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首页> 外文期刊>Telemedicine and e-health: the official journal of the American Telemedicine Association >The feasibility of a community-based mobile telehealth screening service for Aboriginal and Torres Strait Islander children in Australia.
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The feasibility of a community-based mobile telehealth screening service for Aboriginal and Torres Strait Islander children in Australia.

机译：为澳大利亚的原住民和托雷斯海峡岛民儿童提供基于社区的移动远程医疗筛查服务的可行性。

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OBJECTIVE: The increasing prevalence and earlier onset of chronic health conditions amongst Aboriginal and Torres Strait Islander people has become a concerning and significant problem. Telehealth may be a useful application for the early detection, monitoring, and treatment of chronic diseases such as ear disease and vision impairment. This study evaluates whether it is feasible to integrate a mobile telemedicine-enabled ear and eye-screening service with existing community-based services for Australian indigenous children. MATERIALS AND METHODS: A collaborative service was established with the local community and delivered from a van fitted with screening equipment and telemedicine capabilities. Indigenous children (0-16 years) were assessed at school by an aboriginal health worker for conditions impacting hearing and vision. Screening data and video-otoscopic images were uploaded to a database and made accessible to specialists via a secure Web site. Those children who failed an ear-screening assessment, tele-otology clinics were conducted remotely by an ear, nose, and throat specialist, who reviewed cases and provided a diagnosis and treatment plan. Similarly, children who failed vision assessments were referred to an optometrist for follow-up care. RESULTS: During the first 6 months, the service visited 12 of the 16 schools in the region, screening 442 of the 760 consented children (58%). Of the 183 (41%) children who failed ear screening, 59 were reviewed remotely by an ear, nose, and throat surgeon, with 9 children booked for surgery. Three hundred and four or 41% of the consenting children completed an eye assessment, in which 46 (15%) failed and required referral to the optometrist. CONCLUSIONS: It is feasible to integrate a mobile telehealth screening service with existing community-based services to provide specialist review and treatment planning at a distance. Community consultation, engagement, and collaboration in all areas of the project have been important.
机译：目的：原住民和托雷斯海峡岛民的慢性病患病率不断上升，发病时间更早，这已成为一个令人关注的重大问题。远程医疗对于早期检测，监测和治疗慢性疾病（例如耳部疾病和视力障碍）可能是有用的应用程序。这项研究评估将移动远程医疗功能的耳朵和眼部筛查服务与现有的针对澳大利亚土著儿童的社区服务相结合是否可行。材料与方法：与当地社区建立了合作服务，并由配备了筛查设备和远程医疗功能的货车提供服务。原住民卫生工作者在学校对土著儿童（0-16岁）进行了评估，以评估其影响听力和视力的条件。筛查数据和录像图像被上传到数据库，并通过安全的网站可供专家访问。那些未能通过耳朵筛查评估的孩子，由耳鼻喉专家远程进行耳科门诊，他们对病例进行了审查并提供了诊断和治疗计划。同样，视力评估未通过的儿童也被转交给验光师进行后续护理。结果：在最初的6个月中，该服务访问了该地区16所学校中的12所，对760名同意接受教育的儿童中的442名进行了筛查（58％）。在183名筛查失败的儿童中（41％），耳，鼻，喉外科医师对59名儿童进行了远程检查，预订了9名儿童进行手术。 344名同意儿童中的41％完成了眼睛评估，其中46名（15％）失败并需要转诊至验光师。结论：将移动远程医疗检查服务与现有的基于社区的服务相集成，以提供远距离的专家检查和治疗计划是可行的。在项目的所有领域中进行社区咨询，参与和协作非常重要。

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