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Elendu C, Elendu TC, Elendu ID. 5G-enabled smart hospitals: Innovations in patient care and facility management. Medicine (Baltimore) 2024; 103:e38239. [PMID: 38758872 PMCID: PMC11098186 DOI: 10.1097/md.0000000000038239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2024] [Accepted: 04/25/2024] [Indexed: 05/19/2024] Open
Abstract
Smart hospitals represent the pinnacle of healthcare innovation, leveraging cutting-edge technologies to transform patient care and facility management. This article addresses the pressing need for effective implementation of 5G technology in smart hospitals, aiming to enhance connectivity, improve patient outcomes, and drive operational efficiency. The methodology employed involves a comprehensive review of existing literature, case studies, and expert insights to analyze the impact of 5G on various aspects of smart hospital operations. The article highlights the significance of 5G technology in enabling real-time data analytics, remote monitoring, and telemedicine, thus revolutionizing healthcare delivery. By providing high-speed, low-latency connectivity, 5G facilitates seamless communication and collaboration among healthcare providers, leading to more efficient diagnosis, treatment, and patient care. Additionally, the adoption of 5G enables smart hospitals to leverage artificial intelligence (AI)-based solutions for predictive analytics, personalized medicine and enhanced patient engagement. Furthermore, the article explores the potential of 5G-enabled smart hospitals in enhancing disaster preparedness and emergency response efforts. Case studies and examples demonstrate how 5G technology can improve situational awareness, coordinate resources, and deliver timely care during natural disasters and pandemics. Overall, this article underscores the transformative impact of 5G technology on smart hospitals and emphasizes the importance of embracing innovation to meet the evolving needs of patients and communities. By adopting 5G technology, smart hospitals can usher in a new era of healthcare delivery characterized by enhanced connectivity, improved patient outcomes, and unparalleled efficiency.
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Zhang Y, Engberg SJ, Courtney KL, Kariuki JK, Matthews JT. Effect of a Bladder Control Self-Management Program Delivered Through a Health Kiosk. J Wound Ostomy Continence Nurs 2024; 51:213-220. [PMID: 38820219 PMCID: PMC11147162 DOI: 10.1097/won.0000000000001073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2024]
Abstract
PURPOSE The purpose of this study was to examine the feasibility of delivering a bladder control self-management program through a multiuser health kiosk and to evaluate the program's effect on urinary incontinence (UI) and incontinence-specific quality of life (QoL). DESIGN Secondary analysis of data collected during participants' interactions with the Bladder Control Module (BCM) from the parent study. SUBJECTS AND SETTING One hundred eleven participants from the parent study were eligible to be included in this secondary analysis. Their mean age was 72.8 years, and most were female (n = 95, 85.6%); 81 (75.7%) identified themselves as Caucasian. Each participant could access the BCM at a health kiosk situated at one of several sites: senior centers, subsidized senior housing, retirement communities, and a public library. METHODS The BCM comprised 6 sessions self-administered at least 1 week apart. The content focused on lifestyle modification, pelvic floor muscle training, and bladder (habit) retraining, with encouragement of behavioral self-monitoring between sessions. The feasibility of delivering the intervention was measured by the proportion of participants completing each session. The effect of the BCM on incontinence episodes and incontinence-specific QoL was measured, respectively, by a 7-day bladder diary and the Incontinence Impact Questionnaire Short Form. RESULTS Sixty-one of the 111 eligible participants accessed the BCM. Participants recording incontinence episodes in their baseline bladder diary and completing at least 3 BCM sessions experienced significant decreases in median total UI (P = .01), urge UI (P < .001), and stress UI (P = .02) episodes per day. Incontinence-related QoL significantly improved (P = .03). CONCLUSIONS Our findings support the potential effectiveness of providing community-based, kiosk-enabled access to a conservative behavioral intervention designed to improve incontinence-related outcomes among older adults with UI. Additional research with a larger sample is warranted.
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Affiliation(s)
- Yuchen Zhang
- Yuchen Zhang, BSN-H, RN , School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Sandra J. Engberg, PhD, RN, CRNP, FAAN , School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Karen L. Courtney, PhD, MSN, RN , School of Health Information Science, University of Victoria, Victoria, British Columbia, Canada
- Jacob K. Kariuki, PhD, AGNP-BC , School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Judith Tabolt Matthews, PhD, MPH , University Center for Social and Urban Research, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Sandra J Engberg
- Yuchen Zhang, BSN-H, RN , School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Sandra J. Engberg, PhD, RN, CRNP, FAAN , School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Karen L. Courtney, PhD, MSN, RN , School of Health Information Science, University of Victoria, Victoria, British Columbia, Canada
- Jacob K. Kariuki, PhD, AGNP-BC , School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Judith Tabolt Matthews, PhD, MPH , University Center for Social and Urban Research, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Karen L Courtney
- Yuchen Zhang, BSN-H, RN , School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Sandra J. Engberg, PhD, RN, CRNP, FAAN , School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Karen L. Courtney, PhD, MSN, RN , School of Health Information Science, University of Victoria, Victoria, British Columbia, Canada
- Jacob K. Kariuki, PhD, AGNP-BC , School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Judith Tabolt Matthews, PhD, MPH , University Center for Social and Urban Research, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Jacob K Kariuki
- Yuchen Zhang, BSN-H, RN , School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Sandra J. Engberg, PhD, RN, CRNP, FAAN , School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Karen L. Courtney, PhD, MSN, RN , School of Health Information Science, University of Victoria, Victoria, British Columbia, Canada
- Jacob K. Kariuki, PhD, AGNP-BC , School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Judith Tabolt Matthews, PhD, MPH , University Center for Social and Urban Research, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Judith Tabolt Matthews
- Yuchen Zhang, BSN-H, RN , School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Sandra J. Engberg, PhD, RN, CRNP, FAAN , School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Karen L. Courtney, PhD, MSN, RN , School of Health Information Science, University of Victoria, Victoria, British Columbia, Canada
- Jacob K. Kariuki, PhD, AGNP-BC , School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
- Judith Tabolt Matthews, PhD, MPH , University Center for Social and Urban Research, University of Pittsburgh, Pittsburgh, Pennsylvania
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Chander S, Kumari R, Sadarat F, Luhana S. The Evolution and Future of Intensive Care Management in the Era of Telecritical Care and Artificial Intelligence. Curr Probl Cardiol 2023; 48:101805. [PMID: 37209793 DOI: 10.1016/j.cpcardiol.2023.101805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Accepted: 05/13/2023] [Indexed: 05/22/2023]
Abstract
Critical care practice has been embodied in the healthcare system since the institutionalization of intensive care units (ICUs) in the late '50s. Over time, this sector has experienced many changes and improvements in providing immediate and dedicated healthcare as patients requiring intensive care are often frail and critically ill with high mortality and morbidity rates. These changes were aided by innovations in diagnostic, therapeutic, and monitoring technologies, as well as the implementation of evidence-based guidelines and organizational structures within the ICU. In this review, we examine these changes in intensive care management over the past 40 years and their impact on the quality of care available to patients. Moreover, the current state of intensive care management is characterized by a multidisciplinary approach and the use of innovative technologies and research databases. Advancements such as telecritical care and artificial intelligence are being increasingly explored, especially since the COVID-19 pandemic, to reduce the length of hospitalization and ICU mortality. With these advancements in intensive care and ever-changing patient needs, critical care experts, hospital managers, and policymakers must also explore appropriate organizational structures and future enhancements within the ICU.
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Affiliation(s)
- Subhash Chander
- Department of Internal Medicine, Mount Sinai Beth Israel Hospital, New York, NY.
| | - Roopa Kumari
- Department of Internal Medicine, Mount Sinai Morningside and West, New York, NY
| | - Fnu Sadarat
- Department of Internal Medicine, University of Buffalo, NY, USA
| | - Sindhu Luhana
- Department of Internal Medicine, Aga Khan University Hospital, Karachi, Pakistan
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Vomer RP, York E, DeMatas K, Shah NP, Larick RS, Punj M, Rosario-Concepcion RA, Pujalte GGA. Telemedicine Evaluation of Hip Ailments. Cureus 2023; 15:e38900. [PMID: 37303331 PMCID: PMC10257509 DOI: 10.7759/cureus.38900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/11/2023] [Indexed: 06/13/2023] Open
Abstract
Background During the coronavirus disease 2019 (COVID-19) pandemic, telemedicine has provided new means of patient care while still allowing for physical examination and history to be obtained. Hip ailments are a common musculoskeletal problem leading to limited function. Today, we lack a standardized telemedicine hip evaluation protocol. Aim The aim of this manuscript is to provide an efficient means of extracting relevant information while performing telemedicine examinations of the hip. Methods The authors have created a step-by-step evaluation guide for physicians to evaluate hip complaints, including inspection, palpation, range of motion, strength testing, functional assessment, gait analysis, and special testing, with images of each maneuver. Results We have developed a table of evaluation questions and instructions and a glossary of images of each maneuver to facilitate hip examination via telemedicine. Conclusions This manuscript provides a structured template for performing a telehealth examination of hip ailments.
