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Shah AQ, Noronha N, Chin-See R, Hanna C, Kadri Z, Marwaha A, Rambharack N, Ng JY. The use and effects of telemedicine on complementary, alternative, and integrative medicine practices: a scoping review. BMC Complement Med Ther 2023; 23:275. [PMID: 37533042 PMCID: PMC10394941 DOI: 10.1186/s12906-023-04100-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Accepted: 07/21/2023] [Indexed: 08/04/2023] Open
Abstract
BACKGROUND Telemedicine includes the delivery of health-care services and sharing of health information across distances. Past research has found that telemedicine can play a role in enhancing complementary, alternative, and integrative medicine (CAIM) while allowing the maintenance of cultural values and ancestral knowledge. This scoping review synthesized evidence regarding the use of telemedicine in the context of CAIM. METHODS Following Arksey and O'Malley's scoping review framework, CINAHL, PsycINFO, MEDLINE, EMBASE and AMED databases were searched systematically. The CADTH website was also searched for grey literature. Eligible articles included a CAIM practice or therapy offered through telemedicine, with no restrictions placed on the type of telemedicine technology used. Inductive thematic analysis was conducted to synthesise common themes among the included studies. RESULTS Sixty-two articles were included in this synthesis. The following themes emerged: 1) the practitioner view of CAIM delivered through telemedicine, 2) the patient view of CAIM delivered through telemedicine, and 3) the technological impacts of telemedicine delivery of CAIM. CONCLUSIONS Studies have shown that telemedicine delivery of CAIM is feasible, acceptable, and results in positive health outcomes. Some barriers remain such as the presence of chronic illness and morbidity, inability to form strong patient-provider relationships relative to face-to-face approaches, and technological difficulties. Future intervention research should focus on reducing such barriers, as well as explore which patient population would realize the greatest benefit from CAIM delivered via telemedicine, and the impact of interventions on providers and caregivers.
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Affiliation(s)
- Aimun Qadeer Shah
- Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
| | - Noella Noronha
- Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
| | - Robert Chin-See
- Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
| | - Christina Hanna
- Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
| | - Zeest Kadri
- Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
| | - Amn Marwaha
- Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
| | - Neetu Rambharack
- Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
| | - Jeremy Y Ng
- Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
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Gao J, Fan C, Chen B, Fan Z, Li L, Wang L, Ma Q, He X, Zhai Y, Zhao J. Telemedicine Is Becoming an Increasingly Popular Way to Resolve the Unequal Distribution of Healthcare Resources: Evidence From China. Front Public Health 2022; 10:916303. [PMID: 35874991 PMCID: PMC9301261 DOI: 10.3389/fpubh.2022.916303] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2022] [Accepted: 06/10/2022] [Indexed: 11/13/2022] Open
Abstract
Background Few studies focused on the general situation of telemedicine in China. Objectives The purpose of this review is to investigate telemedicine in China, from the aspects of necessity, history, scale, and operation procedure, to improve the further development and implementation of telemedicine service. Methods A literature search for peer-reviewed studies was conducted using the primary electronic databases. Additional documents from the official websites of Chinese government departments involved telemedicine was also collected. We extracted telemedicine related information focused on China from the final retrieved materials, and the general situation of telemedicine was drawn. Results In China, telemedicine offers a feasible solution to the unequal allocation of healthcare resources, which makes telemedicine increasingly become an important alternative to close the gap between rural and urban in the capability and quality of medical services. China initiated telemedicine in the late 1980s. In 2018, China's telemedicine network has covered more than 3,000 hospitals across the country. As of 2019, almost all of the 31 provinces and municipalities in mainland have established regional telemedicine centers, and the market size of telemedicine reached about USD 2.68 billion. Based on the telemedicine network, remote rural patients can apply for healthcare services of top-tier urban hospitals through local county-level medical institutions. Conclusions Through improving the capacity, quality, and efficiency of healthcare in underserved areas, and reducing the unequal distribution of medical resources, telemedicine can help solve the problems of the difficulty and high cost to access to medical services in China.
