The use of a World Wide Web-based consultation site to provide support to telephone staff in a traumatic brain injury demonstration project.
OBJECTIVE
Distance from expertise in traumatic brain injury (TBI) is often an impediment to appropriate TBI care from local health care providers, especially in rural areas. To overcome this barrier to care and to support a randomized, controlled trial of telephone follow-up after discharge from acute rehabilitation, we demonstrated the use of a confidential consultation Web site to provide expert recommendations and advice to front-line telephone staff at a different site.


CONCLUSIONS
This use of Internet communication proved convenient to all users, improved client confidence, and served as an excellent training tool to less experienced staff. In addition, use of a Web-based consultation method provided for archiving of all discussions for later review.
Bell
Kathleen R
KR
Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98195, USA. krbell@u.washington.edu
Esselman
Peter
P
Garner
Michelle D
MD
Doctor
Jason
J
Bombardier
Charles
C
Johnson
Kurt
K
Temkin
Nancy
N
Dikmen
Sureyya
S
D000328:Adult; D001930:Brain Injuries / Q000534:rehabilitation*; D003219:Confidentiality; D003376:Counseling / Q000379:methods*; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D012017:Referral and Consultation; D013689:Telephone