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Affiliation(s)
- Rock P Vomer
- Family Medicine/Research, Mayo Clinic Jacksonville Campus, Jacksonville, USA
- Department of Family and Community Health/Department of Orthopedics, Division of Sports Medicine, Duke University, Durham, USA
| | - Emma York
- Family Medicine, Eastern Virginia Medical School, Norfolk, USA
| | - Kristina DeMatas
- Family Medicine/Sports Medicine, Mayo Clinic Jacksonville Campus, Jacksonville, USA
| | - Neil P Shah
- Family and Community Medicine, Mayo Clinic Jacksonville Campus, Jacksonville , USA
| | - Rayghan S Larick
- Family and Community Medicine, Eastern Virginia Medical School, Norfolk, USA
| | - Mantavya Punj
- Family Medicine, Mayo Clinic Jacksonville Campus, Jacksonville, USA
| | | | - George G A Pujalte
- Family Medicine/Orthopedics/Sports Medicine, Mayo Clinic Jacksonville Campus, Jacksonville, USA
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van der Zande J, Strik M, Dubois R, Ploux S, Alrub SA, Caillol T, Nasarre M, Donker DW, Oppersma E, Bordachar P. Using a Smartwatch to Record Precordial Electrocardiograms: A Validation Study. SENSORS (BASEL, SWITZERLAND) 2023; 23:2555. [PMID: 36904759 PMCID: PMC10007514 DOI: 10.3390/s23052555] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Revised: 02/21/2023] [Accepted: 02/21/2023] [Indexed: 06/18/2023]
Abstract
Smartwatches that support the recording of a single-lead electrocardiogram (ECG) are increasingly being used beyond the wrist, by placement on the ankle and on the chest. However, the reliability of frontal and precordial ECGs other than lead I is unknown. This clinical validation study assessed the reliability of an Apple Watch (AW) to obtain conventional frontal and precordial leads as compared to standard 12-lead ECGs in both subjects without known cardiac anomalies and patients with underlying heart disease. In 200 subjects (67% with ECG anomalies), a standard 12-lead ECG was performed, followed by AW recordings of the standard Einthoven leads (leads I, II, and III) and precordial leads V1, V3, and V6. Seven parameters (P, QRS, ST, and T-wave amplitudes, PR, QRS, and QT intervals) were compared through a Bland-Altman analysis, including the bias, absolute offset, and 95% limits of agreement. AW-ECGs recorded on the wrist but also beyond the wrist had similar durations and amplitudes compared to standard 12-lead ECGs. Significantly greater amplitudes were measured by the AW for R-waves in precordial leads V1, V3, and V6 (+0.094 mV, +0.149 mV, +0.129 mV, respectively, all p < 0.001), indicating a positive bias for the AW. AW can be used to record frontal, and precordial ECG leads, paving the way for broader clinical applications.
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Affiliation(s)
- Joske van der Zande
- IHU Liryc, Electrophysiology and Heart Modeling Institute, Fondation Bordeaux Université, F-33600 Pessac, France
- Cardio-Thoracic Unit, Bordeaux University Hospital (CHU), F-33600 Pessac, France
- Cardiovascular and Respiratory Physiology, TechMed Centre, University of Twente, 7522 NB Enschede, The Netherlands
| | - Marc Strik
- IHU Liryc, Electrophysiology and Heart Modeling Institute, Fondation Bordeaux Université, F-33600 Pessac, France
- Cardio-Thoracic Unit, Bordeaux University Hospital (CHU), F-33600 Pessac, France
| | - Rémi Dubois
- IHU Liryc, Electrophysiology and Heart Modeling Institute, Fondation Bordeaux Université, F-33600 Pessac, France
- Cardio-Thoracic Unit, Bordeaux University Hospital (CHU), F-33600 Pessac, France
| | - Sylvain Ploux
- IHU Liryc, Electrophysiology and Heart Modeling Institute, Fondation Bordeaux Université, F-33600 Pessac, France
- Cardio-Thoracic Unit, Bordeaux University Hospital (CHU), F-33600 Pessac, France
| | - Saer Abu Alrub
- Cardio-Thoracic Unit, Bordeaux University Hospital (CHU), F-33600 Pessac, France
- Cardiology Department, Clermont Universite, Université d’Auvergne, Cardio Vascular Interventional Therapy and Imaging (CaVITI), Image Science for Interventional Techniques (ISIT), UMR6284, CHU Clermont-Ferrand, F-63003 Clermont-Ferrand, France
| | - Théo Caillol
- IHU Liryc, Electrophysiology and Heart Modeling Institute, Fondation Bordeaux Université, F-33600 Pessac, France
- Cardio-Thoracic Unit, Bordeaux University Hospital (CHU), F-33600 Pessac, France
| | - Mathieu Nasarre
- Cardio-Thoracic Unit, Bordeaux University Hospital (CHU), F-33600 Pessac, France
| | - Dirk W. Donker
- Cardiovascular and Respiratory Physiology, TechMed Centre, University of Twente, 7522 NB Enschede, The Netherlands
| | - Eline Oppersma
- Cardiovascular and Respiratory Physiology, TechMed Centre, University of Twente, 7522 NB Enschede, The Netherlands
| | - Pierre Bordachar
- IHU Liryc, Electrophysiology and Heart Modeling Institute, Fondation Bordeaux Université, F-33600 Pessac, France
- Cardio-Thoracic Unit, Bordeaux University Hospital (CHU), F-33600 Pessac, France
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Stoumpos AI, Kitsios F, Talias MA. Digital Transformation in Healthcare: Technology Acceptance and Its Applications. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3407. [PMID: 36834105 PMCID: PMC9963556 DOI: 10.3390/ijerph20043407] [Citation(s) in RCA: 26] [Impact Index Per Article: 26.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2022] [Revised: 02/08/2023] [Accepted: 02/10/2023] [Indexed: 05/27/2023]
Abstract
Technological innovation has become an integral aspect of our daily life, such as wearable and information technology, virtual reality and the Internet of Things which have contributed to transforming healthcare business and operations. Patients will now have a broader range and more mindful healthcare choices and experience a new era of healthcare with a patient-centric culture. Digital transformation determines personal and institutional health care. This paper aims to analyse the changes taking place in the field of healthcare due to digital transformation. For this purpose, a systematic bibliographic review is performed, utilising Scopus, Science Direct and PubMed databases from 2008 to 2021. Our methodology is based on the approach by Wester and Watson, which classify the related articles based on a concept-centric method and an ad hoc classification system which identify the categories used to describe areas of literature. The search was made during August 2022 and identified 5847 papers, of which 321 fulfilled the inclusion criteria for further process. Finally, by removing and adding additional studies, we ended with 287 articles grouped into five themes: information technology in health, the educational impact of e-health, the acceptance of e-health, telemedicine and security issues.
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Affiliation(s)
- Angelos I. Stoumpos
- Healthcare Management Postgraduate Program, Open University Cyprus, P.O. Box 12794, Nicosia 2252, Cyprus
| | - Fotis Kitsios
- Department of Applied Informatics, University of Macedonia, 156 Egnatia Street, GR54636 Thessaloniki, Greece
| | - Michael A. Talias
- Healthcare Management Postgraduate Program, Open University Cyprus, P.O. Box 12794, Nicosia 2252, Cyprus
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Zhang J, Lu Q, Shi L. The influence of telemedicine on capacity development in public primary hospitals in China: A scoping review. CLINICAL EHEALTH 2022. [DOI: 10.1016/j.ceh.2022.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
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Migas K, Kozłowski R, Sierocka A, Marczak M. Evaluation of Tele-Dentistry and Face-to-Face Appointments during the Provision of Dental Services in Poland. J Pers Med 2022; 12:jpm12101640. [PMID: 36294779 PMCID: PMC9605474 DOI: 10.3390/jpm12101640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 09/22/2022] [Accepted: 09/29/2022] [Indexed: 11/06/2022] Open
Abstract
Tele-dentistry is a rapidly growing field, especially in the era of the COVID-19 pandemic. Due to the COVID-19 pandemic, remote services are of increasing interest to both patients and dental personnel. They allow for reduced person-to-person contact and thus a reduced risk of transmission of the SARS-CoV2 virus. The COVID-19 pandemic has affected the functioning of all areas of life, including dental treatment. The aim of the study was to assess the possibility of using tele-dentistry for dental services and analyse the attitudes of patients and dentists towards this solution. The period analysed was between March 2019 and February 2021 in five healthcare entities in Cracow in Central Europe. The study’s retrospective analysis shows a positive attitude of patients towards tele-dentistry at every stage of treatment, from diagnosis through postoperative care, and a significant reluctance of dentists in the majority of dental specialties towards tele-dentistry. Consequently, a significant percentage of patients were invited to dental offices for a face-to-face appointment during the COVID-19 pandemic. The negative attitude of dental personnel towards tele-dentistry compared with the positive attitude of patients towards tele-dentistry is somewhat worrying in view of the possibility of a further pandemic. At the same time, it provides important information about the need to educate and support dental personnel in tele-dental solutions and improve solutions for the future. Taking into account the potential reduction in dental care costs for patients and countries after the implementation of tele-dentistry solutions, this is an important topic, while current studies do not comprehensively address the attitudes of patients and dental personnel towards tele-dentistry. In other parts of the world, a similar approach to tele-dentistry is used by patients and dentists.
