Document Detail


A cyberclinic in rheumatology.
MedLine Citation:
PMID:  10340266     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the feasibility of a rheumatology consultation and advisory service using internet and e-mail. METHODS: We placed a detailed rheumatology proforma on our website for general practitioners to complete and e-mail to our outpatients clinic. To study its feasibility, two junior doctors interviewed and completed the proforma for 207 new patients. Based on this information, the consultant provided provisional diagnoses, work up & management plans, which were then compared with those drawn up following face-to-face assessment of the same patients in the outpatients clinic. RESULTS: In most instances the pre- and post-examination diagnoses, work up & management plans were similar. Diagnostic concurrence was noted in 178 (86%) patients; no changes were required in x-rays and other tests requested in 129 (62%) patients; and the suggested treatment (including corticosteroid injections) remained the same in 153 (74%) patients. CONCLUSION: Our results suggest that it is feasible to offer an e-mail or internet based outpatients consultation and advisory service in rheumatology and possibly other disciplines.
Authors:
B Pal; H Laing; C Estrach
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Royal College of Physicians of London     Volume:  33     ISSN:  0035-8819     ISO Abbreviation:  J R Coll Physicians Lond     Publication Date:    1999 Mar-Apr
Date Detail:
Created Date:  1999-07-15     Completed Date:  1999-07-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7503108     Medline TA:  J R Coll Physicians Lond     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  161-2     Citation Subset:  IM    
Affiliation:
South Manchester University Hospitals NHS Trust, Withington Hospital. bpal@fs1.with.man.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Feasibility Studies
Humans
Internet*
Remote Consultation*
Rheumatic Diseases*
Comments/Corrections
Comment In:
J R Coll Physicians Lond. 1999 Jul-Aug;33(4):400-1   [PMID:  10472034 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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