{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T12:06:51Z","timestamp":1776773211669,"version":"3.51.2"},"reference-count":21,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T00:00:00Z","timestamp":1662076800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2022,12]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>The East Timor Hearts Fund has provided cardiac services in Timor\u2010Leste since 2010, conducting three clinics yearly.<\/jats:p><\/jats:sec>Aim<\/jats:title>To develop collaborative telehealth services between Australia and Timor\u2010Leste in the context of international border closures due to the COVID\u201019 pandemic.<\/jats:p><\/jats:sec>Methods<\/jats:title>Scoping discussions identified major challenges (structural, patient related and medical system related). At two pilot clinics, patient history, investigation and management were collated. Clinic metrics were compared with an index face\u2010to\u2010face clinic in February 2019. Post\u2010clinic discussions identified areas of success and shortfall in the conduct of the telehealth clinics.<\/jats:p><\/jats:sec>Results<\/jats:title>Twenty\u2010three patients were reviewed at the online telehealth clinics held onsite at Timorese medical facilities. Compared with an index 2019 clinic, there were markedly lower numbers of new referrals (2 vs 190 patients; 8.7% vs 59.4%). Patients seen at the online clinic were predominantly female (17\/23; 73.9%) and Dili based (18\/23; 78.3%), with a mean age of 25.9 \u00b1\u20097.2\u2009years. The majority (12\/23; 52.2%) had isolated rheumatic mitral valve disease. Investigations including electrocardiography, pathology, echocardiography and 6\u2010min walk tests were conducted in select patients. Medication advice was provided for 10 (43.5%) patients. Eleven (47.8%) patients were deemed to require urgent intervention. Post\u2010clinic discussions indicated general satisfaction with telehealth clinics, although frustration at the current inability to provide interventional services was highlighted.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Our pilot telehealth clinics indicate that capacity\u2010building telemedicine can be rapidly implemented in an emergency setting internationally. Clinic design benefits from careful identification and resolution of challenges to optimise flow. Cardiac patients in Timor\u2010Leste have a significant burden of disease amenable to intervention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.15753","type":"journal-article","created":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T10:53:32Z","timestamp":1648032812000},"page":"2076-2085","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Telemedicine to Timor\u2010Leste<\/scp>: implementing an international cardiac telehealth service during population dislocation, floods and COVID<\/scp>\u201019"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2122-9889","authenticated-orcid":false,"given":"Elizabeth D.","family":"Paratz","sequence":"first","affiliation":[{"name":"Department of Cardiology Baker Heart and Diabetes Institute Melbourne Victoria Australia"},{"name":"Department of Cardiology Alfred Hospital Melbourne Victoria Australia"},{"name":"Department of Cardiology St 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