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Affiliation(s)
- Klaudia Migas
- Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-419 Lodz, Poland
- Correspondence: ; Tel.: +48-503-628-588
| | - Remigiusz Kozłowski
- Center of Security Technologies in Logistics, Faculty of Management, University of Lodz, 90-237 Lodz, Poland
| | - Aleksandra Sierocka
- Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-419 Lodz, Poland
| | - Michał Marczak
- Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-419 Lodz, Poland
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Nieblas B, Okoye K, Carrión B, Mehta N, Mehta S. Impact and future of telemedicine amidst the COVID-19 pandemic: a systematic review of the state-of-the-art in Latin America. CIENCIA & SAUDE COLETIVA 2022; 27:3013-3030. [PMID: 35894315 DOI: 10.1590/1413-81232022278.12532021] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Accepted: 10/12/2021] [Indexed: 11/22/2022] Open
Abstract
Significant progress has been made in using information and communication technologies in medicine, by impacting the quality of health-care delivery system and patient care, and paving the way for ground-breaking tools for e-health and clinical decision-support systems. This study investigates the extent to which the evolution of telemedicine applications has been used to support patient care in Latin America (LATAM) amidst the pandemic. Theoretically, the study applied the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology to identify the impact of telemedicine in the region. Practically, the paper provides a systematic mapping study of the different domain areas and methodological progress in Telemedicine that occurred during the pandemic, and applied a text mining technique to understand the intensities of the terms expressed by the analyzed studies. The results show that while telemedicine has not been extensively used, a greater percentage of the studies report that telemedicine was effective. Approximately 70% positive emotional valence score was found. The paper also provides an empirical discussion and recommendations for the next steps in ample adoption of telemedicine.
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Affiliation(s)
- Bianca Nieblas
- Escuela de Medicina y Ciencias de la Salud, Tecnológico de Monterrey. 64849 Monterrey NL México.
| | - Kingsley Okoye
- Writing Lab, Institute for Future of Education, Office of the Vice President and Technology Transfer, Tecnológico de Monterrey. 64849 Monterrey NL México.
| | - Belinda Carrión
- Escuela de Medicina y Ciencias de la Salud, Tecnológico de Monterrey. 64849 Monterrey NL México.
| | - Neil Mehta
- Cleveland Clinic Lerner College of Medicine, Case Western Reserve University. Cleveland OH United States
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Diaz VA, Su Z, King KL, Ford DW, Kruis RD, Marsden JE, Cooper NA, Mauldin PD, Player MS. Preventive Care Utilization by Patients Who Use Virtual Urgent Care. Telemed J E Health 2022; 28:1458-1463. [PMID: 35333636 DOI: 10.1089/tmj.2021.0310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Introduction: The use of direct to patient (DTP) telemedicine for common acute conditions is widespread. It provides certain advantages over in-person visits, but has led to concerns about fragmentation of care. It is unknown whether use of DTP telemedicine decreases use of primary care services in a way that leads to missed preventive screenings and immunizations. Methods: Virtual urgent care (VUC) is a DTP telemedicine service to treat common acute conditions. All VUC encounters completed at an academic health system from July 2018 to December 2019 were evaluated and analyzed in 2020. Only patients established with primary care (at least one primary care visit in the same year as VUC encounter) were included. Specific preventive screenings (breast cancer, gonorrhea/chlamydia, and cervical cancer) and immunizations (tetanus and influenza) were characterized as up to date based on national guidelines. Chi-squares and multivariate logistic regressions were used to assess receipt of screenings and immunizations. Regressions included VUC and primary care utilization and demographic factors. Results: Patients evaluated (N = 1025) were mostly 25-50 years old (69.7%), women (81.8%), and white (74.9%). More than half (56.5%) had only used VUC once. In multivariate analyses, VUC utilization was not negatively associated with any of the preventive services evaluated, whereas primary care utilization was associated with receipt of both immunizations and gonorrhea/chlamydia screening. Conclusions: Higher VUC utilization is not negatively associated with receipt of preventive services, as long as a primary care relationship is established. VUC may provide a useful method of encouraging receipt of preventive services, especially for younger patients.
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Affiliation(s)
- Vanessa A Diaz
- Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina, USA
| | - Zemin Su
- Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA
| | - Kathryn L King
- Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina, USA
| | - Dee W Ford
- Department of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston, South Carolina, USA
| | - Ryan D Kruis
- Center for Telehealth, Medical University of South Carolina, Charleston, South Carolina, USA
| | - Justin E Marsden
- Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA
| | - Nicole A Cooper
- Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina, USA
| | - Patrick D Mauldin
- Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA
| | - Marty S Player
- Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina, USA
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Ghani MKA, Jaber MM. A Review on The Theories of Adoption Telemedicine in Middle Ease : Toward Building Iraqi Telemedicine. PROOF 2022; 2:28-50. [DOI: 10.37394/232020.2022.2.6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
Telemedicine is the use of modern telecommunications and information technologies for the provision of clinical care to individuals at a distance, and transmission of information to provide that care. Recent advances in information technology and biomedicine increased significantly the technical feasibility, clinical feasibility and affordability enabled collaborative of telemedicine and medical service delivery. Health organizations around the world are becoming more interested in the acquisition and implementation the telemedicine technology to improve or expand existing services and patient care. The ultimate success of telemedicine in an organization requires the adoption of adequate care both technological and managerial issues. This study examined theadoption theories,the key management problem facing many health care organizations which interested in or currently evaluating telemedicine . this research models targeted the technology adoption and empirically evaluated in a study of the investigation involving more public health agencies and criticize the theories.Several research and management implications that emerged from the study results are discussed.
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Affiliation(s)
- Mohd Khanapi Abd Ghani
- Biomedical Computing and Engineering Technologies (BIOCORE) Applied Research Group, Universiti Teknikal Malaysia Melaka, Durian tunggal, Melaka, MALAYSIA
| | - Mustafa Musa Jaber
- Biomedical Computing and Engineering Technologies (BIOCORE) Applied Research Group, Universiti Teknikal Malaysia Melaka, Durian tunggal, Melaka, MALAYSIA
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12
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Sprenger N, Sepehri Shamloo A, Schäfer J, Burkhardt S, Mouratis K, Hindricks G, Bollmann A, Arya A. Feasibility and Reliability of Smartwatch to Obtain Precordial Lead Electrocardiogram Recordings. SENSORS 2022; 22:s22031217. [PMID: 35161960 PMCID: PMC8839669 DOI: 10.3390/s22031217] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Revised: 02/02/2022] [Accepted: 02/03/2022] [Indexed: 12/02/2022]
Abstract
The Apple Watch is capable of recording single-lead electrocardiograms (ECGs). To incorporate such devices in routine medical care, the reliability of such devices to obtain precordial leads needs to be validated. The purpose of this study was to assess the feasibility and reliability of a smartwatch (SW) to obtain precordial leads compared to standard ECGs. We included 100 participants (62 male, aged 62.8 ± 13.1 years) with sinus rhythm and recorded a standard 12-lead ECG and the precordial leads with the Apple Watch. The ECGs were quantitively compared. A total of 98 patients were able to record precordial leads without assistance. A strong correlation was observed between the amplitude of the standard and SW-ECGs’ waves, in terms of P waves, QRS-complexes, and T waves (all p-values < 0.01). A significant correlation was observed between the two methods regarding the duration of the ECG waves (all p-values < 0.01). Assessment of polarity showed a significant and a strong concordance between the ECGs’ waves in all six leads (91–100%, all p-values < 0.001). In conclusion, 98% of patients were able to record precordial leads using a SW without assistance. The SW is feasible and reliable for obtaining valid precordial-lead ECG recordings as a validated alternative to a standard ECG.
