Video-telemedicine in a memory disorders clinic: evaluation and management of rural elders with cognitive impairment.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Author(s): Barton C;Barton C; Morris R; Rothlind J; Yaffe K
  • Source:
    Telemedicine journal and e-health : the official journal of the American Telemedicine Association [Telemed J E Health] 2011 Dec; Vol. 17 (10), pp. 789-93. Date of Electronic Publication: 2011 Oct 24.
  • Publication Type:
    Evaluation Study; Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 100959949 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1556-3669 (Electronic) Linking ISSN: 15305627 NLM ISO Abbreviation: Telemed J E Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., c2000-
    • Subject Terms:
      Video Recording*; Cognition Disorders/*diagnosis ; Community Mental Health Services/*organization & administration ; Memory Disorders/*diagnosis ; Rural Population/*statistics & numerical data ; Telemedicine/*organization & administration; Aged ; Aged, 80 and over ; California/epidemiology ; Cognition Disorders/epidemiology ; Humans ; Male ; Memory Disorders/epidemiology ; Psychometrics ; Referral and Consultation ; Telemedicine/methods ; United States ; United States Department of Veterans Affairs
    • Abstract:
      Objective: Telemedicine is increasingly being used to provide consultation for healthcare in rural areas. Little work has been done with dementia although preliminary research suggests that clinical diagnosis performed via telemedicine consultation is valid. We implemented a program to provide multidisciplinary, state-of-the-art diagnosis of cognitive impairment by video-telemedicine (VTM) integrated into a clinical setting.
      Methods: Patients at a rural veteran's community clinic were referred by their local provider for evaluation of memory complaints by the multidisciplinary team of the San Francisco Veterans Administration (SFVA) Memory Disorders Clinic (MDC). The evaluation was integrated into the usual clinic structure and included a neurological evaluation and neuropsychological testing by the MDC team via video assisted by a remote clinician at the community clinic.
      Results: We evaluated 15 new patients referred to our multidisciplinary clinic. In each case, the VTM format permitted the MDC team to arrive at a working diagnosis; 12 patients with dementia, two with mild cognitive impairment, and one cognitively normal. Relevant treatment recommendations were made to the patients and caregivers. The evaluation results were discussed with providers who joined the MDC postclinic conference via VTM. In the majority of cases, recommendations were followed and there was satisfaction with VTM by providers and patients.
      Conclusions: VTM is emerging as an effective way to provide consultation and care to rural residents who may not have access to specialty services and can be integrated into current clinical settings.
    • Publication Date:
      Date Created: 20111026 Date Completed: 20120327 Latest Revision: 20220408
    • Publication Date:
      20231215
    • Accession Number:
      10.1089/tmj.2011.0083
    • Accession Number:
      22023458