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Affiliation(s)
- Jinghong Gao
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,National Engineering Laboratory for Internet Medical Systems and Applications, Zhengzhou, China.,Henan Province Telemedicine Center of China, National Telemedicine Center of China, Zhengzhou, China
| | - Chaolin Fan
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Baozhan Chen
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,National Engineering Laboratory for Internet Medical Systems and Applications, Zhengzhou, China.,Henan Province Telemedicine Center of China, National Telemedicine Center of China, Zhengzhou, China
| | - Zhaohan Fan
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,National Engineering Laboratory for Internet Medical Systems and Applications, Zhengzhou, China
| | - Lifeng Li
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,National Engineering Laboratory for Internet Medical Systems and Applications, Zhengzhou, China
| | - Linlin Wang
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,National Engineering Laboratory for Internet Medical Systems and Applications, Zhengzhou, China.,Henan Province Telemedicine Center of China, National Telemedicine Center of China, Zhengzhou, China
| | - Qianqian Ma
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,National Engineering Laboratory for Internet Medical Systems and Applications, Zhengzhou, China.,Henan Province Telemedicine Center of China, National Telemedicine Center of China, Zhengzhou, China
| | - Xianying He
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,National Engineering Laboratory for Internet Medical Systems and Applications, Zhengzhou, China.,Henan Province Telemedicine Center of China, National Telemedicine Center of China, Zhengzhou, China
| | - Yunkai Zhai
- National Engineering Laboratory for Internet Medical Systems and Applications, Zhengzhou, China.,Management Engineering School, Zhengzhou University, Zhengzhou, China
| | - Jie Zhao
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,National Engineering Laboratory for Internet Medical Systems and Applications, Zhengzhou, China.,Henan Province Telemedicine Center of China, National Telemedicine Center of China, Zhengzhou, China
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Wang Y, Yang J, Ma H, Dong X, Xie G, Ye S, Du J. Application of telemedicine in the COVID-19 epidemic: An analysis of Gansu Province in China. PLoS One 2021; 16:e0249872. [PMID: 34347779 PMCID: PMC8336882 DOI: 10.1371/journal.pone.0249872] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Accepted: 03/27/2021] [Indexed: 12/16/2022] Open
Abstract
This paper analyzes the application of various telemedicine services in Gansu Province, China during the COVID-19 epidemic, and summarizes the experiences with these services. In addition, the satisfaction levels of patients and doctors with the application of telemedicine in COVID-19 were investigated, the deficiencies of telemedicine in Gansu were determined, and recommendations for modification were proposed. Coronavirus Disease 2019 (COVID-19) has broken out in China, and Gansu Province in Northwest of China has not been spared. To date, there are 91 local COVID-19 cases and 42 imported cases. 109 hospitals were selected as designated hospitals during the COVID-19 outbreak, and most of them were secondary hospitals. However, it was unsatisfactory that the ability of medical services is relatively low in most of secondary hospitals and primary hospitals. Therefore, we helped the secondary hospitals cope with COVID-19 by means of remote consultation, long-distance education, telemedicine question and answer (Q&A). Our practical experience shows that telemedicine can be widely used during the COVID-19 epidemic, especially in developing countries and areas with lagging medical standards.
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MESH Headings
- COVID-19/epidemiology
- COVID-19/therapy
- China/epidemiology
- Disease Outbreaks
- Education, Distance/organization & administration
- Education, Distance/statistics & numerical data
- Education, Medical, Continuing/methods
- Education, Medical, Continuing/organization & administration
- Education, Medical, Continuing/statistics & numerical data
- Education, Nursing, Continuing/methods
- Education, Nursing, Continuing/organization & administration
- Education, Nursing, Continuing/statistics & numerical data
- Epidemics
- Geography
- Health Services Accessibility/organization & administration
- Health Services Accessibility/statistics & numerical data
- Humans
- Physician-Patient Relations
- Remote Consultation/instrumentation
- Remote Consultation/methods
- Remote Consultation/organization & administration
- Remote Consultation/statistics & numerical data
- SARS-CoV-2/physiology
- Software
- Telemedicine/instrumentation
- Telemedicine/methods
- Telemedicine/organization & administration
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Affiliation(s)
- Yan Wang
- Department of Telemedicine Consultation Center, Gansu Provincial Hospital, Lanzhou, Gansu, China
| | - Jie Yang
- Gansu Provincial Maternity and Child-care Hospital, Lanzhou, Gansu China
| | - Huijuan Ma