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Affiliation(s)
- Nora Sprenger
- Department of Electrophysiology, Heart Center Leipzig, University of Leipzig, 04289 Leipzig, Germany; (A.S.S.); (J.S.); (G.H.); (A.B.); (A.A.)
- Correspondence: ; Tel.: +49-341-8651413
| | - Alireza Sepehri Shamloo
- Department of Electrophysiology, Heart Center Leipzig, University of Leipzig, 04289 Leipzig, Germany; (A.S.S.); (J.S.); (G.H.); (A.B.); (A.A.)
- Leipzig Heart Digital, Leipzig Heart Institute, 04289 Leipzig, Germany;
| | - Jonathan Schäfer
- Department of Electrophysiology, Heart Center Leipzig, University of Leipzig, 04289 Leipzig, Germany; (A.S.S.); (J.S.); (G.H.); (A.B.); (A.A.)
| | - Sarah Burkhardt
- Institute of Therapy and Organizational Development, 10961 Berlin, Germany;
| | | | - Gerhard Hindricks
- Department of Electrophysiology, Heart Center Leipzig, University of Leipzig, 04289 Leipzig, Germany; (A.S.S.); (J.S.); (G.H.); (A.B.); (A.A.)
| | - Andreas Bollmann
- Department of Electrophysiology, Heart Center Leipzig, University of Leipzig, 04289 Leipzig, Germany; (A.S.S.); (J.S.); (G.H.); (A.B.); (A.A.)
- Leipzig Heart Digital, Leipzig Heart Institute, 04289 Leipzig, Germany;
| | - Arash Arya
- Department of Electrophysiology, Heart Center Leipzig, University of Leipzig, 04289 Leipzig, Germany; (A.S.S.); (J.S.); (G.H.); (A.B.); (A.A.)
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13
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Nazari M, Jafarzadeh F, Rahmani F, Azadmehr F, Falaki M. Different applications of telemedicine - assessing the challenges, barriers, and opportunities- a narrative review. J Family Med Prim Care 2022; 11:879-886. [PMID: 35495787 PMCID: PMC9051697 DOI: 10.4103/jfmpc.jfmpc_1638_21] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Revised: 10/27/2021] [Accepted: 12/13/2021] [Indexed: 11/15/2022] Open
Abstract
Telemedicine (TLM) is a technique of telecommunication used to create, promote, or accelerate health services. Because of its societal significance, the current study attempted to demonstrate its essential applications in the health sector and the challenges, obstacles, and opportunities that lie ahead. Various studies and reports were received based on the subject of the current study, first using MeSH terms related to the subject in authentic and available international databases. After that, 30-related articles were selected based on the study criteria, and then the required results were extracted from the selected studies. The study results showed that TLM has a significant role in more than 13 major areas of health and treatment, and in most of these areas, it has made the relevant affairs easier for both patients and medical staff. Although TLM has many advantages, it still has obstacles and challenges requiring further studies to manage this technology better. Given the high importance of the TLM in the health sector in most countries worldwide, efforts are needed to promote this technology and remove the obstacles in front of it. Therefore, further evaluations of TLM efficiency in terms of economics, speed of action, effectiveness, and the provision of infrastructure are necessary to overcome the obstacles highlighted based on the results of these studies and improve the efficiency of using this technology.
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Evolution of Smart Healthcare: Telemedicine During COVID-19 Pandemic. JOURNAL OF THE INSTITUTION OF ENGINEERS (INDIA): SERIES B 2021. [PMCID: PMC8019338 DOI: 10.1007/s40031-021-00568-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
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15
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Haleem A, Javaid M, Singh RP, Suman R. Telemedicine for healthcare: Capabilities, features, barriers, and applications. SENSORS INTERNATIONAL 2021; 2:100117. [PMID: 34806053 PMCID: PMC8590973 DOI: 10.1016/j.sintl.2021.100117] [Citation(s) in RCA: 135] [Impact Index Per Article: 45.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Revised: 07/18/2021] [Accepted: 07/19/2021] [Indexed: 12/14/2022] Open
Abstract
Regular hospital visits can be expensive, particularly in rural areas, due to travel costs. In the era of the Covid-19 Pandemic, where physical interaction becomes risky, people prefer telemedicine. Fortunately, medical visits can be reduced when telemedicine services are used through video conferencing or other virtual technologies. Thus, telemedicine saves both the patient's and the health care provider time and the cost of the treatment. Furthermore, due to its fast and advantageous characteristics, it can streamline the workflow of hospitals and clinics. This disruptive technology would make it easier to monitor discharged patients and manage their recovery. As a result, it is sufficient to state that telemedicine can create a win-win situation. This paper aims to explore the significant capabilities, features with treatment workflow, and barriers to the adoption of telemedicine in Healthcare. The paper identifies seventeen significant applications of telemedicine in Healthcare. Telemedicine is described as a medical practitioner to diagnose and treat patients in a remote area. Using health apps for scheduled follow-up visits makes doctors and patients more effective and improves the probability of follow-up, reducing missing appointments and optimising patient outcomes. Patients should have an accurate medical history and show the doctor any prominent rashes, bruises, or other signs that need attention through the excellent quality audio-video system. Further, practitioners need file management and a payment gateway system. Telemedicine technologies allow patients and doctors both to review the treatment process. However, this technology supplements physical consultation and is in no way a substitute for a physical consultation. Today this technology is a safe choice for patients who cannot go to the doctor or sit at home, especially during a pandemic.
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Affiliation(s)
- Abid Haleem
- Department of Mechanical Engineering, Jamia Millia Islamia, New Delhi, India
| | - Mohd Javaid
- Department of Mechanical Engineering, Jamia Millia Islamia, New Delhi, India
| | - Ravi Pratap Singh
- Department of Industrial and Production Engineering, Dr B R Ambedkar National Institute of Technology, Jalandhar, Punjab, India
| | - Rajiv Suman
- Department of Industrial & Production Engineering, G.B. Pant University of Agriculture & Technology, Pantnagar, Uttarakhand, India
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McCabe HM, Smrke A, Cowie F, White J, Chong P, Lo S, Mahendra A, Gupta S, Ferguson M, Boddie D, Mmekka W, Stirling L, Campbell L, Jones RL, Nixon I. What Matters to Us: Impact of Telemedicine During the Pandemic in the Care of Patients With Sarcoma Across Scotland. JCO Glob Oncol 2021; 7:1067-1073. [PMID: 34191537 PMCID: PMC8457876 DOI: 10.1200/go.20.00599] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
In Scotland, approximately 350 sarcoma cases are diagnosed per year and treated in one of the five specialist centers. Many patients are required to travel long distances to access specialist care. The COVID-19 pandemic brought a number of rapid changes into the care for patients with cancer, with increasing utilization of telemedicine. We aimed to evaluate how the utilization of telemedicine affects professionals and patients across Scotland and care delivery, at the Beatson West of Scotland Cancer Centre Sarcoma Unit.
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Affiliation(s)
- Holly M McCabe
- Department of Management Science, University of Strathclyde, Glasgow, United Kingdom
| | - Alannah Smrke
- The Royal Marsden Hospital NHS Foundation Trust, London, United Kingdom
| | - Fiona Cowie
- Scottish Sarcoma Network, The Beatson West of Scotland Cancer Centre, Glasgow, United Kingdom
| | - Jeff White
- Scottish Sarcoma Network, The Beatson West of Scotland Cancer Centre, Glasgow, United Kingdom
| | - Peter Chong
- Scottish Sarcoma Network, Gartnavel General Hospital, Glasgow, United Kingdom
| | - Steven Lo
- Scottish Sarcoma Network, Glasgow Royal Infirmary, Glasgow, United Kingdom
| | - Ashish Mahendra
- Scottish Sarcoma Network, Glasgow Royal Infirmary, Glasgow, United Kingdom
| | - Sanjay Gupta
- Scottish Sarcoma Network, Glasgow Royal Infirmary, Glasgow, United Kingdom
| | - Michelle Ferguson
- Scottish Sarcoma Network, Ninewells Hospital, Dundee, United Kingdom
| | - David Boddie
- Scottish Sarcoma Network, Aberdeen Royal Infirmary, Aberdeen, United Kingdom
| | - Walter Mmekka
- Scottish Sarcoma Network, Raigmore Hospital, Inverness, United Kingdom
| | - Lorraine Stirling
- Scottish Sarcoma Network, The Beatson West of Scotland Cancer Centre, Glasgow, United Kingdom
| | - Lindsay Campbell
- Scottish Sarcoma Network, The Beatson West of Scotland Cancer Centre, Glasgow, United Kingdom
| | - Robin L Jones
- The Royal Marsden Hospital NHS Foundation Trust, London, United Kingdom.,The Institute of Cancer Research, London, United Kingdom
| | - Ioanna Nixon
- Department of Management Science, University of Strathclyde, Glasgow, United Kingdom.,Scottish Sarcoma Network, The Beatson West of Scotland Cancer Centre, Glasgow, United Kingdom
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Moreira A, Miranda R, Santos MF. Health Professional's Decision-Making Based on Multichannel Interaction Services. PROCEDIA COMPUTER SCIENCE 2021; 184:899-904. [PMID: 34025825 PMCID: PMC8128669 DOI: 10.1016/j.procs.2021.03.112] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The COVID-19 pandemic has reinforced the importance and impact of telemedicine and multichannel interactions in healthcare services provided to patients. Health professionals are in turn increasingly dependent on patient data collected through multichannel interactions to make their clinical decisions. This article intends to present a brief analysis from the viewpoint of health professionals regarding the use of technologies in telemedicine and multichannel interactions to support decision making, basing on the analysis of clinical data of patients collected in a telemedicine environment. These technologies have numerous advantages for healthcare professionals and patients, but there are also some obstacles and gaps inherent that need to be overcome. Furthermore, health professionals can perform a more detailed analysis of patient data before taking any decision, as this practice promotes data collection to facilitate the decision-making process of health professionals.
