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1.
Head Neck ; 38(6): 925-9, 2016 06.
Article in English | MEDLINE | ID: mdl-26899939

ABSTRACT

BACKGROUND: The purpose of this study was to evaluate a telemedicine model that utilizes an audiovisual teleconference as a preoperative visit. METHODS: Veterans Health Administration (VHA) patients with head and neck cancer at 2 remote locations were provided access to the Palo Alto Veterans Affairs (PAVA) Health Care System otolaryngology department via the telemedicine protocol: tissue diagnosis and imaging at the patient site; data review at PAVA; and a preoperative teleconference connecting the patient to PAVA. Operative care occurred at PAVA. Follow-up care was provided remotely via teleconference. RESULTS: Fifteen patients were evaluated. Eleven underwent surgery, 4 with high-grade neoplasms (carcinoma). Average time from referral to operation was 28 days (range, 17-36 days) and 72 (range, 31-108 days), respectively, for high-grade and low-grade groups. The average patient was spared 28 hours traveling time and $900/patient was saved on travel-related costs. CONCLUSION: A telemedicine model enables timely access to surgical care and permits considerable savings among select VHA patients with head and neck cancer. © 2016 Wiley Periodicals, Inc. Head Neck 38: 925-929, 2016.


Subject(s)
Head and Neck Neoplasms/surgery , Health Services Accessibility , Telemedicine , Cost Savings , Health Services Accessibility/economics , Humans , Referral and Consultation , Telecommunications , Telemedicine/economics , United States , United States Department of Veterans Affairs , Veterans , Waiting Lists
2.
Fed Pract ; 33(Suppl 5): 24S-29S, 2016 Aug.
Article in English | MEDLINE | ID: mdl-30766220

ABSTRACT

High-risk patients with a growing mass require proper assessment, including a thorough history, physical examination, and fine-needle aspiration for diagnosis.

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