首页 > 最新文献

Telehealth and Medicine Today最新文献

英文 中文
Determining the Value-on-Investment of Provider-to-Provider Virtual Consultation for Cancer Care 确定癌症护理提供者对提供者虚拟咨询的投资价值
Pub Date : 2023-04-28 DOI: 10.30953/tmt.v8.411
D. Shalowitz, B. Arkwright, E. Bunce
BACKGROUND:  Access to high-quality cancer care in the United States remains a challenge in part due to a geographic mismatch between patients with cancers and the oncologic specialists best able to serve them. There is therefore an urgent need to develop communications strategies that allow oncologists to determine which patients might benefit from referral for subspecialty cancer care, and to allow subspecialists to guide care remotely when patients are unable or unwilling to travel. Unfortunately, virtual consultation between clinicians has been understudied, and likely underutilized, in cancer care.  Health systems may be hesitant to implement a virtual consultation program without data on such a program’s value.    RESEARCH DESIGN:  In this article we outline a framework for calculating the value on investment (VOI) for a provider-to-provider virtual consultation framework to improve geographic access to cancer care. For each element of VOI, we suggest specific outcomes that health systems might utilize to determine the value of implementing virtual provider-to-provider consultation.   RESULTS:  Elements of VOI include: direct and indirect revenue, institutional halo effect, hospital-based care, infrastructure considerations, subspecialty resource utilization, continuity of care, patient-reported outcomes, clinical trial enrollment, and program monitoring and quality improvement.   CONCLUSION:  Implementation of virtual consultation between general and subspecialty oncologists offers health systems the potential for substantial value on investment, largely through improving clinical outcomes by optimizing the resources involved in patients’ cancer care.
背景:在美国,获得高质量的癌症治疗仍然是一个挑战,部分原因是癌症患者和最有能力为他们服务的肿瘤专家之间的地理不匹配。因此,迫切需要制定沟通策略,使肿瘤学家能够确定哪些患者可能从转诊到亚专科癌症治疗中受益,并允许亚专科医生在患者无法或不愿出差时远程指导治疗。不幸的是,临床医生之间的虚拟咨询在癌症治疗中还没有得到充分的研究,而且很可能没有得到充分的利用。卫生系统在没有关于该项目的价值的数据的情况下,可能会对实施虚拟咨询项目犹豫不决。研究设计:在本文中,我们概述了一个计算提供者对提供者虚拟咨询框架的投资价值(VOI)的框架,以改善癌症治疗的地理可及性。对于VOI的每个要素,我们提出了卫生系统可能利用的具体结果,以确定实施虚拟提供者对提供者咨询的价值。结果:VOI的要素包括:直接和间接收入、机构光环效应、医院护理、基础设施考虑、亚专科资源利用、护理连续性、患者报告的结果、临床试验登记、项目监测和质量改进。结论:在全科和亚专科肿瘤学家之间实施虚拟会诊为卫生系统提供了潜在的巨大投资价值,主要是通过优化患者癌症护理所涉及的资源来改善临床结果。
{"title":"Determining the Value-on-Investment of Provider-to-Provider Virtual Consultation for Cancer Care","authors":"D. Shalowitz, B. Arkwright, E. Bunce","doi":"10.30953/tmt.v8.411","DOIUrl":"https://doi.org/10.30953/tmt.v8.411","url":null,"abstract":"BACKGROUND:  Access to high-quality cancer care in the United States remains a challenge in part due to a geographic mismatch between patients with cancers and the oncologic specialists best able to serve them. There is therefore an urgent need to develop communications strategies that allow oncologists to determine which patients might benefit from referral for subspecialty cancer care, and to allow subspecialists to guide care remotely when patients are unable or unwilling to travel. Unfortunately, virtual consultation between clinicians has been understudied, and likely underutilized, in cancer care.  Health systems may be hesitant to implement a virtual consultation program without data on such a program’s value.  \u0000  \u0000RESEARCH DESIGN:  In this article we outline a framework for calculating the value on investment (VOI) for a provider-to-provider virtual consultation framework to improve geographic access to cancer care. For each element of VOI, we suggest specific outcomes that health systems might utilize to determine the value of implementing virtual provider-to-provider consultation. \u0000  \u0000RESULTS:  Elements of VOI include: direct and indirect revenue, institutional halo effect, hospital-based care, infrastructure considerations, subspecialty resource utilization, continuity of care, patient-reported outcomes, clinical trial enrollment, and program monitoring and quality improvement. \u0000  \u0000CONCLUSION:  Implementation of virtual consultation between general and subspecialty oncologists offers health systems the potential for substantial value on investment, largely through improving clinical outcomes by optimizing the resources involved in patients’ cancer care.","PeriodicalId":320236,"journal":{"name":"Telehealth and Medicine Today","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127975005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lo que la pandemia nos dejó: avances regulatorios para la telemedicina y la telesalud en Argentina 大流行给我们留下了什么:阿根廷远程医疗和远程医疗的监管进展