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Affiliation(s)
- Ailton Moreira
- Algoritmi Research Center, University of Minho, Braga, Portugal
| | - Rui Miranda
- Algoritmi Research Center, University of Minho, Braga, Portugal
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18
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Usability of mobile phones for personal health care by people living with HIV/AIDS. HEALTH AND TECHNOLOGY 2021. [DOI: 10.1007/s12553-020-00490-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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19
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Yusif S, Hafeez-Baig A, Soar J. Change management and adoption of health information technology (HIT)/eHealth in public hospitals in Ghana: A qualitative study. APPLIED COMPUTING AND INFORMATICS 2020. [DOI: 10.1016/j.aci.2019.11.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
In Ghana, as with other developing countries, there are several health information technology (HIT) initiatives as interventions to improve healthcare delivery. HIT implementation undoubtedly results in change. However, most studies relating to HIT implementation readiness have constantly neglected the role of change in successfully implementing HIT. This study intends to identify factors affecting successful change management as part of preparation towards successfully implementing HIT in public hospital in Ghana. To carry out this study, we conducted in-depth interviews with a matrix of HIT senior managers and thematically analyzed the data. The data was transcribed and uploaded into a Nvivo 11 software for analysis using thematic analysis techniques. Five (5) themes were discovered. They are: 1) Stakeholder participation; 2) Proof of experience in similar project; 3) Availability of committed change agents/all-levels-change representatives; 4) Clearly articulated change implementation strategy; and 5) Training and improvement mechanism (post-implementation). A fresh call is made for more attention to be paid to change as part of preparatory measures towards the adoption of HIT in Ghana using the five cardinal approaches identified as a guide.
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20
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Xu W, Pan Z, Lu S, Zhang L. Regional Heterogeneity of Application and Effect of Telemedicine in the Primary Care Centres in Rural China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E4531. [PMID: 32599689 PMCID: PMC7345109 DOI: 10.3390/ijerph17124531] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/30/2020] [Revised: 06/16/2020] [Accepted: 06/18/2020] [Indexed: 12/31/2022]
Abstract
The increasing concerns of the geographical maldistribution of medical resources have sparked worldwide interests in exploring the potential of telemedicine in the rural health system. This study aimed to investigate the application and effect of telemedicine as well as their regional heterogeneity in the primary care centres in rural China. Based on the stratified multistage cluster sampling, a cross-sectional study was conducted among 358 township health centres (THCs) from eastern, central and western China. A self-administered questionnaire was used and the data of the Health Statistical Annual Reports in 2017 were collected to investigate the implication of telemedicine as well as the performance and other characteristics of each THCs. Propensity score matching was used to estimate the effect of telemedicine application on the bed occupancy rate and the number of annual outpatient visits of the THCs, with comparison among the regions. The overall prevalence of telemedicine application was 58.66% in 2017, and it was found to increase the bed occupancy rate of the THCs in the national range (p < 0.1). When divided into different regions, telemedicine was found to improve the number of annual outpatient visits in western China (p < 0.05) and the bed occupancy rate in eastern China (p < 0.1). Disparities in the degree of remoteness and the capability of THCs among the regions were also found in this study, which may be the reasons for the regional heterogeneous effects of telemedicine. These findings suggested the potential of telemedicine in improving the utilization of primary care centres in rural areas. Further studies were needed to investigate the underlying reasons for its regional heterogeneous effects.
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Affiliation(s)
- Wanchun Xu
- School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan 430030, China; (W.X.); (Z.P.); (S.L.)
- Research Centre for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan 430030, China
| | - Zijing Pan
- School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan 430030, China; (W.X.); (Z.P.); (S.L.)
- Research Centre for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan 430030, China
| | - Shan Lu
- School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan 430030, China; (W.X.); (Z.P.); (S.L.)
- Research Centre for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan 430030, China
| | - Liang Zhang
- School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan 430030, China; (W.X.); (Z.P.); (S.L.)
- Research Centre for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan 430030, China
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21
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Lin CH, Tseng WP, Wu JL, Tay J, Cheng MT, Ong HN, Lin HY, Chen YY, Wu CH, Chen JW, Chen SY, Chan CC, Huang CH, Chen SC. A Double Triage and Telemedicine Protocol to Optimize Infection Control in an Emergency Department in Taiwan During the COVID-19 Pandemic: Retrospective Feasibility Study. J Med Internet Res 2020; 22:e20586. [PMID: 32544072 PMCID: PMC7313383 DOI: 10.2196/20586] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Revised: 06/15/2020] [Accepted: 06/15/2020] [Indexed: 11/13/2022] Open
Abstract
Background Frontline health care workers, including physicians, are at high risk of contracting coronavirus disease (COVID-19) owing to their exposure to patients suspected of having COVID-19. Objective The aim of this study was to evaluate the benefits and feasibility of a double triage and telemedicine protocol in improving infection control in the emergency department (ED). Methods In this retrospective study, we recruited patients aged ≥20 years referred to the ED of the National Taiwan University Hospital between March 1 and April 30, 2020. A double triage and telemedicine protocol was developed to triage suggested COVID-19 cases and minimize health workers’ exposure to this disease. We categorized patients attending video interviews into a telemedicine group and patients experiencing face-to-face interviews into a conventional group. A questionnaire was used to assess how patients perceived the quality of the interviews and their communication with physicians as well as perceptions of stress, discrimination, and privacy. Each question was evaluated using a 5-point Likert scale. Physicians’ total exposure time and total evaluation time were treated as primary outcomes, and the mean scores of the questions were treated as secondary outcomes. Results The final sample included 198 patients, including 93 cases (47.0%) in the telemedicine group and 105 cases (53.0%) in the conventional group. The total exposure time in the telemedicine group was significantly shorter than that in the conventional group (4.7 minutes vs 8.9 minutes, P<.001), whereas the total evaluation time in the telemedicine group was significantly longer than that in the conventional group (12.2 minutes vs 8.9 minutes, P<.001). After controlling for potential confounders, the total exposure time in the telemedicine group was 4.6 minutes shorter than that in the conventional group (95% CI −5.7 to −3.5, P<.001), whereas the total evaluation time in the telemedicine group was 2.8 minutes longer than that in the conventional group (95% CI −1.6 to −4.0, P<.001). The mean scores of the patient questionnaire were high in both groups (4.5/5 to 4.7/5 points). Conclusions The implementation of the double triage and telemedicine protocol in the ED during the COVID-19 pandemic has high potential to improve infection control.
