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Farizi SA, Setyowati D, Fatmaningrum DA, Azyanti AF. Telehealth and telemedicine prenatal care during the COVID-19 pandemic: a systematic review with a narrative synthesis. Hosp Pract (1995) 2023; 51:241-254. [PMID: 37968996 DOI: 10.1080/21548331.2023.2284635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Accepted: 11/14/2023] [Indexed: 11/17/2023]
Abstract
BACKGROUND The COVID-19 epidemic has restricted the use of maternal health services, including prenatal care. Telehealth and telemedicine are remote services that can help in the event of a COVID-19 pandemic. In this study, we examined the use of telehealth and telemedicine in prenatal care in various countries during the COVID-19 pandemic. METHODS Relevant titles were searched in five e-book databases from 31 December 2019 to 31 July 2021: PUBMED, Science Direct, Scopus, Web of Sciences, and Google Scholar. Articles were chosen based on the following criteria: a focus on pregnant women, a connection to the COVID-19 pandemic, and a focus on telehealth and telemedicine. A narrative synthesis was used to synthesize the data. RESULTS Telehealth and telemedicine reduced the risk of transmitting COVID-19 to pregnant women and health workers. The implementation process encountered various challenges, such as the absence of service composition, limited technological accessibility, communication difficulties, and disparities in access. CONCLUSIONS It is imperative for the government and health organizations to have a comprehensive policy and legislation that effectively regulates the provision of services. It is also important to emphasize the importance of reducing inequality, such as by equalizing access to technology and infrastructure.
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Affiliation(s)
- Sofia Al Farizi
- Midwifery Study Program, Faculty Medicine, Airlangga University, Surabaya, Indonesia
| | - Dewi Setyowati
- Midwifery Study Program, Faculty Medicine, Airlangga University, Surabaya, Indonesia
| | - Dyah Ayu Fatmaningrum
- Midwifery Study Program, Faculty Medicine, Airlangga University, Surabaya, Indonesia
| | - Azra Fauziyah Azyanti
- Midwifery Study Program, Faculty Medicine, Airlangga University, Surabaya, Indonesia
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2
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Hirano T, Kobayashi T, Maita H, Akimoto T, Kato H. Utilization of and barriers to a telemedicine system at a rural general hospital in Japan: a mixed methods study. J Rural Med 2023; 18:226-232. [PMID: 37854513 PMCID: PMC10579925 DOI: 10.2185/jrm.2023-015] [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: 06/14/2023] [Accepted: 07/24/2023] [Indexed: 10/20/2023] Open
Abstract
Objective The initial and operational costs of telemedicine are major barriers to its adoption. We aimed to investigate and identify the barriers to adopting a telemedicine system in a Japanese rural general hospital without incurring setup and operational costs. Materials and Methods Our study was conducted between May and August 2018, and included six general practitioners working at a rural general hospital. We extracted data collected from messages (date and time, sender and recipient, and counts and contents of messages) and conducted semi-structured interviews, which were then analyzed using quantitative and qualitative methods. Results We quantitatively analyzed the total counted of the 179 messages. The total counts recorded for each physician were 56 (A), 20 (B), 3 (C), 74 (D), 5 (E), and 21 (F). The mean monthly counts were 2.17 (May), 8.50 (June), 11.50 (July), and 7.67 (August). Interview data from the six physicians yielded 13 codes that included various points of dissatisfaction acting as barriers to using our system, which we grouped into mental and physical barriers. Mental barriers included suspicion of carrying, feelings of isolation, and loss, whereas physical barriers included portability, user authentication, internet speed, group chat system, notice, search image, typing, chat system, print facility, and limited function. Conclusion The representative barriers to introducing a telemedicine system at a rural general hospital in Japan without initial and running costs could be classified as feelings of isolation and suspicion of carrying (mental barriers); and notice, portability, and user authentication (physical barriers). Continued investigation in this area is warranted, and solutions to these barriers could improve the shortage of medical staff in the context of declining birth rates and aging populations in Japan.
