Academic literature on the topic 'Tele-health (virtual office visits)'
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Journal articles on the topic "Tele-health (virtual office visits)"
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S., Eric Anderson, Pinder Jim, M. Dameff Elizabeth, Manassian Armond, and Kim-Liang Chuah. "A Comparative Expected Value Analysis Study to Determine the Cost Benefit or Cost Effectiveness of Early Discharge, Medical Transport, Home Health as Well as Home Care Devices, Services and Technologies in The United States." Account and Financial Management Journal 08, no. 09 (2023): 3208–15. https://doi.org/10.5281/zenodo.8385114.
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Abstract It was found that Amazon products (Alexa™, Echo™, Halo™), EMRs, fire extinguishers, genome sequencing test, on-line pharmacies, remote patient monitoring, provided economic value, while emergency medical service membership programs<strong>, </strong>fire alarm subscription services, helicopter emergency medical services, home fire insurance policies, home fire sprinklers, and home security systems were not found to have provided economic value. Tele-health (virtual office visits) would provide economic value if most tele-health visits replaced existing in-person visits and the low cost virtual didn’t drive demand for unnecessary visits. Robotic surgery technologies provide economic value if fully utilized (high patient demand to reduce overhead costs per procedure) in a facility with little excess capacity as long as it did not compete with non-robotic surgical offerings at the present facility. AEDs provide economic value if appropriately placed in high demand locales based on future probability of use.
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Jiang, Angela, Reem Kashlan, Christine Joseph, Amy Tang, and Henry Lim. "Disparities in Access to Teledermatology During the COVID-19 Pandemic in Detroit, Michigan." SKIN The Journal of Cutaneous Medicine 5, no. 6 (2021): 639–48. http://dx.doi.org/10.25251/skin.5.6.6.
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Background: Teledermatology became a necessary modality for dermatologic patient care during the COVID-19 pandemic. Due to disparities in access to technology, “The Digital Divide” refers to worsening health care disparities despite telemedicine’s best efforts to improve access. Methods: Retrospective chart review was performed of all patients who were scheduled to be seen in dermatology during the first wave of pandemic (March 27, 2020 to April 27, 2020). Demographic characteristics of patients who pursued virtual visits was compared with those who did not. Results: Compared to patients who canceled office visits, patients who completed virtual visit appointments were more likely to be younger (mean age 37.8 versus 45.5 years), female (68.7% versus 62.9%, p=0.01), unmarried (68.7% versus 61.0%, p<0.01). Of the diagnoses rendered during virtual visits, 53.3% were associated with dermatoses. Conclusions: Patient populations above the age of 65 were less likely to complete a video visit, regardless of socioeconomic factors. Future policies must take marginalized populations into account to improve ease of access to technological services.
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Sarmiento, Kathleen, Samuel Kuna, Eilis Boudreau, et al. "814 VHA’s TeleSleep Program improves rural Veteran access to sleep care through expansion of telehealth networks." Sleep 44, Supplement_2 (2021): A317—A318. http://dx.doi.org/10.1093/sleep/zsab072.811.