- Department of Telemedicine Consultation Center, Gansu Provincial Hospital, Lanzhou, Gansu, China
| | - Xinchun Dong
- Gansu Provincial Hospital, Lanzhou, Gansu, China
| | - Guangmei Xie
- Gansu Provincial Maternity and Child-care Hospital, Lanzhou, Gansu China
- * E-mail:
| | - Songning Ye
- Department of Telemedicine Consultation Center, Gansu Provincial Hospital, Lanzhou, Gansu, China
| | - Juan Du
- Department of Human Resources, Gansu Provincial Hospital, Lanzhou, Gansu, China
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Bhatia R, Taneja U. Factors Affecting Indian Consumers’ Intention to Use eHealth Services. JOURNAL OF HEALTH MANAGEMENT 2019. [DOI: 10.1177/0972063419835119] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Purpose: This study focuses on the degree of acceptance of different categories of eHealth among the Indian consumers and the factors that determine acceptance and intention to use these services. The factors included for the study are as follows: demographic factors, use of information and communication technology (ICT) and the status of healthcare. Design/methodology/approach: Data were collected through personal interviews from a sample of 125 respondents living in urban and semi-urban villages in the National Capital Territory (NCT) of Delhi of India. Quota sampling method was used so that the impact of demographic factors on eHealth services could be analysed. Findings: From this study, we can conclude that the key factors that need to be considered include age, location, computer literacy and healthcare status in terms of healthcare need, accessibility and satisfaction. Practical implications: The results of this study will help in determining the customer segment and size of the market for eHealth. The government can also use the findings of this study to improve the quality of healthcare for its people by ensuring better utilization of eHealth services. Originality/value: eHealth services are an emerging solution to address the issues of healthcare accessibility, affordability and financial viability in developing countries like India. This study contributes to the limited existing literature on exploring the consumers’ intention to use eHealth services in India and the factors that will determine this intention.
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Affiliation(s)
- Ridhi Bhatia
- School of Management Science, Apeejay Stya University, Sohna, Haryana, India
| | - Udita Taneja
- University School of Management Studies, GGS Indraprastha University, Dwarka, New Delhi, India
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Marino MM, Rienzo M, Serra N, Marino N, Ricciotti R, Mazzariello L, Leonetti CA, Ceraldi MP, Casamassimi A, Capocelli F, Martone G, Caracciolo AL. Mobile Screening Units for the Early Detection of Breast Cancer and Cardiovascular Disease: A Pilot Telemedicine Study in Southern Italy. Telemed J E Health 2019; 26:286-293. [PMID: 30945992 DOI: 10.1089/tmj.2018.0328] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Introduction: Telemedicine is the use of Information and Communication Technologies (ICT) to improve patient outcomes by increasing access to care, medical information and services. The aim of this pilot study was to evaluate and support the implementation of screening and early detection programs in the prevention of breast cancer and cardiovascular diseases with the establishment of a remote diagnosis through the use of ICT in mobile units. Materials and Methods: A total of 430 individuals were recruited in an area of Southern Italy. Particularly, 321 women were recruited to undergo breast cancer screening in accordance with Italian guidelines. Likewise, cardiovascular screening interested 109 subjects. A self-contained mobile unit with connectivity was provided to offer breast and cardiovascular screenings. To maximize the benefit, we have evaluated the return of investment. Results: The telemedicine screening program allowed the detection of early pathologies. In breast cancer screening, 40.8% of cases were negative to lesions, 34.9% were positive to benign lesions, and 3.1% presented suspicious malignant lesions; these lesions were further checked by histological analyses, which showed a positive response in 70% of cases. The cardiovascular screening concerned 109 participants based on age and other risk factors. We observed a significant difference among risk factors in patients with cardiac disease (p < 0.001); particularly, hypertension was significantly the most present risk factor (51.4%, p < 0.05), followed by smoking (28.4%, p < 0.05). A cardiovascular pathology was detected in 40.4% of enrolled subjects. A 3.3:1 return on investment was calculated. Conclusion: Our findings demonstrate that telemedicine may represent a promising approach to deliver several health services, such as screening programs, with users who cannot utilize services in their locations. The use of telemedicine on diagnostic campers greatly reduces the costs of screening for breast cancer and major cardiovascular diseases within the Southern Italian Health Service. We believe that public investment can have a further significant return on investment by implementing the principles of precision medicine.
