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Age and Ageing Advance Access originally published online on April 20, 2007
Age and Ageing 2007 36(4):369-374; doi:10.1093/ageing/afm045
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Copyright © The Author 2007. Published by Oxford University Press on behalf of the British Geriatrics Society.

Review

The application of telemedicine to geriatric medicine

Michael Brignell1, Richard Wootton2 and Len Gray3,

1 Western Health, Gordon St, Footscray, Victoria, Australia 3011, Australia
2 Centre for On-Line Health, The University of Queensland, Level 3, Centre Building, Royal Children's Hospital, Herston, Brisbane, Australia 4029, Australia
3 Academic Unit in Geriatric Medicine, The University of Queensland, Princess Alexandra Hospital, Ipswich Rd., Woolloongabba, Brisbane, Queensland, Australia 4102, Australia

Address correspondence to: Len Gray. Tel: 61 7 32405327; Fax: 61 7 32405399. Email: len.gray{at}uq.edu.au

Background: telemedicine has the potential to improve access to the specialty of geriatric medicine, particularly in rural and remote settings. While telemedicine is widely used in some specialities, this is not yet the case in geriatric medicine.

Objective: to review the current literature to identify proven and potential strategies for application of telemedicine in geriatric medical practice.

Method: a comprehensive review of literature pertaining to the application of telemedicine in geriatric medicine and relevant related sub-specialties was undertaken.

Results: a large number of small studies of limited quality, and a small number of robust studies including randomised trials, were identified.

Conclusions: there is evidence to suggest that a variety of telemedicine techniques can be applied effectively and safely in geriatric medicine across a variety of clinical settings. Patient satisfaction is generally reported as high. Howeve, caution is advised due to the paucity of robust studies in the literature.

Keywords: telemedicine, geriatrics, elderly, remote consultation

Received 15 August 2006; accepted in revised form 25 January 2007.


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