Browsing by Author "Martin-Khan, Melinda"
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- ItemA break-even analysis of delivering a memory clinic by videoconferencing.(2013-11-12) Comans, Tracy A; Martin-Khan, Melinda; Gray, Leonard C; Scuffham, Paul AWe analysed the costs of two kinds of dementia clinic In the conventional clinic held in a rural area the specialist travels to the clinic from the city In the videoconferencing clinic patients are also seen in a rural area but the specialist conducts the assessment by video from the city The fixed costs common to both modalities such as clinic infrastructure were ignored The total fixed cost of a monthly conventional clinic was 522 and the total fixed cost of a monthly videoconferencing clinic was 881 The additional variable cost of the specialist travelling to the conventional clinic was 2 62 per minute of the specialist s travelling time The break even point at which the cost of the two modalities is the same was just over two hours 138 min round trip A sensitivity analysis showed that the break even point was not particularly sensitive to changes in staff wages but slightly more sensitive to the non labour costs of videoconferencing Air travel is not an efficient alternative to travel by car Reducing the number of clinics to six per year results in a much higher cost of running the videoconferencing service compared to the conventional service Videoconferencing for the purpose of diagnosing dementia is both a reliable and cost effective method of health service provision when a specialist is required to drive for more than about two hours round trip to provide a memory disorder clinic service
- ItemDesign of a randomized, non-inferiority trial to evaluate the reliability of videoconferencing for remote consultation of diabetes.(2014-02-19) Fatehi, Farhad; Martin-Khan, Melinda; Gray, Leonard C; Russell, Anthony WAn estimated 366 million people are living with diabetes worldwide and it is predicted that its prevalence will increase to 552 million by 2030 Management of this disease and its complications is a challenge for many countries Optimal glycaemic control is necessary to minimize complications but less than 70 of diabetic patients achieve target levels of blood glucose partly due to poor access to qualified health care providers Telemedicine has the potential to improve access to health care especially for rural and remote residents Video teleconsultation a real time or synchronous mode of telemedicine is gaining more popularity around the world through recent improvements in digital telecommunications If video consultation is to be offered as an alternative to face to face consultation in diabetes assessment and management then it is important to demonstrate that this can be achieved without loss of clinical fidelity This paper describes the protocol of a randomised controlled trail for assessing the reliability of remote video consultation for people with diabetes
- ItemMemorable telemedicine experiences.(2008-03-05) Wooton, Richard; Krupinski, Elizabeth; Hailey, David; Patterson, Victor; Scott, Richard; Whited, John; Whitten, Pamela; Yoo, Sun; Hui, Elsie; Ferguson, James; Van Der Westhuyzen, Jasper; Kayser, Klaus; Mars, Maurice; Martin-Khan, Melinda; Tachakra, Sapal; Scalvini, Simonetta; Shumack, Stephen; Smith, Anthony; Soyer, H Peter; Stachura, Max
- ItemPhysical examination and diagnosis of dementia for video consultation.(2008-05-05) Martin-Khan, Melinda; Varghese, Paul; Wootton, Richard; Gray, Len