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Affiliation(s)
- Takahiro Hirano
- General Medicine, Hirosaki University Graduate School of
Medicine, Japan
| | - Tadashi Kobayashi
- Department of General Medicine, Hirosaki University School of
Medicine and Hospital, Japan
| | - Hiroki Maita
- Development of Community Healthcare, Hirosaki University
Graduate School of Medicine, Japan
| | - Takashi Akimoto
- Department of General Medicine, Hirosaki University School of
Medicine and Hospital, Japan
| | - Hiroyuki Kato
- General Medicine, Hirosaki University Graduate School of
Medicine, Japan
- Department of General Medicine, Hirosaki University School of
Medicine and Hospital, Japan
- Development of Community Healthcare, Hirosaki University
Graduate School of Medicine, Japan
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3
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Ashraf HUSSAIN MR, HIEBERT L, SUGIYAMA A, OUOBA S, E B, KO K, AKITA T, KANEKO S, KANTO T, WARD JW, TANAKA J. Effect of COVID-19 on hepatitis B and C virus countermeasures: Hepatologist responses from nationwide survey in Japan. Hepatol Res 2022; 52:899-907. [PMID: 35861597 PMCID: PMC9349947 DOI: 10.1111/hepr.13819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 07/15/2022] [Accepted: 07/17/2022] [Indexed: 02/08/2023]
Abstract
AIM Achieving hepatitis B virus (HBV) and hepatitis C virus (HCV) elimination requires continuous and sustained high volumes of diagnosis and treatment, which have been affected by the ongoing COVID-19 pandemic. This study assessed the effects of COVID-19 on hepatitis-related services in Japan and compared Japan's situation with a global survey. METHODS We conducted an online cross-sectional questionnaire survey of hepatologists from the Japan Society of Hepatology from August to October 2021 by using the same questionnaire from which a survey was conducted globally to address the effects of COVID-19 on hepatitis-related services. Hepatologists responded based on own impressions of their affiliated institutions. RESULTS In total, 196 hepatologists participated from 35 prefectures including 49.5% in managerial positions. Approximately 40% survey participants reported a 1%-25% decline in HBV and HCV screening and confirmatory testing. In addition, 53.6% and 45.4% reported no decline in HBV and HCV treatment initiation, respectively. Comparing any level of decrease with the global survey, there was less of a decline observed in Japan for screening (HBV: 51% vs. 56.3%, HCV: 51% vs. 70.9%) and treatment initiation (HBV: 32.7% vs. 52.4%, HCV: 41.8% vs. 66%). However, patient anxiety/fear (67.4%) and loss of staff due to COVID-19 (49.0%) were reported as challenges for resuming services to pre-COVID-19 levels. CONCLUSION Although in Japan all-inclusive decline in HBV- and HCV-related services were lower than in other countries, a greater decline was observed in HBV and HCV screening and diagnosis than in treatment initiation. Prolonged anxiety/fear among patients, and loss of staff and facilities from the COVID-19 response activities must be addressed to achieve elimination of hepatitis by 2030.
