远程放射学网络,改善非洲大陆发展中国家的医疗保健和病人管理

IF 1.8 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Clinical Imaging Pub Date : 2024-05-10 DOI:10.1016/j.clinimag.2024.110188
Katelyn E. Rudisill , Neetika Mathur , Arjun Kalyanpur
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引用次数: 0

摘要

导言就面积和人口而言,非洲是地球上第二大洲。然而,交通不便和训练有素的放射科医生短缺阻碍了为如此庞大的人口提供充分的医疗保健服务。远程放射学通过及时解读放射检查结果,在改善非洲国家患者的治疗效果和医疗服务方面具有相当大的潜力,尤其是在那些放射科医生特别缺乏的地区。本研究旨在评估远程放射学在改善非洲大陆发展中国家医疗保健和患者管理方面的影响。方法在这项回顾性研究中,从 2017 年 1 月到 2022 年 12 月,来自 8 个非洲国家的一组患者的扫描结果被上传到远程放射学云服务器,并由远程放射学服务提供商授权的经认证的放射科医师进行解读。讨论本研究中设计的专用远程放射学模式允许远程放射学专家通过云平台上的高质量 DICOM 图像传输,对来自非洲国家医院的一组患者的扫描结果进行解读和分析。我们的调查结果表明,远程放射学为在非洲进行的早期诊断/解释检查提供了有效的解决方案。此外,目前提出的远程放射学模式也可用于全球其他发展中国家,以提高医疗质量。
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A teleradiology network for the improvement of healthcare and patient management in the developing countries of the African continent

Introduction

Africa is the second-largest continent on Earth in terms of both size and population. However, inaccessibility and shortfall of trained radiologists impede the delivery of adequate healthcare to such a large population. Teleradiology holds considerable potential in improving patient outcomes and healthcare delivery in African nations by furnishing timely interpretation of radiological examinations, particularly in those areas where there is a particular scarcity of radiologists. The aim of the present study was to assess the impact of teleradiology in the improvement of healthcare and patient management in the developing countries of the African continent.

Methods

In this retrospective study, from January 2017 and December 2022, the scans of a cohort of patients from eight African countries were uploaded to the teleradiology cloud server and interpreted by board certified radiologists empanelled by a teleradiology service provider.

Results

The telehealth model proposed in the study was seen to provide timely and quality reporting of 58,223 scans of 39,513 patients with a mean turn-around-time (TAT) of 2.46 h 95 % CI (2.44–2.48).

Discussion

A dedicated teleradiology model designed in this study allowed the interpretation and analysis of the scans of the cohort of patients from hospitals in African countries by teleradiologists via high quality DICOM-image transfer over a cloud-based platform. The outcomes of our investigation reflect that teleradiology provides an effective solution for early diagnosis/interpretation of examinations performed in Africa. Further, the currently proposed teleradiology model may be used for other developing countries across the world to improve quality of care.

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来源期刊
Clinical Imaging
Clinical Imaging 医学-核医学
CiteScore
4.60
自引率
0.00%
发文量
265
审稿时长
35 days
期刊介绍: The mission of Clinical Imaging is to publish, in a timely manner, the very best radiology research from the United States and around the world with special attention to the impact of medical imaging on patient care. The journal''s publications cover all imaging modalities, radiology issues related to patients, policy and practice improvements, and clinically-oriented imaging physics and informatics. The journal is a valuable resource for practicing radiologists, radiologists-in-training and other clinicians with an interest in imaging. Papers are carefully peer-reviewed and selected by our experienced subject editors who are leading experts spanning the range of imaging sub-specialties, which include: -Body Imaging- Breast Imaging- Cardiothoracic Imaging- Imaging Physics and Informatics- Molecular Imaging and Nuclear Medicine- Musculoskeletal and Emergency Imaging- Neuroradiology- Practice, Policy & Education- Pediatric Imaging- Vascular and Interventional Radiology
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