{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T11:20:40Z","timestamp":1783077640619,"version":"3.54.6"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"e1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Mobile telemedicine involves the use of mobile device (e.g., cell phones, tablets) technology to exchange information to assist in the provision of patient care. Throughout the world, mobile telemedicine initiatives are increasing in number and in scale, but literature on their impact on patient outcomes in low-resource areas is limited. This study explores the potential impact of a mobile oral telemedicine system on the oral health specialty referral system in Botswana. Analysis of 26 eligible cases from June 2012 to July 2013 reveals high diagnosis concordance between dental officers and oral health specialists at 91.3% (21\/23) but significant management plan discordance at 64.0% (16\/25), over two-thirds of which involved the specialists disagreeing with the referring clinicians about the need for a visit to a specialist. These findings suggest mobile telemedicine can optimize the use of insights and skills of specialists remotely in regions where they are scarce.<\/jats:p>","DOI":"10.1093\/jamia\/ocv140","type":"journal-article","created":{"date-parts":[[2015,10,29]],"date-time":"2015-10-29T00:58:31Z","timestamp":1446080311000},"page":"e142-e145","source":"Crossref","is-referenced-by-count":23,"title":["Evaluating the potential impact of a mobile telemedicine system on coordination of specialty care for patients with complicated oral lesions in Botswana"],"prefix":"10.1093","volume":"23","author":[{"given":"Martha","family":"Tesfalul","sequence":"first","affiliation":[{"name":"Doris Duke Clinical Research Fellowship, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Littman-Quinn","sequence":"additional","affiliation":[{"name":"\u00a0Health Informatics and Telemedicine, Botswana-UPenn Partnership, Gaborone, Botswana"},{"name":"Department of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Antwi","sequence":"additional","affiliation":[{"name":"\u00a0Health Informatics and Telemedicine, Botswana-UPenn Partnership, Gaborone, Botswana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siphiwo","family":"Ndlovu","sequence":"additional","affiliation":[{"name":"Department of Clinical Services, Botswana Ministry of Health, Gaborone, Botswana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Didintle","family":"Motsepe","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Princess Marina Hospital, Gaborone, Botswana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motsholathebe","family":"Phuthego","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine, Princess Marina Hospital, Gaborone, Botswana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boitumelo","family":"Tau","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine, Princess Marina Hospital, Gaborone, Botswana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neo","family":"Mohutsiwa-Dibe","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine, Princess Marina Hospital, Gaborone, Botswana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie","family":"Kovarik","sequence":"additional","affiliation":[{"name":"\u00a0Health Informatics and Telemedicine, Botswana-UPenn Partnership, Gaborone, Botswana"},{"name":"Department of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2015,10,28]]},"reference":[{"key":"2020110612355662000_ocv140-B1","first-page":"1","article-title":"Health workers: a global profile","volume-title":"The World Health Report 2006- Working together for health","author":"World Health Organization","year":"2006"},{"key":"2020110612355662000_ocv140-B2","article-title":"mHealth in Sub-Saharan Africa","author":"Betjeman","year":"2013","journal-title":"Int J Telemed Appl Appl."},{"key":"2020110612355662000_ocv140-B3","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1186\/1471-2458-14-188","article-title":"Systematic review on what works, what does not work and why of implementation of mobile health (mHealth) projects in Africa","volume":"14","author":"Aranda-Jan","year":"2014","journal-title":"BMC Public 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