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1
Bernik, Rok, and Marija Petek Šter. "Varovanje osebnih podatkov v telemedicinskih storitvah." Slovenian Medical Journal 90, no. 3-4 (April 29, 2021): 159–72. http://dx.doi.org/10.6016/zdravvestn.3131.
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Telemedicina je hitro razvijajoče se področje, ki na učinkovit način zagotavlja zdravstvene storitve. Ker se pri telemedicini, tako kot v vsakdanji običajni klinični praksi, rokuje z občutljivimi osebnimi podatki, se je treba zavedati nevarnosti spletnega kriminala ter spoznati načine za zaščito pred takimi napadi. Področje varovanja osebnih podatkov je slovenski in evropski pravni prostor dobro opredelil, obstajajo pa odprta še nekatera nerazrešena vprašanja na področju telemedicine. Telemedicinske storitve delimo na sinhrone (v realnem času, npr. videokonference) in asinhrone (z zaostankom v komunikaciji, npr. spletna pošta) ter na spremljanje parametrov zdravja na daljavo (spremljanje arterijskega tlaka, krvnega sladkorja ipd.). Vsako od teh področij ima svoje varnostne značilnosti in posebnosti. Varovanje osebnih podatkov je pri telemedicinskih storitvah potrebno zagotoviti na sistemski in individualni ravni. Vsak zaposleni v zdravstvu, ki izvaja storitve na področju telemedicine, mora pri svojem delu skrbeti za varnost podatkov. Posebej pomembno se je redno izobraževati na temo informacijske varnosti. Tudi v Sloveniji se izvaja že sorazmerno veliko telemedicinskih projektov, med katerimi jih je nekaj tudi prešlo v redno uporabo. Eden najobsežnejših zdravstvenih projektov pri nas je projekt eZdravje, ki med drugim vključuje tudi nekatere telemedicinske storitve (TeleKap, Teleradiologija, ePosvet).
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Ećimović, Jelena. "ARHITEKTURA MJERNO-INFORMACIONOG SISTEMA U TELEMEDICINI." Zbornik radova Fakulteta tehničkih nauka u Novom Sadu 35, no. 06 (May 31, 2020): 1150–53. http://dx.doi.org/10.24867/08be36ecimovic.
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Ovaj rad se bavi arhitekturom mjerno-informacionog sistema u telemedicini. Prvi dio rada se odnosi na telemedicinu, njenu isoriju, podjelu i razvoj. Drugi dio rada se odnosi na primjenu telemedicine na već postojećim zdravstvenim sistemima. Treći dio rada obuhvata arhitekturu mjerno-informacionog sistema u telemedicini i njeno testiranje. Završni dio rada se odnosi na podatke, medicinsku etiku i na kraju rada su data završna razmatranja.
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Toritsemogba Tosanbami Omaghomi, Oluwafunmi Adijat Elufioye, Opeoluwa Akomolafe, Evangel Chinyere Anyanwu, and Ifeoma Pamela Odilibe. "A COMPREHENSIVE REVIEW OF TELEMEDICINE TECHNOLOGIES: PAST, PRESENT, AND FUTURE PROSPECTS." International Medical Science Research Journal 4, no. 2 (February 18, 2024): 183–93. http://dx.doi.org/10.51594/imsrj.v4i2.811.
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This comprehensive review explores telemedicine technologies' past, present, and future. Telemedicine has evolved significantly, providing healthcare services and exchanging medical information remotely. The historical overview traces its roots from early experiments to its current state, marked by advanced technology, diverse applications, and increased adoption, especially during the COVID-19 pandemic. Emerging technologies like AI, VR, IoT, and blockchain promise to revolutionize telemedicine, enhancing diagnostics, patient monitoring, and personalized treatment. Potential applications range from chronic disease management to tele-ICUs and global health initiatives. To maximize telemedicine's benefits, healthcare providers, technology developers, policymakers, and researchers are offered recommendations. Telemedicine's potential to transform healthcare delivery is profound, fostering accessibility, efficiency, and improved patient outcomes. While challenges exist, addressing them will help create a future where telemedicine is central to delivering equitable and patient-centred healthcare.
Keywords: Telemedicine, Healthcare Technology, Remote Healthcare, Emerging Technologies, Healthcare Access, Telehealth Trends.
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Nakayasu, Kazuyuki, and Chiaki Sato. "Liability for Telemedicine." International Journal of E-Health and Medical Communications 3, no. 1 (January 2012): 1–21. http://dx.doi.org/10.4018/jehmc.2012010101.
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This paper analyzes four issues about “telemedicine” in light of the systems (norms), responsibilities, and liabilities in effectively connecting health services. The structures are: First is “face to face examination” as a general principle and physician’s responsibility and liability. Second is dividing lines between physicians and physicians in telemedicine. Third are about areas which should be regulated by medical practitioners acts in providing telemedicine. Fourth is fee arrangements and cost burden for continuing telemedicine projects. The authors argue that not telemedicine’s special features as a means, but judgments for its medical necessity should be focused. The authors also alert that a responsibility can arise to establish a business model where all of the actors are responsible for managing healthcare delivery systems will continue to involve in the delivery of telemedicine, because patients become deeply in despair when telemedicine services stop without any alternative ways to get medical cares.
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Qubty, William, Irene Patniyot, and Amy Gelfand. "Telemedicine in a pediatric headache clinic." Neurology 90, no. 19 (April 6, 2018): e1702-e1705. http://dx.doi.org/10.1212/wnl.0000000000005482.
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ObjectiveThe aim of this prospective study was to survey our patients about their experience with our clinic's telemedicine program to better understand telemedicine's utility for families, and to improve patient satisfaction and ultimately patient care.MethodsThis was a prospective survey study of patients and their families who had a routine telemedicine follow-up visit with the University of California San Francisco Pediatric Headache Program. The survey was administered to patients and a parent(s) following their telemedicine visit.ResultsFifty-one of 69 surveys (74%) were completed. All (51/51) patients and families thought that (1) telemedicine was more convenient compared to a clinic visit, (2) telemedicine caused less disruption of their daily routine, and (3) they would choose to do telemedicine again. The mean round-trip travel time from home to clinic was 6.8 hours (SD ± 8.6 hours). All participants thought telemedicine was more cost-effective than a clinic visit. Parents estimated that participating in a telemedicine visit instead of a clinic appointment saved them on average $486.ConclusionThis prospective, pediatric headache telemedicine study shows that telemedicine is convenient, perceived to be cost-effective, and patient-centered. Providing the option of telemedicine for routine pediatric headache follow-up visits results in high patient and family satisfaction.
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Naga, January Febro, and Raymund C. Sison. "Transcending telemedicine: exploring telemedicine adoption perspectives of physicians." International Journal of Public Health Science (IJPHS) 14, no. 1 (March 1, 2015): 443. http://dx.doi.org/10.11591/ijphs.v14i1.24551.
