Pacific Medical Technology Symposium (1998)
Aug. 17, 1998 to Aug. 20, 1998
Greater than 280,000 patients are treated by hemodialysis in the US. The first year annual adjusted mortality is very high and in part relates to the dose of delivered dialysis (Kt/V). Using multimedia telemedicine we have been following dialysis patients for over one year with a weekly "telemedicine visit" in addition to weekly physician visits, in an attempt to maintain compliance with the dialysis schedule, in addition to comprehensive medical consultation.Transmission is achieved with T1 lines from the clinic to the physician's office or home. The telemedicine session uses electronic patient folders containing relevant medical details, digitized X-rays, lab values, etc.. We are able to achieve high quality videoconferencing, capture still or video images, record remote stethoscope sounds, capture local or remote data (laboratory values, dialysis machine parameters), and modify the medical record. Our goal is to increase the quantity of delivered dialysis, and thereby improve quality of life, patient satisfaction, and reduce costs of medical care, at the same time maintaining patient confidentiality.Appropriate measures to ensure data integrity and patient confidentiality have been integrated into the study. Questionnaires are also utilized to measure on an ongoing basis (quarterly), quality of life, patient satisfaction, while a weekly questionnaire captures any medical event taking place. The project will near completion this year, with subsequent data analysis in the following 6 months. The system and procedures we have employed are accepted enthusiastically by patients and staff alike and have aided in patient management.
A. Alaoui et al., "Telemedicine and Dialysis," Pacific Medical Technology Symposium(PACMEDTEK), Honolulu, Hawaii, 1998, pp. 116.