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Teledentistry Approaches for Dental Assessments and Consultation During the COVID-19 Pandemic COVID-19大流行期间牙科评估和咨询的远程牙科方法
IF 0.4 Pub Date : 2022-10-01 DOI: 10.2147/shtt.s366239
Sarah Alotaibi, A. Alshehri
Introduction: COVID-19 pandemic shows the importance of teledentistry usage to cope with such conditions and to improved the patient access and quality of care. Since dental treatments are highly infectious procedures due to the close proximity to patients required and the extended exposure to aerosols (including water from high- and low-speed handpieces and patients’ saliva and blood). Viruses such as COVID- 19 could be transmitted through these aerosols. As a result dental treatments were limited to emergency only, according to the guidance of the Ministry of Health. This limitation increases the need for means of communication between dental practitioners and patients in order to follow up and provide consultation without direct contact. This could be provided by using telemedicine. Methods: However, the evidence assessing the effectiveness of this intervention is scars. Therefore, The aim of this study is to conduct mixed method research (quantitative and qualitative) to measure the effectiveness of teledentistry usage during the COVID-19 pandemic. To provide an in-depth understanding of the use of teledentistry in assessing urgent dental cases and providing consultations. Results: The sample size for the quantitative part of the study (questionnaire) will include Patients that contacts the virtual clinic and attended to their appointments between 28/4/20 and 30/6/20 (the total will be 125 patients), While the sample for the qualitative part will be dentists who used to work in the call center listed in the virtual clinic database. Conclusion: The outcome of the study is to provide an overview of the use of teledentistry in assessing urgent dental cases and providing consultations and patients satisfaction of the provided service.
简介:新冠肺炎大流行表明了远程牙科的重要性,以应对这种情况,并改善患者获得护理的机会和护理质量。由于牙科治疗需要与患者近距离接触,并且长期暴露在气溶胶(包括高速和低速手持设备的水以及患者的唾液和血液)中,因此具有高度传染性。像COVID-19这样的病毒可以通过这些气溶胶传播。因此,根据卫生部的指导,牙科治疗仅限于紧急情况。这种限制增加了牙科医生和患者之间对沟通手段的需求,以便在没有直接接触的情况下进行随访和提供咨询。这可以通过使用远程医疗来提供。方法:然而,评估这种干预有效性的证据是疤痕。因此,本研究的目的是进行混合方法研究(定量和定性),以衡量新冠肺炎大流行期间远程牙科使用的有效性。深入了解远程牙科在评估紧急牙科病例和提供咨询方面的用途。结果:研究定量部分(问卷)的样本量将包括在2020年4月28日至2020年6月30日期间联系虚拟诊所并预约的患者(共125名患者),而定性部分的样本将是在虚拟诊所数据库中列出的呼叫中心工作的牙医。结论:本研究的结果是概述远程牙科在评估紧急牙科病例、提供咨询和患者对所提供服务的满意度方面的应用。
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引用次数: 1
Telemedicine Policy Availability and Awareness: Directions for Improvement 远程医疗政策的可用性和意识:改进方向
IF 0.4 Pub Date : 2022-06-01 DOI: 10.2147/shtt.s368486
Rana AlKhanbashi, Haya S Zedan
Background: There is a shift towards increased use of telemedicine applications for healthcare service provision and delivery. Thus, awareness among healthcare practitioners of telemedicine policies is critical for proper implementation and utilization of telemedicine technology. Objective: This study assesses the level of computer access and literacy, knowledge of telemedicine policies and technology, perceptions, and willingness to use telemedicine among healthcare practitioners working in ambulatory care clinics. Methods: An observational cross-sectional study was conducted at King Fahad Armed Forces Hospital in Jeddah. Data were collected between February and March 2021 using a self-completed online survey. Results: Of 136 healthcare practitioners surveyed, we found that over half had average to high knowledge about telemedicine technology, tools, guidelines, security, and privacy policies within the hospital. 95% were willing to use telemedicine to consult with large centers in their medical or clinical specialty and support further implementation of telemedicine technology in the hospital. 90% expressed a need for continuous training in the use of telemedicine. Conclusion: The current study shows that there is inadequate computer access and knowledge of telemedicine, but there were very positive perceptions and willingness related to telemedicine among healthcare practitioners working in the ambulatory care clinics. There is an urgent need for orientation and training programs that focus on the technology and applications of telemedicine, as well as current policies.
