N. Giraudeau, O. Roy, E. Malthiéry, J. Pasdeloup, J. Valcarcel, S. Toupenay, Serge Fournier
In France, access to a dentist for elderly people, disabled people or inmates is limited. A person’s access to a dentist decreases by 25% when joining a nursing home. A national report mentioned that 85% of residents in nursing homes didn’t have access to a dentist in the past year and 42% in the last 5 years. There are fewer data on disabled people, but 48% of people with disabilities have, at least, one important issue related to oral health. Two examples of teledentistry, the e-DENT project from University Hospital of Montpellier and the TEL-E-DENT project from the public Hospital of Guéret, are presented to describe how teledentistry works in France, the current legal framework, remuneration of teledentistry and the pros and cons of teledentistry in France. 2019 will be crucial for the development of teledentistry as a number official decisions will be made that will influence the implementation of this kind of activity.
{"title":"2019: The Year of Teledentistry in France?","authors":"N. Giraudeau, O. Roy, E. Malthiéry, J. Pasdeloup, J. Valcarcel, S. Toupenay, Serge Fournier","doi":"10.29086/JISFTEH.7.E8","DOIUrl":"https://doi.org/10.29086/JISFTEH.7.E8","url":null,"abstract":"In France, access to a dentist for elderly people, disabled people or inmates is limited. A person’s access to a dentist decreases by 25% when joining a nursing home. A national report mentioned that 85% of residents in nursing homes didn’t have access to a dentist in the past year and 42% in the last 5 years. There are fewer data on disabled people, but 48% of people with disabilities have, at least, one important issue related to oral health. Two examples of teledentistry, the e-DENT project from University Hospital of Montpellier and the TEL-E-DENT project from the public Hospital of Guéret, are presented to describe how teledentistry works in France, the current legal framework, remuneration of teledentistry and the pros and cons of teledentistry in France. 2019 will be crucial for the development of teledentistry as a number official decisions will be made that will influence the implementation of this kind of activity.","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":"43146601","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}
This paper describes current teledentistry practices in the United States of America. The health landscape of the country is reviewed and the emerging need for remote health services discussed. The origins, current guidelines, legal issues, and financial arrangements for teledentistry are described. Specific attention is paid to emerging teledentistry programmes throughout the country, including a case study of a successful and expanding teledentistry programme in the state of Oregon. Although the literature has long touted the health and economic benefits associated with teledentistry, it has become clear that this technology has generally outpaced policymaking and regulatory agencies. This paper attempts to contextualise and review leading developments in teledentistry to aid in the dissemination of otherwise fragmented efforts and experiences.
{"title":"Teledentistry Overview: United States of America","authors":"K. Nichols","doi":"10.29086/JISFTEH.7.E9","DOIUrl":"https://doi.org/10.29086/JISFTEH.7.E9","url":null,"abstract":"This paper describes current teledentistry practices in the United States of America. The health landscape of the country is reviewed and the emerging need for remote health services discussed. The origins, current guidelines, legal issues, and financial arrangements for teledentistry are described. Specific attention is paid to emerging teledentistry programmes throughout the country, including a case study of a successful and expanding teledentistry programme in the state of Oregon. Although the literature has long touted the health and economic benefits associated with teledentistry, it has become clear that this technology has generally outpaced policymaking and regulatory agencies. This paper attempts to contextualise and review leading developments in teledentistry to aid in the dissemination of otherwise fragmented efforts and experiences.","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":"48709799","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":"e-(Oral) Health: A World-Wide Overview [Guest Editorial]","authors":"R. Mariño","doi":"10.29086/JISFTEH.7.E7","DOIUrl":"https://doi.org/10.29086/JISFTEH.7.E7","url":null,"abstract":"Editorial","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":"47005707","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}
Australians in rural and remote locations have worse health outcomes compared to that of their metropolitan counterparts and this is due in part to poor access to health services. Public specialist dental services in Victoria, Australia are predominantly offered in the capital city Melbourne. For rural patients this can mean considerable travel, out of pocket costs and delays due to long wait-times. In 2015 Dental Health Service Victoria (DHSV) embarked on a pilot project to enable access to rural clients by linking community dental clinics with the Royal Dental Hospital Melbourne using a Telehealth platform. Aim: The objectives of the pilot were to develop specialist care pathways and enable patient access, support community clinicians to work to full scope through a peer education approach and to identify the appropriate equipment and telehealth platform to support this model of care. Method: DHSV launched its pilot project June 2015 collaborating with four Community Dental sites. The specialties trialled during the pilot project were Oral Medicine, Oral Surgery, Endodontics and Orthodontics. An action based research framework was adopted so that improvements to the operational framework and clinical pathways could be made throughout the life of the pilot. Results: By the end of the pilot programme, DHSV was satisfied the program objectives had been met and the modality was accepted by specialists, community dentists, and patients as a satisfactory substitution for a traditional face-to-face referral and consult mode. Conclusion: Based on this outcome, the programme was endorsed and implemented across the state of Victoria in January 2018.
