title: An evaluation of telehealth in the provision of rheumatologic consults to a remote area.
abstract: OBJECTIVE
  To evaluate the feasibility and acceptability of providing telehealth consultations in rheumatology.
  
  
  METHODS
  A prospective review of new consults from a rural area assessed by a rheumatologist in an urban area using telehealth. Patient demographics were recorded along with a self-administered questionnaire reporting assessment of the acceptability of the process. Referring physician and consultant provided open ended feedback as to relative strengths and weaknesses of telehealth versus traditional consult. A simple cost and time benefit analysis was undertaken.
  
  
  RESULTS
  The spectrum of patients with rheumatic disease assessed was similar to a traditional consultation clinic. Patients found the overall process to be acceptable and effective. Apart from accessibility to specialist consultation, the greatest benefit was improved communication among patient, referring physician, and consultant. The process was determined to be efficient in both time and cost savings.
  
  
  CONCLUSIONS
  Telehealth rheumatology consultations are feasible, acceptable, and cost/time effective and are therefore advocated for those geographic areas where traditional consultations are not readily available.
authors.affiliation: Department of Medicine, University of Alberta, Edmonton, Canada.
authors.forename: P
authors.initials: P
authors.lastname: Davis
authors.forename: R
authors.initials: R
authors.lastname: Howard
authors.forename: P
authors.initials: P
authors.lastname: Brockway
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000416:Alberta; D002648:Child; D017046:Cost Savings; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D015397:Program Evaluation; D011446:Prospective Studies; D019114:Remote Consultation / Q000191:economics / Q000458:organization & administration*; D012219:Rheumatology / Q000191:economics / Q000458:organization & administration*; D019035:Rural Health Services / Q000191:economics / Q000458:organization & administration*; D013222:State Medicine / Q000191:economics / Q000458:organization & administration