Professional consultant services and on-call support

Consultation between health professionals based on video conferencing was the first example of modern telemedicine in Västerbotten County. Today, structured consultations are common in a variety of areas and include services between hospitals as well as between hospitals and primary care. In addition, consultant services and emergency support is provided between some of the primary care driven cottage hospitals in the more sparsely populated areas with limited GP staffing. The survey includes applications such as emergency assistance at childbirth, tele-dermatoscopy, psycho-geriatric specialist consultations and consultations for children with isolated cleft palate. The technology used is primarily videoconferencing in various forms and medical devices that can store and/or transfer digital photos, video and audio in a store-forward or real-time manner. Consultation services are provided to units within the county, but certain units offer services also to healthcare facilities in the northern healthcare region or nationally.

This text has been originally released in the following report: Telemedicine Survey in the County Council of Västerbotten -An analysis of the present situation, conditions and areas of improvement.

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In 2012, a National Children’s Heart Network, Gertrude, was established to improve the support for children and new-borns with suspected heart conditions. Thanks to the Swedish Heart and Lung Foundation, 35 of the Swedish hospitals with paediatric cardiology units have received an advanced video conferencing system with the ability to…
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Since 2009, the paediatric cardiology unit at Nus supports Sunderby and Gällivare Hospitals with emergency assessments of cardiac ultrasound in children and newborns. The child is cared for by a local paediatrician where the ultrasound investigation is performed. The cardiologist at Nus views the ultrasound images in real time via…
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During 2005-2007, engineers at the Department of Biomedical Engineering and Informatics, R&D at Nus developed a system for remote auscultations that can stream or store signals from a digital stethoscope. Assessments were thereafter done either during a video consultation or by recording and storing the sound for future assessment. The…
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In 2005, the Dermatology Clinic at Nus began evaluating the possibility to assess skin conditions such as acne, psoriasis and eczema remotely through referrals supplemented by digital images. This evaluation was the start of a large-scale expansion of image-based diagnostics and today, the clinic offers consultations based on digital images…
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Early diagnosis is of great importance for the survival of patients with malignant melanoma. Until 2012, Nus offered referral-free appointments with dermatologists to assess moles, but it was concluded that the service only reached a limited number of people, primarily from nearby municipalities. To offer a more equitable service across…
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The towns of Tärnaby, Storuman, Sorsele and Malå in the inland of Västerbotten have access to extended primary care through the cottage hospitals. These units have since many years a video solution in the emergency rooms that allows external support or guidance during emergencies. Physicians on call at home or…
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The most common form of facial malformation in new-borns is a gap in lip, jaw or palate, known as cleft palate. In Sweden, there are six units that manage these patients, including Nus who are responsible for all babies born in Northern Sweden.Since 2011, the so-called lip, jaw and palate…
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The Centre for Geriatrics at Nus offers psycho-geriatric assistance via video or webcam to primary care facilities in southern Lapland and the Umeå region. The approach has been applied by Skellefteå Hospital to a limited extent since 2004 and by Nus since 2009. In recent years, the concept has been…
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At the regional hospital in Lycksele, there is a maternity ward but paediatricians are only available during normal work hours. To support the unit in case of complications during child birth, specialists at the neonatal unit at Nus are available around the clock for video consultations. For this purpose, a…
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