{"title":"Translating the Digital Health Conceptual Framework into population health practice","authors":"D. Mordaunt","doi":"10.29086/jisfteh.8.e4","DOIUrl":"https://doi.org/10.29086/jisfteh.8.e4","url":null,"abstract":"","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47298091","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}
The COVID-19 pandemic has catalysed numerous changes worldwide in healthcare systems and service delivery practices, many relying on biomedical technologies including digital health The rapid development and widespread adoption of these changes has led to many being reported on extensively in grey literature and public media, but not yet in the conventional scientific peer reviewed literature In particular, digital health contributions have received much attention but the main topics of reporting have been prominent public perception issues, with technical aspects being largely ignored This perspective paper therefore responds to the need for a systematic contextualisation framework to describe digital health contributions to the current COVID-19 pandemic situation The framework recommends four focus areas or "dimensions" for contextual settings: clinical processes, health system, stakeholder and technology Two examples are used to motivate these dimensions: mobile phone tracking, and telehealth consultations It is suggested that use of the framework in presenting digital health innovations more broadly and in context using these example cases, will convey a more informative understanding of the nature of such contributions now and in the post-COVID-19 period
{"title":"Contextualising Digital Health Contributions to Fighting the COVID-19 Pandemic","authors":"A. Maeder, N. Bidargaddi, Patricia A. H. Williams","doi":"10.29086/jisfteh.8.e3","DOIUrl":"https://doi.org/10.29086/jisfteh.8.e3","url":null,"abstract":"The COVID-19 pandemic has catalysed numerous changes worldwide in healthcare systems and service delivery practices, many relying on biomedical technologies including digital health The rapid development and widespread adoption of these changes has led to many being reported on extensively in grey literature and public media, but not yet in the conventional scientific peer reviewed literature In particular, digital health contributions have received much attention but the main topics of reporting have been prominent public perception issues, with technical aspects being largely ignored This perspective paper therefore responds to the need for a systematic contextualisation framework to describe digital health contributions to the current COVID-19 pandemic situation The framework recommends four focus areas or \"dimensions\" for contextual settings: clinical processes, health system, stakeholder and technology Two examples are used to motivate these dimensions: mobile phone tracking, and telehealth consultations It is suggested that use of the framework in presenting digital health innovations more broadly and in context using these example cases, will convey a more informative understanding of the nature of such contributions now and in the post-COVID-19 period","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":"8 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2020-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44448787","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}
{"title":"eHealth – Influencing Behaviour Change More, and More, … and More","authors":"R. Scott, M. Mars","doi":"10.29086/jisfteh.8.e1","DOIUrl":"https://doi.org/10.29086/jisfteh.8.e1","url":null,"abstract":"","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47339918","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}
{"title":"ISfTeH Tribute to Professor Louis Lareng (1923-2019)","authors":"A. Petitet, Yunkap Kwankam","doi":"10.29086/jisfteh.8.e2","DOIUrl":"https://doi.org/10.29086/jisfteh.8.e2","url":null,"abstract":"","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45442365","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}
{"title":"Midwives in eHealth [Guest Editorial]","authors":"Franka Cadée, Sagal Ali","doi":"10.29086/jisfteh.7.e21","DOIUrl":"https://doi.org/10.29086/jisfteh.7.e21","url":null,"abstract":"Guest Editorial","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48976195","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}
{"title":"Women’s Empowerment Through Digital Health [Guest Editorial]","authors":"M. Griffith","doi":"10.29086/jisfteh.7.e20","DOIUrl":"https://doi.org/10.29086/jisfteh.7.e20","url":null,"abstract":"Editorial \u0000 ","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42896818","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}
Different initiatives have been undertaken to guide the telehealth process in the Brazil. The Ministry of Health structured and implemented the Telehealth Brazil Programme initially to cover nine state centres. Later, it expanded the programme to take in the whole country, at which time it became known as the Telehealth Brazil Network. Among the goals of the Telehealth Brazil Network is the development of strategies for clinical training, health education, and training for management, planning and assessment skills, designed for the Family Health Strategy teams. In this context, this paper aims to presents the potential of and difficulties in implementing tele-odontology in Brazil, focusing on teleconsulting, tele-education and telediagnostic experiences developed to date. It will also present the legal and financial support aspects established in the country, as well as the results found so far in relation to the impacts of strategies and user satisfaction. Finally, suggestions for future perspectives are presented. Related to the strategies implemented in Brazil, it is necessary to analyse the data obtained regarding the successes and failures observed over the years. The positive results obtained with tele-education showed that the Telehealth Programme presents as an efficient tool for the training of the health care network. However, points like the limited use by professionals, some technical limitations and the impact on health indicators should still be better studied.
