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Record W2027838632 · doi:10.5606/tjr.2013.002

Telemedicine in Rheumatology

2013· article· en· W2027838632 on OpenAlex
Haydar Gök

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueArchives of Rheumatology · 2013
Typearticle
Languageen
FieldMedicine
TopicTelemedicine and Telehealth Implementation
Canadian institutionsnot available
Fundersnot available
KeywordsTelemedicineHealth careMedicineTeleradiologyReferralMedical emergencyPopulationBusinessMedical educationNursingEconomic growthEnvironmental health

Abstract

fetched live from OpenAlex

Telemedicine can be defined as the use of information and telecommunication technology to provide patients with healthcare at a distance. Healthcare professionals are increasingly faced with the daunting task of caring for a rapidly aging and ever expanding population. Hence, the main aims of telemedicine are to reduce pressure on secondary or tertiary healthcare services and to provide clinical care at a distance. There are now many applications for telemedicine such as telecare, distant interpretation of digitally stored radiographs, magnetic rezonance scans or photographs of skin lesions, teleconsultations, referral services, remote monitoring of patients with chronic conditions, online continuing medical education (CME), and online provision of medical and health information to patients. It is especially beneficial for those in rural areas because it reduces the need to travel for medical care along with the related costs. There is a critical shortage of rheumatology services in Turkey, and the impact is felt more in rural and eastern regions of the country. Even though telemedicine in Turkey began comparatively late compared with developed countries, there has been considerable recent development. Current research shows evidence of the effectiveness and acceptability of telemedicine in the rheumatology field. Davis et al.[] showed that teleconsultations in rheumatology were both feasible and acceptable. They found that patients were satisfied with this method, and 84% felt that the care received was as good as an "in person" visit. Jong et al.[] investigated the utility of telehealth for providing rheumatology services to rural and northern communities in Canada and found that videoconferencing was preferable to clinic visitation and email in remote areas. Leggett et al.[] examined the diagnostic accuracy and acceptability of telemedicine in the field of rheumatology and found that the televisual consultations were highly accurate (97%) and acceptable to patients, general practitioners, and specialists. Roberts et al.[] reported on the telerheumatology experience in Australia and emphasized the need for face-to-face consultations alongside teleconsultations to ensure that deficiencies in telehealth can be addressed in specific situations. Many physicians remain skeptical and think that telemedicine should have a limited role in diagnosis since rheumatology is a practice that is highly based on physical examination. They suggest that a more suitable role for telemedicine could be in the delivery of ongoing care to patients that have been definitively diagnosed by a rheumatologist. In a systematic review supporting this idea, the Martin- Khan et al.[] concluded that in studies in which a physical examination was a part of the diagnostic process, the results were reliable. However, the authors recommended that greater care be taken during this process (e.g., good equipment, onsite support, additional camera angles). This demonstrates that physicians still need to be reassured that the technology used in telemedicine is adequate and reliable. Based on recent advances in videoconferencing and information technology, one can predict that telemedicine will be used widely in rheumatology practice in the future and that it will have a substantial impact on many aspects of healthcare as more physicians embrace this technology. Declaration of conflicting interests The author declared no conflicts of interest with respect to the authorship and/or publication of this article. Funding The author received no financial support for the research and/or authorship of this article.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.043
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.015
GPT teacher head0.303
Teacher spread0.289 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it