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Eberl, R; Kaminski, A; Reckwitz, N; Muhr, G; Clasbrummel, B.
The tele-visit as a telemedical technique in daily clinical practice. First results for elbow joint arthrolysis
Unfallchirurg. 2006; 109(5): 383-390. Doi: 10.1007/s00113-006-1062-0
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Leading authors Med Uni Graz
Eberl Robert
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Abstract:
Technologies in telecommunication and information are being increasingly applied in the public health system of the western world. Also responsible for this development is the cost factor in the field of financing and maintenance of such a system of superior medical supply, as well as the concurrent patient' demand for optimized medical "24 h care and treatment". Pioneers in the use of telematic projects have, up until now, been large states such as the USA, Canada, Norway or Australia. Such projects have been used to provide, guarantee and maintain medical care in geographically remote regions with few medical facilities. After breaking the obstacle of geographic distance, telemedical solutions in general, and especially the tele-visit, represent a new form of treatment for patient care after discharge from hospital. In the year 2002, a prospective randomized two-armed study was initiated including patients after surgical intervention by arthroplasty in posttraumatic contracture of the elbow. The system of the tele-visit was used for 6 weeks after discharge and the patients were controlled as outpatients after 6 months, including a physical examination. The functional outcome, duration of stay in hospital and the costs for treatment arising were determined. A standardized questionnaire was developed and the degree of satisfaction of the patients surveyed. A shorter stay in hospital was found together with lowered costs in medical treatment, while no differences in functional outcome could be found in comparison to the control group, although there was an additionally high grade of satisfaction with the new system.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Aged -
Arthroplasty - economics
Child - economics
Contracture - economics
Elbow Joint - injuries
Female - injuries
Follow-Up Studies - injuries
Humans - injuries
Length of Stay - injuries
Male - injuries
Middle Aged - injuries
Outpatients - injuries
Patient Satisfaction - injuries
Prospective Studies - injuries
Questionnaires - injuries
Recovery of Function - injuries
Telemedicine - economics
Time Factors - economics

Find related publications in this database (Keywords)
telemedicine
televisit
clinical use
arthroplasty of the elbow
first results
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