{"title":"Improving Access to Specialist Dental Services Using a Telehealth Platform in Victoria, Australia","authors":"J. Baker","doi":"10.29086/JISFTEH.7.E13","DOIUrl":"https://doi.org/10.29086/JISFTEH.7.E13","url":null,"abstract":"Australians in rural and remote locations have worse health outcomes compared to that of their metropolitan counterparts and this is due in part to poor access to health services. Public specialist dental services in Victoria, Australia are predominantly offered in the capital city Melbourne. For rural patients this can mean considerable travel, out of pocket costs and delays due to long wait-times. In 2015 Dental Health Service Victoria (DHSV) embarked on a pilot project to enable access to rural clients by linking community dental clinics with the Royal Dental Hospital Melbourne using a Telehealth platform. Aim: The objectives of the pilot were to develop specialist care pathways and enable patient access, support community clinicians to work to full scope through a peer education approach and to identify the appropriate equipment and telehealth platform to support this model of care. Method: DHSV launched its pilot project June 2015 collaborating with four Community Dental sites. The specialties trialled during the pilot project were Oral Medicine, Oral Surgery, Endodontics and Orthodontics. An action based research framework was adopted so that improvements to the operational framework and clinical pathways could be made throughout the life of the pilot. Results: By the end of the pilot programme, DHSV was satisfied the program objectives had been met and the modality was accepted by specialists, community dentists, and patients as a satisfactory substitution for a traditional face-to-face referral and consult mode. Conclusion: Based on this outcome, the programme was endorsed and implemented across the state of Victoria in January 2018.","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":"43136551","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}
O. Kharbanda, H. Priya, Rajiv Balachandran, C. Khurana
India is the largest democracy and the second most populated nation in the world. Although with 190,000 dentists, India ranks top in the absolute number of dental graduates, rural Indians and urban slums remain deprived of quality dental healthcare due to unequal distribution and access. About 1,000 telemedicine nodes have been established by Government/Private/Trust agencies to reinforce the national healthcare delivery system in India however an organised and dedicated teledentistry network is non-existent but for the Collaborative Digital Diagnosis System (CollabDDS). CollabDDS was developed in India for tele-consultation, diagnosis, remote education and as a data repository. It is a remote expert dental programme served between three dental schools with the Centre for Dental Education and Research at the All India Institute of Medical Sciences in New Delhi. There are some major challenges which exist and need to be addressed including lack of government initiatives, reimbursement schemes, data protection laws, technical infrastructure, advanced biological sensors, bandwidth support, orientation among doctors, and linguistic diversity, along with patients’ fear and unfamiliarity. With an area of 3,287 million km2, an urban-rural divide, inaccessible areas, the country is an ideal setting for the provision of eHealth. This paper highlights the present status, challenges and future of teledentistry in India.
