کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
10310697 | 617444 | 2014 | 7 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Impact of telemedicine on the quality of forensic sexual abuse examinations in rural communities
ترجمه فارسی عنوان
تأثیر رسانه های تلویزیونی بر کیفیت معاینات سوء استفاده جنسی از محکمه در جوامع روستایی
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کلمات کلیدی
Sexual assault - تجاوز جنسیTelemedicine - تله مدیسینSexual violence - خشونت جنسیRural health - سلامت روستاییSexual abuse - سوءاستفاده جنسیTelehealth - مراقبت سلامت از راه دور، تله هلثForensic nursing - پرستاری قانونیForensic medicine - پزشکی قانونیPediatrics - پزشکی کودکان یا طب اطفالQuality of healthcare - کیفیت مراقبت های بهداشتی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی
To assess the quality and diagnostic accuracy of pediatric sexual abuse forensic examinations conducted at rural hospitals with access to telemedicine compared with examinations conducted at similar hospitals without telemedicine support. Medical records of children less than 18 years of age referred for sexual abuse forensic examinations were reviewed at five rural hospitals with access to telemedicine consultations and three comparison hospitals with existing sexual abuse programs without telemedicine. Forensic examination quality and accuracy were independently evaluated by expert review of state mandated forensic reporting forms, photo/video documentation, and medical records using two structured implicit review instruments. Among the 183 patients included in the study, 101 (55.2%) children were evaluated at telemedicine hospitals and 82 (44.8%) were evaluated at comparison hospitals. Evaluation of state mandatory sexual abuse examination reporting forms demonstrated that hospitals with telemedicine had significantly higher quality scores in several domains including the general exam, the genital exam, documentation of examination findings, the overall assessment, and the summed total quality score (p < 0.05 for each). Evaluation of the photos/videos and medical records documenting the completeness and accuracy of the examinations demonstrated that hospitals with telemedicine also had significantly higher scores in several domains including photo/video quality, completeness of the examination, and the summed total completeness and accuracy score (p < 0.05 for each). Rural hospitals using telemedicine for pediatric sexual abuse forensic examination consultations provided significantly higher quality evaluations, more complete examinations, and more accurate diagnoses than similar hospitals conducting examinations without telemedicine support.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Child Abuse & Neglect - Volume 38, Issue 9, September 2014, Pages 1533-1539
Journal: Child Abuse & Neglect - Volume 38, Issue 9, September 2014, Pages 1533-1539
نویسندگان
Sheridan Miyamoto, Madan Dharmar, Cathy Boyle, Nikki H. Yang, Kristen MacLeod, Kristen Rogers, Thomas Nesbitt, James P. Marcin,