"Asynchronous telehealth: A scoping review of analytic studies" on our new wiki!

Submitted by Dean Giustini on June 2, 2009 - 01:54

A new article was published this week by Amol Deshpande, Shariq Khoja, Julio Lorca, Ann Mckibbon, Carlos Rizo and Alejandro R Jadad entitled "Asynchronous telehealth: A scoping review of analytic studies" on Open Medicine's new wiki.


This project explores the use of a wiki as an online collaborative tool for improving and updating peer-reviewed systematic reviews.

Posted on this wiki is a copy of the article: Asynchronous telehealth: A scoping review of analytic studies

Readers are invited to edit the article either by adding, deleting or modifying its contents.

Got a question or comment? Add it to the Discussion page.

Make sure to create an account so that any additions and edits that you contribute will be credited to your name rather than just your IP address.

This project is supported by the Canadian Agency for Drugs and Technology in Health (CADTH) and Open Medicine. The review was supported by CADTH and completed by Foresights Links.

Commenting on this Blog entry is closed.


This is how government agencies wastes our tax-dollars. CADTH hires Foresight Links Corp (owned by Dr Jadad), even though any academic (i.e. if the money would have been provided to an academic institution, not Dr Jadads private company) would have done the same job 5 times cheaper. Foresight Links hires another consultant (Amol Deshpande) to do the actual work, and pays Martha Garcia (wife of Alejandro Jadad) to do the work. "Open Medicine" (editorial board member: Alejandro Jadad) publishes the work (which has been previously published by the CADTH and can be freely found on the Internet) without mentioning any of these relationships and conflicts of interests. I thought "Open Medicine" was created to make things more "open" and transparent? 


CADTH funded Foresight Links Corporation to perform the systematic review on asynchronous telehealth (which was part of a much larger project) based on the latter’s  experience in evidence-based decision-making.  The relationship between Foresight Links Corporation and Dr. Jadad was clearly outlined in the original report published by CADTH [http://www.cadth.ca/index.php/en/hta/reports-publications/search/publica.... His relationship to Open Medicine is also clearly stated in the journal’s site [http://www.openmedicine.ca/about/editorialTeam].

The wiki experiment was proposed to Open Medicine, as a means to explore whether opening up a scientific publication to comments from any reader could keep this kind of reviews fresh, while reducing (and even eliminating) one of the most expensive components of a systematic review: the cost associated with ongoing updates.  By using a wiki, any reader could modify the contents of the article at will. In this way, missing articles could be added, errors could be fixed and new material could be easily added.  In fact, your comments on 'perceived' conflicts of interest could have been directly inserted into the wiki version under a section entitled "Conflict of Interest" if you felt this was of significance to other readers of the review.

Your comments referencing the previously published work by CADTH and that it is freely available on the Internet are correct and links to previous manuscripts are found on the interactive site. The main difference, however, is that the report in the original source cannot be modified by readers, which is the main objective driving the experiment at Open Medicine.

You are also correct in pointing out that Dr. Jadad’s ownership of Foresight Links Corporation  was not mentioned in the Open Medicine article. In the spirit of openness and transparency of the journal, CADTH and the authors, this has now been mentioned in the wiki.

We encourage any future such comments either through the blog or preferably written directly to the wiki version so that the debate and final manuscript could be more robust and encourage the views of other readers.

The wiki sounds like a great idea.


I belive that asynchronous telehealth is a solution to faster health care delivery. There will be no more waiting time for the patient to be able to get treatment. And it's good to ask for assessment/opinion on a health care professional.

from Lizza Marie