{"title":"Current Scenario of Teledentistry in Public Healthcare in India","authors":"O. Kharbanda, H. Priya, Rajiv Balachandran, C. Khurana","doi":"10.29086/JISFTEH.7.E10","DOIUrl":"https://doi.org/10.29086/JISFTEH.7.E10","url":null,"abstract":"India is the largest democracy and the second most populated nation in the world. Although with 190,000 dentists, India ranks top in the absolute number of dental graduates, rural Indians and urban slums remain deprived of quality dental healthcare due to unequal distribution and access. About 1,000 telemedicine nodes have been established by Government/Private/Trust agencies to reinforce the national healthcare delivery system in India however an organised and dedicated teledentistry network is non-existent but for the Collaborative Digital Diagnosis System (CollabDDS). CollabDDS was developed in India for tele-consultation, diagnosis, remote education and as a data repository. It is a remote expert dental programme served between three dental schools with the Centre for Dental Education and Research at the All India Institute of Medical Sciences in New Delhi. There are some major challenges which exist and need to be addressed including lack of government initiatives, reimbursement schemes, data protection laws, technical infrastructure, advanced biological sensors, bandwidth support, orientation among doctors, and linguistic diversity, along with patients’ fear and unfamiliarity. With an area of 3,287 million km2, an urban-rural divide, inaccessible areas, the country is an ideal setting for the provision of eHealth. This paper highlights the present status, challenges and future of teledentistry in India.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48738384","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}
Raquel Gomez Bravo, María Gómez Bravo, C. Lygidakis, C. Vögele
Background: Social media have been used exponentially and globally, providing a means for billions of users to connect, interact, share opinions and criticise, becoming one of the main channels of communication for users around the world. One of the most popular free social media networks is Twitter, with more than 100 million active users per day worldwide. Purpose: The aim of this study was to analyse a sample of the public conversations generated, using the hashtag #MeToo, around the topic of sexual abuse on Twitter. Methods: Using social media marketing software, the use of the #MeToo hashtag was analysed over a period of 60 days (14 September 2017 to 13 November of 2017). Results: The #MeToo conversation was mainly in English (79.3%), located in the United States (48.2% of cases), but with global repercussions. The volume of mentions of the #MeToo hashtag was far greater (97.7%), compared with other hashtags related to violence over this period of time, using mostly Twitter (96.2%). Conclusions: These results suggest that it is possible to describe different groups using the social media, and analyse their conversations to identify opportunities for successful public health interventions. If the topic is relevant for the general public, it will generate interest and conversations at the global level, supported by a universal and borderless channel such as Twitter.
{"title":"Social Media as an Opportunity for Public Health Interventions: The #Metoo Movement as an Exemplar","authors":"Raquel Gomez Bravo, María Gómez Bravo, C. Lygidakis, C. Vögele","doi":"10.29086/JISFTEH.7.E5","DOIUrl":"https://doi.org/10.29086/JISFTEH.7.E5","url":null,"abstract":"Background: Social media have been used exponentially and globally, providing a means for billions of users to connect, interact, share opinions and criticise, becoming one of the main channels of communication for users around the world. One of the most popular free social media networks is Twitter, with more than 100 million active users per day worldwide. Purpose: The aim of this study was to analyse a sample of the public conversations generated, using the hashtag #MeToo, around the topic of sexual abuse on Twitter. Methods: Using social media marketing software, the use of the #MeToo hashtag was analysed over a period of 60 days (14 September 2017 to 13 November of 2017). Results: The #MeToo conversation was mainly in English (79.3%), located in the United States (48.2% of cases), but with global repercussions. The volume of mentions of the #MeToo hashtag was far greater (97.7%), compared with other hashtags related to violence over this period of time, using mostly Twitter (96.2%). Conclusions: These results suggest that it is possible to describe different groups using the social media, and analyse their conversations to identify opportunities for successful public health interventions. If the topic is relevant for the general public, it will generate interest and conversations at the global level, supported by a universal and borderless channel such as Twitter.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42869378","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}
Kuriko Kudo, T. Moriyama, Shunta Tomimatsu, Shintaro Ueda, S. Shimizu
Background: International clinical teleconferencing connecting hospitals contributes to the standardisation of medical care. Introduction: The perception that participating in international teleconferences is easy while hosting and coordinating them is difficult has limited the expansion of these kinds of programmes. We evaluated the effectiveness of a Train-the-Trainer (TtT) programme on hosting international multiparty teleconferences targeted at hospital engineers. Methods: From 2015 to 2017, 20 engineers and physicians from 17 institutions in 10 countries participated in Kyushu University Hospital’s TtT programme. Hands-on training and hosting a Training Report Conference (TRC) were conducted. The impact of the programme was assessed using questionnaires about the participants’ confidence, perception of barriers, and teleconference activity before and one year after the training period. Results: The mean training period was 16.7 days (median, 19 days). Twelve TRCs were hosted by trainees connecting 56 institutions in 11 countries. All participants gave positive evaluations of the overall programme, 19 (95%) "very good" and 1 (5%) "good", and the trainers 9 (90%) "very good" and 1 (10%) "good"). Following the TtT programme, the mean number of trainee-hosted events increased significantly (0.8 to 1.3, p<0.001), and more respondents (12/17, 71%) reported barriers to hosting a programme than participating in one (5/17, 29%, p<0.001). Trainee confidence in both hosting and participating in international teleconferences was significantly higher after TtT. Conclusion: There are more barriers to hosting than participating in international clinical teleconferences. This TtT programmes for engineers could contribute to more active hosting engagement.