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Affiliation(s)
- Chien-Hao Lin
- Department of Emergency Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan
| | - Wen-Pin Tseng
- Department of Emergency Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan
| | - Jhong-Lin Wu
- Department of Emergency Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan
| | - Joyce Tay
- Department of Emergency Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan
| | - Ming-Tai Cheng
- Department of Emergency Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan
| | - Hooi-Nee Ong
- Department of Emergency Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan
| | - Hao-Yang Lin
- Department of Emergency Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan
| | - Yi-Ying Chen
- Department of Emergency Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan
| | - Chih-Hsien Wu
- Department of Emergency Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan
| | - Jiun-Wei Chen
- Department of Emergency Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan
| | - Shey-Ying Chen
- Department of Emergency Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan
| | - Chang-Chuan Chan
- Institute of Occupational Medicine and Industrial Hygiene, College of Public Health, National Taiwan University, Taipei, Taiwan
| | - Chien-Hua Huang
- Department of Emergency Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan
| | - Shyr-Chyr Chen
- Department of Emergency Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan
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22
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Sin DYE, Guo X, Yong DWW, Qiu TY, Moey PKS, Falk MR, Tan NC. Assessment of willingness to Tele-monitoring interventions in patients with type 2 diabetes and/or hypertension in the public primary healthcare setting. BMC Med Inform Decis Mak 2020; 20:11. [PMID: 31992288 PMCID: PMC6986094 DOI: 10.1186/s12911-020-1024-4] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Accepted: 01/14/2020] [Indexed: 12/21/2022] Open
Abstract
Background Tele-monitoring (TM) is remote monitoring of individuals via info-communication technology, enabling them and their relatives or care-providers to recognize their health status conveniently. TM will be successful only if the individuals, often patients with medical conditions, are willing to accept and adopt it in their daily lives. This study aimed to determine the prevalence of willingness of patients with type 2 diabetes mellitus (T2DM) and/or hypertension towards the use of TM, and the factors influencing their uptake. Methods A cross-sectional survey was conducted at two public primary care clinics (polyclinics) in north-eastern Singapore, where TM had not been implemented. After the patients with T2DM and/or hypertension consented after fulfilling the eligibility criteria, they were first introduced to the concept of TM using pictogram and explanation by the investigators. Data on their demography, clinical parameters, technological literacy and acceptance of TM based on the Health Information Technology Acceptance Model (HITAM) were subsequently collected, computed, analyzed, followed by regression analyses to identify the factors associated with their willingness to use TM. Results Among 1125 eligible multi-ethnic Asian patients approached, 899 of them completed the assisted questionnaire survey, yielding a response rate of 79.9%. Their mean age was 58 ± 8 years, females 51.3% and Chinese 69.3%. Overall, 53.0% of the patients were willing to use TM. Personal beliefs on technology (OR = 3.54, 95%CI = 2.50–4.50, p < 0.001), prior technology utility (OR = 3.18, 95%CI = 1.57–6.42, p = 0.001), Patient’s requirements to be accompanied (OR = 1.48, 95% CI = 1.054–2.082, P = 0.03) Cost considerations (OR = 2.96, 95% CI = 2.257–3.388, P < 0.01) and technological literacy (OR = 2.77, 95%CI = 2.05–3.38, p < 0.001) were associated with willingness to use TM. Conclusion Slightly over half of the patients were willing to use TM. Factors such as age, ethnicity, technological literacy, beliefs and previous utility of technology of the patients have to be addressed before implementing TM in primary care.
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Affiliation(s)
- David Yang Ern Sin
- Ministry of Health Holding, Singapore, Singapore. .,SingHealth Polyclinics, Connection One, Tower 5, #15-10, 167, Jalan Bukit Merah, Singapore, 150167, Singapore.
| | - Xiaoxuan Guo
- SingHealth Polyclinics, Connection One, Tower 5, #15-10, 167, Jalan Bukit Merah, Singapore, 150167, Singapore
| | | | - Tian Yu Qiu
- Ministry of Health Holding, Singapore, Singapore
| | - Peter Kirm Seng Moey
- SingHealth Polyclinics, Connection One, Tower 5, #15-10, 167, Jalan Bukit Merah, Singapore, 150167, Singapore.,SingHealth-Duke NUS Family Medicine Academic Clinical Programme, Singapore, Singapore
| | | | - Ngiap Chuan Tan
- SingHealth Polyclinics, Connection One, Tower 5, #15-10, 167, Jalan Bukit Merah, Singapore, 150167, Singapore.,SingHealth-Duke NUS Family Medicine Academic Clinical Programme, Singapore, Singapore
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Nikolaidis Y, Efthymiadis G, Angelidis P. Quality assessment of a second opinion telemedicine service. HEALTH AND TECHNOLOGY 2019. [DOI: 10.1007/s12553-019-00343-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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24
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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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25
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Local-Entropy Based Approach for X-Ray Image Segmentation and Fracture Detection. ENTROPY 2019; 21:e21040338. [PMID: 33267052 PMCID: PMC7514822 DOI: 10.3390/e21040338] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/23/2019] [Revised: 03/20/2019] [Accepted: 03/26/2019] [Indexed: 11/17/2022]
Abstract
The paper proposes a segmentation and classification technique for fracture detection in X-ray images. This novel rotation-invariant method introduces the concept of local entropy for de-noising and removing tissue from the analysed X-ray images, followed by an improved procedure for image segmentation and the detection of regions of interest. The proposed local Shannon entropy was calculated for each image pixel using a sliding 2D window. An initial image segmentation was performed on the entropy representation of the original image. Next, a graph theory-based technique was implemented for the purpose of removing false bone contours and improving the edge detection of long bones. Finally, the paper introduces a classification and localisation procedure for fracture detection by tracking the difference between the extracted contour and the estimation of an ideal healthy one. The proposed hybrid method excels at detecting small fractures (which are hard to detect visually by a radiologist) in the ulna and radius bones—common injuries in children. Therefore, it is imperative that a radiologist inspecting the X-ray image receives a warning from the computerised X-ray analysis system, in order to prevent false-negative diagnoses. The proposed method was applied to a data-set containing 860 X-ray images of child radius and ulna bones (642 fracture-free images and 218 images containing fractures). The obtained results showed the efficiency and robustness of the proposed approach, in terms of segmentation quality and classification accuracy and precision (up to 91.16% and 86.22%, respectively).
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Primholdt Christensen N, Danbjørg DB. Use of Video Consultations for Patients With Hematological Diseases From a Patient Perspective: Qualitative Study. J Particip Med 2018; 10:e11089. [PMID: 33052117 PMCID: PMC7434074 DOI: 10.2196/11089] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Revised: 10/09/2018] [Accepted: 10/23/2018] [Indexed: 01/22/2023] Open
Abstract
Background The need for the use of telemedicine is expected to increase in the coming years. There is, furthermore, a lack of evidence about the use of video consultations for hematological patients, and how the use of video consultations is experienced from the patients’ perspective. Objective This study aimed to identify patients’ experiences with the use of video consultations in place of face-to-face consultations, what it means to the patient to save the travel time, and how the roles between patients and health care professionals are experienced when using video consultation. This study concerns stable, not acutely ill, patients with hematological disease. Methods The study was designed as an exploratory and qualitative study. Data were collected through participant observations and semistructured interviews and analyzed in a postphenomenological framework. Results The data analysis revealed three categories: “Intimacy is not about physical presence,” “Handling technology,” and “Technology increases the freedom that the patients desire.” Conclusions This study demonstrates what is important for patients with regards to telemedicine and how they felt about seeing health care professionals through a screen. It was found that intimacy can be mediated through a screen and physical presence is not as important to the patient as other things. The study further pointed out how patients valued being involved in the planning of their treatment. The patients also valued the freedom associated with telemedicine and actively took responsibility for their own course of treatment. Patients felt that video consultations allowed them to be free and active, despite their illness.
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Affiliation(s)
- Nina Primholdt Christensen
- Odense Patient Data Explorative Network, Hematological Research Unit, Odense University Hospital, Odense, Denmark
| | - Dorthe Boe Danbjørg
- Centre for Innovative Medical Technology, Department of Hematology, Odense University Hospital, University of Southern Denmark, Odense, Denmark
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Chen Y, Yang L, Zhang M, Yang J. Central or peripheral? Cognition elaboration cues’ effect on users’ continuance intention of mobile health applications in the developing markets. Int J Med Inform 2018; 116:33-45. [DOI: 10.1016/j.ijmedinf.2018.04.008] [Citation(s) in RCA: 57] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2017] [Revised: 03/27/2018] [Accepted: 04/20/2018] [Indexed: 11/29/2022]
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Farver-Vestergaard I, O'Connor M, Smith NC, Løkke A, Bendstrup E, Zachariae R. Tele-delivered mindfulness-based cognitive therapy in chronic obstructive pulmonary disease: A mixed-methods feasibility study. J Telemed Telecare 2018; 25:468-475. [PMID: 29940797 DOI: 10.1177/1357633x18780563] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
INTRODUCTION Mindfulness-based cognitive therapy has been shown to reduce psychological distress in chronic obstructive pulmonary disease, but uptake and attendance rates of hospital-based, face-to-face mindfulness-based cognitive therapy are low. The present mixed-methods study evaluates the clinical feasibility of home-based, tele-delivered mindfulness-based cognitive therapy in chronic obstructive pulmonary disease. METHODS Eight patients with chronic obstructive pulmonary disease (mean age: 72.6 years; 50% female) received a standardised eight-week mindfulness-based cognitive therapy programme delivered via home-based video-conferences in groups of four. Feasibility in relation to (a) clinical change, (b) attendance and (c) instructor-patient working alliance were evaluated with questionnaires and semi-structured interviews. RESULTS Statistically non-significant reductions in psychological distress (Cohen's d = 0.504; p = 0.399) and physical health status impairment (d = 0.743; p = 0.156) were observed from pre- to post-intervention. Participant narratives about clinical outcomes focused on changes in how to relate to unpleasant sensations, i.e. through attentional flexibility, taking a pause and acceptance. The average attendance rate was 7.5 (standard deviation = 0.8) out of eight sessions and no participants dropped out. The tele-based format appeared to accommodate participants' planning difficulties and promoted their ability and wish to participate. Although participant narratives suggested the tele-based format to be a barrier to developing a trusting and safe therapeutic environment, working alliance questionnaire scores were comparable to those found for face-to-face mindfulness-based cognitive therapy. DISCUSSION The preliminary results indicate that tele-delivered mindfulness-based cognitive therapy is a clinically feasible intervention in chronic obstructive pulmonary disease. Future large-scale, randomised controlled trials testing its efficacy on the outcomes of psychological distress and physical health status should include analyses of potential mediators and moderators of the effect as well as and careful monitoring of attendance and adverse events.