Pub Date : 2023-04-28 DOI: 10.30953/tmt.v8.417
Daniela Chueke
{"title":"Lo que la pandemia nos dejó: avances regulatorios para la telemedicina y la telesalud en Argentina","authors":"Daniela Chueke","doi":"10.30953/tmt.v8.417","DOIUrl":"https://doi.org/10.30953/tmt.v8.417","url":null,"abstract":"","PeriodicalId":320236,"journal":{"name":"Telehealth and Medicine Today","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115294039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prioritization Model for Emergency Telepsychiatry Service Evaluation and Selection 急诊远程精神病学服务评价与选择的优先级模型
Pub Date : 2023-04-28 DOI: 10.30953/thmt.v8.412
Jacqueline Sandling, Kathleen Carrothers, David Svec
Background: Reducing Length of Stay (LOS) is an important way for hospitals to improve emergency department (ED) costs and outcomes. Psychiatric patients represent a challenge to reducing LOS as the scarcity of psychiatric specialists leads to longer LOS. Previous literature describes the unique solutions different hospitals have employed across the US, but does not give methods for evaluating or selecting a solution that can be applied to other hospitals. Methods: A mixed methods exploratory sequential design was retrospectively registered in order to build and subsequently test a contextually appropriate evaluation framework. First, interviews with hospital staff were conducted in a qualitative phase, the results of which were used to develop an evaluation framework as a quantitative instrument. This evaluation framework was subsequently tested using a large sample of observational ED case data from one community hospital, as well as pricing data resulting from market research on psychiatry services. This information, along with projected return on investment, was aggregated to create a holistic model for evaluating different telepsychiatry service options and selecting the one with the best fit. Results: Our methodology identified 8 key factors that captured the overall difficulty of implementation and benefits associated with each service option. These factors were used to develop a prioritization model that identifies the one psychiatric service improving psychiatric LOS and best fitting the hospital’s overall priorities and operations. Conclusion: The Prioritization Model created in this study was instrumental in selecting the solution for reducing LOS in a way that best meets patients’ and hospitals’ needs. This model may be applied to other hospitals in the U.S. to provide a holistic review and direct comparison of opportunities.
背景:减少住院时间(LOS)是医院提高急诊科(ED)成本和疗效的重要途径。由于精神科专科医生的缺乏导致住院时间延长,精神病患者对降低住院时间构成挑战。以前的文献描述了美国不同医院采用的独特解决方案,但没有给出评估或选择可应用于其他医院的解决方案的方法。方法:回顾性登记混合方法探索性顺序设计,以便建立并随后测试适合上下文的评估框架。首先,在定性阶段对医院工作人员进行了访谈,访谈的结果用于制定作为定量工具的评价框架。该评估框架随后使用来自一家社区医院的大量观察性ED病例数据样本以及来自精神病学服务市场研究的定价数据进行了测试。这些信息,连同预计的投资回报,被汇总起来,创建了一个整体模型,用于评估不同的远程精神病学服务选项,并选择最适合的一个。结果:我们的方法确定了8个关键因素,这些因素反映了实施的总体难度和与每个服务选项相关的好处。这些因素被用来开发一个优先排序模型,该模型确定了一种精神病学服务,可以改善精神病学LOS,并最适合医院的总体优先事项和业务。结论:本研究中创建的优先排序模型有助于选择以最能满足患者和医院需求的方式降低LOS的解决方案。这种模式可以应用到美国的其他医院,提供一个全面的审查和机会的直接比较。