{"title":"A Train-the-Trainers (TtT) Program for Engineers for Hosting Multiparty International Clinical Teleconferences","authors":"Kuriko Kudo, T. Moriyama, Shunta Tomimatsu, Shintaro Ueda, S. Shimizu","doi":"10.29086/JISFTEH.7.E16","DOIUrl":"https://doi.org/10.29086/JISFTEH.7.E16","url":null,"abstract":"Background: International clinical teleconferencing connecting hospitals contributes to the standardisation of medical care. Introduction: The perception that participating in international teleconferences is easy while hosting and coordinating them is difficult has limited the expansion of these kinds of programmes. We evaluated the effectiveness of a Train-the-Trainer (TtT) programme on hosting international multiparty teleconferences targeted at hospital engineers. Methods: From 2015 to 2017, 20 engineers and physicians from 17 institutions in 10 countries participated in Kyushu University Hospital’s TtT programme. Hands-on training and hosting a Training Report Conference (TRC) were conducted. The impact of the programme was assessed using questionnaires about the participants’ confidence, perception of barriers, and teleconference activity before and one year after the training period. Results: The mean training period was 16.7 days (median, 19 days). Twelve TRCs were hosted by trainees connecting 56 institutions in 11 countries. All participants gave positive evaluations of the overall programme, 19 (95%) \"very good\" and 1 (5%) \"good\", and the trainers 9 (90%) \"very good\" and 1 (10%) \"good\"). Following the TtT programme, the mean number of trainee-hosted events increased significantly (0.8 to 1.3, p<0.001), and more respondents (12/17, 71%) reported barriers to hosting a programme than participating in one (5/17, 29%, p<0.001). Trainee confidence in both hosting and participating in international teleconferences was significantly higher after TtT. Conclusion: There are more barriers to hosting than participating in international clinical teleconferences. This TtT programmes for engineers could contribute to more active hosting engagement.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44689007","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}
P. Skarżyński, W. Świerniak, Maciej Ludwikowski, Łukasz Bruski
Hearing implant fitting is a key component of postoperative patients’ healthcare, by providing the optimum auditory nerve electrical stimulation parameters. It often entails time consuming and long travel to a medical centre, with associated costs. In 2009, the Word Hearing Centre introduced the National Network of Teleaudiology to reduce the burden to patients, and it now consists of 21 co-operating centres in Poland and four abroad in the Ukraine (Odessa and Lutsk), Kyrgyzstan (Bishkek), and Belarus (Brest). The centre in Odessa is sufficiently equipped but programming of cochlear implants cannot be conducted by their team there due to a lack of trained specialists and limited experience. This study reports the use of the telefitting service between Kajetany in Poland and Odessa in the Ukraine. Methods: Specialists in Poland connect by videoconference with patients and support specialists via the Internet, and use remote desktop software to access a remote computer and perform fitting. On completion of telefitting, patients completed a questionnaire in which they compared the telefitting experience with face to face conventional fitting. Results: Supported by a local specialist, 316 patients in Odessa underwent remote telefitting by specialists in Kajetany. Over 95% of respondents were; satisfied with telefitting, found it a suitable alternative to standard fitting, felt that they had good contact by videoconference with the audiologist in Poland, and that it saved them time and money. Conclusion: The development of the telefitting model has increased accessibility to hearing care services in Odessa and opens new possibilities for patients.