背景:越来越多地使用远程医疗应用程序提供和提供医疗保健服务。因此,医疗保健从业者对远程医疗政策的认识对于正确实施和利用远程医疗技术至关重要。目的:本研究评估了在门诊诊所工作的医疗保健从业人员的计算机访问和读写水平、远程医疗政策和技术知识、认知和使用远程医疗的意愿。方法:在吉达法赫德国王武装部队医院进行了一项观察性横断面研究。数据是在2021年2月至3月期间通过自行完成的在线调查收集的。结果:在调查的136名医疗从业人员中,我们发现超过一半的人对医院内的远程医疗技术、工具、指导方针、安全和隐私政策有中等到较高的了解。95%的受访者愿意使用远程医疗向大型医疗中心咨询自己的医学或临床专业,并支持在医院进一步实施远程医疗技术。90%的人表示需要在使用远程医疗方面进行持续培训。结论:目前的研究表明,在门诊诊所工作的医护人员对远程医疗的计算机接入和知识不足,但对远程医疗有非常积极的认知和意愿。迫切需要针对远程医疗技术和应用的定向和培训计划,以及当前的政策。
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引用次数: 1
A Smart Data Pre-Processing Approach to Effective Management of Big Health Data in IoT Edge 物联网边缘有效管理大健康数据的智能数据预处理方法
IF 0.4 Pub Date : 2021-08-01 DOI: 10.2147/shtt.s313666
Şükrü Mustafa Kaya, Atakan Erdem, Ali Güneş
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引用次数: 1
Medical Professionals and Medical Apps: Why Oversight Must Come from Within 医疗专业人员和医疗应用程序:为什么监督必须来自内部
IF 0.4 Pub Date : 2021-08-01 DOI: 10.2147/shtt.s315073
William H Krieger, Brandi P Cotton
: Phone or tablet-based healthcare applications, or “medical apps,” play an important role in an evolving healthcare system. The effect of medical apps on consumers has been welldocumented; however, little attention has been paid to the impacts that apps have had on medical professionals, people whose best interests like in ensuring that medical apps positively impact patient outcomes. After a brief introduction, introducing the spectrum of problems surrounding medical apps, this paper will move its focus to issues of concern for medical practitioners who prescribe or use medical apps as a part of their approach to medical care. Given the current lack of regulatory oversight of medical apps and noting the potential for improper use of these mHealth technologies, the authors will argue that as qualified, well suited, and interested parties, medical professionals should help to shape this new regulatory and ethical landscape. Additionally, before concluding, the authors will provide concrete examples of ways that medical professionals have put these ideas into practice.