{"title":"Prioritization Model for Emergency Telepsychiatry Service Evaluation and Selection","authors":"Jacqueline Sandling, Kathleen Carrothers, David Svec","doi":"10.30953/thmt.v8.412","DOIUrl":"https://doi.org/10.30953/thmt.v8.412","url":null,"abstract":"Background: Reducing Length of Stay (LOS) is an important way for hospitals to improve emergency department (ED) costs and outcomes. Psychiatric patients represent a challenge to reducing LOS as the scarcity of psychiatric specialists leads to longer LOS. Previous literature describes the unique solutions different hospitals have employed across the US, but does not give methods for evaluating or selecting a solution that can be applied to other hospitals. \u0000Methods: A mixed methods exploratory sequential design was retrospectively registered in order to build and subsequently test a contextually appropriate evaluation framework. First, interviews with hospital staff were conducted in a qualitative phase, the results of which were used to develop an evaluation framework as a quantitative instrument. This evaluation framework was subsequently tested using a large sample of observational ED case data from one community hospital, as well as pricing data resulting from market research on psychiatry services. This information, along with projected return on investment, was aggregated to create a holistic model for evaluating different telepsychiatry service options and selecting the one with the best fit. \u0000Results: Our methodology identified 8 key factors that captured the overall difficulty of implementation and benefits associated with each service option. These factors were used to develop a prioritization model that identifies the one psychiatric service improving psychiatric LOS and best fitting the hospital’s overall priorities and operations. \u0000Conclusion: The Prioritization Model created in this study was instrumental in selecting the solution for reducing LOS in a way that best meets patients’ and hospitals’ needs. This model may be applied to other hospitals in the U.S. to provide a holistic review and direct comparison of opportunities.","PeriodicalId":320236,"journal":{"name":"Telehealth and Medicine Today","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126800207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What the Pandemic Left Us: Regulatory Advances for Telemedicine and Telehealth in Argentina 大流行留给我们的:阿根廷远程医疗和远程保健的监管进展
Pub Date : 2023-04-28 DOI: 10.30953/thmt.v8.413
Daniela Chueke
Among its many side effects, the COVID-19 pandemic left several positive results. This article talks about one of the main positive effects in the post-pandemic period: the adoption of telemedicine and telehealth, two related disciplines that were already present in several Latin American countries, but which in the past two years came to be a solution for delivering medical care to patients.Factors such as social-distancing measures, the lack of knowledge about the virus at the beginning of the pandemic that led to strict protective measures being taken in hospitals and doctors’ offices, restricting face-to-face care of patients to a bare minimum, and the rapid response of governments, health care institutions, payers, and professionals, provided the conditions that telemedicine and telehealth had needed for many years to flourish and occupy the predominant place they currently have in the global health ecosystem.All the benefits of remote patient care became clear at a time in world history that marked a turning point in the advancement of information and communication technologies for health. In this report we will look at the regulatory frameworks adopted during or since the COVID-19 pandemic from 2020 onward in Argentina.Spanish Language Translation http://dx.doi.org/10.30953/tmt.v8.417Este informe describe los marcos regulatorios adoptados durante y desde la pandemia de COVID-19 a partir de 2020 en Argentina, así como el impacto de estas disciplinas y cómo se relacionan con la expansión de la telemedicina y la telesalud en el sector sanitario de la región. Entre muchos de sus efectos inesperados la pan-demia de COVID-19 dejó varios saldos positivos. Este artículo habla acerca de uno de los principales efectos positivos en la post pandemia: la adopción de la telemedicina y la telesalud, dos disciplinas relacionadas que ya estaban presentes en varios países de Latinoamérica, pero que en los últimos dos años se revelaron como la solución para hacer llegar la atención médica a los pacientes. Factores como las medidas de distanciamiento social, el desconocimiento sobre el virus al comienzo de la pandemia que obligó a tomar medidas estrictas de protección a hospitales y consultorios médicos, restringiendo la atención presencial de