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Telemedicine has become indispensable in contemporary healthcare, reshaping patient care worldwide. The utilization of it has significantly risen in the Philippines, particularly during the pandemic, mirroring a global trend. Nevertheless, there is a dearth of studies regarding its pragmatic implementation among Filipino physicians, a crucial aspect for enhancing healthcare delivery. A qualitative analysis utilized in-depth interviews with experienced physicians in the Philippines. The researchers employed an inductive methodology to investigate how 13 physicians integrate telemedicine into their private medical practices. The selection of participants was purposeful, specifically targeting physicians with more than two years of experience in telemedicine. The qualitative data collected was subjected to a rigorous thematic analysis, comprehensively examining the current telemedicine integration situations. The examination of the data indicated a central theme: ‘Transcending Telemedicine’, emphasizing its influence that goes beyond being a mere technological tool. It overcomes time, space, and geography constraints, enhancing physicians’ ability to serve patients. There are four subcategories connected that contribute to or hinder the achievement of this goal: factors influencing adoption and factors influencing implementation and responses and reactions to telemedicine adoption. This paper contributes to the general understanding of telemedicine’s function in healthcare, specifically in the setting of a developing country. It emphasizes the necessity for continuous support and adjustment to maximize its benefits.
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Singh, Jitendra, April Albertson, and Brandi Sillerud. "Telemedicine during COVID-19 Crisis and in Post-Pandemic/Post-Vaccine World—Historical Overview, Current Utilization, and Innovative Practices to Increase Utilization." Healthcare 10, no. 6 (June 3, 2022): 1041. http://dx.doi.org/10.3390/healthcare10061041.
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Telemedicine’s underutilization ended when the COVID-19 pandemic caused people to isolate and kept them from seeking healthcare services at their local hospitals and clinics. With the aid of the CARES Act of March 2020, healthcare providers quickly implemented telemedicine services to meet the various needs of their patients. During the pandemic, healthcare systems saw a significant increase in telemedicine visits. Essential industries turned to healthcare providers for assistance in keeping their workers healthy and to maintain production in the country’s critical infrastructure. Telemedicine services could quickly address health concerns, help address industry needs, and combat workforce shortages. As quickly as telemedicine services grew, telemedicine service utilization waned as people started to move closer to a pre-pandemic lifestyle. This descriptive study builds on an in-depth literature review by utilizing a fishbone diagram and SWOT analysis examining the potential factors related to telemedicine underutilization. To promote telemedicine utilization, application of Rogers’ Diffusion of Innovation theory outlines how to gain support for the benefits of telemedicine and build on opportunities brought out by the COVID-19 pandemic. Implication for practice could include establishing virtual clinics for industries plagued with workforce shortages.
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Yankappa, N., Anil Kumar, Arun Prasad, Lokesh Tiwari, and Pradeep Kumar. "Clinicodemographic Profile and Clinical Outcome of Children Presenting to Telemedicine Center at Institute of National Importance of India: A Prospective Observational Study." International Journal of Telemedicine and Applications 2024 (January 31, 2024): 1–9. http://dx.doi.org/10.1155/2024/5341988.
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Background. There is a global shortage of healthcare professionals, especially in developing countries, leading to disparities in access to healthcare, worsened by the pandemic. Telemedicine is emerging as a solution, with growing adoption worldwide due to advancements in technology and increased awareness. Research Problem. The establishment of telemedicine depends on resources, infrastructure, and knowledge about healthcare needs. Further studies are needed to monitor and address evolving issues in telemedicine. The Overall Purpose of the Study. Rural health disparities stem from multiple factors, like limited healthcare access, workforce shortages, lifestyle choices, and lower socioeconomic status, leading to higher mortality and chronic diseases. Addressing these challenges is vital for rural community well-being. Telemedicine centers present a promising solution, bridging gaps, and improving healthcare outcomes for underserved remote populations. Methodology. Objective: This study assessed the clinicodemographic profile and clinical outcome of children presenting to the telemedicine center at the Institute of National Importance in India. Design: Prospective observational study. Setting: A single-center tertiary care level. Participants: This study included 79 children aged up to 18 years. Major Findings and Summary of Interpretations. In our study, 79 children using telemedicine found a near-equal gender distribution. 8.9% needed emergency care, with common complaints being respiratory issues, fever, abdominal pain, and vomiting. After two weeks, 83.5% showed improvement, emphasizing telemedicine’s effectiveness in pediatric care. Conclusion. Our study underscores telemedicine’s positive impact on pediatric healthcare, emphasizing its potential to enhance access, outcomes, and cost-efficiency. Wider telemedicine adoption can reduce morbidity and mortality, support preventive care, and streamline posttreatment services, alleviating pressure on specialized facilities. While our focus was pediatrics, the telemedicine model is adaptable to various age groups and conditions, but it should be seen as a valuable supplement to, not a total substitute for, in-person healthcare visits.
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Snehi, Varsha, Hritik Verma, and Devender Pathak. "Telemedicine and Biosensors, A Boon in COVID Era: An Update." International Journal of Research and Review 9, no. 12 (December 21, 2022): 232–40. http://dx.doi.org/10.52403/ijrr.20221224.
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Telemedicine means delivery of medical care and provision of general health services from a distance. Telemedicine tools have been evolved for at home COVID-19 diagnosis, screening, monitoring and treatment. Telemedicine has been practiced for decades with increasing evidence proving its potential for enhanced quality of care for patients, reduction in hospital admission and increase in savings for both patients and health care providers. The COVID-19 pandemic has resulted in a significant increase in the reliance on telemedicine and telehealth for provision of health care services. Development in telemedicine should be structured as complement to current healthcare procedures, not with the goal of completely digitizing the entire healthcare system but rather to use the power of technology to enhance areas that may not be working at their full potential. At the same time, it is also clear that further research is required on the efficacy of telemedicine in terms of both financial and patient benefits. We are hereby discussing the current and rapidly increasing knowledge about the use of telemedicine and identify the gaps in knowledge and opportunity for further research. Beginning with telemedicine’s origin to its widespread use during the COVID-19 pandemic, we highlight the use of biosensors and use of telemedicine in this article. Keywords: Telemedicine, Biosensors, COVID-19, Wearable telemedicine gadgets
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Sahu, Ranjit Kumar, Harapriya Jena, and Debarati Chakraborty. "Advancing Public Health: A Comprehensive Analysis of Telemedicine in Chronic Disease Management, Access Improvement, and Health Promotion Programs." International Journal of Health Sciences and Research 14, no. 2 (February 16, 2024): 125–36. http://dx.doi.org/10.52403/ijhsr.20240216.