{"title":"Telefitting Between Kajetany and Odessa, Ukraine for Cochlear Implants","authors":"P. Skarżyński, W. Świerniak, Maciej Ludwikowski, Łukasz Bruski","doi":"10.29086/JISFTEH.7.E17","DOIUrl":"https://doi.org/10.29086/JISFTEH.7.E17","url":null,"abstract":"Hearing implant fitting is a key component of postoperative patients’ healthcare, by providing the optimum auditory nerve electrical stimulation parameters. It often entails time consuming and long travel to a medical centre, with associated costs. In 2009, the Word Hearing Centre introduced the National Network of Teleaudiology to reduce the burden to patients, and it now consists of 21 co-operating centres in Poland and four abroad in the Ukraine (Odessa and Lutsk), Kyrgyzstan (Bishkek), and Belarus (Brest). The centre in Odessa is sufficiently equipped but programming of cochlear implants cannot be conducted by their team there due to a lack of trained specialists and limited experience. This study reports the use of the telefitting service between Kajetany in Poland and Odessa in the Ukraine. Methods: Specialists in Poland connect by videoconference with patients and support specialists via the Internet, and use remote desktop software to access a remote computer and perform fitting. On completion of telefitting, patients completed a questionnaire in which they compared the telefitting experience with face to face conventional fitting. Results: Supported by a local specialist, 316 patients in Odessa underwent remote telefitting by specialists in Kajetany. Over 95% of respondents were; satisfied with telefitting, found it a suitable alternative to standard fitting, felt that they had good contact by videoconference with the audiologist in Poland, and that it saved them time and money. Conclusion: The development of the telefitting model has increased accessibility to hearing care services in Odessa and opens new possibilities for patients.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43595276","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}
Pinar Tokgöz, Hannah Eger, Sarah Sharlyn Funke, Alexander Gutjar, T. Nguyen-Thi, C. Dockweiler
The ubiquity of mobile applications makes it difficult to weigh up opportunities and potential risks. One significant aspect of an ethical assessment regarding the development and use of health and medical apps is the lack of clear and consistent guidelines and measures of value. Aim: The aim of this paper was to identify the main ethical determinants associated in the context of health and medical apps and develop a framework for ethical reflection. Methods: A systematic literature search in the database PubMed was undertaken and the journal Biomed Central Medical Ethics was hand searched and 32 met the review criteria. On this basis of the review an interview guide was developed and five purposively selected experts on the field of payers, science, consumers, medical ethics and society were interviewed regarding health and medical apps. Results: There is a lack of consistent and clear guidelines regarding the use of health and medical apps in literature. Indeed, findings refer to established biomedical principles. The interviews identified that several insecurities related to legal and regulatory issues are common. On the other hand, many advantages of the use of health and medical apps have been pointed out by experts. Conclusion: Debates on ethics and the use of health and medical apps should play a significant role in public discussion. Ethical endpoints cannot be considered isolated from each other, and must be regarded as a complex network of aspects connected with each other. Further research should concentrate on the development of consistent guidelines and a framework for reflection of occurring ethical concerns.