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Affiliation(s)
- Maria Michela Marino
- Department of Environmental, Biological, and Pharmaceutical Sciences and Technologies, University of Campania "Luigi Vanvitelli," Caserta, Italy.,Department of Integrated Telemedicine Services, "Sant'Anna e San Sebastiano" Hospital, Caserta, Italy
| | - Monica Rienzo
- Department of Environmental, Biological, and Pharmaceutical Sciences and Technologies, University of Campania "Luigi Vanvitelli," Caserta, Italy
| | - Nicola Serra
- Department of Public Health, University Federico II, Naples, Italy
| | - Nicola Marino
- Department of Environmental, Biological, and Pharmaceutical Sciences and Technologies, University of Campania "Luigi Vanvitelli," Caserta, Italy
| | | | - Luigi Mazzariello
- Department of Anesthesia and Intensive Care, Marcianise Hospital-Asl Caserta, Caserta, Italy
| | - Concetta Anna Leonetti
- Department of Integrated Telemedicine Services, "Sant'Anna e San Sebastiano" Hospital, Caserta, Italy
| | - Maria Palma Ceraldi
- Department of Integrated Telemedicine Services, "Sant'Anna e San Sebastiano" Hospital, Caserta, Italy
| | - Amelia Casamassimi
- Department of Precision Medicine, University of Campania "Luigi Vanvitelli," Via L. De Crecchio, Naples, Italy
| | | | - Gennaro Martone
- Department of Neurosurgery, "Sant'Anna e San Sebastiano" Hospital, Caserta, Italy
| | - Aniello Leonardo Caracciolo
- Department of Integrated Telemedicine Services, "Sant'Anna e San Sebastiano" Hospital, Caserta, Italy.,Department of Neurosurgery, "Sant'Anna e San Sebastiano" Hospital, Caserta, Italy
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7
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Cai H, Wang H, Guo T, Bao G. Application of Telemedicine in Gansu Province of China. PLoS One 2016; 11:e0158026. [PMID: 27332894 PMCID: PMC4917095 DOI: 10.1371/journal.pone.0158026] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2015] [Accepted: 05/10/2016] [Indexed: 11/18/2022] Open
Abstract
Telemedicine has become an increasingly popular option for long-distance health care and continuing education. As information and communication technology is underdeveloped in China, telemedicine develops slowly. At present, telemedicine consultation centers are situated mainly in developed cities, such as Beijing, Shanghai, and Guangzhou. In many less developed regions, such as northwest China, the conditions or related facilities are not available for the application of a better medical service. Accordingly, the aim of this paper was to introduce the construction and application of a telemedicine consultation center in Gansu Province in the northwest of China. In addition, the function of Gansu Provincial Telemedicine Consultation Center on emergency public events was introduced. As a whole, there was a great demand for telemedicine service in the local medical institutions. In the telemedicine consultation center, the telemedicine equipments and regulations were needed to be improved. The function of telemedicine service was not fully used, there was a large space to be applied and the publicity of telemedicine service was important. What is important was that telemedicine played a significance role in promoting the medical policy reform, improving the medical environment and launching the remote rescue in the emergency public events. This paper emphasizes the health care challenges of poor regions, and indicates how to share the high-quality medical service of provincial hospitals effectively and how to help residents in resource-poor environments.