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Affiliation(s)
- Md Razeen Ashraf HUSSAIN
- Department of EpidemiologyInfectious Disease Control and Prevention, Graduate School of Biomedical and Health SciencesHiroshima UniversityHiroshimaHiroshimaJapan
| | - Lindsey HIEBERT
- Department of EpidemiologyInfectious Disease Control and Prevention, Graduate School of Biomedical and Health SciencesHiroshima UniversityHiroshimaHiroshimaJapan,Coalition for Global Hepatitis EliminationThe Task Force for Global Health, United States of AmericaDecaturGeorgiaUS
| | - Aya SUGIYAMA
- Department of EpidemiologyInfectious Disease Control and Prevention, Graduate School of Biomedical and Health SciencesHiroshima UniversityHiroshimaHiroshimaJapan
| | - Serge OUOBA
- Department of EpidemiologyInfectious Disease Control and Prevention, Graduate School of Biomedical and Health SciencesHiroshima UniversityHiroshimaHiroshimaJapan,Unité de Recherche Clinique de Nanoro (URCN)Institut de Recherche en Science de la Santé (IRSS)NanoroBurkina FasoJapan
| | - Bunthen E
- Department of EpidemiologyInfectious Disease Control and Prevention, Graduate School of Biomedical and Health SciencesHiroshima UniversityHiroshimaHiroshimaJapan,Payment Certification AgencyMinistry of HealthCambodiaUS
| | - Ko KO
- Department of EpidemiologyInfectious Disease Control and Prevention, Graduate School of Biomedical and Health SciencesHiroshima UniversityHiroshimaHiroshimaJapan
| | - Tomoyuki AKITA
- Department of EpidemiologyInfectious Disease Control and Prevention, Graduate School of Biomedical and Health SciencesHiroshima UniversityHiroshimaHiroshimaJapan
| | - Shuichi KANEKO
- Department of GastroenterologyKanazawa University Graduate School of Medical ScienceKanazawaJapan
| | - Tatsuya KANTO
- The Research Center for Hepatitis and ImmunologyNational Center for Global Health and MedicineIchikawaChibaJapan
| | - John W. WARD
- Coalition for Global Hepatitis EliminationThe Task Force for Global Health, United States of AmericaDecaturGeorgiaUS
| | - Junko TANAKA
- Department of EpidemiologyInfectious Disease Control and Prevention, Graduate School of Biomedical and Health SciencesHiroshima UniversityHiroshimaHiroshimaJapan
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4
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Seposo X, Madaniyazi L, Ng CFS, Hashizume M, Honda Y. COVID-19 pandemic modifies temperature and heat-related illness ambulance transport association in Japan: a nationwide observational study. Environ Health 2021; 20:122. [PMID: 34857008 PMCID: PMC8637525 DOI: 10.1186/s12940-021-00808-w] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Accepted: 11/15/2021] [Indexed: 05/08/2023]
Abstract
BACKGROUND During the COVID-19 pandemic, several illnesses were reduced. In Japan, heat-related illnesses were reduced by 22% compared to pre-pandemic period. However, it is uncertain as to what has led to this reduction. Here, we model the association of maximum temperature and heat-related illnesses in the 47 Japanese prefectures. We specifically examined how the exposure and lag associations varied before and during the pandemic. METHODS We obtained the summer-specific, daily heat-related illness ambulance transport (HIAT), exposure variable (maximum temperature) and covariate data from relevant data sources. We utilized a stratified (pre-pandemic and pandemic), two-stage approach. In each stratified group, we estimated the 1) prefecture-level association using a quasi-Poisson regression coupled with a distributed lag non-linear model, which was 2) pooled using a random-effects meta-analysis. The difference between pooled pre-pandemic and pandemic associations was examined across the exposure and the lag dimensions. RESULTS A total of 321,655 HIAT cases was recorded in Japan from 2016 to 2020. We found an overall reduction of heat-related risks for HIAT during the pandemic, with a wide range of reduction (10.85 to 57.47%) in the HIAT risk, across exposure levels ranging from 21.69 °C to 36.31 °C. On the contrary, we found an increment in the delayed heat-related risks during the pandemic at Lag 2 (16.33%; 95% CI: 1.00, 33.98%). CONCLUSION This study provides evidence of the impact of COVID-19, particularly on the possible roles of physical interventions and behavioral changes, in modifying the temperature-health association. These findings would have implications on subsequent policies or heat-related warning strategies in light of ongoing or future pandemics.
