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Implanting telehealth network for paediatric cardiology: learning from the Quebec experience

Published online by Cambridge University Press:  21 January 2005

Marc Bellavance ,
Marie J. Béland ,
Nicolaas H. van Doesburg ,
Marc Paquet ,
Francine M. Ducharme  and
Alain Cloutier
Marc Bellavance
Affiliation:
Département de Pédiatrie, Centre Hospitalier Universitaire de Sherbrooke, Fleurimont, QC, Canada
Marie J. Béland
Affiliation:
Division of Paediatric Cardiology, The Montreal Children's Hospital of the McGill University Health Centre, Montreal, QC, Canada
Nicolaas H. van Doesburg
Affiliation:
Département de Cardiologie, Hôpital Ste-Justine, Université de Montréal, Montreal, QC, Canada
Marc Paquet
Affiliation:
Département de Pédiatrie, Centre Hospitalier Universitaire de Sherbrooke, Fleurimont, QC, Canada
Francine M. Ducharme
Affiliation:
Department of Pediatrics, The Montreal Children's Hospital of the McGill University Health Centre, Montreal, QC, Canada
Alain Cloutier
Affiliation:
Département de Pédiatrie, Service de Cardiologie, Centre Hospitalier de l'Université Laval du Centre Hospitalier Universitaire de Québec, Ste-Foy, QC, Canada
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Abstract

The implementation committee of the Quebec Child Telehealth Network was formed in 1997, with a mandate to build a network dedicated to the diagnosis of congenital cardiac disease via telemedicine. We devised criterions for selection to determine which peripheral centres would be linked by telemedicine to the university-based services for paediatric cardiology provided in the Canadian Province of Quebec. The criterions included: distance from a university centre, number of births per year, and presence of an already-established outreach clinic for paediatric cardiology. The Quebec Network became operational in 2000, and was composed of 32 peripheral centres and 4 university centres. A total of 363 transmissions of echocardiograms occurred over a 3-year period from January 2000 to December 2002. Peripheral centres located at a distance greater than 100 kilometres from a university centre were 8.5 times more likely to use the network. Criterions other than distance did not influence whether or not a peripheral centre used the network. Cardiac abnormalities were identified in almost two-thirds of the transmissions. The use of the Quebec Network resulted in the avoidance of transfers or clinic visits to university hospitals in seven-tenths of cases. We conclude that distance greater than 100 kilometres from a centre offering subspecialty services in paediatric cardiology is the most important criterion for choosing the peripheral centres that are most likely to use a telehealth network. In its first three years of operation, the telehealth network had a major impact on the delivery of paediatric cardiac care, improving access to subspecialty services across the province.

Keywords

Telemedicineechocardiography
Type
Original Article
Information
Cardiology in the Young , Volume 14 , Issue 6 , December 2004 , pp. 608 - 614
Copyright
© 2004 Cambridge University Press

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References

Mulholland HC, Casey F, Brown D, et al. Application of a low cost telemedicine link to the diagnosis of neonatal congenital heart defects by remote consultation. Heart 1999; 82: 217–221.Google Scholar
Houston A, McLeod K, Richens T, et al. Assessment of the quality of neonatal echocardiographic images transmitted by ISDN telephone lines. Heart 1999; 82: 222–225.Google Scholar
Fisher JB, Alboliras ET, Berdusis K, Webb CL. Rapid identification of congenital heart disease by transmission of echocardiograms. Am Heart J 1996; 131: 1225–1227.Google Scholar
Alboliras ET, Berdusis K, Fisher J, Harrison RA, Benson DW, Webb CL. Transmission of full-length echocardiographic images over ISDN for diagnosing congenital heart disease. Telemed J 1996; 2: 251–258.Google Scholar
Sobczyk WL, Solinger RE, Rees AH, Elbl F. Transtelephonic echocardiography: successful use in a tertiary pediatric referral center. J Pediatr 1993; 122: S84–S88.Google Scholar
Finley JP, Sharratt GP, Nanton MA, et al. Paediatric echocardiography by telemedicine; nine years' experience. J Telemed Telecare 1997; 3: 200–204.Google Scholar
Finley JP, Human DG, Nanton MA, et al. Echocardiography by telephone; evaluation of pediatric heart disease at a distance. Am J Cardiol 1989; 63: 1475–1477.Google Scholar
Cloutier A, Boucher J, Guay JM, Houde C, Delisle G. Neonatal echocardiography transmission: experience of a direct echocardiography line between a referral center and a tertiary care center. Can J Cardiol 1995; 11 (Suppl E): 107E.Google Scholar
Cloutier A. Distance diagnosis in pediatric cardiology: a model for telemedecine implementation. Telemed Today 2000; 8: 20–21.Google Scholar
Randolph GR, Hagler DJ, Khandheria BK, et al. Remote telemedical interpretation of neonatal echocardiograms: impact on clinical management in a primary care setting. J Am Coll Cardiol 1999; 34: 241–245.Google Scholar
Sable CA, Cumming SD, Pearson GD, et al. Impact of telemedicine on the practice of pediatric cardiology in community hospitals. Pediatrics 2002; 109: e3.Google Scholar