The SUMMA project: A feasibility study on telemedicine in selected Italian Areas

Simonetta Scalvini, Caterina Tridico, Fulvio Glisenti, Amerigo Giordano, Silvia Pirini, Paolo Peduzzi, Francesco Auxilia

Research output: Contribution to journalArticle

Abstract

Telemedicine is achieving relevant clinical importance in rural areas in the management of patients. The Second opinion Unificata per Medici di Medicina generAle (SUMMA) Project was designed to evaluate the feasibility of a joint telemedicine service application across general practitioners and clinical specialists in Italy. The secondary objective of the study included the comparison of telemedicine with the routine general practitioners' approach and a cost-effectiveness evaluation. One hundred and thirty-five general practitioners from Lombardy, Molise, and Valle d'Aosta were enrolled. An ad hoc questionnaire was used to evaluate the feasibility, approval, efficacy, and satisfaction of telemedicine among the general practitioners. Ninety-three general practitioners used the telemedicine consultation (responders) for a total of 1,396 calls (1,264 for cardiology, 65 for dermatology, 32 for diabetology, 22 for rheumatology, and 13 for pneumology). In cardiology, telemedicine was used to address all problems without further action in 733 cases (61%). Ninety-eight percent of responders indicate satisfaction with telemedicine. The cost of telemedicine in our study was estimated to be 25.36 Euros/contact. In conclusion, the SUMMA Project demonstrated for the first time clinically the effectiveness of second-opinion consultation by general practitioners and therefore fulfilling the actual needs in areas usually managed by the National Health System.

Original languageEnglish
Pages (from-to)261-269
Number of pages9
JournalTelemedicine journal and e-health : the official journal of the American Telemedicine Association
Volume15
Issue number3
DOIs
Publication statusPublished - Apr 1 2009

Fingerprint

Telemedicine
Feasibility Studies
General Practitioners
Referral and Consultation
Cardiology
Pulmonary Medicine
Rheumatology
Dermatology
Italy
Cost-Benefit Analysis
Joints
Costs and Cost Analysis
Health

Keywords

  • General practitioners
  • Joint teleconsultation
  • Rural areas
  • Telecardiology
  • Telemedicine

ASJC Scopus subject areas

  • Medicine(all)
  • Health Informatics
  • Health Information Management

Cite this

The SUMMA project : A feasibility study on telemedicine in selected Italian Areas. / Scalvini, Simonetta; Tridico, Caterina; Glisenti, Fulvio; Giordano, Amerigo; Pirini, Silvia; Peduzzi, Paolo; Auxilia, Francesco.

In: Telemedicine journal and e-health : the official journal of the American Telemedicine Association, Vol. 15, No. 3, 01.04.2009, p. 261-269.

Research output: Contribution to journalArticle

Scalvini, Simonetta ; Tridico, Caterina ; Glisenti, Fulvio ; Giordano, Amerigo ; Pirini, Silvia ; Peduzzi, Paolo ; Auxilia, Francesco. / The SUMMA project : A feasibility study on telemedicine in selected Italian Areas. In: Telemedicine journal and e-health : the official journal of the American Telemedicine Association. 2009 ; Vol. 15, No. 3. pp. 261-269.
@article{89263b3b940d4db68454ca3b2f1bc692,
title = "The SUMMA project: A feasibility study on telemedicine in selected Italian Areas",
abstract = "Telemedicine is achieving relevant clinical importance in rural areas in the management of patients. The Second opinion Unificata per Medici di Medicina generAle (SUMMA) Project was designed to evaluate the feasibility of a joint telemedicine service application across general practitioners and clinical specialists in Italy. The secondary objective of the study included the comparison of telemedicine with the routine general practitioners' approach and a cost-effectiveness evaluation. One hundred and thirty-five general practitioners from Lombardy, Molise, and Valle d'Aosta were enrolled. An ad hoc questionnaire was used to evaluate the feasibility, approval, efficacy, and satisfaction of telemedicine among the general practitioners. Ninety-three general practitioners used the telemedicine consultation (responders) for a total of 1,396 calls (1,264 for cardiology, 65 for dermatology, 32 for diabetology, 22 for rheumatology, and 13 for pneumology). In cardiology, telemedicine was used to address all problems without further action in 733 cases (61{\%}). Ninety-eight percent of responders indicate satisfaction with telemedicine. The cost of telemedicine in our study was estimated to be 25.36 Euros/contact. In conclusion, the SUMMA Project demonstrated for the first time clinically the effectiveness of second-opinion consultation by general practitioners and therefore fulfilling the actual needs in areas usually managed by the National Health System.",
keywords = "General practitioners, Joint teleconsultation, Rural areas, Telecardiology, Telemedicine",
author = "Simonetta Scalvini and Caterina Tridico and Fulvio Glisenti and Amerigo Giordano and Silvia Pirini and Paolo Peduzzi and Francesco Auxilia",
year = "2009",
month = "4",
day = "1",
doi = "10.1089/tmj.2008.0109",
language = "English",
volume = "15",
pages = "261--269",
journal = "Telemedicine Journal and e-Health",
issn = "1530-5627",
publisher = "Mary Ann Liebert Inc.",
number = "3",