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Affiliation(s)
- Xerxes Seposo
- Nagasaki University School of Tropical Medicine and Global Health, Nagasaki, Japan
| | - Lina Madaniyazi
- Nagasaki University School of Tropical Medicine and Global Health, Nagasaki, Japan
- Department of Paediatric Infectious Diseases, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan
| | - Chris Fook Sheng Ng
- Nagasaki University School of Tropical Medicine and Global Health, Nagasaki, Japan
- Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Masahiro Hashizume
- Nagasaki University School of Tropical Medicine and Global Health, Nagasaki, Japan
- Department of Paediatric Infectious Diseases, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan
- Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Yasushi Honda
- Faculty of Health and Sport Sciences, University of Tsukuba, Tsukuba, Japan
- National Institute for Environmental Studies, Tsukuba, Japan
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5
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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: 167] [Impact Index Per Article: 55.7] [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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6
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Suematsu M, Okumura K, Hida T, Takahashi N, Okazaki K, Fuchita E, Abe K, Kamei H, Hanya M. Students' perception of a hybrid interprofessional education course in a clinical diabetes setting: a qualitative study. INTERNATIONAL JOURNAL OF MEDICAL EDUCATION 2021; 12:195-204. [PMID: 34711684 PMCID: PMC8995017 DOI: 10.5116/ijme.6165.59e0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Accepted: 10/12/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVES To explore what the student participants learned and how they felt about the use of three educational settings, namely, face-to-face workshop setting, asynchronous and synchronous online learning environments and interactions with outpatients in a real-world clinical setting in a hybrid interprofessional education course. METHODS This qualitative study used semi-structured in-depth interviews with healthcare undergraduate student participants in a course comprising workshops in three educational settings. A total of 15 healthcare undergraduate students, which included four medical, three pharmacy, five nursing and three nutrition students, completed this IPE course. All students agreed to participate in the study. We conducted four focus groups selected using convenient sampling. Focus group transcripts were analysed using the 'Steps for Coding and Theorization' qualitative data analysis method. We investigated the students' perception through the experience of three educational settings in the hybrid interprofessional education course. RESULTS The students recognised that this course had three types of educational spaces, namely, real, semi-real and unreal. Then, the positive changes in the awareness of students are trained in recognition of the patient perspective, the recognition of the roles discharged by the other professions and the recognition of the functions of their own profession after experiencing the educational spaces designated for this course. CONCLUSIONS The repeated experience of participants to real, semi-real and unreal educational spaces promoted changes over time in the students' awareness of interprofessional competencies with respect to patient-centred care and ameliorated their readiness to undertake interprofessional tasks.
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Affiliation(s)
- Mina Suematsu
- Department of Education for Community-Oriented Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Kenichi Okumura
- Faculty and Graduate School of Pharmacy, Meijo University, Nagoya, Japan
| | - Takeshi Hida
- Ichinomiya Kenshin College, School of Nursing, Ichinomiya, Japan
| | - Noriyuki Takahashi
- Department of Education for Community-Oriented Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Kentaro Okazaki
- Department of Education for Community-Oriented Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Etsuko Fuchita
- Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Gerontological Nursing, Nagoya, Japan
| | - Keiko Abe
- Clinical Nursing, Aichi Medical University College of Nursing, Nagakute, Japan
| | - Hiroyuki Kamei
- Faculty and Graduate School of Pharmacy, Meijo University, Nagoya, Japan
| | - Manako Hanya
- Faculty and Graduate School of Pharmacy, Meijo University, Nagoya, Japan
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7
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Miyatake H, Kosaka M, Arita S, Tsunetoshi C, Masunaga H, Kotera Y, Nishikawa Y, Ozaki A, Beniya H. Videoconferencing for Home Care Delivery in Japan: Observational Study. J Med Internet Res 2021; 23:e23539. [PMID: 34468333 PMCID: PMC8444039 DOI: 10.2196/23539] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Revised: 11/05/2020] [Accepted: 06/21/2021] [Indexed: 12/31/2022] Open
Abstract