pacientes al mínimo indispensable y la rápida respuesta de gobiernos, instituciones sanitarias, pagadores y profesionales, posibil-itaron el impulso que desde hacía muchos años precisaba la telemedicina y la telesalud para ocupar el lugar preponderante que actualmente está ocupando en el ecosistema sanitario mundial. Todos los beneficios de la atención remota de pacientes quedaron en evidencia en un momento de la historia del mundo que representa un punto de inflexión en el avance de las tecnologías de la información y la comunicación para la salud. En este reporte veremos cuáles fueron los marcos regulatorios adoptados durante o con posterioridad a la pandemia de Covid-19 a partir de 2020 hasta la fecha en Argenti
在诸多副作用中,COVID-19大流行留下了一些积极成果。本文讨论大流行后时期的主要积极影响之一:采用远程医疗和远程保健,这是几个拉丁美洲国家已经存在的两个相关学科,但在过去两年中成为向患者提供医疗服务的解决方案。社会隔离措施、大流行开始时对病毒缺乏了解导致医院和医生办公室采取严格的保护措施、将患者面对面护理限制在最低限度、以及政府、卫生保健机构、付款人和专业人员迅速作出反应等因素,提供了远程医疗和远程保健多年来蓬勃发展所需的条件,并占据了它们目前在全球卫生生态系统中的主导地位。在世界历史上标志着卫生信息和通信技术进步的一个转折点的时刻,远程病人护理的所有好处变得清晰起来。在本报告中,我们将研究阿根廷在2019冠状病毒病大流行期间或自2020年以来采用的监管框架。西班牙语翻译http://dx.doi.org/10.30953/tmt.v8.417Este信息描述阿根廷2020年新冠肺炎大流行期间采取的监管措施,así各学科的影响通过cómo与远程医疗的关系和联系expansión通过远程医疗的联系和卫生部门的联系región。在COVID-19大流行暴发期间,有许多影响因素dejó各种阳性saldos。埃斯特危象你acerca de uno de los螯对positivos en la邮政大流行病:la adopcion de la la telesalud telemedicina y dos disciplinas relacionadas,丫estaban目前在各类《de Latinoamerica佩罗,在洛杉矶上月的dos岁se revelaron科莫la solucion帕拉做的人们atencion正在洛pacientes。工厂管理远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体、远程社交媒体。可能性-itaron el impulse que desde hacía much chos años precisaba la telemedicina by la telemalud para ococonderante que actualmentes estocupando en el ecosistema sanitario mundial。身体锻炼耐力de la atencion remota de pacientes quedaron en evidencia en联合国纪念品de la史学家德尔》,是联合国punto de转调en el皇冠de las tecnologias de la给y一样均出自同一名设计师la手“祝您健康。eneste报告了veremos cuáles fueron los marcos监管机构采用的2019冠状病毒病大流行疫情防控措施,并于2020年在阿根廷实施。
{"title":"What the Pandemic Left Us: Regulatory Advances for Telemedicine and Telehealth in Argentina","authors":"Daniela Chueke","doi":"10.30953/thmt.v8.413","DOIUrl":"https://doi.org/10.30953/thmt.v8.413","url":null,"abstract":"Among its many side effects, the COVID-19 pandemic left several positive results. This article talks about one of the main positive effects in the post-pandemic period: the adoption of telemedicine and telehealth, two related disciplines that were already present in several Latin American countries, but which in the past two years came to be a solution for delivering medical care to patients.\u0000Factors such as social-distancing measures, the lack of knowledge about the virus at the beginning of the pandemic that led to strict protective measures being taken in hospitals and doctors’ offices, restricting face-to-face care of patients to a bare minimum, and the rapid response of governments, health care institutions, payers, and professionals, provided the conditions that telemedicine and telehealth had needed for many years to flourish and occupy the predominant place they currently have in the global health ecosystem.\u0000All the benefits of remote patient care became clear at a time in world history that marked a turning point in the advancement of information and communication technologies for health. In this report we will look at the regulatory frameworks adopted during or since the COVID-19 pandemic from 2020 onward in Argentina.\u0000Spanish Language Translation \u0000http://dx.doi.org/10.30953/tmt.v8.417\u0000Este informe describe los marcos regulatorios adoptados durante y desde la pandemia de COVID-19 a partir de 2020 en Argentina, así como el impacto de estas disciplinas y cómo se relacionan con la expansión de la telemedicina y la telesalud en el sector sanitario de la región. Entre muchos de sus efectos inesperados la pan-demia de COVID-19 dejó varios saldos positivos. Este artículo habla acerca de uno de los principales efectos positivos en la post pandemia: la adopción de la telemedicina y la telesalud, dos disciplinas relacionadas que ya estaban presentes en varios países de Latinoamérica, pero que en los últimos dos años se revelaron como la solución para hacer llegar la