A Retrospective Analysis of Pediatric Cases Handled by the MSF Tele-Expertise System.

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dc.contributor.authorMartinez Garcia, Daniel
dc.contributor.authorBonnardot, Laurent
dc.contributor.authorOlson, David
dc.contributor.authorRoggeveen, Harriet
dc.contributor.authorKarsten, Jaap
dc.contributor.authorMoons, Peter
dc.contributor.authorSchaefer, Myrto
dc.contributor.authorLiu, Joanne
dc.contributor.authorWootton, Richard
dc.date.accessioned2020-02-10T17:43:16Z
dc.date.available2020-02-10T17:43:16Z
dc.date.issued2014-12-24
dc.description.abstractWe conducted a retrospective analysis of all pediatric cases referred by M decins Sans Fronti res MSF field doctors via the MSF telemedicine system during a 4 year period from April 2010 A total of 467 pediatric cases were submitted representing approximately 40 of all telemedicine cases The median age of the patients was 4 years The median response time i e the interval between the case being submitted and the first response from a specialist was 13 h interquartile range 4 32 h We selected a random sample of 12 pediatric cases in each of four age categories for detailed analysis by an experienced MSF pediatrician In the 48 randomly selected cases the mean rating for the quality of information provided by the referrer was 2 8 on a scale from 1 very poor to 5 very good and the mean rating for the appropriateness of the response was 3 3 same scale More than two thirds of the responses were considered to be useful to the patient and approximately three quarters were considered to be useful to the medical team The usefulness of the responses tended to be higher for the medical team than for the patient and there was some evidence that usefulness to both groups was lower in newborns and adolescent patients The telemedicine system allows the quality of the medical support given to medical teams in the field to be controlled objectively as there is a record of all cases and answers Telemedicine has an important role in supporting the aims of medical humanitarian organizations such as MSF
dc.identifier.urihttp://dx.doi.org/10.3389/fpubh.2014.00266
dc.identifier.urihttps://lib.digitalsquare.io/xmlui/handle/123456789/27693
dc.relation.uriFrontiers in public health
dc.titleA Retrospective Analysis of Pediatric Cases Handled by the MSF Tele-Expertise System.en
dcterms.abstractWe conducted a retrospective analysis of all pediatric cases referred by M decins Sans Fronti res MSF field doctors via the MSF telemedicine system during a 4 year period from April 2010 A total of 467 pediatric cases were submitted representing approximately 40 of all telemedicine cases The median age of the patients was 4 years The median response time i e the interval between the case being submitted and the first response from a specialist was 13 h interquartile range 4 32 h We selected a random sample of 12 pediatric cases in each of four age categories for detailed analysis by an experienced MSF pediatrician In the 48 randomly selected cases the mean rating for the quality of information provided by the referrer was 2 8 on a scale from 1 very poor to 5 very good and the mean rating for the appropriateness of the response was 3 3 same scale More than two thirds of the responses were considered to be useful to the patient and approximately three quarters were considered to be useful to the medical team The usefulness of the responses tended to be higher for the medical team than for the patient and there was some evidence that usefulness to both groups was lower in newborns and adolescent patients The telemedicine system allows the quality of the medical support given to medical teams in the field to be controlled objectively as there is a record of all cases and answers Telemedicine has an important role in supporting the aims of medical humanitarian organizations such as MSF
dcterms.contributorMartinez Garcia, Daniel
dcterms.contributorBonnardot, Laurent
dcterms.contributorOlson, David
dcterms.contributorRoggeveen, Harriet
dcterms.contributorKarsten, Jaap
dcterms.contributorMoons, Peter
dcterms.contributorSchaefer, Myrto
dcterms.contributorLiu, Joanne
dcterms.contributorWootton, Richard
dcterms.identifierhttp://dx.doi.org/10.3389/fpubh.2014.00266
dcterms.relationFrontiers in public health
dcterms.titleA Retrospective Analysis of Pediatric Cases Handled by the MSF Tele-Expertise System.en
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