{"title":"Tele-odontology in Brazil: Strategies and Challenges for the Training of the Healthcare Network","authors":"C. Bavaresco, A. Haddad","doi":"10.29086/JISFTEH.7.E14","DOIUrl":"https://doi.org/10.29086/JISFTEH.7.E14","url":null,"abstract":"Different initiatives have been undertaken to guide the telehealth process in the Brazil. The Ministry of Health structured and implemented the Telehealth Brazil Programme initially to cover nine state centres. Later, it expanded the programme to take in the whole country, at which time it became known as the Telehealth Brazil Network. Among the goals of the Telehealth Brazil Network is the development of strategies for clinical training, health education, and training for management, planning and assessment skills, designed for the Family Health Strategy teams. In this context, this paper aims to presents the potential of and difficulties in implementing tele-odontology in Brazil, focusing on teleconsulting, tele-education and telediagnostic experiences developed to date. It will also present the legal and financial support aspects established in the country, as well as the results found so far in relation to the impacts of strategies and user satisfaction. Finally, suggestions for future perspectives are presented. Related to the strategies implemented in Brazil, it is necessary to analyse the data obtained regarding the successes and failures observed over the years. The positive results obtained with tele-education showed that the Telehealth Programme presents as an efficient tool for the training of the health care network. However, points like the limited use by professionals, some technical limitations and the impact on health indicators should still be better studied.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47960383","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}
Myocardial infarction patients face an increased risk of cardiovascular problems. This risk can be reduced by adjusting one’s lifestyle. However, once discharged from the hospital and faced with self-care at home the patient faces a loss of adequate information and diminishing motivation with time after infarction the event. There is a gap of two weeks between being released from the hospital and the patient having any chance of joining organised cardiac rehabilitation programmes, if these are organised by the health system at all. Unfortunately, by that time the highest motivation for lifestyle change has already been lost. An eLearning platform has been put forward to bridge this period, however, the content needs to be carefully prepared to educate and motivate the patient and their family. By analysing how health information is acquired over the Internet today, and by applying social-cognitive learning and storytelling into educational videos we developed a format of an effective educational unit. In order to develop an essential set of educational units seven interviews were recorded with members of medical teams and five with patients who had coronary disease, of which two were with their partners who were their informal caregivers. The format of the educational unit was designed as such that it can be viewed in 4-8 minutes and was composed of three videos featuring peer-patients and medical team members. The videos were accompanied by a short text of up to 50 words, illustrations or quiz questions. From the recorded video material 60 educational videos were edited and used to compose 20 educational units for patients with coronary disease. Legal issues regarding Rights of Publishing and General Data Protection Regulation issues were solved and backend data analytics was developed. Thus, the platform was prepared for next step which will be a large random clinical study.
{"title":"Post-Discharge eLearning Platform for Cardiac Patients: Developing the Format of the Educational Units and Recording the Contents","authors":"B. Kirn","doi":"10.29086/JISFTEH.7.E18","DOIUrl":"https://doi.org/10.29086/JISFTEH.7.E18","url":null,"abstract":"Myocardial infarction patients face an increased risk of cardiovascular problems. This risk can be reduced by adjusting one’s lifestyle. However, once discharged from the hospital and faced with self-care at home the patient faces a loss of adequate information and diminishing motivation with time after infarction the event. There is a gap of two weeks between being released from the hospital and the patient having any chance of joining organised cardiac rehabilitation programmes, if these are organised by the health system at all. Unfortunately, by that time the highest motivation for lifestyle change has already been lost. \u0000An eLearning platform has been put forward to bridge this period, however, the content needs to be carefully prepared to educate and motivate the patient and their family. By analysing how health information is acquired over the Internet today, and by applying social-cognitive learning and storytelling into educational videos we developed a format of an effective educational unit. In order to develop an essential set of educational units seven interviews were recorded with members of medical teams and five with patients who had coronary disease, of which two were with their partners who were their informal caregivers. \u0000The format of the educational unit was designed as such that it can be viewed in 4-8 minutes and was composed of three videos featuring peer-patients and medical team members. The videos were accompanied by a short text of up to 50 words, illustrations or quiz questions. From the recorded video material 60 educational videos were edited and used to compose 20 educational units for patients with coronary disease. Legal issues regarding Rights of Publishing and General Data Protection Regulation issues were solved and backend data analytics was developed. Thus, the platform was prepared for next step which will be a large random clinical study.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42426486","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}
C. Zaror, Carolina Vergara-González, Natalia Ibalaca, Juan Pablo Olmos, Silvana Perez
Chile is a country where the geography and territorial distribution of the population make healthcare a constant challenge. Despite a reported improvement on oral health indicators, some levels of inequality are still noted in terms of access to healthcare services. In this context, teledentistry has been considered an effective tool to respond to the population’s healthcare needs. The aim of this paper is to present the current state of teledentistry in Chile. This paper describes the initiatives and programmes of teledentistry developed in Chile, the ethical and legal aspects, financing sources and pending challenges for its consolidation. It is expected that teledentistry will contribute toward an increase in coverage and access to specialists, improve the appropriateness of referrals and reduce costs of specialist care.
{"title":"Current State of Teledentistry in Chile","authors":"C. Zaror, Carolina Vergara-González, Natalia Ibalaca, Juan Pablo Olmos, Silvana Perez","doi":"10.29086/JISFTEH.7.E12","DOIUrl":"https://doi.org/10.29086/JISFTEH.7.E12","url":null,"abstract":"Chile is a country where the geography and territorial distribution of the population make healthcare a constant challenge. Despite a reported improvement on oral health indicators, some levels of inequality are still noted in terms of access to healthcare services. In this context, teledentistry has been considered an effective tool to respond to the population’s healthcare needs. The aim of this paper is to present the current state of teledentistry in Chile. This paper describes the initiatives and programmes of teledentistry developed in Chile, the ethical and legal aspects, financing sources and pending challenges for its consolidation. It is expected that teledentistry will contribute toward an increase in coverage and access to specialists, improve the appropriateness of referrals and reduce costs of specialist care.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46576772","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}
Despite universal health coverage and a strong public health system, the oral health profile of Finland falls behind in an international age-matched prevalence of oral diseases. The oral healthcare system is organised and funded mainly by municipalities. Other stakeholders include the Finnish Student Health Service foundation (FSHS), government and private practices, where the Social Insurance Institution of Finland plays a major role in funding. Rise in the treatment need in recent years due to the increasing dentulous ageing population has challenged the healthcare system. Governmental response to the demand is an ongoing social and healthcare reform and increase of oral health professional education since 2004. However, the current and future treatment need is not met only by conventional prevention strategies and physical service provision. Finland has over the years supported a determined policy of building a digital healthcare architecture. This applies also to all fields of oral healthcare: virtual education, digital diagnostics, digital clinical workflow, national electronic patient records, patient-generated data registers, electronic prescriptions, remote consultation, digital service management, as well as research and big data mining. These tools could play an important role in improving national oral health and increasing equity. This is an overview of the above-mentioned fields of e-Oral health and teledentistry in Finland based on current scientific literature, national reports, strategies and legislation.
{"title":"e-Oral Health and Teledentistry in Finland - an Overview","authors":"A. Palander, A. Holopainen, Tiina Rantamo Rantamo","doi":"10.29086/JISFTEH.7.E11","DOIUrl":"https://doi.org/10.29086/JISFTEH.7.E11","url":null,"abstract":"Despite universal health coverage and a strong public health system, the oral health profile of Finland falls behind in an international age-matched prevalence of oral diseases. The oral healthcare system is organised and funded mainly by municipalities. Other stakeholders include the Finnish Student Health Service foundation (FSHS), government and private practices, where the Social Insurance Institution of Finland plays a major role in funding. Rise in the treatment need in recent years due to the increasing dentulous ageing population has challenged the healthcare system. Governmental response to the demand is an ongoing social and healthcare reform and increase of oral health professional education since 2004. However, the current and future treatment need is not met only by conventional prevention strategies and physical service provision. Finland has over the years supported a determined policy of building a digital healthcare architecture. This applies also to all fields of oral healthcare: virtual education, digital diagnostics, digital clinical workflow, national electronic patient records, patient-generated data registers, electronic prescriptions, remote consultation, digital service management, as well as research and big data mining. These tools could play an important role in improving national oral health and increasing equity. This is an overview of the above-mentioned fields of e-Oral health and teledentistry in Finland based on current scientific literature, national reports, strategies and legislation. \u0000 \u0000 \u0000 ","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45718297","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}
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