atención médica a los pacientes. Factores como las medidas de distanciamiento social, el desconocimiento sobre el virus al comienzo de la pandemia que obligó a tomar medidas estrictas de protección a hospitales y consultorios médicos, restringiendo la atención presencial de pacientes al mínimo indispensable y la rápida respuesta de gobiernos, instituciones sanitarias, pagadores y profesionales, posibil-itaron el impulso que desde hacía muchos años precisaba la telemedicina y la telesalud para ocupar el lugar preponderante que actualmente está ocupando en el ecosistema sanitario mundial. Todos los beneficios de la atención remota de pacientes quedaron en evidencia en un momento de la historia del mundo que representa un punto de inflexión en el avance de las tecnologías de la información y la comunicación para la salud. En este reporte veremos cuáles fueron los marcos regulatorios adoptados durante o con posterioridad a la pandemia de Covid-19 a partir de 2020 hasta la fecha en Argenti","PeriodicalId":320236,"journal":{"name":"Telehealth and Medicine Today","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133679126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Building a Framework for a More Inclusive Healthcare System 构建更具包容性的医疗体系框架
Pub Date : 2023-04-28 DOI: 10.30953/tmt.v8.414
Maria Palombini, Tiffany Vereen, Jahnahn Taghiani, Tanvi Chitre
Objective: With the explosion in the use of telehealth technologies, it is essential to address the challenges in global telehealth inequity in order to create a path to healthcare equality. To this end, this research paper focuses on investigating telehealth as it relates to the COVID-19 pandemic and its impact on healthcare inequality, telehealth inequity, and the continued vulnerabilities with increased demand in implementation.Study Design: A set of voluntary questions were e-mailed to active members of the IEEE-SA (Institute of Electrical and Electronics Engineers Standards Association) Transforming the Telehealth Paradigm: Sustainable Connectivity, Accessibility, Privacy, and Security for all. The interview answers were analyzed via deductive thematic analysis organized into higher themes and theme-specific codes.Setting: The country of residence varied among individuals who are the IEEE-SA Telehealth program members. These continents included:  North America, South America, Africa, Asia, and Europe.Participants: Global healthcare leaders who are active members of the IEEE-SA Transforming the Telehealth Paradigm: Sustainable Connectivity, Accessibility, Privacy, and Security for all participated. The occupations of these individuals ranged from a variety of areas within the healthcare domain, such as physicians, scientists, and public health experts.Main outcome measure: Qualitative data obtained voluntarily from global healthcare leaders participating in the IEEE-SA Transforming the Telehealth Paradigm: Sustainable Connectivity, Accessibility, Privacy, and Security for all.Results: The major themes that emerged from the participants' responses included: telehealth infrastructure and access, digital literacy and user interface, government regulations, and telehealth legislation.Conclusions: Telehealth has the power to decrease healthcare disparities, thus getting closer to achieving health equity. However, there are three significant common global barriers to the implementation of telehealth: infrastructure, digital literacy, and government regulations. Because the results were based on interviewer responses, the conclusions acknowledged how the background of respondents, including career and education, influenced their experiences and, thus, the responses. Suggestions for change in reducing barriers to telehealth accessibility are detailed in this research. These suggestions were derived from respondents and focused on the global barriers to implementation. To reduce these barriers, changes in political health policy, patient health education, health provider telemedicine support, and in regulation for telemedicine are suggested. Limitations in our research project included a small sample size and the ensuing lack of representation from more geographical regions.
