Challenges in telemedicine equivalence studies |
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Authors: | Nelson Eve-Lynn Palsbo Susan |
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Institution: | aKansas University Medical Center, 2012 Wahl Annex, MS 1048, 3901 Rainbow Blvd. Kansas City, KS 66160, USA;bNational Rehabilitation Hospital Principal Research Association, George Mason University, 4400 University Dr, MS 3C4, Fairfax, VA 22030, USA |
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Abstract: | As the number of telemedicine programs continues to grow, the accuracy of diagnosis over interactive televideo is a central concern. Although investigators have begun to address diagnostic equivalency in telehealth clinics, few published studies reflect strong research design. The two presented telehealth programs completed randomized controlled trials in real-world clinical settings that addressed some of the methodologic shortcomings of prior studies. Diagnostic equivalency studies were completed across five telehealth specialty clinics: physical therapy, speech therapy, ambulatory pediatrics, child psychiatry, and developmental disabilities services. The two research teams encountered similar decision points in designing and implementing the equivalency protocols. This article addresses methodologic issues in choosing design, participants, technology, and evaluation measures. Although the paper focuses on interactive televideo, the issues raised are pertinent across telehealth technologies. |
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Keywords: | Telemedicine Diagnostic accuracy Randomized controlled trial Interactive health communication Information technology eHealth |
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