Background Telemedicine has been increasingly used in many health care fields, including home care, where patients receive medical care at home. Owing to the current COVID-19 crisis, the value of telemedicine via videoconferencing is more recognized, particularly in allowing immobile patients to continue receiving care. However, the efficacy of telemedicine in home care settings in Japan remains to be fully appraised. Objective This study aims to identify the use and impact of telemedicine in a singular home care delivery setting in Japan. Methods A retrospective observational study was conducted using patient and other administrative records from a home care clinic. We considered patients who were involved in videoconferencing with home care physicians and telepresenters serving patients during 2018 and 2019. We extracted sociodemographic data of the patients and details of the videoconferencing and descriptively illustrated some specific cases. Results In a home care clinic in Japan, videoconferencing was conducted in 17 cases (involving 14 patients) over a 2-year period. Of all the cases, 12% (2/17) required emergency transfers and were hospitalized. A total of 88% (15/17) of cases remained; 71% (12/17) of cases were found to need extra medication or to go to a medical facility for consultation, whereas 18% (3/17) of cases were found not to be in need of urgent attention and were asked to rest. Problematic symptoms subsequently improved in 82% (14/17) of cases, and only 6% (1/17) of cases were later hospitalized. Conclusions Telemedicine was deemed effective for assessing patients’ conditions in the home care setting in situations where home visits by a physician cannot be carried out. Our findings indicate that consultations via videoconferencing are safe and effective, suggesting more active use of videoconferencing in other clinical contexts.
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Affiliation(s)
| | - Makoto Kosaka
- Orange Home-Care Clinic, Fukui, Japan.,Faculty of Medicine, The University of Tokyo, Tokyo, Japan
| | | | | | | | - Yasuhiro Kotera
- College of Health, Psychology and Social Care, University of Derby, Derby, United Kingdom
| | | | - Akihiko Ozaki
- Orange Home-Care Clinic, Fukui, Japan.,Department of Breast Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, Japan.,Medical Governance Research Institute, Tokyo, Japan
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8
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Seposo XT. COVID-19 threatens decade-long suicide initiatives in Japan. Asian J Psychiatr 2021; 60:102660. [PMID: 33933905 PMCID: PMC8078043 DOI: 10.1016/j.ajp.2021.102660] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Accepted: 04/19/2021] [Indexed: 11/25/2022]
Affiliation(s)
- Xerxes T Seposo
- School of Tropical Medicine and Global Health, Nagasaki University, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
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9
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Eze ND, Mateus C, Cravo Oliveira Hashiguchi T. Telemedicine in the OECD: An umbrella review of clinical and cost-effectiveness, patient experience and implementation. PLoS One 2020; 15:e0237585. [PMID: 32790752 PMCID: PMC7425977 DOI: 10.1371/journal.pone.0237585] [Citation(s) in RCA: 128] [Impact Index Per Article: 32.0] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Accepted: 07/29/2020] [Indexed: 12/12/2022] Open
Abstract
Introduction Patients and policy makers alike have high expectations for the use of digital technologies as tools to improve health care service quality at a sustainable cost. Many countries within the Organisation for Economic Co-operation and Development (OECD) are investing in telemedicine initiatives, and a large and growing body of peer-reviewed studies on the topic has developed, as a consequence. Nonetheless, telemedicine is still not used at scale within the OECD. Seeking to provide a snapshot of the evidence on the use of telemedicine in the OECD, this umbrella review of systematic reviews summarizes findings on four areas of policy relevance: clinical and cost-effectiveness, patient experience, and implementation. Methods This review followed a prior written, unregistered protocol. Four databases (PubMed/Medline, CRD, and Cochrane Library) were searched for systematic reviews or meta-analyses published between January 2014 and February 2019. Based on the inclusion criteria, 98 systematic reviews were selected for analysis. Due to substantial heterogeneity, a meta-analysis was not conducted. The quality of included reviews was assessed using the AMSTAR 2 tool. Results Most reviews (n = 53) focused on effectiveness, followed by cost-effectiveness (n = 18), implementation (n = 17) and patient experience (n = 15). Eighty-three percent of clinical effectiveness reviews found telemedicine at least as effective as face-to-face care, and thirty-nine percent of cost-effectivenss reviews found telemedicine to be cost saving or cost-effective. Patients reported high acceptance of telemedicine and the most common barriers to implementation were usability and lack of reimbursement. However, the methodological quality of most reviews was low to critically low which limits generalizability and applicability of findings. Conclusion This umbrella review finds that telemedicine interventions can improve glycemic control in diabetic patients; reduce mortality and hospitalization due to chronic heart failure; help patients manage pain and increase their physical activity; improve mental health, diet quality and nutrition; and reduce exacerbations associated with respiratory diseases like asthma. In certain disease and specialty areas, telemedicine may be a less effective way to deliver care. While there is evidence that telemedicine can be cost-effective, generalizability is hindered by poor quality and reporting standards. This umbrella review also finds that patients report high levels of acceptance and satisfaction with telemedicine interventions, but that important barriers to wider use remain.
