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ANZSVS Conference 2025
Advanced technologies to improve telehealth delivery for diabetes-related foot disease
Verbal Presentation
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Verbal Presentation

Disciplines

Vascular

Talk Description

Institution: The University of Adelaide - SA, Australia

Purpose. Amputation rates for diabetes-related foot disease (DFD) are considerably higher in regional and rural areas compared to metropolitan centres, highlighting a lack of access to specialist care. Telehealth offers a promising solution to bridge this gap by facilitating timely, multidisciplinary care for patients with complicated DFD living in regional or remote locations. However, identified barriers to providing effective telehealth consultation within our service included: limited access to local clinical expertise, suboptimal image quality, and constrained technological infrastructure. Methodology. Augmented Reality (AR) was implemented using a monocular AR headset, allowing multidisciplinary clinicians in Central Adelaide to “see through the eyes” of regional practitioners in the Riverland, enabling more precise real-time assessments. Working with local technology experts, the advanced telehealth setup incorporated a workstation on wheels to host the call, video conferencing to improve interaction, and lapel microphones to enhance audio clarity. Results. We will present initial feasibility analysis of the AR telehealth program from our project trialling the system with stakeholders and consumers, building on two years of collaborative development of the system. AR has been initially well-accepted by practitioners in both metro and rural facilities, and further has been a scaffold for improving the effectiveness of delivery and building collaborations across health networks. Conclusion. We anticipate the implementation of advanced technologies in telehealth will significantly improve patient experience, increase diagnostic accuracy, reduce the travel burden for patients, and ultimately lead to better clinical outcomes for patients with DFD in rural communities. However, these technologies require collaborative development and consumer-led focus to produce practical improvements to provide a system that can be readily used in the clinical space.
Speakers
Authors
Authors

Dr Neil Mcmillan - , Ms Lucinda Weekes - , Dr Zygmunt Szpak - , Dr Ancret Szpak - , Ms Cathy Loughry - , Dr Kristin Graham - , Prof Paul Worley - , Ms Sharon Wingard - , Prof Robert Fitridge -