}

TY - JOUR

T1 - The SUMMA project

T2 - A feasibility study on telemedicine in selected Italian Areas

AU - Scalvini, Simonetta

AU - Tridico, Caterina

AU - Glisenti, Fulvio

AU - Giordano, Amerigo

AU - Pirini, Silvia

AU - Peduzzi, Paolo

AU - Auxilia, Francesco

PY - 2009/4/1

Y1 - 2009/4/1

N2 - Telemedicine is achieving relevant clinical importance in rural areas in the management of patients. The Second opinion Unificata per Medici di Medicina generAle (SUMMA) Project was designed to evaluate the feasibility of a joint telemedicine service application across general practitioners and clinical specialists in Italy. The secondary objective of the study included the comparison of telemedicine with the routine general practitioners' approach and a cost-effectiveness evaluation. One hundred and thirty-five general practitioners from Lombardy, Molise, and Valle d'Aosta were enrolled. An ad hoc questionnaire was used to evaluate the feasibility, approval, efficacy, and satisfaction of telemedicine among the general practitioners. Ninety-three general practitioners used the telemedicine consultation (responders) for a total of 1,396 calls (1,264 for cardiology, 65 for dermatology, 32 for diabetology, 22 for rheumatology, and 13 for pneumology). In cardiology, telemedicine was used to address all problems without further action in 733 cases (61%). Ninety-eight percent of responders indicate satisfaction with telemedicine. The cost of telemedicine in our study was estimated to be 25.36 Euros/contact. In conclusion, the SUMMA Project demonstrated for the first time clinically the effectiveness of second-opinion consultation by general practitioners and therefore fulfilling the actual needs in areas usually managed by the National Health System.

AB - Telemedicine is achieving relevant clinical importance in rural areas in the management of patients. The Second opinion Unificata per Medici di Medicina generAle (SUMMA) Project was designed to evaluate the feasibility of a joint telemedicine service application across general practitioners and clinical specialists in Italy. The secondary objective of the study included the comparison of telemedicine with the routine general practitioners' approach and a cost-effectiveness evaluation. One hundred and thirty-five general practitioners from Lombardy, Molise, and Valle d'Aosta were enrolled. An ad hoc questionnaire was used to evaluate the feasibility, approval, efficacy, and satisfaction of telemedicine among the general practitioners. Ninety-three general practitioners used the telemedicine consultation (responders) for a total of 1,396 calls (1,264 for cardiology, 65 for dermatology, 32 for diabetology, 22 for rheumatology, and 13 for pneumology). In cardiology, telemedicine was used to address all problems without further action in 733 cases (61%). Ninety-eight percent of responders indicate satisfaction with telemedicine. The cost of telemedicine in our study was estimated to be 25.36 Euros/contact. In conclusion, the SUMMA Project demonstrated for the first time clinically the effectiveness of second-opinion consultation by general practitioners and therefore fulfilling the actual needs in areas usually managed by the National Health System.

KW - General practitioners

KW - Joint teleconsultation

KW - Rural areas

KW - Telecardiology

KW - Telemedicine

UR - http://www.scopus.com/inward/record.url?scp=65349121846&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=65349121846&partnerID=8YFLogxK

U2 - 10.1089/tmj.2008.0109

DO - 10.1089/tmj.2008.0109

M3 - Article

C2 - 19382864

AN - SCOPUS:65349121846

VL - 15

SP - 261

EP - 269

JO - Telemedicine Journal and e-Health

JF - Telemedicine Journal and e-Health

SN - 1530-5627

IS - 3

ER -