Teledermatology Solution Through Mobile Phone in Rural Mongolia
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|ClinicalTrials.gov Identifier: NCT02193854|
Recruitment Status : Completed
First Posted : July 18, 2014
Last Update Posted : July 18, 2014
Objective This study is aimed to estimate the distance, time and the cost of travel saved by patients who are seeking tele-dermatology (TD) service though smart mobile phones in the resource poor settings at the rural clinics of Mongolia.
Methods A cluster-randomised trial was conducted for six months at the 20 rural health clinics selected from three districts in Mongolia. With a computer-generated sequence, health clinics were randomly allocated either to the intervention group, in which all general practitioners (GPs) received TD consultation through Sana system, or the control group, in which GPs referred patients to the dermatologist at district hospital whenever needed. The primary outcome was to estimate the distance traveled, times spend and the cost of travel required in receiving dermal care for patients in rural Mongolia. Analysis was done to estimate the difference between the aforementioned parameters among intervention and control groups.
|Condition or disease||Intervention/treatment||Phase|
|Social Distance||Device: Mobile Phone||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||441 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Health Services Research|
|Official Title:||Teledermatology Solution Through Mobile Phone in Rural Mongolia|
|Study Start Date :||September 2013|
|Actual Primary Completion Date :||January 2014|
|Actual Study Completion Date :||January 2014|
Experimental: Mobile phone
General practitioners (GPs) received TD consultation through Sana system.
Mobile phones with Sana system installed were provided to 10 rural GPs from three different districts of Mongolia.
Device: Mobile Phone
Investigators used Sana system, that is a mobile phone-based, open source software platform for telemedicine services. The Android-based system supports multimedia, location-based data, and text. In the village health clinic, a healthcare worker will interact with a patient and collects data through a step-by-step clinical questionnaire on a smart mobile phone. As patients' data is uploaded to an open source electronic medical record system (OpenMRS) with a diagnosis-specific information and images. The consultant can access the clinical information about the patient and make appropriate diagnoses and treatment recommendations from the secondary hospital.
- Comparison between the number of referrals in the control and intervention groups [ Time Frame: up to 5 months ]Outcome measures are the number of referrals done in the control and in the intervention groups. We compared the difference in the number of referrals with Sana system and without.
- Satisfaction by physicians and patients by questionnaire [ Time Frame: up to 5 months ]Both physicians and patients who were in the intervention group were satisfied by the Sana system.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02193854
|Shabbir Syed Abdul|
|Taipei, Taiwan, 11031|
|Principal Investigator:||Yu-Chuan Li, MD., PhD.||Taipei Medical University|