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Affiliation(s)
| | - Maja O'Connor
- 1 Unit for Psychooncology and Health Psychology, Aarhus University and Aarhus University Hospital, Denmark
| | - Nina C Smith
- 1 Unit for Psychooncology and Health Psychology, Aarhus University and Aarhus University Hospital, Denmark
| | - Anders Løkke
- 2 Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Denmark
| | - Elisabeth Bendstrup
- 2 Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Denmark
| | - Robert Zachariae
- 1 Unit for Psychooncology and Health Psychology, Aarhus University and Aarhus University Hospital, Denmark
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Lee HY, Kim JY, Na KY, Park HY, Han J, Pak Y, Nam B, Pae CH, Lee J, Lim TH, Lee D. The role of telehealth counselling with mobile self-monitoring on blood pressure reduction among overseas Koreans with high blood pressure in Vietnam. J Telemed Telecare 2018; 25:241-248. [PMID: 29933721 DOI: 10.1177/1357633x18780559] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
INTRODUCTION Rapid globalization has produced a growing demand for the chronic care management of overseas populations living in medically underserved areas. This study investigated the utilization pattern of telehealth counselling among overseas Koreans with high blood pressure, and evaluated the relationships between mobile self-monitoring application and blood pressure reduction. METHODS A global chronic management programme consisting of lifestyle modification and self-monitoring blood pressure was launched to provide a telehealth counselling service for Koreans with high blood pressure living in Vietnam from August 2016 to December 2017. During the first telehealth session, doctors educated patients on lifestyle modifications using a mobile self-monitoring application and checked the change of blood pressure in a follow-up telehealth visit. We examined utilization patterns and compared the blood pressure change among the mobile self-monitoring group versus the control group using Wilcoxon signed rank tests. RESULTS A total of 234 patients with systolic blood pressure of more than 130 mmHg or diastolic blood pressure of more than 80 mmHg were registered, installed the mobile app and were provided with automated blood pressure devices with the telehealth counselling service by Korean doctors. A follow-up telehealth counselling session was provided at three months. Only 15% (36/234) received two or more telehealth counselling sessions. Significant differences were found in the mean change of systolic blood pressure at three months in the monitoring group and the non-monitoring group (-16.0 vs. -5.7, p = 0.008). DISCUSSION In this unique telehealth study, a mobile self-monitoring application was associated with significantly reducing systolic blood pressure levels in three months. Encouraging patients via a mobile application that includes a self-monitoring function might have the potential for self-managing chronic diseases, especially in resource-limited environments.
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Affiliation(s)
- Hyang Yuol Lee
- 1 Research Institute of Healthcare Policy, Seoul National University Bundang Hospital, Korea.,2 Research Institute of Nursing Science, College of Nursing, Seoul National University, Korea
| | - Ju Young Kim
- 3 Department of Family Medicine, Seoul National University Bundang Hospital, Korea.,4 College of Medicine, Seoul National University, Korea
| | - Ki Young Na
- 4 College of Medicine, Seoul National University, Korea.,5 Department of Internal Medicine, Seoul National University Bundang Hospital, Korea.,6 Office of Humanitarian and Public Healthcare Support, Seoul National University Bundang Hospital, Korea.,7 Office of External Affairs, Seoul National University Bundang Hospital, Korea
| | - Hwa Yeon Park
- 8 Health Promotion Center, Gachon University Gil Medical Center, Incheon, Korea
| | - Jinah Han
- 3 Department of Family Medicine, Seoul National University Bundang Hospital, Korea
| | - Yuliya Pak
- 3 Department of Family Medicine, Seoul National University Bundang Hospital, Korea
| | - Bola Nam
- 9 Overseas Business Team, ezCaretech Co., Ltd., Seongnam-si, Korea
| | - Chae Hyun Pae
- 7 Office of External Affairs, Seoul National University Bundang Hospital, Korea
| | - Jisun Lee
- 10 Clinical Administration Team, Seoul National University Bundang Hospital, Korea
| | - Tae Ho Lim
- 11 HealthConnect Co., Ltd., Seoul, Korea
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Duke DC, Barry S, Wagner DV, Speight J, Choudhary P, Harris MA. Distal technologies and type 1 diabetes management. Lancet Diabetes Endocrinol 2018; 6:143-156. [PMID: 28867311 DOI: 10.1016/s2213-8587(17)30260-7] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2017] [Revised: 06/21/2017] [Accepted: 07/03/2017] [Indexed: 02/09/2023]
Abstract
Type 1 diabetes requires intensive self-management to avoid acute and long-term health complications. In the past two decades, substantial advances in technology have enabled more effective and convenient self-management of type 1 diabetes. Although proximal technologies (eg, insulin pumps, continuous glucose monitors, closed-loop and artificial pancreas systems) have been the subject of frequent systematic and narrative reviews, distal technologies have received scant attention. Distal technologies refer to electronic systems designed to provide a service remotely and include heterogeneous systems such as telehealth, mobile health applications, game-based support, social platforms, and patient portals. In this Review, we summarise the empirical literature to provide current information about the effectiveness of available distal technologies to improve type 1 diabetes management. We also discuss privacy, ethics, and regulatory considerations, issues of global adoption, knowledge gaps in distal technology, and recommendations for future directions.
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Affiliation(s)
- Danny C Duke
- Department of Pediatrics, Oregon Health and Science University, Portland, OR, USA.
| | - Samantha Barry
- Department of Medicine, UMass Memorial Medical Center, Worcester, MA, USA
| | - David V Wagner
- Department of Pediatrics, Oregon Health and Science University, Portland, OR, USA
| | - Jane Speight
- The Australian Centre for Behavioural Research in Diabetes, Deakin University, and Diabetes Victoria, Melbourne, VIC, Australia
| | | | - Michael A Harris
- Department of Pediatrics, Oregon Health and Science University, Portland, OR, USA
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Gurupur V, Shettian K, Xu P, Hines S, Desselles M, Dhawan M, Wan TT, Raffenaud A, Anderson L. Identifying the readiness of patients in implementing telemedicine in northern Louisiana for an oncology practice. Health Informatics J 2016; 23:181-196. [PMID: 27102886 DOI: 10.1177/1460458216639740] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
This study identified the readiness factors that may create challenges in the use of telemedicine among patients in northern Louisiana with cancer. To identify these readiness factors, the team of investigators developed 19 survey questions that were provided to the patients or to their caregivers. The team collected responses from 147 respondents from rural and urban residential backgrounds. These responses were used to identify the individuals' readiness for utilising telemedicine through factor analysis, Cronbach's alpha reliability test, analysis of variance and ordinary least squares regression. The analysis results indicated that the favourable factor (positive readiness item) had a mean value of 3.47, whereas the unfavourable factor (negative readiness item) had a mean value of 2.76. Cronbach's alpha reliability test provided an alpha value of 0.79. Overall, our study indicated a positive attitude towards the use of telemedicine in northern Louisiana.
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Grogan-Johnson S, Meehan R, McCormick K, Miller N. Results of a National Survey of Preservice Telepractice Training in Graduate Speech-Language Pathology and Audiology Programs. ACTA ACUST UNITED AC 2015. [DOI: 10.1044/cicsd_42_s_122] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Translational research of telecare for the treatment of hepatitis C. BIOMED RESEARCH INTERNATIONAL 2014; 2014:195097. [PMID: 25013762 PMCID: PMC4071777 DOI: 10.1155/2014/195097] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/18/2014] [Accepted: 05/13/2014] [Indexed: 12/31/2022]
Abstract
Objective. Chronic hepatitis C virus (HCV) infection is a serious health problem in Taiwan. The high dropout rate due to side effects limits the efficacy of treatment. The objective of this study is to investigate the effectiveness of telecare for the treatment of chronic hepatitis. Material and Methods. Two hundred and ninety-eight patients randomly chose either of the two support programs. Group 1 was offered public health nurse consultation at outpatient clinic. Group 2 was offered telecare program with 24 hours of consultation services via a health communication center. All patients were treated with standard therapy and followed up for 72 weeks. Results. Normalization of serum biochemistry was noted in both Group 1 (150 patients) and Group 2 (148 patients). The most common types of side effect in both groups were influenza-like symptoms. Patient compliance was 88% (Group 1) and 94.6% (Group 2). Total dropout cases were 18 (12%) in Group 1 and 8 (5.4%) in Group 2. The program costs were 232,632 USD (Group 1) and 112,500 USD (Group 2). Conclusion. Telecare system with health care communication center model is significant in reducing dropout rate and is more effective with easy access.