目标:随着远程保健技术使用的爆炸式增长,必须应对全球远程保健不平等方面的挑战,以便开辟一条通往保健平等的道路。为此,本研究论文侧重于调查远程医疗与COVID-19大流行及其对医疗不平等、远程医疗不平等的影响,以及随着实施需求的增加而持续存在的脆弱性。研究设计:一组自愿的问题通过电子邮件发送给IEEE-SA(电气和电子工程师标准协会协会)的活跃成员,以改变远程医疗范式:所有人的可持续连接,可及性,隐私和安全。通过演绎主题分析对访谈答案进行分析,并将其组织成高级主题和主题特定代码。环境:IEEE-SA远程医疗计划成员的居住国家各不相同。这些大陆包括:北美洲、南美洲、非洲、亚洲和欧洲。参与者:全球医疗保健领导者,他们是IEEE-SA的积极成员,他们正在转变远程医疗范式:所有参与者的可持续连接、可访问性、隐私和安全性。这些人的职业范围从医疗保健领域的各种领域,如医生,科学家和公共卫生专家。主要结果测量:从参与IEEE-SA转变远程医疗范式:所有人的可持续连接、可访问性、隐私和安全的全球医疗保健领导者那里自愿获得的定性数据。结果:与会者答复中出现的主要主题包括:远程保健基础设施和获取、数字素养和用户界面、政府法规和远程保健立法。结论:远程医疗有能力减少医疗保健差距,从而更接近实现卫生公平。然而,在全球范围内实施远程保健存在三个重大共同障碍:基础设施、数字扫盲和政府法规。由于结果是基于采访者的回答,结论承认受访者的背景,包括职业和教育,如何影响他们的经历,从而影响他们的回答。本研究详细介绍了减少远程医疗无障碍障碍的变革建议。这些建议来自应答者,重点关注全球实施障碍。为了减少这些障碍,建议在政治卫生政策、患者健康教育、保健提供者远程医疗支持和远程医疗监管方面进行改革。本研究项目的局限性包括样本量小,因此缺乏更多地理区域的代表性。
{"title":"Building a Framework for a More Inclusive Healthcare System","authors":"Maria Palombini, Tiffany Vereen, Jahnahn Taghiani, Tanvi Chitre","doi":"10.30953/tmt.v8.414","DOIUrl":"https://doi.org/10.30953/tmt.v8.414","url":null,"abstract":"Objective: With the explosion in the use of telehealth technologies, it is essential to address the challenges in global telehealth inequity in order to create a path to healthcare equality. To this end, this research paper focuses on investigating telehealth as it relates to the COVID-19 pandemic and its impact on healthcare inequality, telehealth inequity, and the continued vulnerabilities with increased demand in implementation.\u0000Study Design: A set of voluntary questions were e-mailed to active members of the IEEE-SA (Institute of Electrical and Electronics Engineers Standards Association) Transforming the Telehealth Paradigm: Sustainable Connectivity, Accessibility, Privacy, and Security for all. The interview answers were analyzed via deductive thematic analysis organized into higher themes and theme-specific codes.\u0000Setting: The country of residence varied among individuals who are the IEEE-SA Telehealth program members. These continents included:  North America, South America, Africa, Asia, and Europe.\u0000Participants: Global healthcare leaders who are active members of the IEEE-SA Transforming the Telehealth Paradigm: Sustainable Connectivity, Accessibility, Privacy, and Security for all participated. The occupations of these individuals ranged from a variety of areas within the healthcare domain, such as physicians, scientists, and public health experts.\u0000Main outcome measure: Qualitative data obtained voluntarily from global healthcare leaders participating in the IEEE-SA Transforming the Telehealth Paradigm: Sustainable Connectivity, Accessibility, Privacy, and Security for all.\u0000Results: The major themes that emerged from the participants' responses included: telehealth infrastructure and access, digital literacy and user interface, government regulations, and telehealth legislation.\u0000Conclusions: Telehealth has the power to decrease healthcare disparities, thus getting closer to achieving health equity. However, there are three significant common global barriers to the implementation of telehealth: infrastructure, digital literacy, and government regulations. Because the results were based on interviewer responses, the conclusions acknowledged how the background of respondents, including career and education, influenced their experiences and, thus, the responses. Suggestions for change in reducing barriers to telehealth accessibility are detailed in this research. These suggestions were derived from respondents and focused on the global barriers to implementation. To reduce these barriers, changes in political health policy, patient health education, health provider telemedicine support, and in regulation for telemedicine are suggested. Limitations in our research project included a small sample size and the ensuing lack of representation from more geographical regions.","PeriodicalId":320236,"journal":{"name":"Telehealth and Medicine Today","volume":"195 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114651797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictive Models to Optimize Resources in Tele Critical Care in Distributed Hospital Networks 分布式医院网络中远程重症监护资源优化的预测模型
Pub Date : 2023-02-27 DOI: 10.30953/thmt.v8.408
R. Palácios
