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Assessment of benefit in tele-ophthalmology using a consensus panel

Taylor, P; Kennedy, C; Murdoch, I; Johnston, K; Cook, C; Godoumov, R; (2003) Assessment of benefit in tele-ophthalmology using a consensus panel. J TELEMED TELECARE , 9 (3) 140 - 145.

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A videoconferencing link was established from a hospital in South Africa to Moorfields Eye Hospital in London. A clinician in South Africa used a video slit-lamp and videoconferencing equipment to capture images and communicate with a specialist in London. Over 12 months, 113 cases were discussed in teleconsultations. Case-notes were subsequently obtained for 90 cases (80%). Three consultant ophthalmologists took part in the consensus process, one from the UK and two from South Africa. The consensus panel achieved on average 78-96% agreement on the items rated. In approximately half the cases, the panel judged that teleconsultation had had an effect on diagnosis. In nine cases (10%) there was potential for definite improvement in visual health as a result of tele-ophthalmology and in a further 48 cases (53%) there was potential for possible improvement in visual health. The consensus process identified 35 cases (39%) where there was potential improvement in general health as a result of tele-ophthalmology. Despite the methodological limitations of our approach, it was possible to learn a great deal about the effectiveness of the telemedicine intervention.

Type: Article
Title: Assessment of benefit in tele-ophthalmology using a consensus panel
UCL classification: UCL > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health Care > CHIME
URI: http://discovery.ucl.ac.uk/id/eprint/101888
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