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Wu SJ, Raghupathi W. A panel analysis of the strategic association between information and communication technology and public health delivery. J Med Internet Res 2012; 14:e147. [PMID: 23089193 PMCID: PMC3510718 DOI: 10.2196/jmir.2242] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2012] [Revised: 08/09/2012] [Accepted: 09/25/2012] [Indexed: 11/13/2022] Open
Abstract
Background In this exploratory research, we use panel data analysis to examine the correlation between Information and Communication Technology (ICTs) and public health delivery at the country level. Objective The goal of this exploratory research is to examine the strategic association over time between ICTs and country-level public health. Methods Using data from the World Development Indicators, we construct a panel data set of countries of five different income levels and look closely at the period from 2000 to 2008. The panel data analysis allows us to explore this dynamic relationship under the control for unobserved country-specific effects by using a fixed-effects estimation method. In particular,, we examine the association of five ICT factors with five public health indicators: adolescent fertility rate, child immunization coverage, tuberculosis case detected, life expectancy, and adult mortality rate. Results First, overall ICTs’ factors substantially improve a country’s public health delivery on the top of wealth effect. Second, among all the ICTs’ factors, accessibility is the only one that is associated with improvements in all aspects of public health delivery, while the contributions from the usage, quality, and applications are negligible. ICTs’ accessibility factor is associated with a considerable extension to life expectancy and reduced adult mortality rate. Third, all entity-specific factors are significant in each model, indicating that countries’ economic development level does influence their public health delivery. Conclusions Our results indicate that ICT accessibility has a strong association with effective delivery of public health. There are others, but the key strategic applications are eHealth and mHealth. The findings of this study will help government officials and public health policy makers to formulate strategic decisions regarding the best ICT investments and deployment. For example, the study shows that providing accessibility should be a critical focus.
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Affiliation(s)
- Sarah Jinhui Wu
- The Gabelli School of Business, Fordham University, Bronx, NY, USA
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Schmeler MR, Schein RM, McCue M, Betz K. Telerehabilitation clinical and vocational applications for assistive technology: research, opportunities, and challenges. Int J Telerehabil 2009; 1:59-72. [PMID: 25945163 PMCID: PMC4296780 DOI: 10.5195/ijt.2009.6014] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Rehabilitation service providers in rural or underserved areas are often challenged in meeting the needs of their complex patients due to limited resources in their geographical area. Recruitment and retention of the rural clinical workforce are beset by the ongoing problems associated with limited continuing education opportunities, professional isolation, and the challenges inherent in coordinating rural community healthcare. People with disabilities who live in rural communities also face challenges accessing healthcare. Traveling long distances to a specialty clinic for necessary expertise may be troublesome due to inadequate or unavailable transportation, disability specific limitations, and financial limitations. Distance and lack of access are just two threats to quality of care that now being addressed by the use of videoconferencing, information exchange, and other telecommunication technologies that facilitate telerehabilitation. This white paper illustrates and summarizes clinical and vocational applications of telerehabilitation. We provide definitions related to the fields of telemedicine, telehealth, and telerehabilitation, and consider the impetus for telerehabilitation. We review the telerehabilitation literature for assistive technology applications; pressure ulcer prevention; virtual reality applications; speech-language pathology applications; seating and wheeled mobility applications; vocational rehabilitation applications; and cost-effectiveness. We then discuss external telerehabilitation influencers, such as the positions of professional organizations. Finally, we summarize clinical and policy issues in a limited context appropriate to the scope of this paper.
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Affiliation(s)
- Mark R Schmeler
- Department of Rehabilitation Science and Technology, University of Pittsburgh
| | - Richard M Schein
- Department of Rehabilitation Science and Technology, University of Pittsburgh
| | - Michael McCue
- Department of Rehabilitation Science and Technology, University of Pittsburgh
| | - Kendra Betz
- Prosthetics and Sensory Aids Service, Veterans Health Administration
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Vitacca M, Mazzù M, Scalvini S. Socio-technical and organizational challenges to wider e-Health implementation. Chron Respir Dis 2009; 6:91-7. [DOI: 10.1177/1479972309102805] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Recent advances in information communication technology allow contact with patients at home through e-Health services (telemedicine, in particular). We provide insights on the state of the art of e-Health and telemedicine for possible wider future clinical use. Telemedicine opportunities are summarized as i) home telenursing, ii) electronic transfer to specialists and hospitals, iii) teleconsulting between general practitioners and specialists and iv) call centres activities and online health. At present, a priority action of the EU is the Initiative on TM for chronic disease management as home health monitoring and the future Vision for Europe 2020 is based on development of Integrated Telemedicine Services. There are pros and cons in e-Health and telemedicine. Benefits can be classified as benefits for i) citizens, patients and caregivers and ii) health care provider organizations. Institutions and individuals that play key roles in the future of e-Health are doctors, patients and hospitals, while the whole system should be improved at three crucial levels: 1) organizational, 2) regulatory and 3) technological. Quality, access and efficiency are the general key issues for the success of e-Health and telemedicine implementation. The real technology is the human resource available into the organizations. For e-Health and telemedicine to grow, it will be necessary to investigate their long-term efficacy, cost effectiveness, possible improvement in quality of life and impact on public health burden.
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Affiliation(s)
- M Vitacca
- Divisione di Pneumologia, Fondazione Salvatore Maugeri, IRCCS, Lumezzane (BS)
| | - M Mazzù
- Servizio di Telemedicina, Fondazione Salvatore Maugeri, IRCCS, Lumezzane (BS), Italy
| | - S Scalvini
- Servizio di Telemedicina, Fondazione Salvatore Maugeri, IRCCS, Lumezzane (BS), Italy
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Nilsson C, Skär L, Söderberg S. Swedish district nurses' attitudes to implement information and communication technology in home nursing. Open Nurs J 2008; 2:68-72. [PMID: 19319223 PMCID: PMC2600856 DOI: 10.2174/1874434600802010068] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2008] [Revised: 10/21/2008] [Accepted: 10/28/2008] [Indexed: 11/22/2022] Open
Abstract
The use of information and communication technology has increased in the society, and can be useful in nursing care. The aim of this study was to describe district nurses' attitudes regarding the implementation of information and communication technology in home nursing. The first and third authors performed five focus group discussions with 19 district nurses' from five primary healthcare centres in northern Sweden. During the focus group discussions, the following topics were discussed: the current and future use of information and communication technology in home nursing; expectations, advantages, disadvantages and hindrances in the use of information and communication technology in home nursing; and the use of information and communication technology from an ethical perspective. The transcribed focus group discussions were analysed using qualitative content analysis. The results showed that district nurses' attitudes were positive regarding the use of information and communication technology in their work. They also asked for possibilities to influence the design and its introduction. However, the use of information and communication technology in home nursing can be described as a complement to communication that could not replace human physical encounters. Improvements and risks, as well as the importance of physical presence in home nursing were considered vital. The results revealed that the use of information and communication technology requires changes in the district nurses' work situation.
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Affiliation(s)
- Carina Nilsson
- Division of Nursing, Department of Health Science, Luleå University of Technology, Luleå, Sweden
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Brennan DM, Barker LM. Human factors in the development and implementation of telerehabilitation systems. J Telemed Telecare 2008; 14:55-8. [PMID: 18348747 DOI: 10.1258/jtt.2007.007040] [Citation(s) in RCA: 57] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Telemedicine services must be designed and implemented with the users in mind. When conducting telerehabilitation, factors such as age, education and technology experience must be taken into account. In addition, telerehabilitation must also accommodate a range of potential patient impairments, including deficits in language, cognition, motor function, vision and voice. Telerehabilitation technology and treatment environments should adhere to universal design standards so as to be accessible, efficient, usable and understandable to all. This will result in improved access to a wider range of telerehabilitation services that will facilitate and enhance the rehabilitative treatment and recovery of people living with varying levels of injury, impairment and disability.
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Affiliation(s)
- David M Brennan
- National Rehabilitation Hospital, Center for Applied Biomechanics and Rehabilitation Research, Washington, DC 20010, USA.
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