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Abstract Introduction Rurality is a known contributor to health disparities, including Sleep medicine. Over 1 million (&gt;350,000 rural, &gt;650,000 non-rural) Veterans who received care from VHA in 2020 have obstructive sleep apnea (OSA). VHA’s Office of Rural Health (ORH) TeleSleep Program (FY17-20) aimed to increase access to sleep care for rural veterans by establishing telehealth services at 12 hubs and 63 spokes across the country. The TeleSleep program has three components: (1) Telemedicine; (2) Home Sleep Apnea Testing (HSAT); and (3) REVAMP (Remote Veterans Apnea Management Platform), a web-application for comprehensive sleep apnea care. Methods Each of the three TeleSleep components was evaluated independently using specific metrics. We report here on the impact of leveraging telemedicine to improve access to sleep care. Patient care encounters are defined by VA-specific stop codes and are thus identifiable as telehealth or in-person visits. Data used in the evaluation were obtained from the VA Corporate Data Warehouse. Results During FY20, 33,743 rural Veterans had 74,458 sleep encounters within the TeleSleep network. Visits included in-person care, virtual initial and follow up visits, electronic consultations, asynchronous telehealth (remote monitoring of PAP data and HSAT), remote PAP initiation by video or phone, and email exchanges between patients and providers. Between FY17-20, the number of rural Veterans seen for sleep-related disorders at TeleSleep sites tripled (from 10,702 to 33,743), and the number of encounters for sleep-related disorders more than doubled (from 32,894 to 74,458). In FY20, 72% (up from 53% in FY18) of rural Veterans at the TeleSleep hubs or spokes had at least one virtual sleep visit. This was significantly higher than non-TeleSleep VA sites where only 64% of rural Veterans had virtual visits (72% vs. 64%; p&lt;0.001). In addition, the proportion of Veterans who had face-to-face only visits (28% at TeleSleep sites vs. 36% at non-TeleSleep sites; p&lt;0.001) indicates that the TeleSleep program was highly successful in promoting virtual (instead of face-to-face) visits. Conclusion The ORH TeleSleep Program has improved access to comprehensive sleep care for rural Veterans by increasing the proportion and type of sleep visits conducted virtually vs. in person. Support (if any) Funding provided by VHA Office of Rural Health
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Bruxvoort, Katia J., Zoe Bider-Canfield, Joan A. Casey, et al. "Outpatient Urinary Tract Infections in an Era of Virtual Healthcare: Trends From 2008 to 2017." Clinical Infectious Diseases 71, no. 1 (2019): 100–108. http://dx.doi.org/10.1093/cid/ciz764.
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Abstract Background Urinary tract infections (UTIs) occur commonly, but recent data on UTI rates are scarce. It is unknown how the growth of virtual healthcare delivery affects outpatient UTI management and trends in the United States. Methods From 1 January 2008 to 31 December 2017, UTIs from outpatient settings (office, emergency, and virtual visits) were identified from electronic health records at Kaiser Permanente Southern California using multiple UTI definitions. Annual rates estimated by Poisson regression were stratified by sex, care setting, age, and race/ethnicity. Annual trends were estimated by linear or piecewise Poisson regression. Results UTIs occurred in 1 065 955 individuals. Rates per 1000 person-years were 53.7 (95% confidence interval [CI], 50.6–57.0) by diagnosis code with antibiotic and 25.8 (95% CI, 24.7–26.9) by positive culture. Compared to office and emergency visits, UTIs were increasingly diagnosed in virtual visits, where rates by diagnosis code with antibiotic increased annually by 21.2% (95% CI, 16.5%–26.2%) in females and 29.3% (95% CI, 23.7%–35.3%) in males. Only 32% of virtual care diagnoses had a culture order. Overall, UTI rates were highest and increased the most in older adults. Rates were also higher in Hispanic and white females and black and white males. Conclusions Outpatient UTI rates increased from 2008 to 2017, especially in virtual care and among older adults. Virtual care is important for expanding access to health services, but strategies are needed in all outpatient care settings to ensure accurate UTI diagnosis and reduce inappropriate antibiotic treatment.
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Fan, Timothy, Alan D. Workman, Lauren E. Miller, et al. "The Impact of COVID-19 on Otolaryngology Community Practice in Massachusetts." Otolaryngology–Head and Neck Surgery 165, no. 3 (2021): 424–30. http://dx.doi.org/10.1177/0194599820983732.
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Objectives Coronavirus disease 2019 (COVID-19) significantly affected many health care specialties, including otolaryngology. In response to governmental policy changes, many hospitals and private practices in Massachusetts canceled or postponed nonurgent office visits and elective surgeries. The objective of this study was to quantify the impact of COVID-19 on the provision and practice trends of otolaryngology services for 10 private practices in Massachusetts. Study Design Retrospective review. Setting Multipractice study for community practices in Massachusetts. Methods Electronic billing records from 10 private otolaryngology practices in Massachusetts were obtained for the first 4 months of 2019 and 2020. Questionnaires from these otolaryngology practices were collected to assess financial and staffing impact of COVID-19. Results The local onset of the COVID-19 pandemic had a significant decrease of 63% of visits in comparison to equivalent weeks in 2019. Virtual visits overtook in-person visits over time. A greater decline in operating room (OR) procedures than for office procedures was recorded. Ninety percent of practices reduced working hours, and 80% furloughed personnel. Seventy percent of practices applied for the Paycheck Protection Program (PPP). Conclusion COVID-19 has had a multifaceted impact on private otolaryngology practices in Massachusetts. A significant decline in provision of otolaryngology services aligned with the Massachusetts government’s public health policy changes. The combination of limited personnel and personal protective equipment, as well as suspension of nonessential office visits and surgeries, led to decrease in total office visits and even higher decrease in OR procedures.
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Entezarjou, Artin, Susanna Calling, Tapomita Bhattacharyya, et al. "Antibiotic Prescription Rates After eVisits Versus Office Visits in Primary Care: Observational Study." JMIR Medical Informatics 9, no. 3 (2021): e25473. http://dx.doi.org/10.2196/25473.
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Background Direct-to-consumer telemedicine is an increasingly used modality to access primary care. Previous research on assessment using synchronous virtual visits showed mixed results regarding antibiotic prescription rates, and research on assessment using asynchronous chat-based eVisits is lacking. Objective The goal of the research was to investigate if eVisit management of sore throat, other respiratory symptoms, or dysuria leads to higher rates of antibiotic prescription compared with usual management using physical office visits. Methods Data from 3847 eVisits and 759 office visits for sore throat, dysuria, or respiratory symptoms were acquired from a large private health care provider in Sweden. Data were analyzed to compare antibiotic prescription rates within 3 days, antibiotic type, and diagnoses made. For a subset of sore throat visits (n=160 eVisits, n=125 office visits), Centor criteria data were manually extracted and validated. Results Antibiotic prescription rates were lower following eVisits compared with office visits for sore throat (169/798, 21.2%, vs 124/312, 39.7%; P<.001) and respiratory symptoms (27/1724, 1.6%, vs 50/251, 19.9%; P<.001), while no significant differences were noted comparing eVisits to office visits for dysuria (1016/1325, 76.7%, vs 143/196, 73.0%; P=.25). Guideline-recommended antibiotics were prescribed similarly following sore throat eVisits and office visits (163/169, 96.4%, vs 117/124, 94.4%; P=.39). eVisits for respiratory symptoms and dysuria were more often prescribed guideline-recommended antibiotics (26/27, 96.3%, vs 37/50, 74.0%; P=.02 and 1009/1016, 99.3%, vs 135/143, 94.4%; P<.001, respectively). Odds ratios of antibiotic prescription following office visits compared with eVisits after adjusting for age and differences in set diagnoses were 2.94 (95% CI 1.99-4.33), 11.57 (95% CI 5.50-24.32), 1.01 (95% CI 0.66-1.53), for sore throat, respiratory symptoms, and dysuria, respectively. Conclusions The use of asynchronous eVisits for the management of sore throat, dysuria, and respiratory symptoms is not associated with an inherent overprescription of antibiotics compared with office visits. Trial Registration ClinicalTrials.gov NCT03474887; https://clinicaltrials.gov/ct2/show/NCT03474887
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Hutchison, Kimberly N., Jennifer Sweeney, Christine Bechtel, and Brian Park. "Reimagining Relationship-Based Health Care in a Post-COVID World." Journal of Patient Experience 8 (January 1, 2021): 237437352199862. http://dx.doi.org/10.1177/2374373521998622.
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The US health care system has a long history of discouraging the creation and maintenance of meaningful relationships between patients and providers. Fee-for-service payment models, the 1-directional, paternalistic approach of care providers, electronic health records, anddocumentation requirements, all present barriers to the development of meaningful relationships in clinic visits. As patients and providers adopt and experiment with telemedicine and other systems changes to accommodate the impact of Coronavirus disease 2019, there is an opportunity to reimagine visits entirely—both office-based and virtual—and leverage technology to transform a unidirectional model into one that values relationships as critical facilitators of health and well-being for both patients and providers.
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Johnson, Kristen, Kayla Burns, Lisa Dumkow, Megan Yee, and Nnaemeka Egwuatu. "2076. Comparison of Diagnosis and Prescribing Practices between Virtual Visits and Office Visits for Sinusitis within a Primary Care Network." Open Forum Infectious Diseases 6, Supplement_2 (2019): S700. http://dx.doi.org/10.1093/ofid/ofz360.1756.
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Abstract Background The majority of antibiotics prescribed in the outpatient setting result from upper respiratory tract infections; however, these infections are often viral. Virtual visits (VV) have emerged as a popular alternative to office visits (OV) for sinusitis complaints and are an important area for stewardship programs to target for intervention. Methods A retrospective cohort study was conducted utilizing the outpatient electronic medical record for Mercy Health Physician Partners (MHPP) and Zipnosis database for VV to compare diagnosis and prescribing between OV and VV for sinusitis. VV consisted of an online questionnaire for patients to complete, which was then sent to a provider to evaluate electronically without face-to-face interaction. Adult patients were included with a diagnosis code for sinusitis during the 6-month study period from January to June 2018. The primary objective was to compare rates of appropriate diagnosis of viral vs. bacterial sinusitis between OV and VV, based on national guideline recommendations. Secondary objectives were to compare the appropriateness of antibiotic prescribing and supportive therapy prescribing between OV and VV, as well as 24-hour, 7-day and 30-day re-visits. Results A total of 350 patients were included in the study (OV n = 175, VV n = 175). Appropriate diagnosis per national guidelines was 45.7% in OV compared with 69.1% in the VV group (P < 0.001). Additionally, patients that completed VV were less likely to receive antibiotic prescriptions (OV 94.3%, VV 68.6%, P < 0.001). Guideline-concordant antibiotic prescribing was similar between groups (OV 60.6%, VV 58.3%, P = 0.70) and both visit types had a median duration of treatment of 10 days (P = 0.88). Patients that completed VV were more likely to re-visit for sinusitis within 24 hours (OV 1.7%, VV 8%, P = 0.006) and within 30-days (OV 7.4%, VV 14.9%, P = 0.027). In multivariate logistic regression the only factor independently associated with 24-hour re-visit was patient self-request for antibiotics (OR 0.20, 95% CI 0.06–0.68). Conclusion Appropriate diagnosis of sinusitis was more likely in the VV group, which shows that VV provides a good platform to target outpatient antimicrobial prescribing. These findings support opportunities for antimicrobial stewardship intervention in both OV and VV. Disclosures All authors: No reported disclosures.
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Görges, Matthias, Kathy L. Rush, Lindsay Burton, et al. "Preferred Functions of Personal Health Records in Rural Primary Health Clinics in Canada: Health Care Team Perspectives." Applied Clinical Informatics 12, no. 01 (2021): 041–48. http://dx.doi.org/10.1055/s-0040-1721397.
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Abstract Background Personal health records (PHR) provide opportunities for improved patient engagement, collection of patient-generated data, and overcome health-system inefficiencies. While PHR use is increasing, uptake in rural populations is lower than in urban areas. Objectives The study aimed to identify priorities for PHR functionality and gain insights into meaning, value, and use of patient-generated data for rural primary care providers. Methods We performed PHR preimplementation focus groups with rural providers and their health care teams from five primary care clinics in a sparsely populated mountainous region of British Columbia, Canada to obtain their understanding of PHR functionality, needs, and perceived challenges. Results Eight general practitioners (GP), five medical office assistants, two nurse practitioners (NP), and two registered nurses (14 females and 3 males) participated in focus groups held at their respective clinics. Providers (GPs, NPs, and RNs) had been practicing for a median of 9.5 (range = 1–38) years and had used an electronic medical record for 7.0 (1–20) years. Participants expressed interest in incorporating functionality around two-way communication and appointment scheduling, previsit data gathering, patient and provider data sharing, virtual care including visits using videoconferencing tools, and postvisit sharing of educational materials. Three further themes emerged from the focus groups: (1) the context in which the providers' practice matters, (2) the need for providing patients and providers with choice (e.g., which data to share, who gets to initiate/respond in communications, and processes around virtual care visits), and (3) perceived risks of system use (e.g., increased complexity for older patients and workload barriers for the health care team). Conclusion Rural primary care teams perceived PHR opportunities for increased patient engagement and access to patient-generated data, while worries about changes in workflow were the biggest perceived risk. Recommendations for PHR adoption in a rural primary health network include setting provider-patient expectations about response times, ability to share notes selectively, and automatically augmented note-taking from virtual-care visits.
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Rokicki-Parashar, Jesse, Anuradha Phadke, Cati Brown-Johnson, et al. "Transforming Interprofessional Roles During Virtual Health Care: The Evolving Role of the Medical Assistant, in Relationship to National Health Profession Competency Standards." Journal of Primary Care & Community Health 12 (January 2021): 215013272110042. http://dx.doi.org/10.1177/21501327211004285.
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Introduction: Medical assistants (MAs) were once limited to obtaining vital signs and office work. Now, MAs are foundational to team-based care, interacting with patients, systems, and teams in many ways. The transition to Virtual Health during the COVID-19 pandemic resulted in a further rapid and unique shift of MA roles and responsibilities. We sought to understand the impact of this shift and to place their new roles in the context of national professional competency standards. Methods: In this qualitative, grounded theory study we conducted semi-structured interviews with 24 MAs at 10 primary care sites at a major academic medical center on their experiences during the shift from in-person to virtual care. MAs were selected by convenience sample. Coding was done in Dedoose version 8.335. Consensus-based inductive and deductive approaches were used for interview analysis. Identified MA roles were compared to national MA, Institute of Medicine, physician, and nursing professional competency domains. Results: Three main themes emerged: Role Apprehension, Role Expansion, and Adaptability/Professionalism. Nine key roles emerged in the context of virtual visits: direct patient care (pre-visit and physical care), panel management, health systems ambassador, care coordination, patient flow coordination, scribing, quality improvement, and technology support. While some prior MA roles were limited by the virtual care shift, the majority translated directly or expanded in virtual care. Identified roles aligned better with Institute of Medicine, physician, and nursing professional competencies, than current national MA curricula. Conclusions: The transition to Virtual Health decreased MA’s direct clinical work and expanded other roles within interprofessional care, notably quality improvement and technology support. Comparison of the current MA roles with national training program competencies identified new leadership and teamwork competencies which could be expanded during MA training to better support MA roles on inter-professional teams.
Book chapters on the topic "Tele-health (virtual office visits)"
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Stewart Stephanie, Pope Dawn, and Duncan Debra. "Using Second Life to Enhance ACCEL an Online Accelerated Nursing BSN Program." In Studies in Health Technology and Informatics. IOS Press, 2009. https://doi.org/10.3233/978-1-60750-024-7-636.
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To create a presence in Second Life (SL) the university college of nursing (CON) purchased four virtual islands in December 2007. The intent was to enhance distance education with immersion learning experiences for nursing students in SL. The Pollock Alumni House, classrooms, faculty offices, a library, a student welcome center, a public health office, a disaster scenario, a clinic, a hospital, and several patient avatars were created. Houses are being built for nursing students to experience different patient care scenarios during home visits. At least 20 nursing faculty and academic staff and three cohorts of accelerated nursing students (77) have avatars and have experienced class sessions. Faculty and students schedule office hours, engage in synchronous chats, and utilize the public health department and SL support groups for class exercises. Current exercises in the public health department include a module in which the student learns the role of the sanitarian. Students use a checklist to inspect restaurants and bars in SL. They are also able to view a video of an interview with a sanitarian. Another module introduces them to the WIC (Women, Infants, and Children) program. Future student activities related to public health include disaster planning, bioterrorism, evacuations, community assessment, windshield surveys, fund raising, and health education as well as other activities suggested by public health nurses and students. The possibilities are limitless because of the resources that exist in the virtual world, SL. The purchase of the first two islands, the initial buildings, and the creation of the public health department was funded by a research grant. Virtual environments offer many advantages for nursing education. Many nursing students say they learn best when they actually &ldquo;do something,&rdquo; which indicates that they often prefer experiential learning. Rare but life-threatening patient situations can be experienced since the clinical environment can be realistically simulated. The student has the opportunity to practice repeatedly without causing harm to patients. During these simulations, active learning takes place, immediate feedback can be given for both correct and incorrect actions, errors can be corrected, and consistent experiences can be reproduced for all students. This technology is revolutionizing education and will meet the needs of the media savvy generations to come. It can also provide virtual experiences that nursing students may encounter in the clinical setting which are high risk and low volume, thus enhancing patient safety.
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Chen Bi-Lian. "The New Issue of Social Media in Education and Health Behavior Change – Virtual Visit of Tele-Nursing." In Studies in Health Technology and Informatics. IOS Press, 2016. https://doi.org/10.3233/978-1-61499-658-3-625.
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Tele-Nursing is a kind of virtual visits, to our nursing professional developed as a new future, based on Who's policy that is to deal with nursing shortage in the worldwide. Then how to connect the clinical phenomena to synthesis concept is top urgent. The systemic review method and case manager interview to collect the clinical phenomena, the concepts analyzed by Norris Method to analyze the virtual visit. Finally the results of research finding were five categories which were available; security; science and technology derived consequences for nursing; to monitor quality of nursing care; support from social network. The Virtual Visit of Tele-Nursing's concept will be leading nursing knowledge to theory.
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S, Dr Saranya, Dr Surya D, and Dr Gopinath V. "TELEDENTISTRY." In Futuristic Trends in Medical Sciences Volume 3 Book 21. Iterative International Publisher, Selfypage Developers Pvt Ltd, 2024. http://dx.doi.org/10.58532/v3bgms21p1ch12.
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Teledentistry is a rapidly growing field in the dental industry that utilizes telecommunication technology to provide dental care remotely. Through virtual consultations, dentists can diagnose oral health issues, provide treatment recommendations, and even prescribe medications without the need for an in-person visit. This innovative approach to dental care offers several benefits, including increased access to care for individuals in rural or underserved areas, reduced travel time and expenses for patients, and improved convenience and flexibility. However, it is important to note that teledentistry has its limitations and is not suitable for all types of dental procedures. In cases where a physical examination or hands-on treatment is necessary, an in-person visit to a dental office may still be required. Nonetheless, teledentistry holds great potential for expanding access to quality dental care and improving oral health outcomes.
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"Interviewing The Family." In Interviewing and Patient Care, edited by Allen J. Enelow, Douglas L. Forde, and Kenneth Brummel-Smith. Oxford University PressNew York, NY, 1996. http://dx.doi.org/10.1093/oso/9780195064438.003.0007.
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Abstract Families play a major role in a person’s health and illness. Recent studies have provided evidence that family support affects outcomes in heart attacks and a number of other conditions. 1 Illness frequently occurs at times of family crisis, and family members often call the clinician for explanations, advice, or reassurance. Those in primary care often find themselves discussing diagnostic findings and care plans with family members. Such contact is not limited to primary care but is common in the surgical fields and most other specialties. Virtually all clinicians need effective family interviewing skills to provide care that is comprehensive and compassionate. There are many opportunities for contact with families in health care settings. Practitioners will encounter families at the bedside of hospitalized patients, a loved one may accompany the patient to an office visit, or a spouse may call ahead of a visit to make sure a certain problem is addressed. Indeed, if a clinician has not met with family members, it probably means that an opportunity to know more about the patient has been missed.
