{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:06:23Z","timestamp":1762506383638},"reference-count":21,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2014,10,9]],"date-time":"2014-10-09T00:00:00Z","timestamp":1412812800000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Institute for a Broadband Enabled Society, University of Melbourne","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"name":"Victorian Department of Business and Innovation","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In 2011, the <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralian <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>overnment introduced <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>edicare item numbers for telehealth consultations. This is a rapidly expanding method of healthcare provision.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>We assessed the demographic and disease profile of refugee patients attending a new telehealth clinic, and calculated the patient travel avoided. We examined technical challenges and assessed the performance of two videoconferencing solutions using different bandwidth and latencies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We audited the first 120 patients attending the telehealth clinic. During consultations, the patient was with the general practitioner (<jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>) and linked by internet videoconference using <jats:styled-content style=\"fixed-case\">VIDYO<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>o<jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>o<jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>eeting or <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>kype, to the specialist at a tertiary referral hospital. Travel avoided was calculated and technical problems were assessed by the participating specialist. Bandwidth and latency variations were examined within a university broadband testing facility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The two most frequently managed conditions were hepatitis <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> and latent tuberculosis. Twenty\u2010nine different <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> were included and 42 consultations required an interpreter. Nearly 500\u2009km of travel and 127\u2009kg of <jats:styled-content style=\"fixed-case\"><jats:roman>CO<jats:sup>2<\/jats:sup><\/jats:roman><\/jats:styled-content> production was avoided per consultation. Technical issues were faced in 25% of consultations, most frequently sound problems and connections dropping out. A bandwidth of at least 512\u2009kbps and latency of no more than 300\u2009ms was necessary to conduct an adequate multipoint videoconference.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Telehealth using videoconferencing adds a new component to care of refugee and immigrant patients settling in regional areas. <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>elehealth will be improved by changes to improve simplicity and standardisation of videoconferencing, but requires ongoing <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>edicare funding to allow sufficient administrative support.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.12537","type":"journal-article","created":{"date-parts":[[2014,7,23]],"date-time":"2014-07-23T07:25:34Z","timestamp":1406100334000},"page":"981-985","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["<scp>T<\/scp>elehealth: experience of the first 120 consultations delivered from a new <scp>R<\/scp>efugee <scp>T<\/scp>elehealth clinic"],"prefix":"10.1111","volume":"44","author":[{"given":"T. R.","family":"Schulz","sequence":"first","affiliation":[{"name":"Victorian Infectious Diseases Service Royal Melbourne Hospital  Melbourne Victoria Australia"},{"name":"Department of Medicine Melbourne Academic Centre Doherty Institute The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Richards","sequence":"additional","affiliation":[{"name":"Victorian Infectious Diseases Service Royal Melbourne Hospital  Melbourne Victoria Australia"},{"name":"VICNISS Healthcare Associated Infection Surveillance System Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Gasko","sequence":"additional","affiliation":[{"name":"Department of Medicine Melbourne Academic Centre Doherty Institute The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Lohrey","sequence":"additional","affiliation":[{"name":"Arcitecta  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. E.","family":"Hibbert","sequence":"additional","affiliation":[{"name":"Department of Medicine Melbourne Academic Centre Doherty Institute The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.\u2010A.","family":"Biggs","sequence":"additional","affiliation":[{"name":"Victorian Infectious Diseases Service Royal Melbourne Hospital  Melbourne Victoria Australia"},{"name":"Department of Medicine Melbourne Academic Centre Doherty Institute The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,10,9]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"ABS.Regional population growth Australia 2012.2013[cited 2014 Sep 15]. Available from URL:http:\/\/www.abs.gov.au\/ausstats\/abs@.nsf\/Products\/3218.0~2012\u201013~Main+Features~Main+Features?OpenDocument"},{"key":"e_1_2_8_3_1","unstructured":"DIABP.Fact Sheet 60 Australia's Refugee and Humanitarian Programme.2013[cited 2014 Sep 15]. Available from URL:http:\/\/www.immi.gov.au\/media\/fact\u2010sheets\/60refugee.htm"},{"key":"e_1_2_8_4_1","unstructured":"VRHN.Access to specialist services by refugees in Victoria: a report prepared for the Department of Human Services by the Victorian Refugee Health Network. Melbourne: Foundation House; 2009 July 2009."},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.12119"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja12.11781"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.12193"},{"key":"e_1_2_8_8_1","unstructured":"GovtQ.Statewide telehealth services.2013[cited 2014 Sep 15]. Available from URL:www.health.qld.gov.au\/telehealth\/default.asp"},{"key":"e_1_2_8_9_1","unstructured":"Medicare.Telehealth.2013[cited 2014 Sep 15]. Available from URL:www.medicareaustralia.gov.au\/provider\/incentives\/telehealth\/"},{"key":"e_1_2_8_10_1","unstructured":"MBS.Medicare benefits schedule telehealth statistics.2013[cited 2014 Sep 15]. Available from URL:http:\/\/www.mbsonline.gov.au\/internet\/mbsonline\/publishing.nsf\/Content\/36ACE7F284A16656CA257A06001B7437\/$File\/How%20to%20generate%20Medicare%20Statistics%20for%20MBS%20Telehealth%20items.pdf"},{"key":"e_1_2_8_11_1","unstructured":"ABS.Fuel consumption and emissions.2010[cited 2014 Sep 15]. Available from URL:http:\/\/www.abs.gov.au\/ausstats\/abs@.nsf\/mf\/9208.0\/"},{"key":"e_1_2_8_12_1","unstructured":"GVG.Green vehicle guide: make a smarter choice.2013[cited 2014 Sep 15]. Available from URL:http:\/\/www.greenvehicleguide.gov.au\/GVGPublicUI\/home.aspx"},{"key":"e_1_2_8_13_1","unstructured":"Carbon\u2010Neutral.Vehicle and Fuel use carbon calculator.2013[cited 2014 Sep 15]. Available from URL:http:\/\/www.carbonneutral.com.au\/carbon\u2010calculator\/vehicles\u2010and\u2010fuel\u2010use.html"},{"key":"e_1_2_8_14_1","unstructured":"VFST.Promoting the engagement of interpreters in Victorian health services. Brunswick Melbourne Foundation House 2013."},{"key":"e_1_2_8_15_1","first-page":"2723","article-title":"Making a case for telehealth: measuring the carbon cost of health\u2010related travel","volume":"13","author":"Ellis I","year":"2013","journal-title":"Rural Remote Health"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1610"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2011.0084"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1584.2010.01132.x"},{"key":"e_1_2_8_19_1","unstructured":"IndexN.Household upload index.2013[cited 2013 Dec 11]. Available from URL:http:\/\/www.netindex.com\/upload\/"},{"key":"e_1_2_8_20_1","unstructured":"NBN.National broadband network fact sheet fixed wireless.2013[cited 2014 Sep 15]. Available from URL:http:\/\/www.nbnco.com.au"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X13506533"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2012.0299"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fimj.12537","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.12537","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T04:29:31Z","timestamp":1696220971000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.12537"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,10]]},"references-count":21,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2014,10]]}},"alternative-id":["10.1111\/imj.12537"],"URL":"https:\/\/doi.org\/10.1111\/imj.12537","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"value":"1444-0903","type":"print"},{"value":"1445-5994","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,10]]},"assertion":[{"value":"2014-04-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-07-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-10-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}