Skip to main content
NCBI home page
Postgraduate Medical Journal logoLink to Postgraduate Medical Journal
. 1998 Dec;74(878):721–728. doi: 10.1136/pgmj.74.878.721

Telemedicine in the NHS for the millennium and beyond.

S Wallace 1, J Wyatt 1, P Taylor 1
PMCID: PMC2431635  PMID: 10320886

Abstract

This article defines telemedicine, discusses evidence of its effectiveness, looks at its advantages and disadvantages (and barriers to implementation), and considers its role in the NHS for the millennium and beyond.

Full text

PDF
721

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baer L., Cukor P., Jenike M. A., Leahy L., O'Laughlen J., Coyle J. T. Pilot studies of telemedicine for patients with obsessive-compulsive disorder. Am J Psychiatry. 1995 Sep;152(9):1383–1385. doi: 10.1176/ajp.152.9.1383. [DOI] [PubMed] [Google Scholar]
  2. Balas E. A., Jaffrey F., Kuperman G. J., Boren S. A., Brown G. D., Pinciroli F., Mitchell J. A. Electronic communication with patients. Evaluation of distance medicine technology. JAMA. 1997 Jul 9;278(2):152–159. [PubMed] [Google Scholar]
  3. Bergmo T. S. An economic analysis of teleradiology versus a visiting radiologist service. J Telemed Telecare. 1996;2(3):136–142. doi: 10.1258/1357633961929952. [DOI] [PubMed] [Google Scholar]
  4. Clarke P. H. A referrer and patient evaluation of a telepsychiatry consultation-liaison service in South Australia. J Telemed Telecare. 1997;3 (Suppl 1):12–14. doi: 10.1258/1357633971930788. [DOI] [PubMed] [Google Scholar]
  5. Darkins A., Dearden C. H., Rocke L. G., Martin J. B., Sibson L., Wootton R. An evaluation of telemedical support for a minor treatment centre. J Telemed Telecare. 1996;2(2):93–99. doi: 10.1177/1357633X9600200205. [DOI] [PubMed] [Google Scholar]
  6. Doolittle G. C., Harmon A., Williams A., Allen A., Boysen C. D., Wittman C., Mair F., Carlson E. A cost analysis of a tele-oncology practice. J Telemed Telecare. 1997;3 (Suppl 1):20–22. doi: 10.1258/1357633971930850. [DOI] [PubMed] [Google Scholar]
  7. Eljamel M. S., Nixon T. The use of a computer-based image link system to assist inter-hospital referrals. Br J Neurosurg. 1992;6(6):559–562. doi: 10.3109/02688699209002373. [DOI] [PubMed] [Google Scholar]
  8. Franken E. A., Jr, Driscoll C. E., Berbaum K. S., Smith W. L., Sato Y., Steinkraus L. W., Kao S. C. Teleradiology for a family practice center. JAMA. 1989 May 26;261(20):3014–3015. [PubMed] [Google Scholar]
  9. Friedman R. H., Kazis L. E., Jette A., Smith M. B., Stollerman J., Torgerson J., Carey K. A telecommunications system for monitoring and counseling patients with hypertension. Impact on medication adherence and blood pressure control. Am J Hypertens. 1996 Apr;9(4 Pt 1):285–292. doi: 10.1016/0895-7061(95)00353-3. [DOI] [PubMed] [Google Scholar]
  10. GERSHON-COHEN J., COOLEY A. G. Telognosis. Radiology. 1950 Oct;55(4):582–587. doi: 10.1148/55.4.582. [DOI] [PubMed] [Google Scholar]
  11. Goh K. Y., Tsang K. Y., Poon W. S. Does teleradiology improve inter-hospital management of head-injury? Can J Neurol Sci. 1997 Aug;24(3):235–239. doi: 10.1017/s0317167100021867. [DOI] [PubMed] [Google Scholar]
  12. Goldberg M. A., Rosenthal D. I., Chew F. S., Blickman J. G., Miller S. W., Mueller P. R. New high-resolution teleradiology system: prospective study of diagnostic accuracy in 685 transmitted clinical cases. Radiology. 1993 Feb;186(2):429–434. doi: 10.1148/radiology.186.2.8421746. [DOI] [PubMed] [Google Scholar]
  13. Halliday B. E., Bhattacharyya A. K., Graham A. R., Davis J. R., Leavitt S. A., Nagle R. B., McLaughlin W. J., Rivas R. A., Martinez R., Krupinski E. A. Diagnostic accuracy of an international static-imaging telepathology consultation service. Hum Pathol. 1997 Jan;28(1):17–21. doi: 10.1016/s0046-8177(97)90273-2. [DOI] [PubMed] [Google Scholar]
  14. Halvorsen P. A., Kristiansen I. S. Radiology services for remote communities: cost minimisation study of telemedicine. BMJ. 1996 May 25;312(7042):1333–1336. doi: 10.1136/bmj.312.7042.1333. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Harrison R., Clayton W., Wallace P. Can telemedicine be used to improve communication between primary and secondary care? BMJ. 1996 Nov 30;313(7069):1377–1381. doi: 10.1136/bmj.313.7069.1377. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Hubble J. P., Pahwa R., Michalek D. K., Thomas C., Koller W. C. Interactive video conferencing: a means of providing interim care to Parkinson's disease patients. Mov Disord. 1993 Jul;8(3):380–382. doi: 10.1002/mds.870080326. [DOI] [PubMed] [Google Scholar]
