telepaediatric burns services have been valuable in two key areas The first area involves a programme of routine specialist clinics via videoconference The second area relates to ad hoc patient consultations for collaborative management during acute presentations and at times of urgent clinical need The families of patients have expressed a high degree of satisfaction with the service Telepaediatric services have helped improve access to specialist services for people living in rural and remote communities throughout Queensland