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Telemedicine is rapidly reshaping public health by revolutionizing chronic disease management, expanding healthcare accessibility, and enhancing health promotion strategies. This paper presents a comprehensive analysis of telemedicine's pivotal role in these crucial areas. The analysis commences with a focus on telemedicine's effectiveness in chronic disease management, highlighting its ability to enhance patient outcomes, reduce healthcare costs, and improve the quality of care for individuals with chronic conditions. It explores the use of remote monitoring, virtual consultations, and digital interventions for managing diseases such as diabetes, hypertension, and mental health disorders. The paper then delves into telemedicine's contribution to improved healthcare access, especially for underserved populations and remote areas. It discusses the removal of geographical barriers, the broadening of telehealth services, and the innovative healthcare delivery models that allow individuals to access care conveniently. Furthermore, the analysis underscores telemedicine's role in health promotion programs, providing personalized health education, behavioural support, and early intervention strategies to empower individuals in taking proactive steps to manage their health and prevent chronic diseases. This analysis underscores the potential of telemedicine to reshape public health and urges ongoing research and policy development to unlock its full capabilities. In conclusion, it highlights the transformative role of telemedicine in advancing public health and calls for collaborative efforts among healthcare stakeholders, policymakers, and researchers to maximize its impact in modern healthcare and public health practices. Key words: Telemedicine, NCD Management, Health Promotion Programs
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Galuh Puspitarani Sudaryono, Noverinda, Mahmud Fadhiil, Syarifah Syarifah, and Evi Rinawati Simanjuntak. "Application of Technology Acceptance Model (TAM) in Telemedicine Application During Covid-19 Pandemic." Journal of World Science 2, no. 7 (July 20, 2023): 909–21. http://dx.doi.org/10.58344/jws.v2i7.311.
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The COVID-19 pandemic hit the whole world, including Indonesia, forcing people to limit all activities outside their homes, including treatment activities to hospitals. This study aims to examine the application of the technology acceptance model (TAM) to telemedicine applications during the COVID-19 pandemic. The proposed research model is formulated from the extended technology acceptance model theory with empirical testing using data obtained from telemedicine user surveys. This study analyzed two additional external factors: privacy concerns and trust. Data is processed using SmartPLS software. A total of 406 telemedicine users participated in this study with male, n=206; 51%, female, n=200; 49%. Research respondents habitually used telemedicine applications during the COVID-19 pandemic that hit Indonesia. Among these respondents, 94.7% reported using telemedicine services during the COVID-19 pandemic. The most widely used telemedicine application, with a total of 59.7% of respondents, chose Halodoc. The external variable privacy concern does not affect the perceived usefulness of telemedicine used. However, trust and perceived usefulness are associated with a positive significance in telemedicine used during the COVID-19 pandemic in Indonesia. Privacy concerns have a limited impact on the perception of expediency but influence the ease of use of telemedicine apps. On the other hand, trust plays a vital role in shaping telemedicine's perceived usefulness and ease of use during the COVID-19 pandemic, as telemedicine has become indispensable for accessing healthcare services.
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Sun, Chongling, Evangelia Chrysikou, Eleftheria Savvopoulou, Eva Hernandez-Garcia, and Ava Fatah gen. Schieck. "Healthcare Built Environment and Telemedicine Practice for Social and Environmental Sustainability." Sustainability 15, no. 3 (February 2, 2023): 2697. http://dx.doi.org/10.3390/su15032697.
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The practice of telemedicine started at the beginning of the 20th century but has never been widely implemented, even though it is significantly sustainable compared to traveling to healthcare However, the ongoing COVID-19 pandemic pushed organisations and patients to accept this technology. During the pandemic, telemedicine consultations took place in ad hoc environments without much preparation and planning. As a result, there is a knowledge gap in the field between telemedicine’s clinical care services and healthcare built environment, in terms of design. This research focused on addressing the quality of service and experience of telemedicine in primary healthcare settings and how this could be influenced by the digital infrastructure. Our aim was to understand the correlations between telemedicine and healthcare built environment and whether the latter could have a significant impact on telemedicine practice. The methodology included interviews with professionals involved in healthcare planning, architecture and ethnography, and end user research involving telemedicine sessions. The interviews highlighted that professionals involved in the design of healthcare environments demonstrated limited consideration of telemedicine environments. Yet, the ethnographic, end-user research identified areas where the telemedicine environment could affect user experience and should be taken into consideration in the design of such spaces.
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Hyder, Maryam A., and Junaid Razzak. "Telemedicine in the United States: An Introduction for Students and Residents." Journal of Medical Internet Research 22, no. 11 (November 24, 2020): e20839. http://dx.doi.org/10.2196/20839.
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Telemedicine refers to the delivery of medical care and provision of general health services from a distance. Telemedicine has been practiced for decades with increasing evidence proving its potential for enhanced quality of care for patients, reduction in hospital readmissions, and increase in savings for both patients and providers. The COVID-19 pandemic has resulted in a significant increase in the reliance on telemedicine and telehealth for provision of health care services. Developments in telemedicine should be structured as complements to current health care procedures, not with the goal of completely digitizing the entire health care system, but rather to use the power of technology to enhance areas that may not be working at their full potential. At the same time, it is also clear that further research is needed on the effectiveness of telemedicine in terms of both financial and patient benefits. We discuss the current and rapidly increasing knowledge about the use of telemedicine in the United States, and identify the gaps in knowledge and opportunities for further research. Beginning with telemedicine’s origins in the United States to its widespread use during the COVID-19 pandemic, we highlight recent developments in legislation, accessibility, and acceptance of telemedicine.
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Andi Hanna Shelinda Silva, Raden Argarini, Izzatul Fithriyah, Maxwell Salvador Surya Atmaja, and Stefanie Jasper Hamindo. "Telemedicine exercise as a potential therapy for improving mental health symptoms in COPD patients during COVID-19 pandemic: A literature review." World Journal of Advanced Research and Reviews 19, no. 3 (September 30, 2023): 824–30. http://dx.doi.org/10.30574/wjarr.2023.19.3.1894.
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Introduction: The COVID-19 pandemic significantly threatens chronic obstructive pulmonary disease (COPD) patients. They are likely to have depression and anxiety, which can increase morbidity and mortality. Telemedicine exercise has been proven to improve mental health symptoms in COPD patients. Aim: To summarize the effectiveness of telemedicine exercise in improving mental health symptoms in COPD patients. Method: Studies reviewed were obtained from PubMed and ScienceDirect. Randomized clinical trials showing telemedicine's effectiveness in improving mental health symptoms in COPD patients were searched last on 7 September 2023. Result: Telemedicine for the health sector has various forms, such as online consultation, telemonitoring, and chatbots. Telemedicine exercise shows an improvement in symptoms of depression and anxiety based on the HADS scores for COPD patients suffering from mental health problems. Conclusion: All studies reviewed conclude telemedicine exercise is a potential therapy for improving mental health symptoms in COPD patients during the COVID-19 pandemic.
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Chioma Anthonia Okolo, Jeremiah Olawumi Arowoogun, Rawlings Chidi, and Adekunle Oyeyemi Adeniyi. "Telemedicine's role in transforming healthcare delivery in the pharmaceutical industry: A systematic review." World Journal of Advanced Research and Reviews 21, no. 2 (February 28, 2024): 1836–56. http://dx.doi.org/10.30574/wjarr.2024.21.2.0609.