  17. Jennett B. Assessment of clinical technologies. Importance for provision and use. Int J Technol Assess Health Care. 1988;4(3):435–445. doi: 10.1017/s0266462300000374. [DOI] [PubMed] [Google Scholar]
  18. Jones D. H., Crichton C., Macdonald A., Potts S., Sime D., Toms J., McKinlay J. Teledermatology in the Highlands of Scotland. J Telemed Telecare. 1996;2 (Suppl 1):7–9. doi: 10.1258/1357633961929402. [DOI] [PubMed] [Google Scholar]
  19. Kvedar J. C., Edwards R. A., Menn E. R., Mofid M., Gonzalez E., Dover J., Parrish J. A. The substitution of digital images for dermatologic physical examination. Arch Dermatol. 1997 Feb;133(2):161–167. [PubMed] [Google Scholar]
  20. Lock C. What value do computers provide to NHS hospitals? BMJ. 1996 Jun 1;312(7043):1407–1410. [PMC free article] [PubMed] [Google Scholar]
  21. Mahmud K., Lenz J. The personal telemedicine system. A new tool for the delivery of health care. J Telemed Telecare. 1995;1(3):173–177. doi: 10.1177/1357633X9500100307. [DOI] [PubMed] [Google Scholar]
  22. Norton S. A., Burdick A. E., Phillips C. M., Berman B. Teledermatology and underserved populations. Arch Dermatol. 1997 Feb;133(2):197–200. [PubMed] [Google Scholar]
  24. Pedersen S., Holand U. Tele-endoscopic otorhinolaryngological examination: preliminary study of patient satisfaction. Telemed J. 1995 Spring;1(1):47–52. doi: 10.1089/tmj.1.1995.1.47. [DOI] [PubMed] [Google Scholar]
  25. Perednia D. A., Gaines J. A., Butruille T. W. Comparison of the clinical informativeness of photographs and digital imaging media with multiple-choice receiver operating characteristic analysis. Arch Dermatol. 1995 Mar;131(3):292–297. [PubMed] [Google Scholar]
  26. Slasky B. S., Gur D., Good W. F., Costa-Greco M. A., Harris K. M., Cooperstein L. A., Rockette H. E. Receiver operating characteristic analysis of chest image interpretation with conventional, laser-printed, and high-resolution workstation images. Radiology. 1990 Mar;174(3 Pt 1):775–780. doi: 10.1148/radiology.174.3.2305061. [DOI] [PubMed] [Google Scholar]
  27. Spencer D. C., Daugird A. J. The nature and content of telephone prescribing habits in a community practice. Fam Med. 1990 May-Jun;22(3):205–209. [PubMed] [Google Scholar]
  28. Taylor P. A survey of research in telemedicine. 1: Telemedicine systems. J Telemed Telecare. 1998;4(1):1–17. doi: 10.1258/1357633981931227. [DOI] [PubMed] [Google Scholar]
  29. Taylor P. A survey of research in telemedicine. 2: Telemedicine services. J Telemed Telecare. 1998;4(2):63–71. doi: 10.1258/1357633981931948. [DOI] [PubMed] [Google Scholar]
  30. Telemedicine: fad or future? Lancet. 1995 Jan 14;345(8942):73–74. [PubMed] [Google Scholar]
  31. Thaete F. L., Fuhrman C. R., Oliver J. H., Britton C. A., Campbell W. L., Feist J. H., Straub W. H., Davis P. L., Plunkett M. B. Digital radiography and conventional imaging of the chest: a comparison of observer performance. AJR Am J Roentgenol. 1994 Mar;162(3):575–581. doi: 10.2214/ajr.162.3.8109499. [DOI] [PubMed] [Google Scholar]
  32. Tonks A., Smith R. Information in practice. BMJ. 1996 Aug 24;313(7055):438–438. doi: 10.1136/bmj.313.7055.438. [DOI] [PMC free article] [PubMed] [Google Scholar]
  33. Vidmar D. A. Plea for standardization in teledermatology: a worm's eye view. Telemed J. 1997 Summer;3(2):173–178. doi: 10.1089/tmj.1.1997.3.173. [DOI] [PubMed] [Google Scholar]
  34. Whitten P., Franken E. A. Telemedicine for patient consultation: factors affecting use by rural primary-care physicians in Kansas. J Telemed Telecare. 1995;1(3):139–144. doi: 10.1177/1357633X9500100303. [DOI] [PubMed] [Google Scholar]
  35. Yoshino M. T., Carmody R., Fajardo L. L., Seeger J., Jones K. Diagnostic performance of teleradiology in cervical spine fracture detection. Invest Radiol. 1992 Jan;27(1):55–59. doi: 10.1097/00004424-199201000-00011. [DOI] [PubMed] [Google Scholar]
  36. Zelickson B. D., Homan L. Teledermatology in the nursing home. Arch Dermatol. 1997 Feb;133(2):171–174. [PubMed] [Google Scholar]

Articles from Postgraduate Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES