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Unhelpful Helplines: Inaccessibility for the Deaf 帮助热线:聋人无法使用
Pub Date : 2021-10-16 DOI: 10.29086/JISFTEH.9.E5
Sharad Philip, Nirmalya Mukherjee, R. Innamuri, V. Renuka
The COVID pandemic has unleashed several developments in the field of telemedicine including the emergence of several helplines. However, those who are D/deaf do not have accessibility to these services due to their disability. This letter focuses on this issue along with possible solutions for rendering these services to this community.
2019冠状病毒病大流行在远程医疗领域带来了若干进展,包括出现了若干帮助热线。然而,由于残疾,聋哑人无法获得这些服务。这封信的重点是这个问题,以及为这个社区提供这些服务的可能解决方案。
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引用次数: 0
Patients Perceptions on Teledermatology Through Video-consulting During the Covid19-pandemic: Report on a Belgian Cohort covid - 19大流行期间通过视频咨询的患者对远程皮肤病学的看法:比利时队列报告
Pub Date : 2021-08-16 DOI: 10.29086/JISFTEH.9.E4
T. Hillary, P. Haes, K. Smets, M. Garmyn, F. Castelijns
Objectives: In light of the Covid19-pandemic the Belgian government announced a quarantine period. Following the imposed guidelines, UZ Leuven responded swiftly by canceling all non-urgent ambulant consultations for a period of three weeks. Later, this was prolonged to a period of three months. This setting urged implementation of telemedicine. In this pilot study, we invited patients followed in our department for inflammatory skin diseases (psoriasis and atopic dermatitis) to substitute their cancelled appointment by a video-consult. Preparation of the consultation as well as the video-consultation itself were assessed by the patient through an online questionnaire. Material and methods:  A live-interaction teledermatology service was offered by email to patients in follow-up for inflammatory skin diseases who had an appointment scheduled that was cancelled because of the Covid19-pandemic. Patients who accepted the invitation received instructions on how to prepare for the video-consultation. After the video-consultation they received a link to an anonymous online questionnaire. Results: In total, 100 patients received an invitation by email to replace the cancelled appointment by a video-consultation. 42 patients agreed to participate in video-consultation. The questionnaire was completed by 30 patients. Overall, patients did not report technical difficulties before or during the video-consultation. Satisfaction with the video-consult was high. Most of the participants were inclined to accept another invitation in the future. Conclusion: The Covid19 pandemic prompted rapid implementation of video-consultation in the UZ Leuven dermatology department. It was assessed as an acceptable replacement given the circumstances. Most patients estimated the visual support an added value and were open to repeat video-consulting in the future.
目标:鉴于2019冠状病毒病大流行,比利时政府宣布进入隔离期。根据规定的指导方针,鲁汶大学迅速作出反应,取消了三周内所有非紧急门诊。后来,这个期限延长到三个月。这种情况促使远程医疗的实施。在这项初步研究中,我们邀请在我科随访的炎症性皮肤病(牛皮癣和特应性皮炎)患者通过视频咨询代替他们取消的预约。会诊的准备工作以及视频会诊本身由患者通过在线问卷进行评估。材料与方法:对因新冠肺炎疫情取消预约的炎性皮肤病随访患者,通过电子邮件提供实时互动远程皮肤科服务。接受邀请的患者收到了如何准备视频会诊的指导。视频咨询结束后,他们收到了一份匿名在线问卷的链接。结果:共有100名患者收到邮件邀请,以视频会诊代替取消的预约。42名患者同意参加视频会诊。30例患者完成问卷调查。总的来说,患者在视频会诊之前或期间没有报告技术困难。对视频咨询的满意度很高。大多数与会者都倾向于将来再接受一次邀请。结论:新冠肺炎疫情促使鲁汶大学皮肤科快速实施视频会诊。考虑到当时的情况,评估认为这是一个可以接受的替代品。大多数患者认为视觉支持是一种附加价值,并愿意在未来重复进行视频咨询。
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引用次数: 0
COVID-19 and eHealth: A Promise or Peril Paradox? COVID-19和电子卫生:希望还是危险的悖论?
Pub Date : 2021-01-06 DOI: 10.29086/jisfteh.9.e1
R. Scott, M. Mars
               
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引用次数: 2
Scaling Up Digital Health In Conflict Countries 在冲突国家扩大数字卫生
Pub Date : 2021-01-04 DOI: 10.29086/jisfteh.9.e2
I. Olufadewa, M. Adesina
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引用次数: 0
COVID-19 as a Catalyst for Telehealth Growth in India: Some Insights COVID-19是印度远程医疗增长的催化剂:一些见解
Pub Date : 2021-01-04 DOI: 10.29086/jisfteh.9.e3
Imon Chakraborty, P. Ilavarasan, S. Edirippulige
Telehealth is being rapidly embraced to deal with the COVID-19 health crisis across the world. Despite being a biggest exporter of software services, India has not been a big adopter of telehealth. However, the COVID-19 pandemic has compelled the Indian government to assess the current assets and facilitate the establishment and use of telehealth throughout the country. Different telehealth initiatives are being undertaken in the existing public and private healthcare institutions and patients are increasingly embracing the services. We briefly highlight the potential role played by the start-ups in addressing the challenges. 
全球正在迅速采用远程医疗来应对新冠肺炎健康危机。尽管印度是最大的软件服务出口国,但它并不是远程医疗的主要采用者。然而,新冠肺炎疫情迫使印度政府评估现有资产,并为在全国建立和使用远程医疗提供便利。现有的公共和私人医疗机构正在采取不同的远程医疗举措,患者越来越多地接受这些服务。我们简要强调了初创企业在应对挑战方面发挥的潜在作用。
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引用次数: 5
Citizens Participating in their Healthcare – Challenges for Nurses 公民参与医疗保健——护士面临的挑战
Pub Date : 2020-12-28 DOI: 10.29086/jisfteh.8.e17
Pirkko Kouri
In Finland, health and welfare is taken care under the common health and social services system that consists of independent private, public and third sector actors. Through taxation, municipalities finance most of the healthcare and the government provides additional support. Functionality and effectiveness of the overall system is vitally important to guarantee today’s good healthcare services. For instance, in social services and healthcare, digital health supports the quality of life, care, dignity and sovereignty. The necessary technology is equally, fairly and easily accessible due to the widespread technological infrastructure. For example, in healthcare, use of technology is agreed with the citizen when preparing the healthcare service plan. The documentation of patient data is carried out virtually at all levels of care. Technology offers options that can paradoxically mean both freedom and slavery depending on how and where technology is used, and who has the right to use it. Furthermore, the digital divide has narrowed, but it still exists. Due to the ageing of people, there is a growing need for healthcare staff who are digitally knowledgeable in order to support citizens and their families in health issues. When studying different digital health related strategies from 1995 to 2020, the vital role of healthcare staff is recognised and their technological competence and skills need to be updated along with the development of technology. During the last decade, in the latest strategies, the role of the citizen as a key part of the healthcare service chain has grown significantly.  Simultaneously, the development of a digital society offers possibilities to participate and the advanced digital expertise of citizens promotes their participation in healthcare. In principle, everyone has possibilities to access health data and gather health related data via Internet databases. This article discusses the elements of citizen or patient and nurse interactions, and how and whether this challenges nurses.
在芬兰,卫生和福利在由独立的私营、公共和第三部门行动者组成的共同卫生和社会服务体系下得到照顾。通过税收,市政当局为大部分医疗保健提供资金,政府提供额外支持。整个系统的功能和有效性对于保证今天良好的医疗服务至关重要。例如,在社会服务和医疗保健领域,数字健康支持生活质量、护理、尊严和主权。由于广泛的技术基础设施,必要的技术是平等、公平和容易获得的。例如,在医疗保健中,在准备医疗保健服务计划时,技术的使用与公民达成一致。患者数据的记录实际上是在所有级别的护理中进行的。技术提供的选择可能矛盾地意味着自由和奴隶制,这取决于技术的使用方式和地点,以及谁有权使用它。此外,数字鸿沟已经缩小,但它仍然存在。由于人口老龄化,人们越来越需要具备数字知识的医护人员,以便在健康问题上为公民及其家人提供支持。在研究1995年至2020年不同的数字健康相关战略时,医护人员的重要作用得到了认可,他们的技术能力和技能需要随着技术的发展而更新。在过去的十年里,在最新的战略中,公民作为医疗服务链的关键部分的作用显著增强。与此同时,数字社会的发展提供了参与的可能性,公民的先进数字专业知识促进了他们参与医疗保健。原则上,每个人都有可能通过互联网数据库访问健康数据和收集健康相关数据。本文讨论了公民或患者与护士互动的要素,以及这对护士的挑战。
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引用次数: 0
GUEST EDITORIAL: Special Theme Nurses and Midwives in eHealth GUEST编辑:电子健康中的护士和助产士专题
Pub Date : 2020-12-25 DOI: 10.29086/jisfteh.8.e18
C. Bartz, Pirkko Kouri, V. Thouvenot
Document submitted as Editorial for Special Theme Nurses and Midwives issue
作为特别主题护士和助产士问题的编辑提交的文件
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引用次数: 0
Developing a Cohort Web Application: Real-time Monitoring of Breastfeeding Indicators 开发队列Web应用程序:母乳喂养指标的实时监测
Pub Date : 2020-12-24 DOI: 10.29086/JISFTEH.8.E20
Maíra Domingues Bernardes Silva, J. A. D. De Almeida, E. C. Melo, V. R. Leite
Investing in the development of methodologies for timely intervention in breastfeeding practices that provide improved indicators and prolong breastfeeding duration positively impacts the health of women and children. Aim: To develop children cohort data capture interface of a national reference institution for high foetal, neonatal and child risk from birth, covering all hospitalisation up to the second year of life for real-time monitoring of breastfeeding indicators and prevalence. Methods: Four primary criteria were considered: data security (specific permissions for different profiles and encryption of sensitive data), researcher time streamlining, data quality and construction of data export auxiliary tools. Results: A web-based tool for data collection using a mobile device or computer was developed. The tool successfully allowed the ongoing collection for a defined population cohort of measures related to breastfeeding: maternal factors, child-related factors, health service issues, nipple use, introduction of fluids and other processed foods, as well as breastfeeding practice. Conclusion: The developed product enables the validated extraction and collation of data from existing electronic records and other sources for the monitoring of breastfeeding practices. Such data can be used to refine guidelines and individual behaviour to maximise the benefits of breastfeeding and  avoid early weaning.
投资开发及时干预母乳喂养做法的方法,提供改进的指标并延长母乳喂养时间,对妇女和儿童的健康产生积极影响。目的:开发一个国家参考机构的儿童队列数据采集接口,用于从出生起就具有高胎儿、新生儿和儿童风险,涵盖所有住院至第二年的情况,以实时监测母乳喂养指标和患病率。方法:考虑四个主要标准:数据安全(不同档案的特定权限和敏感数据的加密)、研究人员时间精简、数据质量和数据导出辅助工具的构建。结果:开发了一种使用移动设备或计算机进行数据收集的网络工具。该工具成功地为特定人群收集了与母乳喂养相关的指标:母亲因素、儿童相关因素、卫生服务问题、乳头使用、液体和其他加工食品的引入,以及母乳喂养实践。结论:开发的产品能够有效地从现有的电子记录和其他来源中提取和整理数据,用于监测母乳喂养做法。这些数据可用于完善指导方针和个人行为,以最大限度地提高母乳喂养的益处,避免提前断奶。
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引用次数: 2
Attitudes Toward Information Technology Among Operating Theatre Nurses in Sri Lanka 斯里兰卡手术室护士对信息技术的态度
Pub Date : 2020-12-24 DOI: 10.29086/jisfteh.8.e21
Konara Mudiyanselage Sriyani Padmalatha, N. Silva, Kithsiri Edirisinghe
Incorporating the use of information and communication technologies (ICT) into everyday professional practice requires nurses to overcome resistance to change and to become willing users and creative operators of IT. Managing the change process effectively while implementing eHealth (e.g., Hospital Information Systems) within the operating theatre environment can facilitate the efficient delivery of quality patient care.  Aim: To describe the uses of and attitudes toward current IT by operating theatre nurses at The National Hospital of Sri Lanka (NHSL). Methods: The research used a descriptive design and survey method.  The study population was theatre nurses working in 16 theatres. A convenience sample of 112 nurses selected from the 16 theatres was used. Nurses with a service period over 20 years were excluded. Data were gathered with a self-administered questionnaire. Results: The response rate was 97 of 112 (87%). The study found that nurses were highly confident in using computers, touch screens, the Internet and email. Almost 80% of theatre nurses used computer technology for their work and personal matters. However only 60% of the nurses had personal email addresses. Furthermore, 79% of nurses believed that computers would reduce paper work. Conclusion: Most operating theatre nurses possess a positive attitude toward advances that use IT applications.  This may be due to the growing presence and accessibility of IT in their work environment, which has added value in their day to day practice in the hospital. To facilitate ongoing growth in use of IT in Sri Lanka, continuing education opportunities for operating theatre and other nurses should be pursued.
将信息和通信技术(ICT)的使用纳入日常专业实践需要护士克服对变革的抵制,成为IT的自愿用户和创造性操作员。在手术室环境中实施eHealth(例如,医院信息系统)的同时,有效管理变更过程可以促进高效提供高质量的患者护理。目的:描述斯里兰卡国家医院(NHSL)手术室护士对当前IT的使用和态度。方法:采用描述性设计和调查相结合的方法进行研究。研究对象是在16家剧院工作的剧院护士。使用了从16个手术室中挑选的112名护士的方便样本。服务期超过20年的护士被排除在外。数据是通过自我管理问卷收集的。结果:有效率为97/112(87%)。研究发现,护士对使用电脑、触摸屏、互联网和电子邮件非常有信心。近80%的剧院护士在工作和个人事务中使用计算机技术。然而,只有60%的护士拥有个人电子邮件地址。此外,79%的护士认为电脑可以减少文书工作。结论:大多数手术室护士对信息技术应用的进步持积极态度。这可能是由于IT在他们的工作环境中的存在和可访问性不断增加,这为他们在医院的日常实践增加了价值。为了促进斯里兰卡信息技术使用的持续增长,应为手术室和其他护士提供继续教育机会。
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引用次数: 0
Combating Malnutrition Among Pregnant Women, Mothers and Babies in the Rural Amazonian Forest: What can Telehealth Do? 与亚马逊农村森林中孕妇、母亲和婴儿的营养不良作斗争:远程医疗能做什么?
Pub Date : 2020-12-24 DOI: 10.29086/jisfteh.8.e23
Rosa Liliana Macedo Ruiz, Angélica Baptista Silva, Ianê Germano de Andrade Filha, M. Garzon, W. Magalhães, Jakeline dos Santos Carvalho, Janayla Bruna de Almeida Oliveira, L. Monteiro
Purpose: Malnutrition is a current public health problem and a leading cause of childhood morbidity and mortality among the indigenous population in the Amazon forest. This may be related to the nutritional transition observed among indigenous women in Brazil. This research aims to empower health professionals to promote food and nutritional education for mothers and babies living in the forest of the Brazilian state of Amazonas and its Colombian border. We describe our experience using telehealth to combat malnutrition among pregnant women, mothers and babies in the rural Amazonian forest. Methods: This is a qualitative study that included three interventions: field visits, a scoping review, and online meetings. Data collect from field visits and the scoping review were used to identify demands and incorporate themes discussed in the virtual meetings held at telehealth units. Sessions used the web conferencing platform of the state of Amazonas and were facilitated by Brazilian specialists. Locations were selected according to existence of telehealth site. Results and Conclusions: Seven telehealth sessions were held between April and December in 2018 and three in 2019, including 14 different locations equipped with telehealth points, and lasted 120 minutes each. The main findings were that telehealth services can be an instrument to establish a knowledge exchange between health professionals and indigenous people. The participation of indigenous people in social media could be an instrument to maintain their culture and to promote their healthcare, especially traditional and healthy dietary patterns.
目的:营养不良是目前的一个公共卫生问题,也是亚马逊森林土著居民儿童发病和死亡的主要原因。这可能与在巴西土著妇女中观察到的营养转变有关。这项研究旨在使卫生专业人员能够促进生活在巴西亚马逊州及其哥伦比亚边境森林中的母亲和婴儿的食物和营养教育。我们将介绍我们在亚马逊农村森林利用远程保健解决孕妇、母亲和婴儿营养不良问题的经验。方法:这是一项定性研究,包括三种干预措施:实地访问、范围审查和在线会议。从实地访问和范围审查中收集的数据被用来确定需求,并纳入在远程保健单位举行的虚拟会议中讨论的主题。会议使用亚马逊州的网络会议平台,并由巴西专家提供便利。根据是否存在远程医疗站点来选择地点。结果与结论:2018年4月至12月共举办7次远程医疗会议,2019年共举办3次远程医疗会议,包括14个设有远程医疗点的不同地点,每次会议持续120分钟。主要结论是,远程保健服务可以成为在保健专业人员和土著人民之间建立知识交流的工具。土著人民参与社交媒体可以成为维护其文化和促进其保健,特别是传统和健康饮食模式的一种手段。
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引用次数: 2
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Journal of the International Society for Telemedicine and eHealth
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