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Telemedicine has emerged as a pivotal technology in transforming healthcare delivery, particularly within the pharmaceutical industry. This systematic review aims to evaluate the extent of telemedicine's impact, its applications, and the challenges it faces in this sector. By synthesizing data from peer-reviewed articles, reports, and case studies published up to 2023, this study adopts a comprehensive methodology to assess telemedicine's role in pharmaceutical care, patient management, and drug delivery systems. Key findings indicate that telemedicine significantly enhances patient access to pharmaceutical care, especially in remote and underserved areas. It facilitates real-time patient-pharmacist consultations, remote monitoring, and personalized medication management, thereby improving medication adherence and patient outcomes. Moreover, telemedicine platforms have been instrumental in streamlining drug development processes and clinical trials through virtual patient engagement and remote data collection. However, the review also identifies several challenges, including regulatory hurdles, privacy concerns, and the need for technological standardization across the industry. Despite these obstacles, the potential of telemedicine to revolutionize healthcare delivery in the pharmaceutical industry is undeniable, offering a more patient-centered, efficient, and cost-effective model of care. Telemedicine represents a transformative force in the pharmaceutical industry, promising to reshape the landscape of healthcare delivery. Its continued integration and adoption hinge on addressing existing challenges and leveraging technological advancements to fully realize its potential benefits for patients and healthcare providers alike.
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Whitacre, Brian E. "Estimating the Economic Impact of Telemedicine in a Rural Community." Agricultural and Resource Economics Review 40, no. 2 (September 2011): 172–83. http://dx.doi.org/10.1017/s1068280500007991.
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One commonly discussed benefit of broadband access in rural America is the potential for telemedicine visits that allow rural residents to take advantage of urbanized medical services. While the primary benefit of telemedicine is often viewed as improved health care access, the availability of these services also offers significant economic contributions to the local community. Site visits to 24 rural hospitals of varying size over a four-state area in the Midwest provide information to develop a methodology for estimating telemedicine's economic impact. Using this technique, telemedicine services contribute between $20,000 and $1.3M annually to these local economies, with an average of $522,000.
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Chimonas, Susan, Allison Lipitz-Snyderman, Zoe Spiegelhoff, Nirjhar Chakraborty, Kenneth Seier, Charlie White, and Gilad Kuperman. "Persistence of Telemedicine Usage for Breast and Prostate Cancer after the Peak of the COVID-19 Pandemic." Cancers 15, no. 20 (October 12, 2023): 4961. http://dx.doi.org/10.3390/cancers15204961.
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While COVID-19 catalyzed a shift to telemedicine, little is known about the persistence of remote cancer care in non-emergent times. We assessed telemedicine use at a high-volume academic cancer center in New York City and analyzed breast and prostate cancer visits pre-COVID-19, peak COVID-19, and post-peak. Descriptive statistics assessed visit mode (in person, telemedicine) and type (new, follow-up, other) by department/specialty, with Fisher’s exact tests comparing peak/post-peak differences. The study included 602,233 visits, with telemedicine comprising 2% of visits pre-COVID-19, 50% peak COVID-19, and 30% post-peak. Notable variations emerged by department/specialty and visit type. Post-peak, most departments/specialties continued using telemedicine near or above peak levels, except medicine, neurology, and survivorship, where remote care fell. In psychiatry, social work, and nutrition, nearly all visits were conducted remotely during and after peak COVID-19, while surgery and nursing maintained low telemedicine usage. Post-peak, anesthesiology and neurology used telemedicine seldom for new visits but often for follow-ups, while nursing showed the opposite pattern. These trends suggest department- and visit-specific contexts where providers and patients choose telemedicine in non-emergent conditions. More research is needed to explore these findings and evaluate telemedicine’s appropriateness and impact across the care continuum.
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Molfenter, Todd, Roger Brown, Andrew O’Neill, Ed Kopetsky, and Alexander Toy. "Use of Telemedicine in Addiction Treatment: Current Practices and Organizational Implementation Characteristics." International Journal of Telemedicine and Applications 2018 (2018): 1–7. http://dx.doi.org/10.1155/2018/3932643.
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Telemedicine applications offer innovative approaches for treating and reducing the effects of substance use disorders (SUDs). This analysis assessed the interest in and use of 11 telemedicine applications in a sample of 363 SUD organizations in the United States of America. Fifty percent of the organizations expressed high rates of interest in seven of the telemedicine applications, demonstrating the appeal of telemedicine within this field. The top three self-reported telemedicine applications being used were (1) computerized screening/assessments (44.6%), (2) telephone-based recovery supports (29.5%), and (3) telephone-based therapy (28.37%). The greatest gaps between interest and use were for (1) texting appointment reminders (55.2% differential), (2) mobile apps for posttreatment recovery (46.6% differential), and (3) recovery support chats (46.6% differential). A Latent Class Analysis (LCA) of the organizations’ telemedicine use behavior identified three groupings: “Innovators” that were using a range of technologies (n=27, 7.4%); “Technology Traditionalists” that limited their use to telephone, video, and web portal technologies (n=101, 27.8%); and “Low Tech” that had low overall technology use (n=235, 64.7%). Future studies should build on how telemedicine could be applied in SUD settings, organizational behaviors towards its adoption, and telemedicine’s effect on treatment adherence and clinical outcomes.
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Alqahtany, Amjad Saud, Salma Ali Khrami, Abdulaziz Shaem Alsharari, Sami Farhan Alsharari, Moteb Roshaid Alshamari, Ahmad Suhaiman Alsharari, Moteb Freah Alshamari, and Ghadyan Salem Alshamari. "Advancements in telemedicine: Transforming healthcare delivery and enhancing access for providers and patients alike." International journal of health sciences 6, S10 (January 15, 2022): 1771–85. http://dx.doi.org/10.53730/ijhs.v6ns10.15103.
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Background: The advent of telemedicine marks a significant transformation in healthcare delivery, leveraging technology to improve accessibility and efficiency for both providers and patients. From early methods of distant communication to modern innovations like telehealth and mobile health, telemedicine has evolved alongside technological advancements. Aim: This article explores the historical development, current applications, and future potential of telemedicine, emphasizing its role in enhancing healthcare delivery and access. Methods: The article reviews the evolution of telemedicine, beginning with early communication methods and progressing through significant milestones such as the development of the stethoscope, handwashing practices, and modern technologies like 5G networks, artificial intelligence (AI), and electronic health records (EHRs). It also examines the integration of robotics, mobile health, and sensors in telemedicine. Results: The review highlights telemedicine's impact across various medical disciplines, including surgery, emergency care, and chronic disease management. The integration of advanced technologies has enhanced the capabilities of telemedicine, enabling real-time communication, remote monitoring, and improved patient outcomes. Conclusion: Telemedicine represents a paradigm shift in healthcare, offering solutions to challenges in accessibility and efficiency. Its continued evolution, driven by technological advancements, promises to further revolutionize healthcare delivery, making it more responsive to the needs of providers and patients alike.
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Toni, Aldo, and Fabio Baruffaldi. "La telemedicina: sfida e opportunitÀ per l'Istituto Ortopedico Rizzoli." SALUTE E SOCIETÀ, no. 2 (September 2009): 172–75. http://dx.doi.org/10.3280/ses2009-su2014.
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- During the last years of the 20th century the Istituto Ortopedico Rizzoli was involved in a significant innovation of the clinical process. professor Ardigň was a key player in that workplan of innovation, frequently driven by the development of Information and Communication technologies. Telemedicine represents a perfect example of his enthusiastic effort for the deployment of new technologies at the service of the citizen.Keywords: telemedicine, orthopaedics, information, communication, technologies, citizen.Parole chiave: telemedicina, ortopedia, information, communication, technologies, cittadini.
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Tripathy, Snehasish, Sapna Negi, Ankita Mathur, and Vini Mehta. "Digital Innovations in Pneumonia Care: A Mini Review." National Journal of Community Medicine 15, no. 04 (April 1, 2024): 327–31. http://dx.doi.org/10.55489/njcm.150420243745.
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Introduction: Pneumonia is a severe respiratory disease threatening public health and requires timely and accurate diagnosis and early intervention for effective treatment. The emergence of telemedicine during COVID-19 has offered new solutions to solve health problem. This review examines recent studies focusing on effectiveness of telemedicine intervention in pneumonia care. Methods: We systematically searched five databases to retrieve original research that addressed telemedicine's use in pneumonia diagnosis, treatment, monitoring, or patient assistance. Two independent reviewers performed screening to confirm alignment with inclusion criteria. The findings were synthesised narratively. Results: A total of five studies were included in the review. The interventions across studies were telephonic follow-ups, Smartphone-based algorithm for diagnosing pneumonia, telemedicine set-up at patients' homes and Interactive videoconferencing. The findings suggest that telephone consultation is effective for patients with low-risk respiratory infections and may be more effective in early diagnosis of pneumonia patients. Conclusion: The planning for work in telemedicine, whether in regulations or private practice, is necessary to ensure the quality, safety, and consistency of telemedicine practices. The use and availability of telemedicine services, especially in rural areas and on mobile phones, must be expanded to reduce problems in the region.
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Kaihara, Shigekoto. "Telemedicine and Image Information Television. Telemedicien in Japan." Journal of the Institute of Image Information and Television Engineers 52, no. 9 (1998): 1244–46. http://dx.doi.org/10.3169/itej.52.1244.
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Permatasari, Gita, and Ray Wagiu Basrowi. "Telemedicine: A Literature Review on Ethical, Legal, and Social Issue (ELSI)." Indonesian Journal of Community and Occupational Medicine 3, no. 2 (December 23, 2023): 123–9. http://dx.doi.org/10.53773/ijcom.v3i2.99.123-9.
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Introduction: In practice, telemedicine can be described as an activity or process of obtaining medical information with patients, or other clinical colleagues, without meeting in person. Ethical and medicolegal issues are widely know following in its implementation. Despite of that, telemedicine has several benefits. And because of this benefit, after the covid pandemic ended, telemedicine activities are still being carried out and favored by several types of patients. Therefore, a study is needed regarding the ethical, legal, and social issues related to telemedicine. Method: This study is a literature review related to telemedicine’s topic. Literature search was carried out on the pubmed and sciencedirect databases using keywords related to telemedicine. Literature included in the criteria will be reviewed and discussed following ethical, legal, and social issue (ELSI). Result: Most of 11 aspects of ethical, legal, and social issue (ELSI) are discussed in both of the literature such as : Quality of Care, Consent and Autonomy, Access to Care and Technology, Legal and Regulatory, Clinician Responsibilities, and Policy. 5 to 6 of these topic commented negatively in both literature, while only 4 topic commented positively. Conclusion: Both of these literatures provide information regarding the positive and negative aspects of teleconsulting. Even though negative comments and challenges related to ethical, legal, and social issues are discussed more, the positive aspects of telemedicine still exist and can be taken into account. The two studies encourage medical providers, government, clinical, patient, and other parties to establish a good telemedicine service.
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Faith Hampton, Jeremy Larson, Alyssa Hobson, and Dorothy Hughes. "The Role of Telemedicine in Rural Specialty Care: Priorities and Recommendations from Rural Primary Care Physicians." Kansas Journal of Medicine 17, no. 1 (March 15, 2024): 6–10. http://dx.doi.org/10.17161/kjm.vol17.21290.
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Introduction. The study goal was to understand telemedicine’s role in improving access to rural specialty care. Other outcomes included assessing specialty availability and frequency of referrals at rural sites. Methods. This mixed methods study included surveys and semi-structured interviews of rural primary care physicians (PCPs). Survey data were analyzed with summary statistics and cross-tabulations. Interview transcripts were inductively thematically analyzed. Results. Of the 19 PCPs who completed the survey, 37% agreed/strongly agreed current telemedicine practices connected patients to better specialty care; 90% agreed/strongly agreed it had such potential. Interviews revealed telemedicine could improve care when local specialists were unavailable and provided the most benefit in acute care settings or specialist follow-ups. Most survey respondents reported outreach specialists were highly effective in addressing rural specialty care needs. Respondents reported cardiology, general surgery, orthopedic surgery, ENT/otolaryngology, and dermatology as the most frequently referred-to specialties. In-person neurology, gastroenterology, and dermatology were unavailable in many communities. Respondents identified psychiatry as a high priority for telemedicine and discussed clinic-to-clinic visits to optimize telemedicine use. Conclusions. The perceived discrepancy between the current and potential roles of telemedicine in rural specialty care suggests that telemedicine may not fully align with the needs of rural patients and could be optimized for rural practice settings. While local, in-person access to specialists remains a priority, telemedicine can reduce patient burdens and improve care when in-person specialists are unavailable.
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Caetano Solek, Camila, Bruna Malacarne, Maria Luiza Remonti Lodi, Guilherme Nobre Nogueira, Rafaela Fernandes Gonçalves, Eduardo Antonio Andrade dos Santos, Patricia Carla Zanelatto Gonçalves, et al. "Telemedicine applied to neurology, a syndromic approach." BioSCIENCE 82, S1 (June 3, 2024): e013. http://dx.doi.org/10.55684/2024.82.s1.e013.
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Introduction: Telemedicine has proven invaluable, especially in cases like stroke, where it expedites accurate diagnosis and thrombolytic treatment initiation, thereby reducing mortality rates. Objectives: Evaluate the efficacy of telemedicine in diagnosing neurological syndromes among patients receiving outpatient care through teleneurology. Methodology:A systematic literature review was conducted using a qualitative and descriptive approach, guided by the "PICO" search and analysis strategy. The study population comprised patients seeking outpatient neurological care, with the primary interest being the assessment of telemedicine's efficiency in diagnosing neurological syndromes. Data were collected from PubMed, Scopus, and BVS databases using predefined inclusion and exclusion criteria. Results: Several studies demonstrated the successful application of telemedicine in neurological care. For instance, teleconsultations with patients diagnosed with cognitive impairment yielded positive outcomes, reducing demands while delaying symptom progression. However, the feasibility of telemedicine varied across different regions and patient demographics, highlighting socio-economic factors as determinants of accessibility and acceptance. Additionally, telemedicine showed promise in managing complex neurological conditions such as cerebellar ataxia, Parkinson's disease, and myasthenia gravis, albeit with certain limitations in physical examination capabilities. Conclusion: In conclusion, telemedicine has emerged as a crucial tool in neurology, overcoming geographical barriers and enhancing access to specialized care. Despite its widespread adoption, challenges persist, particularly in ensuring equitable access across diverse populations. Moving forward, addressing these challenges and advancing telemedicine infrastructure will be paramount in optimizing neurological care delivery and improving patient outcomes.
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Nilofer Naaz, Sunil Deshmukh, and Pallavi V.Tenglikar. "Physician’s Perception of Tele-Medicine and its Role During Covid-19 Pandemic in a Tertiary Care Hospital of Kalaburagi City, India." Indian Journal of Public Health Research & Development 15, no. 3 (July 4, 2024): 114–21. http://dx.doi.org/10.37506/g3vh9793.
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Background :Telemedicineis use of remote based online technology to provide medical consultation to the patients by Physicians. The Covid-19 Pandemic has increased the use of virtual care since last two years. There is a need to analyze its effectiveness and usefulness among the Physician community so that we can get good benefits from it even in the future and address if any difficulties are being faced by them. Hence a study is done to assess the doctors’ perception about Telemedicine especially during the Covid-19 Pandemic at Basaveshwar teaching and general hospital attached to M R medical college in Kalaburagi City, Karnataka. Aim : To assess the perception of telemedicine among Physicians. 2.To study the utilization of telemedicine during Covid-19 pandemic. Methods and material: Cross sectional study using Questionnaire based Google form survey answered by 100 doctors at Basaveshwar Teaching and General hospital attached to M R Medical College for a duration of 3 months from July to September 2021. Results:58 % responded that telemedicine gave desirable results in diagnosis and treatment. 100 % agreed the flow increased during pandemic.98 % agreed that telemedicine is beneficial for their practice. Conclusion: There are benefits and drawbacks of telemedicine but in the present scenario benefits are substantial. Some patients and doctors still like physical examination and not all procedures can be performed online. In cases where patients can’t visit their doctors’ in-person as during pandemic and didn’t require a physical exam, telemedicine can be a good alternative.
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Omboni, Stefano. "Telemedicine for hypertension management: where we stand, where we are headed." Connected Health 1, no. 2 (2022): 85–97. http://dx.doi.org/10.20517/ch.2022.09.
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Hypertension is the leading cause of cardiovascular disease worldwide. Telemedicine may support doctors and health care professionals to raise awareness, increase detection, and improve the management of hypertension, by enhancing the connection with their patients. Given the growing popularity of telemedicine, the objective of the present review paper is to present the typical applications of telemedicine in hypertension management and available recommendations for use and summarize the evidence of their clinical efficacy before and during COVID-19 and the future trends and perspectives. Blood pressure telemonitoring (BPT), which enables remote transmission of BP and additional information on a patient’s health status from different settings to a healthcare facility, is the most common application of telemedicine for hypertension management. BPT is an integral component of a complex and multifaceted intervention, which includes video consultation, education on lifestyle and risk factors, antihypertensive medication review and management, and multidisciplinary team care. Several randomized controlled studies documented larger BP reduction and enhanced BP control with telemedicine compared to usual care. Telemedicine also helps optimize antihypertensive medications, improve treatment adherence, reduce office visits and resort to laboratory tests, and improve quality of life. At the time of COVID-19, telemedicine has helped to maintain adequate BP control in hypertensive patients under home confinement. Consequently, telemedicine is generally recommended to ensure continuity of care for hypertensive patients with uncontrolled BP, older patients, those at high risk of developing cardiovascular diseases, those with multiple comorbidities, medically underserved people, or patients isolated due to pandemics or national emergencies. Telemedicine applications relying on smart wearables, cuffless BP monitors, multiparametric devices, ambient sensors, and tools integrated with machine learning algorithms are particularly promising for telemedicine’s future development and diffusion since they may provide continuous surveillance of patients and remarkable support decision tools for doctors.
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Gärtner, Michi Achim. "Telemedicine Adoption in Rural vs. Urban Areas: A Detailed Analysis of Economic Impact and Accessibility in Germany." Law and Economy 3, no. 1 (January 2024): 47–57. http://dx.doi.org/10.56397/le.2024.01.05.
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Telemedicine is emerging as a transformative force in the German healthcare landscape, addressing disparities between rural and urban areas. This paper provides a comprehensive analysis of telemedicine adoption, examining its historical evolution, economic impact, accessibility challenges, and user perspectives. The study explores government initiatives and regulatory considerations, offering recommendations to enhance support for telehealth. Insights into the user experience and anticipated trends contribute to a holistic understanding of telemedicine’s role in shaping the future of healthcare in Germany.
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Cruz, Michael J., Edwin Nieblas-Bedolla, Christopher C. Young, Abdullah H. Feroze, John R. Williams, Richard G. Ellenbogen, and Michael R. Levitt. "United States Medicolegal Progress and Innovation in Telemedicine in the Age of COVID-19: A Primer for Neurosurgeons." Neurosurgery 89, no. 3 (June 16, 2021): 364–71. http://dx.doi.org/10.1093/neuros/nyab185.
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Abstract Telemedicine has received increased attention in recent years as a potential solution to expand clinical capability and patient access to care in many fields, including neurosurgery. Although patient and physician attitudes are rapidly shifting toward greater telemedicine use in light of the COVID-19 pandemic, there remains uncertainty about telemedicine's regulatory future. Despite growing evidence of telemedicine's utility, there remain a number of significant medicolegal barriers to its mass adoption and wider implementation. Herein, we examine recent progress in state and federal regulations in the United States governing telemedicine's implementation in quality of care, finance and billing, privacy and confidentiality, risk and liability, and geography and interstate licensure, with special attention to how these concern teleneurosurgical practice. We also review contemporary topics germane to the future of teleneurosurgery, including the continued expansion of reciprocity in interstate licensure, expanded coverage for homecare services for chronic conditions, expansion of Center for Medicare and Medicaid Services reimbursements, and protections of store-and-forward technologies. Additionally, we discuss recent successes in teleneurosurgery, stroke care, and rehabilitation as models for teleneurosurgical best practices. As telemedicine technology continues to mature and its expanse grows, neurosurgeons’ familiarity with its benefits, limitations, and controversies will best allow for its successful adoption in our field to maximize patient care and outcomes.
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Van Enst, Wynanda A., Ying Chao Weng, Sophie A. C. Wanten, Marieke M. B. Seyger, Ewout M. Baerveldt, Bernd W. M. Arents, Elke M. G. J. De Jong, and Juul M. P. A. Van den Reek. "Is Telemedicine Suitable for Patients with Chronic Inflammatory Skin Conditions? A Systematic Review." Acta Dermato-Venereologica 104 (May 15, 2024): adv23901. http://dx.doi.org/10.2340/actadv.v104.23901.
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Telemedicine, the provision of remote healthcare, has gained prominence, accelerated by the COVID-19 pandemic. It has the potential to replace routine in-person follow-up visits for patients with chronic inflammatory skin conditions. However, it remains unclear whether telemedicine can effectively substitute in-person consultations for this patient group. This systematic review assessed the effectiveness and safety of telemedicine compared with traditional in-person care for chronic inflammatory skin diseases. A comprehensive search in various databases identified 11 articles, including 5 randomized controlled trials (RCTs) and 1 clinical controlled trial (CCT). These studies evaluated telemedicine’s impact on patients with psoriasis and atopic dermatitis, with varying methods like video consultations and digital platforms. The findings tentatively suggest that telemedicine does not seem to be inferior compared with in-person care, particularly in terms of condition severity and quality of life for patients with chronic inflammatory skin diseases. However, these results should be interpreted with caution due to the inherent uncertainties in the evidence. There are indications that telemedicine can offer benefits such as cost-effectiveness, time savings, and reduced travel distances, but it is important to recognize these findings as preliminary, necessitating further validation through more extensive research.
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Tevaarwerk, Amye J., Thevaa Chandereng, Travis Osterman, Waddah Arafat, Jeffrey Smerage, Fernanda C. G. Polubriaginof, Tricia Heinrichs, Jessica Sugalski, and Daniel B. Martin. "Oncologist Perspectives on Telemedicine for Patients With Cancer: A National Comprehensive Cancer Network Survey." JCO Oncology Practice 17, no. 9 (September 2021): e1318-e1326. http://dx.doi.org/10.1200/op.21.00195.
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PURPOSE: The use of telemedicine expanded dramatically in March 2020 following the COVID-19 pandemic. We sought to assess oncologist perspectives on telemedicine's present and future roles (both phone and video) for patients with cancer. METHODS: The National Comprehensive Cancer Network (NCCN) Electronic Health Record (EHR) Oncology Advisory Group formed a Workgroup to assess the state of oncology telemedicine and created a 20-question survey. NCCN EHR Oncology Advisory Group members e-mailed the survey to providers (surgical, hematology, gynecologic, medical, and radiation oncology physicians and clinicians) at their home institution. RESULTS: Providers (N = 1,038) from 26 institutions responded in Summer 2020. Telemedicine (phone and video) was compared with in-person visits across clinical scenarios (n = 766). For reviewing benign follow-up data, 88% reported video and 80% reported telephone were the same as or better than office visits. For establishing a personal connection with patients, 24% and 7% indicated video and telephone, respectively, were the same as or better than office visits. Ninety-three percent reported adverse outcomes attributable to telemedicine visits never or rarely occurred, whereas 6% indicated they occasionally occurred (n = 801). Respondents (n = 796) estimated 46% of postpandemic visits could be virtual, but challenges included (1) lack of patient access to technology, (2) inadequate clinical workflows to support telemedicine, and (3) insurance coverage uncertainty postpandemic. CONCLUSION: Telemedicine appears effective across a variety of clinical scenarios. Based on provider assessment, a substantial fraction of visits for patients with cancer could be effectively and safely conducted using telemedicine. These findings should influence regulatory and infrastructural decisions regarding telemedicine postpandemic for patients with cancer.
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Murugan, Vignesh. "Telemedicine: Transforming patient-provider relationships in the digital age." Journal of Community Health Management 11, no. 2 (July 15, 2024): 88–97. http://dx.doi.org/10.18231/j.jchm.2024.015.
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Telemedicine has emerged as a crucial component of modern healthcare, offering patients and providers new options for interaction and care delivery. This comprehensive narrative review explores the evolution of telemedicine in the digital age, highlighting its importance in transforming healthcare. Advancements in technology, such as artificial intelligence, machine learning, and the Internet of Things, have revolutionized telemedicine, enhancing accessibility, efficiency, and accuracy in patient care. We examine key areas such as the enhancement of healthcare access for rural and underserved populations, the convenience of reduced travel time and waiting periods, and the cost-effectiveness for both patients and providers. The review also covers telemedicine applications in various medical specialties, including primary care, mental health, and chronic disease. Despite its rapid growth and widespread adoption, significant gaps in the literature persist, particularly concerning the long-term impacts on patient-provider relationships, clinical outcomes, and the overall quality of care. Our paper aims to address these gaps by providing a detailed review of the current state of telemedicine, its benefits, and its challenges. Additionally, we discuss the technological barriers, regulatory and legal challenges, and potential drawbacks in patient-provider communication that telemedicine encounters. Future directions and innovations are explored, focusing on emerging technologies, integrating electronic health records, and personalized telemedicine services tailored to individual patient needs. The paper concludes with clinical perspectives, emphasizing the need for continuous research to optimize its implementation. By addressing these critical aspects, our review provides a comprehensive understanding of telemedicine's role in the digital age and its promising future in the healthcare landscape.
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Josh Chandra, Abdoul Mbaye, and Merve Gokgol. "Analyzing the Effectiveness of Non-remote Monitoring Telemedicine Within the United States After 2019, Including Future Implications as a Healthcare Medium, Regarding Its Statistical and Analytical Disciplines: A Systematic Review." Proceedings of London International Conferences, no. 10 (June 4, 2024): 116–34. http://dx.doi.org/10.31039/plic.2024.10.216.
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Telemedicine is the utilization of healthcare services remotely via numerous applications that connect the patient with a qualified physician. Telemedicine plays a vital role in providing accessible healthcare to individuals who are unable to do an in-person visit, and its involvement in healthcare is analyzed through the analytical/statistical lens, financial lens, and ethical lens. Telemedicine systems have demonstrated their potential to serve as a functional healthcare medium, but many barriers to an increase in its implementation and efficacy still exist after the COVID-19 pandemic. Despite the importance of telemedicine, knowledge of its implied efficacy and efficiency in providing healthcare is poor, and already existing research doesn’t address solutions to the barriers of telemedicine. The research aims to address this gap by doing a comprehensive, systematic literature review on the efficacy, barriers to implementation, practicality, and future implications of telemedicine’s utilization in the healthcare sphere. Furthermore, by adding a unique perspective on this topic and consolidating research data for the general healthcare field to utilize, this further addresses missing medical knowledge regarding telemedicine consultations. This research screened 737 different articles and papers to gather information regarding telemedicine and its efficacy. Results were filtered and screened using the PRISMA method to maintain a standard of high-quality, impartial, and accurate data throughout the research paper. Only the sources which pertained to the research question were chosen to be included in the paper. Trends were identified in the chosen articles, which were viewed by the contributors and referenced in the paper. Telemedicine has demonstrated profound evidence of benefits for both patients and healthcare administrations. However, concerns regarding its accessibility and efficacy remain. Suggestions are made for medical administrations and for public knowledge to provide solutions for these concerns.
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Raihan, Kevin, and Sinta Dewi Rosadi. "Have AI-Enhanced Telemedicines in Indonesia Adopted the Principles of Personal Data Protection?" Yustisia Jurnal Hukum 13, no. 2 (August 30, 2024): 151. http://dx.doi.org/10.20961/yustisia.v13i2.85996.
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<em>Artificial Intelligence (AI)-enhanced telemedicines pertains to legal problems especially on the protection of personal data considering the its nature. However, there has not been any research specifically examining the protection of personal data in in Indonesia with the perspective of Law Number 27 of 2022 regarding Personal Data Protection (PDP Law), specifically regarding the analysis of personal data protection principles (PDP Principles). Therefore, this research aimed to evaluate and analyze the practice of telemedicines in Indonesia on the adoption of PDP Principles from the perspective of PDP Law. This research is legal research with statutory and comparative approach related to AI and personal data protection issues in the AI-enhanced telemedicines in Indonesia. The findings show that telemedicine applications is categorized as personal data controller (data controller). The obligation of telemedicine application as a data controller obligates them to comply with the personal PDP Principles as regulated in the PDP Law. Several telemedicines in Indonesia have not yet effectively adopted PDP Principles in their privacy policy. The article concludes that the telemedicines applications must update their privacy policy to comply with PDP Principles and the government of Indonesia should accelerate the enactment of implementing regulation for the PDP Law.</em>
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Lopez, Ana Maria, Kenneth Lam, and Ramya Thota. "Barriers and Facilitators to Telemedicine: Can You Hear Me Now?" American Society of Clinical Oncology Educational Book, no. 41 (March 2021): 25–36. http://dx.doi.org/10.1200/edbk_320827.
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In its most direct interpretation, telemedicine is medical care provided at a distance. Although telemedicine’s use had been steadily increasing, the COVID-19 pandemic prompted an unprecedented interest and urgency among patients, health care professionals, and policymakers to facilitate health care devoid of the need for in-person contact. The growth in personal access to telecommunications technology meant an unprecedented number of people in the United States and around the world had access to the equipment and technology that would make virtual care possible from the home. As the mass implementation of telemedicine unfolded, it became quickly apparent that scaling up the use of telemedicine presented considerable new challenges, some of which worsened disparities. This article describes those challenges by examining the history of telemedicine, its role in both supporting access and creating new barriers to access in trying to get everyone connected, frameworks for thinking about those barriers, and facilitators that may help overcome them, with a particular focus on older adults and patients with cancer in rural communities.
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Armstrong, Grayson W., Daniel L. Liebman, and Helia Ashourizadeh. "Implementation of anterior segment ophthalmic telemedicine." Current Opinion in Ophthalmology 35, no. 4 (May 14, 2024): 343–50. http://dx.doi.org/10.1097/icu.0000000000001052.
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Purpose of review The growing push to integrate telemedicine into ophthalmic practices requires physicians to have a thorough understanding of ophthalmic telemedicine's applications, limitations, and recent advances in order to provide well tolerated and appropriate clinical care. This review aims to provide an overview of recent advancements in the use of ophthalmic telemedicine for anterior segment eye examinations. Recent findings Virtual care for anterior segment evaluation relies on appropriate technology, novel workflows, and appropriate clinical case selection. Recent advances, particularly in the wake of the COVID-19 pandemic, have highlighted the utility of home-based assessments for visual acuity, external evaluation, tonometry, and refraction. Additionally, innovative workflows incorporating office-based testing into virtual care, termed ‘hybrid telemedicine’, enable high-quality ophthalmic testing to inform clinical decision-making. Summary Novel digital tools and workflows enable high-quality anterior segment evaluation and management for select ophthalmic concerns. This review highlights the clinical tools and workflows necessary to enable anterior segment telehealth.
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Aziz, Hassan A., and Hiba Abochar. "Telemedicine." American Society for Clinical Laboratory Science 28, no. 4 (October 2015): 256–59. http://dx.doi.org/10.29074/ascls.28.4.256.
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Cannon, Nicholas J., Kimberly Jurski, and Gregory W. Ulferts. "Telemedicine." American Journal of Health Sciences (AJHS) 5, no. 2 (November 24, 2014): 95–102. http://dx.doi.org/10.19030/ajhs.v5i2.8961.
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Telemedicine has been advocated as a solution to overcome barriers to access health services faced by rural patients. The almost 60 million Americans living in rural areas are significantly underserved by the nation’s physicians and rural communities have traditionally experienced a shortage of physicians. Compounding this problem of physician shortage is the fact that services must be provided to patients over a wide geographic area. Telemedicine programs are being used to address health services shortages in rural areas by applying telecommunications technology to deliver health services similar to those which would be provided in face-to-face consultations between patients and health care professionals. Adoption of telemedicine as an option for delivery of services has been slow and is largely limited to specialty services. Where adopted, telemedicine has been received positively by both patients and physicians. Telemedicine can improve access to care for rural patients by increasing the number of patients who can access care and by providing services usually unavailable to rural patients. Despite evidence of the effectiveness of telemedicine programs, wider adoption of a telemedicine alternative suffers from a lack of reliable financial data for implementation, ongoing management, and for comparison to traditional delivery systems. Telemedicine is poised to become an important method of rural health care delivery, but as the trend toward the application of technology to the delivery of health services gains greater momentum, health managers require serious quantitative evidence on which to base resource allocation and management decisions.
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Dunn, Bruce E. "Telemedicine." Annals of Internal Medicine 130, no. 3 (February 2, 1999): 244. http://dx.doi.org/10.7326/0003-4819-130-3-199902020-00019.
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Smiley, Aaron J. "Telemedicine." Veterinary Clinics of North America: Small Animal Practice 52, no. 5 (September 2022): i. http://dx.doi.org/10.1016/s0195-5616(22)00111-5.
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Boxer, Richard J. "Telemedicine." Oncology Times 39, no. 2 (January 2017): 1. http://dx.doi.org/10.1097/01.cot.0000512175.80464.3f.
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Nolen, Lindsey. "Telemedicine." Oncology Times 42, no. 12 (June 20, 2020): 24,27–27. http://dx.doi.org/10.1097/01.cot.0000681572.78768.d3.
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Kantor, Jonathan. "Telemedicine." Annals of Plastic Surgery 79, no. 4 (October 2017): 415. http://dx.doi.org/10.1097/sap.0000000000001204.
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Peterson, Sharon. "Telemedicine." AJN, American Journal of Nursing 116, no. 12 (December 2016): 13. http://dx.doi.org/10.1097/01.naj.0000508644.25446.d6.
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Krol, M. "Telemedicine." IEEE Potentials 16, no. 4 (1997): 29–31. http://dx.doi.org/10.1109/45.624339.
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Carter, J. "Telemedicine." BMJ 327, no. 7429 (December 20, 2003): 1458. http://dx.doi.org/10.1136/bmj.327.7429.1458.
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Yellowlees, Peter, and William T. McCoy. "Telemedicine." Medical Journal of Australia 159, no. 7 (October 1993): 437–38. http://dx.doi.org/10.5694/j.1326-5377.1993.tb137958.x.
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Cram, Nicholas. "Telemedicine:." Journal of Clinical Engineering 26, no. 1 (2001): 42–60. http://dx.doi.org/10.1097/00004669-200126010-00014.
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del Puerto, Gonzalo Perez. "Telemedicine:." Journal of Clinical Engineering 26, no. 1 (2001): 61–71. http://dx.doi.org/10.1097/00004669-200126010-00015.
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David, Yadin, John Kenna, Larry Jefferson, and James Shanahan. "Telemedicine:." Journal of Clinical Engineering 26, no. 1 (2001): 77–82. http://dx.doi.org/10.1097/00004669-200126010-00017.
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