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dc.contributor.authorWootton, Richard
dc.contributor.authorLiu, Joanne
dc.contributor.authorBonnardot, Laurent
dc.date.accessioned2016-03-08T13:01:57Z
dc.date.available2016-03-08T13:01:57Z
dc.date.issued2015-09-25
dc.description.abstractWe examined the difficulty of telemedicine cases and the quality of the resultant consultation in a mature store-and-forward telemedicine network. A random sample of 10 telemedicine cases was selected from those occurring over a 3-month period (5% of the workload) and they were scored by three experienced observers. Inter-observer agreement on the difficulty scores was poor (Fleiss’s kappa = 0.18) and it was also poor on the consultation quality scores (Fleiss’s kappa = 0.11). Differences between observers were minimized by consensus scoring, and the cases were re-assessed jointly by two observers. Based on the consensus scores, there was a weak negative relation between output quality and case difficulty, i.e., the more difficult cases tended to result in lower quality consultations. However, the effect was non-significant (P = 0.59) and a larger study might be helpful. In the meantime, routine monitoring of telemedicine service quality will continue in the interests of quality assurance. As yet, there is no evidence on which to base a correction for case difficulty.en_US
dc.descriptionPublished version. Also available at <a href= http://dx.doi.org/10.3389/fpubh.2015.00217> http://dx.doi.org/10.3389/fpubh.2015.00217</a>en_US
dc.identifier.citationFrontiers In Public Health 2015, 3:217en_US
dc.identifier.cristinIDFRIDAID 1315433
dc.identifier.doi10.3389/fpubh.2015.00217
dc.identifier.issn2296-2565
dc.identifier.urihttps://hdl.handle.net/10037/8774
dc.identifier.urnURN:NBN:no-uit_munin_8345
dc.language.isoengen_US
dc.publisherFrontiersen_US
dc.rights.accessRightsopenAccess
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800en_US
dc.subjecttelemedicineen_US
dc.subjecttelehealthen_US
dc.subjectquality assuranceen_US
dc.subjectquality controlen_US
dc.subjectLMICsen_US
dc.titleRelationship between the quality of service provided through store-and-forward telemedicine consultations and the difficulty of the cases – implications for long-term quality assuranceen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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