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Thompson, Helen. "Building Local Capacity via Scaleable Web-Based Services." In Electronic Services. IGI Global, 2010. http://dx.doi.org/10.4018/978-1-61520-967-5.ch080.
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Information communications technology (ICT) has been identified as a key enabler in the achievement of regional and rural success, particularly in terms of economic and business development. The potential of achieving equity of service through improved communications infrastructure and enhanced access to government, health, education, and other services has been identified. ICT has also been linked to the aspiration of community empowerment, where dimensions include revitalizing a sense of community, building regional capacity, enhancing democracy, and increasing social capital. In Australia, there has been a vision for online services to be used to open up regional communities to the rest of the world. Government support has been seen “as enhancing the competence levels of local economies and communities so they become strong enough to deal equitably in an increasingly open marketplace” (McGrath & More, 2002, p. 40). In a regional and rural context, the availability of practical assistance is often limited. Identification of the most appropriate online services for a particular community is sometimes difficult (Ashford, 1999; Papandrea & Wade, 2000; Pattulock & Albury Wodonga Area Consultative Committee, 2000). Calls, however, continue for regional communities to join the globalized, online world. These are supported by the view that success today is based less and less on natural resource wealth, labor costs, and relative exchange rates, and more and more on individual knowledge, skills, and innovation. But how can regional communities “grab their share of this wealth” and use it to strengthen local communities (Simpson 1999, p. 6)? Should communities be moving, as Porter (2001, p. 18) recommends (for business), away from the rhetoric about “Internet industries,” “e-business strategies,” and the “new economy,” to see the Internet as “an enabling technology—a powerful set of tools that can be used, wisely or unwisely, in almost any industry and as part of almost any strategy?” Recent Australian literature (particularly government literature) does indeed demonstrate somewhat of a shift in terms of the expectations of ICT and e-commerce (National Office for the Information Economy, 2001; Multimedia Victoria, 2002; National Office for the Information Economy, 2002). Consistent with reflections on international industry experience, there is now a greater emphasis on identifying locally appropriate initiatives, exploring opportunities for improving existing communication and service quality, and for using the Internet and ICT to support more efficient community processes and relationships (Hunter, 1999; Municipal Association of Victoria and ETC Electronic Trading Concepts Pty Ltd., 2000; National Office for the Information Economy, 2002). The objective of this article is to explore whether welldeveloped and well-implemented online services can make a positive contribution to the future of regional and rural communities. This will be achieved by disseminating some of the learning from the implementation of the MainStreet Regional Portal project (www.mainstreet.net.au). To provide a context for this case study, the next section introduces some theory relevant to virtual communities and portals. The concept of online communities is introduced and then literature is reviewed to identify factors that have been acknowledged as important in the success of online community and portal initiatives.
Conference papers on the topic "Tele-health (virtual office visits)"
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Khataniar, Sanjoy Kumar, Shripad Suhas Biniwale, Mohamed Ahmed Elfeel, and Camilo Ernesto Tellez. "AI Innovations in Waterflood Management, The Path to Autonomous Operations." In SPE/IATMI Asia Pacific Oil & Gas Conference and Exhibition. SPE, 2023. http://dx.doi.org/10.2118/215236-ms.