:基于手机或平板电脑的医疗保健应用程序或“医疗应用程序”在不断发展的医疗保健系统中发挥着重要作用。医疗应用程序对消费者的影响已被充分证明;然而,人们很少关注应用程序对医疗专业人员的影响,他们的最大利益是确保医疗应用程序对患者的结果产生积极影响。在简要介绍了围绕医疗应用程序的一系列问题后,本文将把重点转移到开处方或使用医疗应用程序作为其医疗方法一部分的医生所关心的问题上。鉴于目前缺乏对医疗应用程序的监管,并注意到这些mHealth技术可能被不当使用,作者认为,作为合格、合适和感兴趣的各方,医疗专业人员应该帮助塑造这一新的监管和道德格局。此外,在总结之前,作者将提供医疗专业人员将这些想法付诸实践的具体例子。
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引用次数: 0
A Comprehensive Scoping Review Protocol of Using Living Labs to Explore Needs and Solutions for Older Adults with Dementia 使用生活实验室探索老年痴呆症患者的需求和解决方案的全面范围审查方案
IF 0.4 Pub Date : 2020-03-01 DOI: 10.2147/shtt.s233130
H. Verloo, A. Lorette, C. Gomes da Rocha, J. Amoussou, Estelle Gillès de Pélichy, Alcina Matos Queirós, Montserrat Mendez Rubio, A. von Gunten
Background: A significant number of living labs (LLs) have been developed across Europe and beyond. A fraction of those LLs have established a new approach to maintaining and studying the health, autonomy, and well-being of older adults with dementia. LLs interact with a broad set of stakeholders, including students, academic institutions, private companies, healthcare organizations, and patient representative bodies - even with other LLs. It is crucial to identify what kinds of co-creations should be done and how they can be facilitated through LLs. Despite a growing body of literature, a clear overview and understanding of the services, research, and clinical activities developed in different LL settings for older adults with dementia are still lacking.Aim: The aim is to scope publications examining all types of LL activities which explore the needs of and suggest solutions for older adults with dementia, whether they live in the community or long-term healthcare facilities.Methods: The bibliographic databases to be searched will include Embase.com, Medline Ovid SP, Pubmed (not medline[sb]) and Web of Science, without language or date restrictions. We will examine the bibliographies of all relevant articles found, conduct a search for unpublished studies, and perform a handsearch in relevant journals associated with LLs involved in healthcare (Electronic Journal for Virtual Organization and Networks, Technology Innovation Management Review, Journal of Engineering and Technology Management). We will consider publications in English, French, and German.Results: Bibliographic database searches will be completed in March 2020, retrieved articles will be screened, and the entire study is expected to be completed by December 2020.Discussion: This comprehensive scoping review will provide a global indication of the types and extent of LL activities aimed at older adults with dementia, whether they live in the community or in long-term care facilities.
背景:大量的活体实验室(ll)已经在欧洲和其他地区发展起来。其中一小部分LLs已经建立了一种新的方法来维持和研究老年痴呆症患者的健康、自主和福祉。ll与广泛的利益相关者进行交互,包括学生、学术机构、私人公司、医疗保健组织和患者代表团体,甚至与其他ll进行交互。确定应该进行何种类型的共同创造以及如何通过ll促进它们是至关重要的。尽管文献越来越多,但对于不同LL环境下为老年痴呆症患者提供的服务、研究和临床活动,仍然缺乏清晰的概述和理解。目的:目的是审查所有类型的LL活动的出版物,这些活动探索老年痴呆症患者的需求并提出解决方案,无论他们是住在社区还是长期医疗保健机构。方法:检索的书目数据库包括Embase.com、Medline Ovid SP、Pubmed(非Medline [sb])和Web of Science,无语言和日期限制。我们将检查找到的所有相关文章的参考书目,对未发表的研究进行搜索,并在与医疗保健相关的法律研究相关的期刊(虚拟组织和网络电子期刊、技术创新管理评论、工程和技术管理期刊)中进行手工搜索。我们将考虑以英语、法语和德语出版。结果:文献数据库检索将于2020年3月完成,检索文章将进行筛选,整个研究预计于2020年12月完成。讨论:这项全面的范围审查将提供针对老年痴呆症患者的LL活动的类型和程度的全球指示,无论他们是住在社区还是住在长期护理机构。
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引用次数: 5
Telemedicine in the Management of Inflammatory Bowel Disease: An Update 远程医疗在炎症性肠病管理中的最新进展
IF 0.4 Pub Date : 2020-03-01 DOI: 10.2147/shtt.s195566
Sumona Bhattacharya, Uni Wong, R. Cross
: Crohn ’ s disease and ulcerative colitis are the two most common subtypes of in fl ammatory bowel disease. Most studies show that this patient population is increasing in incidence. Patients with these diseases require lifelong care by experienced practitioners however the traditional medical model is not ideal for patients who require continuous close monitoring and whose symptoms may dramatically worsen between regularly scheduled visits. Patients with uncontrolled disease may experience abdominal pain, diarrhea, and rectal bleeding and such patients are at increased risk for complications that may necessitate hospitalization and emergency surgery. Traditional medical care can be supplemented by telemedicine, which is the delivery of health care through remote electronic communication, for example, through web-based computer or smartphone applications. Here we describe several studies that highlight the many ways in which telemedicine can augment and improve patient care through telemonitoring, telemanagement, televisit, and teleconsultation.
