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  1. Electronic communication with patients : Evaluation of distance medicine technology.

    Article - En anglais

    Objective

    - To evaluate controlled evidence on the efficacy of distance medicine technologies in clinical practice and health care outcome.

    Data Sources

    - Systematic electronic database and manual searches (19661996) were conducted to identify clinical trial reports on distance medicine applications.

    Study Selection

    - Three eligibility criteria were applied :

    • prospective, contemporaneously controlled clinical trial with random assignment of the intervention ;

    • electronic distance technology application in the intervention group and no similar intervention in the control group ;

    • and measurement of the intervention effect on process or outcome of care.

    Data Extraction

    - Data were abstracted by independent reviewers using a standardized abstraction form and the quality of methodology was scored.

    Distance technology applications were described in 6 categories : computerized communication, telephone follow-up and counseling, telephone reminders, interactive telephone systems, after-hours telephone access, and telephone screening.

    Data Synthesis

    - Of 80 eligible clinical trials, 61 (76%) analyzed provider-initiated communication with patients and 50 (63%) reported positive outcome, improved performance, or significant benefits, including studies of computerized communication (7 of 7), telephone follow-up and counseling (20 of 37), telephone reminders (14 of 23), interactive telephone systems (5 of 6), telephone access (3 of 4), and telephone screening (1 of 3). (...)

    Mots-clés Pascal : Conduction électronique, Communication information, Evaluation, Technologie, Relation médecin malade, Relais distance, Télémédecine, Soin intégré, Qualité service, Article synthèse, Homme, Revue bibliographique, Organisation santé, Technique

    Mots-clés Pascal anglais : Electronic conduction, Information communication, Evaluation, Technology, Physician patient relation, Distance relay, Telemedicine, Managed care, Service quality, Review, Human, Bibliographic review, Public health organization, Technique

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0381069

    Code Inist : 002B28A. Création : 12/09/1997.