Browsing by Author "Youngberry, Karen"
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- ItemThe family costs of attending hospital outpatient appointments via videoconference and in person.(2004-01-19) Smith, Anthony C; Youngberry, Karen; Christie, Fiona; Isles, Alan; McCrossin, Robert; Williams, Michael; Van Der Westhuyzen, Jasper; Wootton, RichardWe compared the costs incurred by families attending outpatient appointments at the Royal Children s Hospital RCH in Brisbane with those incurred by families who had a consultation via videoconference in their regional area In each category 200 families were interviewed The median time spent travelling for videoconferences was 30 min compared with 80 min for face to face appointments Families interviewed in the outpatient department had travelled a median distance of 70 km while those who had a videoconference at the local hospital had travelled only 20 km It cost these families much more to attend an appointment at the RCH than to attend a videoconference Ninety six per cent of families 193 reported at least one of the following types of expense 150 families had expenses related to parking median A 10 dollars 156 had fuel expenses median A 10 dollars and 122 reported costs related to meals purchased at the RCH median A 10 dollars Only 21 families who had their appointment via local videoconference reported any additional costs Specialist appointments via videoconference were a more convenient and cheaper option for families living in regional areas of Queensland than the conventional method of attending outpatient appointments at the specialist hospital in Brisbane
- ItemRealtime telemedicine for paediatric otolaryngology pre-admission screening.(2005-12-26) Smith, Anthony C; Williams, Judy; Agnew, Julie; Sinclair, Stephen; Youngberry, Karen; Wootton, RichardWe conducted a feasibility study to examine whether a paediatric patient at a regional hospital could be assessed by an ear nose and throat ENT specialist via videoconference therefore saving at least one journey to the tertiary hospital for a pre admission appointment A video otoscope was used with standard videoconference equipment and realtime images were transmitted at a bandwidth of 384 kbit s In all 13 telepaediatric ENT clinics were conducted between November 2003 and April 2005 and 98 consultations were facilitated for 64 patients The main reasons for referral were recurrent tonsillitis 25 and obstructive sleep apnoea 23 Of the 64 patients examined by telemedicine 42 66 were recommended for surgery and placed on the surgical waiting list About 12 patients 19 required travel to the tertiary centre for further investigations and tests not available locally while four patients 6 were reviewed via videoconference during a scheduled clinic Six patients 9 required no further follow up after their initial telepaediatric consultation Videoconferencing is an effective method of assessing ENT conditions of paediatric patients and for pre screening potential surgical admissions to a tertiary hospital Careful consideration of a number of economic and logistical factors needs to be made before large investments are made to expand the service
- 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
- ItemTelemedicine research and MEDLINE.(2004-04-07) Youngberry, Karen
- ItemWireless telemedicine for the delivery of specialist paediatric services to the bedside.(2005-12-26) Smith, Anthony C; Coulthard, Mark; Clark, Ron; Armfield, Nigel; Taylor, Shauna; Goff, Robyn; Mottarelly, Ian; Youngberry, Karen; Isles, Alan; McCrossin, Robert; Wootton, RichardA mobile interactive online health system was used to conduct virtual ward rounds at a regional hospital which had no specialist paediatrician The system was wireless which allowed telepaediatric services to be delivered direct to the bedside Between December 2004 and May 2005 43 virtual ward rounds were coordinated between specialists based in Brisbane and local staff at the Gladstone Hospital Eighty six consultations were provided for 64 patients The most common conditions included asthma 27 chest infections 12 gastroenteritis 10 and urinary tract infections 10 In the majority of cases there were partial 67 or complete changes 11 in the clinical management of patients Specialist services were offered by a team of 13 clinicians at the Royal Children s Hospital 10 general paediatricians two physiotherapists and one registered nurse Feedback from all consultants involved in the service and local staff in Gladstone was extremely positive In 43 videoconference calls there were three technical problems probably due to an intermittent mains power supply at the regional hospital There appears to be potential for other rural and regional hospitals to adopt this model of service delivery