Outcome Assessment for a Telemedicine-Based Second Opinion Program for Midwest China
Open Access
- 1 January 2020
- journal article
- research article
- Published by SAGE Publications in INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Abstract
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.Keywords
Funding Information
- Beijing Youmai Charitable Foundation, China. (No)
This publication has 14 references indexed in Scilit:
- Évaluation de la demande de deuxième avis par les patients atteints de cancer bronchiqueRevue des Maladies Respiratoires, 2014
- German second-opinion network for testicular cancer: Sealing the leaky pipe between evidence and clinical practiceOncology Reports, 2014
- Values and risks of second opinion in Japan's universal health‐care systemHealth Expectations, 2013
- Ductal carcinoma in situ (DCIS): posttreatment follow-up care among Latina and non-Latina White womenJournal of Cancer Survivorship, 2013
- Are recommended spine operations either unnecessary or too complex? Evidence from second opinionsSurgical Neurology International, 2013
- Burden or Relief: Do Second-Opinion Centers Influence the Quality of Care Delivered to Patients with Testicular Germ Cell Cancer?European Urology, 2010
- Second opinions in oncology: the experiences of patients attending the Sydney Cancer CentreThe Medical Journal of Australia, 2009
- Second Opinions Improve ADHD Prescribing in a Medicaid-Insured Community PopulationJournal of the American Academy of Child & Adolescent Psychiatry, 2009
- Clinical and Cost Impact of Second-opinion PathologyThe American Journal of Surgical Pathology, 1996
- Second Opinion Elective Surgery Programs: Outcome Status over TimeMedical Care, 1978