{"title":"Development and Presentation of an Ethical Framework for Health and Medical Apps","authors":"Pinar Tokgöz, Hannah Eger, Sarah Sharlyn Funke, Alexander Gutjar, T. Nguyen-Thi, C. Dockweiler","doi":"10.29086/JISFTEH.7.E15","DOIUrl":"https://doi.org/10.29086/JISFTEH.7.E15","url":null,"abstract":"The ubiquity of mobile applications makes it difficult to weigh up opportunities and potential risks. One significant aspect of an ethical assessment regarding the development and use of health and medical apps is the lack of clear and consistent guidelines and measures of value. Aim: The aim of this paper was to identify the main ethical determinants associated in the context of health and medical apps and develop a framework for ethical reflection. Methods: A systematic literature search in the database PubMed was undertaken and the journal Biomed Central Medical Ethics was hand searched and 32 met the review criteria. On this basis of the review an interview guide was developed and five purposively selected experts on the field of payers, science, consumers, medical ethics and society were interviewed regarding health and medical apps. Results: There is a lack of consistent and clear guidelines regarding the use of health and medical apps in literature. Indeed, findings refer to established biomedical principles. The interviews identified that several insecurities related to legal and regulatory issues are common. On the other hand, many advantages of the use of health and medical apps have been pointed out by experts. Conclusion: Debates on ethics and the use of health and medical apps should play a significant role in public discussion. Ethical endpoints cannot be considered isolated from each other, and must be regarded as a complex network of aspects connected with each other. Further research should concentrate on the development of consistent guidelines and a framework for reflection of occurring ethical concerns.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49340250","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}
Deise Garrido, Camila Huanca, Ana Emília Figueiredo de Oliveira, M. Morita, A. Haddad
The Brazilian public healthcare system (SUS - Brazilian Healthcare System) provides free dental care, covering almost half of the Brazilian population. Providing continuing education to thousands of professionals is a difficult and expensive task given the country’s large size. SUS' Open University in partnership with public universities provides ongoing education to thousands of healthcare professionals using technological resources for distance learning. A distance learning course, in the MOOC (Massive Open Online Course) modality, was developed to provide continuing medical education for dental surgeons to assist patients with chronic diseases. The course is free and has registered 13,089 participants. Aim: The purpose of this study is to present the profile of the MOOC course participants. Methods: Secondary data were obtained from Federal Council of Dentistry, the National Registry of Health Facilities, the National Institute for Educational Studies and Research Anísio Teixeira and the Registry of Higher Education Institutions and Courses (e-MEC). Data of the MOOC course were collected in the Arouca Platform. Results: Dentists in Brazil are predominantly female. However, in some specialties there are more men than women. The majority of participants on the course were female 73.5% and in the age group of 21-40 years. Conclusion: This phenomenon is similar to other countries, and needs to be better investigated in Brazil, so that public policies of continuing education of healthcare professionals by means of distance learning, may take the profession's feminisation into consideration.
{"title":"Feminisation of Dentistry in Brazil from the Perspective of a MOOC-Type Distance Course - A Short Report","authors":"Deise Garrido, Camila Huanca, Ana Emília Figueiredo de Oliveira, M. Morita, A. Haddad","doi":"10.29086/JISFTEH.7.E6","DOIUrl":"https://doi.org/10.29086/JISFTEH.7.E6","url":null,"abstract":"The Brazilian public healthcare system (SUS - Brazilian Healthcare System) provides free dental care, covering almost half of the Brazilian population. Providing continuing education to thousands of professionals is a difficult and expensive task given the country’s large size. SUS' Open University in partnership with public universities provides ongoing education to thousands of healthcare professionals using technological resources for distance learning. A distance learning course, in the MOOC (Massive Open Online Course) modality, was developed to provide continuing medical education for dental surgeons to assist patients with chronic diseases. The course is free and has registered 13,089 participants. Aim: The purpose of this study is to present the profile of the MOOC course participants. Methods: Secondary data were obtained from Federal Council of Dentistry, the National Registry of Health Facilities, the National Institute for Educational Studies and Research Anísio Teixeira and the Registry of Higher Education Institutions and Courses (e-MEC). Data of the MOOC course were collected in the Arouca Platform. Results: Dentists in Brazil are predominantly female. However, in some specialties there are more men than women. The majority of participants on the course were female 73.5% and in the age group of 21-40 years. Conclusion: This phenomenon is similar to other countries, and needs to be better investigated in Brazil, so that public policies of continuing education of healthcare professionals by means of distance learning, may take the profession's feminisation into consideration. ","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43885711","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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