Outcome Assessment for a Telemedicine-Based Second Opinion Program for Midwest China
Through an examination of the records of a telemedicine-based second opinion program in county-level hospitals in central and western China, the impact of this service on the diagnosis and treatment of cancer-related diseases was analyzed and evaluated. In this study, all 135 cancer-related cases we...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2020-11-01
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| Series: | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| Online Access: | https://doi.org/10.1177/0046958020968788 |
| _version_ | 1819021270206906368 |
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| author | Ayan Mao MA, MPH Yueli Meng MPH Qing Wang MPH Enhuan Du MPH Pei Dong MA Xiaoling Yan PhD Kun Wang PhD Yujie Yang MPH Guangyu Hu PhD Wuqi Qiu PhD |
| author_facet | Ayan Mao MA, MPH Yueli Meng MPH Qing Wang MPH Enhuan Du MPH Pei Dong MA Xiaoling Yan PhD Kun Wang PhD Yujie Yang MPH Guangyu Hu PhD Wuqi Qiu PhD |
| author_sort | Ayan Mao MA, MPH |
| collection | DOAJ |
| description | Through an examination of the records of a telemedicine-based second opinion program in county-level hospitals in central and western China, the impact of this service on the diagnosis and treatment of cancer-related diseases was analyzed and evaluated. In this study, all 135 cancer-related cases were included in the analysis. The basic characteristics of the patients were described, the opinions of the original and second diagnosis and treatment were compared, the rate of consistency between them was calculated, the therapeutic regimens were analyzed and the differences between groups were tested. In 94.07% of the cases, the reason for the doctor’s request for second opinion service was to assist in the formulation of therapeutic regimen. 64.44% of cases were confirmed with the diagnosis and 17.78% therapeutic regimen by the second opinion service. 126 cases obtained improved therapeutic regimens, and there were statistically significant differences in treatment methods in the diagnosis changed group. Comparing with other international SO studies, the diagnostic consistency rate obtained in this study was lower but not the lowest. The therapeutic consistency rate was quite low, due to the high proportion of original therapeutic regimens missing. This telemedicine-based second opinion program has brought beneficial improvements to the diagnosis and treatment of cancer-related diseases in county-level hospitals in central and western China. |
| first_indexed | 2024-12-21T04:04:26Z |
| format | Article |
| id | doaj.art-dffbf3e363ec4f5c8c4bb920b6de5057 |
| institution | Directory Open Access Journal |
| issn | 0046-9580 1945-7243 |
| language | English |
| last_indexed | 2024-12-21T04:04:26Z |
| publishDate | 2020-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| spelling | doaj.art-dffbf3e363ec4f5c8c4bb920b6de50572022-12-21T19:16:38ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432020-11-015710.1177/0046958020968788Outcome Assessment for a Telemedicine-Based Second Opinion Program for Midwest ChinaAyan Mao MA, MPH0Yueli Meng MPH1Qing Wang MPH2Enhuan Du MPH3Pei Dong MA4Xiaoling Yan PhD5Kun Wang PhD6Yujie Yang MPH7Guangyu Hu PhD8Wuqi Qiu PhD9Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, ChinaChinese Academy of Medical Sciences & Peking Union Medical College, Beijing, ChinaChinese Academy of Medical Sciences & Peking Union Medical College, Beijing, ChinaChinese Academy of Medical Sciences & Peking Union Medical College, Beijing, ChinaChinese Academy of Medical Sciences & Peking Union Medical College, Beijing, ChinaChinese Academy of Medical Sciences & Peking Union Medical College, Beijing, ChinaChinese Academy of Medical Sciences & Peking Union Medical College, Beijing, ChinaChinese Academy of Medical Sciences & Peking Union Medical College, Beijing, ChinaChinese Academy of Medical Sciences & Peking Union Medical College, Beijing, ChinaChinese Academy of Medical Sciences & Peking Union Medical College, Beijing, ChinaThrough an examination of the records of a telemedicine-based second opinion program in county-level hospitals in central and western China, the impact of this service on the diagnosis and treatment of cancer-related diseases was analyzed and evaluated. In this study, all 135 cancer-related cases were included in the analysis. The basic characteristics of the patients were described, the opinions of the original and second diagnosis and treatment were compared, the rate of consistency between them was calculated, the therapeutic regimens were analyzed and the differences between groups were tested. In 94.07% of the cases, the reason for the doctor’s request for second opinion service was to assist in the formulation of therapeutic regimen. 64.44% of cases were confirmed with the diagnosis and 17.78% therapeutic regimen by the second opinion service. 126 cases obtained improved therapeutic regimens, and there were statistically significant differences in treatment methods in the diagnosis changed group. Comparing with other international SO studies, the diagnostic consistency rate obtained in this study was lower but not the lowest. The therapeutic consistency rate was quite low, due to the high proportion of original therapeutic regimens missing. This telemedicine-based second opinion program has brought beneficial improvements to the diagnosis and treatment of cancer-related diseases in county-level hospitals in central and western China.https://doi.org/10.1177/0046958020968788 |
| spellingShingle | Ayan Mao MA, MPH Yueli Meng MPH Qing Wang MPH Enhuan Du MPH Pei Dong MA Xiaoling Yan PhD Kun Wang PhD Yujie Yang MPH Guangyu Hu PhD Wuqi Qiu PhD Outcome Assessment for a Telemedicine-Based Second Opinion Program for Midwest China Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| title | Outcome Assessment for a Telemedicine-Based Second Opinion Program for Midwest China |
| title_full | Outcome Assessment for a Telemedicine-Based Second Opinion Program for Midwest China |
| title_fullStr | Outcome Assessment for a Telemedicine-Based Second Opinion Program for Midwest China |
| title_full_unstemmed | Outcome Assessment for a Telemedicine-Based Second Opinion Program for Midwest China |
| title_short | Outcome Assessment for a Telemedicine-Based Second Opinion Program for Midwest China |
| title_sort | outcome assessment for a telemedicine based second opinion program for midwest china |
| url | https://doi.org/10.1177/0046958020968788 |
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