克罗恩病和溃疡性结肠炎是两种最常见的炎症性肠病亚型。大多数研究表明,这一患者群体的发病率正在增加。患有这些疾病的患者需要由经验丰富的医生进行终身护理,然而传统的医疗模式对于需要持续密切监测并且在定期就诊期间症状可能急剧恶化的患者来说并不理想。疾病不受控制的患者可能会出现腹痛、腹泻和直肠出血,这些患者发生并发症的风险增加,可能需要住院治疗和紧急手术。传统的医疗保健可以通过远程医疗加以补充,远程医疗是通过远程电子通信,例如通过基于网络的计算机或智能手机应用程序提供保健服务。在这里,我们描述了几项研究,这些研究强调了远程医疗可以通过远程监控、远程管理、电视访问和远程咨询来增强和改善患者护理的许多方法。
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引用次数: 3
Current perspectives on the role of telemedicine in the management of Parkinson’s disease 远程医疗在帕金森病治疗中的作用
IF 0.4 Pub Date : 2018-09-01 DOI: 10.2147/SHTT.S152018
Joel Eisenberg, J. G. Hou, P. Barbour
php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Smart Homecare Technology and TeleHealth 2018:5 1–12 Smart Homecare Technology and TeleHealth Dovepress
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引用次数: 4
Emerging roles for telemedicine and smart technologies in dementia care 远程医疗和智能技术在痴呆症护理中的新兴作用
IF 0.4 Pub Date : 2015-03-22 DOI: 10.2147/SHTT.S59500
A. Bossen, Heejung Kim, Kristine N Williams, Andreanna Steinhoff, M. Strieker
Demographic aging of the world population contributes to an increase in the number of persons diagnosed with dementia (PWD), with corresponding increases in health care expenditures. In addition, fewer family members are available to care for these individuals. Most care for PWD occurs in the home, and family members caring for PWD frequently suffer negative outcomes related to the stress and burden of observing their loved one’s progressive memory and functional decline. Decreases in cognition and self-care also necessitate that the caregiver takes on new roles and responsibilities in care provision. Smart technologies are being developed to support family caregivers of PWD in a variety of ways, including provision of information and support resources online, wayfinding technology to support independent mobility of the PWD, monitoring systems to alert caregivers to changes in the PWD and their environment, navigation devices to track PWD experiencing wandering, and telemedicine and e-health services linking caregivers and PWD with health care providers. This paper will review current uses of these advancing technologies to support care of PWD. Challenges unique to widespread acceptance of technology will be addressed and future directions explored.
世界人口老龄化导致被诊断患有痴呆症的人数增加,卫生保健支出也相应增加。此外,能够照顾这些人的家庭成员也越来越少。大多数对残疾人士的护理是在家中进行的,照顾残疾人士的家庭成员经常遭受与观察他们所爱的人的记忆力和功能衰退的压力和负担相关的负面结果。认知能力和自我护理能力的下降也要求护理者在提供护理方面承担新的角色和责任。正在开发智能技术,以各种方式支持残疾人士的家庭照顾者,包括提供在线信息和支持资源,支持残疾人士独立行动的寻路技术,提醒照顾者注意残疾人士及其环境变化的监测系统,跟踪残疾人士流浪的导航设备,以及将照顾者和残疾人士与医疗保健提供者联系起来的远程医疗和电子卫生服务。本文将回顾目前这些先进技术在支持残疾患者护理方面的应用。广泛接受技术的独特挑战将得到解决,并探索未来的方向。
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引用次数: 77
期刊
Smart Homecare Technology and TeleHealth
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