Is there a role for telemedicine in adult allergy services?

Mamidipudi T. Krishna, Rebecca C. Knibb, Aarnoud P. Huissoon

Research output: Contribution to journalReview article

Abstract

Telemedicine refers to the application of telecommunication and information technology (IT) in the delivery of health and clinical care at a distance or remotely and can be broadly considered in two modalities: store-and-forward and real-time interactive services. Preliminary studies have shown promising results in radiology, dermatology, intensive care, diabetes, rheumatology and primary care. However, the evidence is limited and hampered by small sample sizes, paucity of randomised controlled studies and lack of data relating to cost-effectiveness, health related quality of life and patient and clinician satisfaction. This review appraises the evidence from studies that have employed telemedicine tools in other disciplines and makes suggestions for its potential applications in specific clinical scenarios in adult allergy services. Possible examples include: triaging patients to determine the need for allergy tests; pre-assessment for specialised treatments such as allergen immunotherapy; follow up to assess treatment response and side effects; and education in self-management plan including training updates for self-injectable adrenaline and nasal spray use. This approach might improve access for those with limited mobility or living far away from regional centres, as well as bringing convenience and cost savings for the patient and service provider. These potential benefits need to be carefully weighed against evidence of service safety and quality. Keys to success include delineation of appropriate clinical scenarios, patient selection, training, IT support and robust information governance framework. Well-designed prospective studies are needed to evaluate its role. This article is protected by copyright. All rights reserved.

LanguageEnglish
Pages668-677
Number of pages10
JournalClinical and Experimental Allergy
Volume46
Issue number5
Early online date6 Jan 2016
DOIs
Publication statusPublished - May 2016

Fingerprint

Telemedicine
Hypersensitivity
Immunologic Desensitization
Technology
Nasal Sprays
Telecommunications
Cost Savings
Rheumatology
Critical Care
Self Care
Dermatology
Patient Satisfaction
Radiology
Sample Size
Patient Selection
Epinephrine
Cost-Benefit Analysis
Primary Health Care
Quality of Life
Prospective Studies

Bibliographical note

This is the peer reviewed version of the following article: Krishna, M. T., Knibb, R. C., & Huissoon, A. P. (2016). Is there a role for telemedicine in adult allergy services?. Clinical and experimental allergy, In press, which has been published in final form at http://dx.doi.org/10.1111/cea.12701. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

Keywords

  • telemedicine
  • allergy
  • allergy service
  • governance
  • patient education

Cite this

Krishna, Mamidipudi T. ; Knibb, Rebecca C. ; Huissoon, Aarnoud P. / Is there a role for telemedicine in adult allergy services?. In: Clinical and Experimental Allergy. 2016 ; Vol. 46, No. 5. pp. 668-677.
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Is there a role for telemedicine in adult allergy services? / Krishna, Mamidipudi T.; Knibb, Rebecca C.; Huissoon, Aarnoud P.

In: Clinical and Experimental Allergy, Vol. 46, No. 5, 05.2016, p. 668-677.

Research output: Contribution to journalReview article

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