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Affiliation(s)
- Hui Cai
- Department of Medical Affairs, Gansu Provincial Hospital, Lanzhou, Gansu, China
| | - Hongjing Wang
- Department of Medical Affairs, Gansu Provincial Hospital, Lanzhou, Gansu, China
| | - Tiankang Guo
- Gansu Provincial Hospital, Lanzhou, Gansu, China
- * E-mail: (TG); (GB)
| | - Guoxian Bao
- School of Management, Lanzhou University, Lanzhou, Gansu, China
- * E-mail: (TG); (GB)
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Kamsu-Foguem B, Tiako PF, Fotso LP, Foguem C. Modeling for effective collaboration in telemedicine. TELEMATICS AND INFORMATICS 2015. [DOI: 10.1016/j.tele.2015.03.009] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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9
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Sene A, Kamsu-Foguem B, Rumeau P. Telemedicine framework using case-based reasoning with evidences. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2015; 121:21-35. [PMID: 26001421 DOI: 10.1016/j.cmpb.2015.04.012] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2015] [Revised: 04/22/2015] [Accepted: 04/22/2015] [Indexed: 06/04/2023]
Abstract
Telemedicine is the medical practice of information exchanged from one location to another through electronic communications to improve the delivery of health care services. This research article describes a telemedicine framework with knowledge engineering using taxonomic reasoning of ontology modeling and semantic similarity. In addition to being a precious support in the procedure of medical decision-making, this framework can be used to strengthen significant collaborations and traceability that are important for the development of official deployment of telemedicine applications. Adequate mechanisms for information management with traceability of the reasoning process are also essential in the fields of epidemiology and public health. In this paper we enrich the case-based reasoning process by taking into account former evidence-based knowledge. We use the regular four steps approach and implement an additional (iii) step: (i) establish diagnosis, (ii) retrieve treatment, (iii) apply evidence, (iv) adaptation, (v) retain. Each step is performed using tools from knowledge engineering and information processing (natural language processing, ontology, indexation, algorithm, etc.). The case representation is done by the taxonomy component of a medical ontology model. The proposed approach is illustrated with an example from the oncology domain. Medical ontology allows a good and efficient modeling of the patient and his treatment. We are pointing up the role of evidences and specialist's opinions in effectiveness and safety of care.
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Affiliation(s)
- A Sene
- Laboratoire Génie de Production (LGP), EA 1905, ENIT-INPT, Université de Toulouse, 47 avenue d'Azereix, BP 1629, 65016 Tarbes Cedex, France; Laboratoire de Gérontechnologie La Grave, CHU Toulouse/Gérontopôle/UMR 1027 Inserm-Université Toulouse 3, Hôpital La Grave, Place Lange, TSA 60033, 31059 Toulouse Cedex 9, France.
| | - B Kamsu-Foguem
- Laboratoire Génie de Production (LGP), EA 1905, ENIT-INPT, Université de Toulouse, 47 avenue d'Azereix, BP 1629, 65016 Tarbes Cedex, France.
| | - P Rumeau
- Laboratoire de Gérontechnologie La Grave, CHU Toulouse/Gérontopôle/UMR 1027 Inserm-Université Toulouse 3, Hôpital La Grave, Place Lange, TSA 60033, 31059 Toulouse Cedex 9, France.
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Kamsu-Foguem B, Tiako P, Mutafungwa E, Foguem C. Knowledge-based modelling applied to synucleinopathies. Eur Geriatr Med 2015. [DOI: 10.1016/j.eurger.2015.02.011] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
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11
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Combining conceptual graphs and argumentation for aiding in the teleexpertise. Comput Biol Med 2015; 63:157-68. [PMID: 26087470 DOI: 10.1016/j.compbiomed.2015.05.012] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2015] [Revised: 05/13/2015] [Accepted: 05/14/2015] [Indexed: 11/21/2022]
Abstract
Current medical information systems are too complex to be meaningfully exploited. Hence there is a need to develop new strategies for maximising the exploitation of medical data to the benefit of medical professionals. It is against this backdrop that we want to propose a tangible contribution by providing a tool which combines conceptual graphs and Dung׳s argumentation system in order to assist medical professionals in their decision making process. The proposed tool allows medical professionals to easily manipulate and visualise queries and answers for making decisions during the practice of teleexpertise. The knowledge modelling is made using an open application programming interface (API) called CoGui, which offers the means for building structured knowledge bases with the dedicated functionalities of graph-based reasoning via retrieved data from different institutions (hospitals, national security centre, and nursing homes). The tool that we have described in this study supports a formal traceable structure of the reasoning with acceptable arguments to elucidate some ethical problems that occur very often in the telemedicine domain.
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Doumbouya M, Kamsu-Foguem B, Kenfack H, Foguem C. A framework for decision making on teleexpertise with traceability of the reasoning. Ing Rech Biomed 2015. [DOI: 10.1016/j.irbm.2014.09.002] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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13
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Kamsu-Foguem B, Foguem C. Telemedicine and mobile health with integrative medicine in developing countries. HEALTH POLICY AND TECHNOLOGY 2014. [DOI: 10.1016/j.hlpt.2014.08.008] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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