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2012 Scientific Report - Queensland Children's Medical Research ...

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Summary of <strong>Research</strong> Activities and Achievements<br />

‣ Telepaediatrics – establishment, coordination and evaluation of telemedicine services<br />

delivered through Children’s Health Services, <strong>Queensland</strong> Health. (Smith, AC) – T2 and<br />

T3<br />

The <strong>Queensland</strong> Telepaediatric Service provides the foundation for the centre's research<br />

into service delivery models of health care delivery for children and their families in rural<br />

and regional areas of <strong>Queensland</strong>. During <strong>2012</strong>, the service reached an important<br />

milestone, delivering over 15,000 consultations from the COH at the Royal Children’s<br />

Hospital. The COH have been contracted to develop a similar model of telehealth service<br />

development at the Princess Alexandra Hospital (PA Telehealth Centre).<br />

‣ Evaluation of a novel health screening service for children in a remote Indigenous<br />

community. (Smith AC, Armfield NR, Scuffham P) – T3<br />

The aim of this project is to examine the feasibility of a novel health screening service and to<br />

obtain scientific evidence to demonstrate feasibility, clinical usefulness and costeffectiveness.<br />

The screening program formally commenced in 2009. A longitudinal study is<br />

underway to examine clinical utilization, health service benefits and factors which influence<br />

organisational uptake. A review of the service was published in <strong>2012</strong>. Lesson learnt through<br />

this experience in Cherbourg are being observed by other Aboriginal and Torres Strait<br />

Islander health service providers in Australia.<br />

‣ A randomized controlled trial to evaluate paediatric critical care telemedicine in<br />

<strong>Queensland</strong> (Smith AC, Coulthard M, Slater A, Armfield NR) – T1 and T2<br />

This three year study involves a randomised controlled trial to investigate the efficacy and<br />

economics of paediatric critical care telemedicine with selected regional <strong>Queensland</strong><br />

hospitals. Four sites are currently being established. All equipment has been built and<br />

tested ready for deployment. Ethics has been approved by the appropriate committees.<br />

‣ Using conversational computer technology to improve diabetes management: A<br />

randomised controlled trial. (Oldenburg B, Courtney M, Friedman R, Wootton R, Ash S,<br />

Smith AC) – T2 and T3.<br />

The aim of this study was to evaluate the cost-effectiveness of a telehealth service for<br />

patients with diabetes. Telephone linked Care (TLC) is a system used to share information<br />

between patients and clinicians. A study which evaluated the feasibility of this system in<br />

regional <strong>Queensland</strong> was completed in <strong>2012</strong>. Two papers have been published and one<br />

publication is in press.<br />

QCMRI <strong>Scientific</strong> <strong>Report</strong> <strong>2012</strong> 82

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