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Abstract In the S-Field operations office, a daily battle ensues in the quest to increase production and maximize profits from waterflooding. One of the main control mechanisms applied to optimize the waterflooded reservoirs is by controlling the water injection and pumping rates of producers to balance patterns, maximize sweep, and maintain reservoir pressure. The reservoir surveillance team has been using a simple spreadsheet analytical approach that was quite limiting as the number of injection patterns increased, and the flood matured, leading to a water breakthrough. There was a need for a more sophisticated approach that could leverage artificial intelligence (AI) technology, especially since the entire asset was undergoing significant digitalization of its operations. This paper presents various innovations in bringing real applications of AI for waterflood management. This includes innovations in business processes, application of design thinking methodology, agile development, and AI. The AI waterflood management solution combines cloud technologies, big data processing, data analytics, machine learning algorithms, robotics, sensors and monitoring system, automation, edge gateways, and augmented and virtual reality (AR/VR). Design thinking principles and a human-centric approach within an agile innovation framework were utilized for rapid prototyping and deployment. A waterflood management framework that addressed the business's operational, tactical, and strategic aspects created the backdrop for designing the solution architecture. New injector-producer modeling techniques that leveraged AI and were fit-for-purpose for reservoir surveillance and production engineers were prototyped. An interactive pattern flood management tool, adapted from streamline simulation-based waterflood analysis methods, was developed for injection pattern analysis and intelligent optimization workflow. Field pilot testing for over a year proved that the prototype could reliably detect injector-production interactions and recommend operating set points in relevant time. Reduced time to decision, improved analysis efficiency and reliability of short-term forecasts, reduced field visits and health-safety-environment (HSE) exposure, and finally ease-of-use has been experienced. The learnings from this project are being leveraged to develop a deployable solution and move the needle toward autonomous waterflood operations.
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Nishat, Zurwa, Tara Pellegrino, and Robert Steer. "Outcomes in Type II Diabetes Patients through the Covid 19 Pandemic A Retrospective Chart Review." In 27th Annual Rowan-Virtua Research Day. Rowan University Libraries, 2023. https://doi.org/10.31986/issn.2689-0690_rdw.stratford_research_day.54_2023.
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Context: The COVID-19 pandemic provided a unique opportunity for urgent expansion of telemedicine services as providers continued to supply longitudinal care to patients. Patients with type II diabetes were vulnerable to serious infection with COVID-19 as well as disruption in management of their chronic disease. Objective: To delineate the outcomes in type II diabetes patients through the COVID-19 pandemic by a retrospective chart review in which disease management was evaluated through HbA1c levels and BMI. Methods: This retrospective chart review included adult T2DM patients receiving care from five university family medicine offices in NJ. HbA1c levels and BMI values were compared during the pre-pandemic (February 2019-February 2020) and pandemic (March 2020-May 2022) time periods. Data analysis was completed through SPSS. Results: There was no significant difference in HbA1c levels from before the COVID-19 pandemic compared to during the pandemic, but there was a significant decrease in BMI. There was a greater shift in patients being prescribed multiple anti-diabetic oral drugs compared to insulin during the COVID-19 pandemic. Conclusions: Despite changes in daily living and healthcare delivery, patients with T2DM were able to maintain or improve their disease status. Patients that were older, female, with a higher BMI, and of African American descent exhibited greater healthcare utilization, with variance in types of visits and associated outcomes. Moving forward, telemedicine could be a potential outlet for alleviating the global health burden associated with T2DM.
Reports on the topic "Tele-health (virtual office visits)"
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Moore, Gai, Anton du Toit, Brydie Jameson, Angus Liu, and Mark Harris. The effectiveness of virtual hospitals. The Sax Institute, 2020. http://dx.doi.org/10.57022/lwxq3617.
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This Rapid Evidence Scan examined the effectiveness of virtual hospital models of care. While no reviews evaluated a complete model, tele-healthcare only and tele-healthcare with remote telemonitoring interventions demonstrated similar or significantly better clinical or health system outcomes including reduced hospitalisations, readmissions, emergency department visits and length of stay, compared to usual care, including those delivered without home visits or face-to-face care. The use of the Internet showed mixed but promising results. The strongest evidence was for cardiac failure, coronary heart disease, diabetes and stroke rehabilitation. Nurses played a central role in home visiting, providing telephone support and education. However, the studies were heterogeneous and the results should be interpreted with caution.