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Affiliation(s)
- Nkiruka D Eze
- Division of Health Research, Health Economics at Lancaster, Lancaster University, Lancaster, United Kingdom
| | - Céu Mateus
- Division of Health Research, Health Economics at Lancaster, Lancaster University, Lancaster, United Kingdom
| | - Tiago Cravo Oliveira Hashiguchi
- Health Division Organisation for Economic Co-operation and Development, Directorate for Employment, Labour and Social Affairs, Paris, France
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10
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Mackey T, Bekki H, Matsuzaki T, Mizushima H. Examining the Potential of Blockchain Technology to Meet the Needs of 21st-Century Japanese Health Care: Viewpoint on Use Cases and Policy. J Med Internet Res 2020; 22:e13649. [PMID: 31917371 PMCID: PMC6996742 DOI: 10.2196/13649] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Revised: 07/17/2019] [Accepted: 09/17/2019] [Indexed: 01/17/2023] Open
Abstract
Japan is undergoing a major population health transition as its society ages, and it continues to experience low birth rates. An aging Japan will bring new challenges to its public health system, highlighted as a model for universal health coverage (UHC) around the world. Specific challenges Japan’s health care system will face include an increase in national public health expenditures, higher demand for health care services, acute need for elder and long-term care, shortage of health care workers, and disparities between health care access in rural versus urban areas. Blockchain technology has the potential to address some of these challenges, but only if a health blockchain is conceptualized, designed, localized, and deployed in a way that is compatible with Japan’s centralized UHC-centric public health system. Blockchain solutions must also be adaptive to opportunities and barriers unique to Japan’s national health and innovation policy, including its regulatory sandbox system, while also seeking to learn from blockchain adoption in the private sector and in other countries. This viewpoint outlines the major opportunities and potential challenges to blockchain adoption for the future of Japan’s health care.
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Affiliation(s)
- Tim Mackey
- Department of Anesthesiology and Division of Global Public Health, University of California San Diego School of Medicine, La Jolla, CA, United States.,Global Health Policy Institute, La Jolla, CA, United States.,BlockLAB, San Diego Super Computer Center, La Jolla, CA, United States
| | - Hirofumi Bekki
- Department of Orthopedic Surgery, Kyushu University, Fukuoka, Japan
| | - Tokio Matsuzaki
- Japan Biodesign Program, Department of Cardiac Surgery, The University of Tokyo, Tokyo, Japan
| | - Hiroshi Mizushima
- Center for Public Health Informatics, National Institute of Public Health, Saitama, Japan.,Japanese Medical Blockchain Association, Tokyo, Japan
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11
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The Effect of Remote Patient Monitoring on Patients with Spinal Cord Injury: A Mini-Review. ARCHIVES OF NEUROSCIENCE 2019. [DOI: 10.5812/ans.85491] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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