{"title":"Predictive Models to Optimize Resources in Tele Critical Care in Distributed Hospital Networks","authors":"R. Palácios","doi":"10.30953/thmt.v8.408","DOIUrl":"https://doi.org/10.30953/thmt.v8.408","url":null,"abstract":"","PeriodicalId":320236,"journal":{"name":"Telehealth and Medicine Today","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123031396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Telehealth’s Role Enabling Sustainable Innovation and Circular Economies in Health 远程保健在促进卫生领域可持续创新和循环经济方面的作用
Pub Date : 2023-02-27 DOI: 10.30953/thmt.v8.409
D. Kalogeropoulos
{"title":"Telehealth’s Role Enabling Sustainable Innovation and Circular Economies in Health","authors":"D. Kalogeropoulos","doi":"10.30953/thmt.v8.409","DOIUrl":"https://doi.org/10.30953/thmt.v8.409","url":null,"abstract":"","PeriodicalId":320236,"journal":{"name":"Telehealth and Medicine Today","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126387155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Telehealth in Medicine: Predictions 2023–2024 医学领域的远程医疗:2023-2024年预测
Pub Date : 2023-02-07 DOI: 10.30953/thmt.v8.380
Jiang-hua Li
{"title":"Telehealth in Medicine: Predictions 2023–2024","authors":"Jiang-hua Li","doi":"10.30953/thmt.v8.380","DOIUrl":"https://doi.org/10.30953/thmt.v8.380","url":null,"abstract":"","PeriodicalId":320236,"journal":{"name":"Telehealth and Medicine Today","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131258143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Teledermoscopy – An Emerging Technology for Skin Cancer Detection 远镜-一种新兴的皮肤癌检测技术
Pub Date : 2023-02-07 DOI: 10.30953/thmt.v8.376
Kristen Delans
{"title":"Teledermoscopy – An Emerging Technology for Skin Cancer Detection","authors":"Kristen Delans","doi":"10.30953/thmt.v8.376","DOIUrl":"https://doi.org/10.30953/thmt.v8.376","url":null,"abstract":"","PeriodicalId":320236,"journal":{"name":"Telehealth and Medicine Today","volume":"179 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116607051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Penetration of Telemedicine and Telehealth in Latin American Hospitals 远程医疗和远程保健在拉丁美洲医院的普及
Pub Date : 2023-02-07 DOI: 10.30953/thmt.v8.383
Carolina Cházaro
This article discusses the penetration of telemedicine in Latin America in relation to its implementation by hospitals in the region, considering key Latin American hospital markets, including Argentina, Brazil, Chile, Colombia, Mexico, and Peru. It gives an overview of the hospitals, the challenges they face in implementing telemedicine and telehealth services in each country, with a characterization of the various health systems, and presents telemedicine as an aid to the shortage of doctors and specialists in remote or hard-to-reach areas. It discusses the anticipated effects on patients and providers, and the main challenges for implementation. To prepare the report, interviews were held with specialists, who spoke about some of the major initiatives in the region. Lastly, it offers recommendations based on market intelligence gleaned from Global Health Intelligence data.
本文讨论了远程医疗在拉丁美洲的渗透,以及该地区医院实施远程医疗的情况,并考虑了主要的拉丁美洲医院市场,包括阿根廷、巴西、智利、哥伦比亚、墨西哥和秘鲁。它概述了医院,以及它们在每个国家实施远程医疗和远程保健服务时所面临的挑战,并描述了各种卫生系统的特征,并介绍了远程医疗是对偏远或难以到达地区医生和专家短缺的一种帮助。它讨论了对患者和提供者的预期影响,以及实施的主要挑战。为了编写报告,与专家进行了面谈,他们谈到了该区域的一些主要倡议。最后,它根据从全球健康情报数据收集的市场情报提出建议。
{"title":"Penetration of Telemedicine and Telehealth in Latin American Hospitals","authors":"Carolina Cházaro","doi":"10.30953/thmt.v8.383","DOIUrl":"https://doi.org/10.30953/thmt.v8.383","url":null,"abstract":"This article discusses the penetration of telemedicine in Latin America in relation to its implementation by hospitals in the region, considering key Latin American hospital markets, including Argentina, Brazil, Chile, Colombia, Mexico, and Peru. It gives an overview of the hospitals, the challenges they face in implementing telemedicine and telehealth services in each country, with a characterization of the various health systems, and presents telemedicine as an aid to the shortage of doctors and specialists in remote or hard-to-reach areas. It discusses the anticipated effects on patients and providers, and the main challenges for implementation. To prepare the report, interviews were held with specialists, who spoke about some of the major initiatives in the region. Lastly, it offers recommendations based on market intelligence gleaned from Global Health Intelligence data.","PeriodicalId":320236,"journal":{"name":"Telehealth and Medicine Today","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124118017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Telehealth and Medicine Today
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1