期刊
CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES
卷 35, 期 5, 页码 643-646出版社
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S0317167100009458
关键词
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资金
- CIHR Institute of Aging
- CIHR Institute of Health Services and Policy Research
- CIHR Rural and Northern Health initiative
- Saskatchewan Health Research Foundation
- Alzheimer Society of Saskatchewan
- University of Saskatchewan
Background: Recent advances in telehealth have improved access to health care for those ill rural areas. It is important that examinations conducted via telehealth are comparable to in-person testing. A rural and remote memory clinic in Saskatoon provided ill opportunity to compare scores oil the Mini-Mental State Examination (MMSE) administered in-person and via telehealth. Methods: After all initial one day assessment in Saskatoon. patients were seen ill follow-up at 6 and 12 weeks. Individual patients were randomly assigned to either in-person follow-up assessment in Saskatoon or telehealth assessment in their home community. Patients who initially received in-person assessments were seen by telehealth for their next follow-up visit and vice-versa. The same neurologist administered MMSEs at all visits. The first 71 patients with both 6 and 12 week follow-up assessments were included in this study. The scores of in-person and telehealth MMSE administrations were compared using the methods of Bland and Altman as well as a paired t-test. Results: MMSE scores did not differ significantly between telehealth (22.34 +/- 6.35) and in-person (22.70 +/- 6.51) assessments. Conclusion: Telehealth provides in acceptable means of assessing mental status of patients in remote areas.
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