Shunta Tomimatsu, Kuriko Kudo, T. Moriyama, T. Moriyama, Tomoaki Taguchi, S. Shimizu
Introduction: Videoconferencing (VC) is useful for physicians who need to learn about many cases without moving from one institution to another. However, this advantage can be hampered by technical issues. This study aims to analyse the factors relating technical support that cause technical issues in regular multiparty medical VC to provide high-quality VC to meet participants’ demands. Methods: The study includes large multiparty VC between the Kyushu University Hospital Department of Paediatric Surgery and different institutions within Japan that were held from September 2014 to January 2017. Technical tests, a “previous-week test” and a “last-hour test,” were conducted for checking conditions prior to the VC. The chi-square test was used for factors: participation for previous-week and last-hour test, and attendance by an engineer VCs in each participating institution. A questionnaire survey was distributed among the participants to collect feedback on the quality of VC, ease of preparation and necessity of previous-week testing. Results: Participation in the last-hour test (P=0.002) and the presence of an engineer (P=0.049) significantly decreased overall technical issues. The last-hour tests significantly decreased disconnection (P=0.015) and audio (P=0.019) issues. The engineer’s attendance decreased content-sharing issues (P=0.027). Participants reporting “very good” and “good” audio and visual quality were 92% (109/118) and 96% (105/110). Eighty-three percent of participants (82/99) found the preparation “very easy” or “easy”; while 61% (63/103) found the previous-week test, “unnecessary.” Conclusions: Based on our study, “engineers’ attendance” and “last-hour” technical testing significantly reduced technical problems; these factors help provide high-quality output VC and meet the needs of the participants.
{"title":"How to Prevent Technical Issues in Large Multiparty Medical Videoconferencing","authors":"Shunta Tomimatsu, Kuriko Kudo, T. Moriyama, T. Moriyama, Tomoaki Taguchi, S. Shimizu","doi":"10.29086/JISFTEH.6.E10","DOIUrl":"https://doi.org/10.29086/JISFTEH.6.E10","url":null,"abstract":"Introduction: Videoconferencing (VC) is useful for physicians who need to learn about many cases without moving from one institution to another. However, this advantage can be hampered by technical issues. This study aims to analyse the factors relating technical support that cause technical issues in regular multiparty medical VC to provide high-quality VC to meet participants’ demands. Methods: The study includes large multiparty VC between the Kyushu University Hospital Department of Paediatric Surgery and different institutions within Japan that were held from September 2014 to January 2017. Technical tests, a “previous-week test” and a “last-hour test,” were conducted for checking conditions prior to the VC. The chi-square test was used for factors: participation for previous-week and last-hour test, and attendance by an engineer VCs in each participating institution. A questionnaire survey was distributed among the participants to collect feedback on the quality of VC, ease of preparation and necessity of previous-week testing. Results: Participation in the last-hour test (P=0.002) and the presence of an engineer (P=0.049) significantly decreased overall technical issues. The last-hour tests significantly decreased disconnection (P=0.015) and audio (P=0.019) issues. The engineer’s attendance decreased content-sharing issues (P=0.027). Participants reporting “very good” and “good” audio and visual quality were 92% (109/118) and 96% (105/110). Eighty-three percent of participants (82/99) found the preparation “very easy” or “easy”; while 61% (63/103) found the previous-week test, “unnecessary.” Conclusions: Based on our study, “engineers’ attendance” and “last-hour” technical testing significantly reduced technical problems; these factors help provide high-quality output VC and meet the needs of the participants.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":"6 1","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2018-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46367276","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":"Consent: A Luta Continua","authors":"M. Mars, R. Scott","doi":"10.29086/JISFTEH.6.E1","DOIUrl":"https://doi.org/10.29086/JISFTEH.6.E1","url":null,"abstract":"","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42906368","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. Ha, S. Warner, P. O'Neil, P. Anderson, W. Sievert
Patients who develop hepatic decompensation with ascites have a poor prognosis and often experience other complications including spontaneous bacterial peritonitis, hepatic encephalopathy and variceal bleeding. We hypothesised that smartphone (SP)-enabled remote monitoring of patients with ascites may enable early detection of infection and acute decompensation, facilitate timely intervention and improve patient outcomes. Aim: We aimed to design, develop and implement a remote monitoring system (RMS) for outpatients with cirrhotic ascites. Method: We undertook surveys with patients and hepatologists to quantify the demand for a RMS and identify issues regarding implementation. A smartphone and a web-based application were developed as a RMS. Patients used the RMS in a 6-week prospective non-randomised trial. Results: We surveyed 27 patients (mean age 56 years, 18 (67%) were male, 16 (59%) had Childs Pugh B cirrhosis, and 20 (74%) had a history of alcoholic liver disease) and 5 hepatologists. There were 19 patients (70%) who reported that they would use a RMS. The RMS was used by 10 patients for a mean 53.8days (11-70), who entered 20.6 (0-71) updates. A total of 18 automated alerts occurred. 22% of automated alerts resulted in clinically significant changes to management, such as inpatient admission n=1 (6%), early outpatient appointment n=1 (6%) and reinforced adherence n=2 (11%). Conclusion: We have successfully designed an internet-enabled RMS for outpatients with cirrhotic ascites that could be used as an adjunct to existing outpatient services. Future studies will optimise the alert thresholds, assess long-term patient adoption and quantify clinical impact.
{"title":"Development of a Smartphone Application to Enable Remote Monitoring in the Outpatient Management of Cirrhotic Ascites","authors":"P. Ha, S. Warner, P. O'Neil, P. Anderson, W. Sievert","doi":"10.29086/jisfteh.6.e7","DOIUrl":"https://doi.org/10.29086/jisfteh.6.e7","url":null,"abstract":"Patients who develop hepatic decompensation with ascites have a poor prognosis and often experience other complications including spontaneous bacterial peritonitis, hepatic encephalopathy and variceal bleeding. We hypothesised that smartphone (SP)-enabled remote monitoring of patients with ascites may enable early detection of infection and acute decompensation, facilitate timely intervention and improve patient outcomes. Aim: We aimed to design, develop and implement a remote monitoring system (RMS) for outpatients with cirrhotic ascites. Method: We undertook surveys with patients and hepatologists to quantify the demand for a RMS and identify issues regarding implementation. A smartphone and a web-based application were developed as a RMS. Patients used the RMS in a 6-week prospective non-randomised trial. Results: We surveyed 27 patients (mean age 56 years, 18 (67%) were male, 16 (59%) had Childs Pugh B cirrhosis, and 20 (74%) had a history of alcoholic liver disease) and 5 hepatologists. There were 19 patients (70%) who reported that they would use a RMS. The RMS was used by 10 patients for a mean 53.8days (11-70), who entered 20.6 (0-71) updates. A total of 18 automated alerts occurred. 22% of automated alerts resulted in clinically significant changes to management, such as inpatient admission n=1 (6%), early outpatient appointment n=1 (6%) and reinforced adherence n=2 (11%). Conclusion: We have successfully designed an internet-enabled RMS for outpatients with cirrhotic ascites that could be used as an adjunct to existing outpatient services. Future studies will optimise the alert thresholds, assess long-term patient adoption and quantify clinical impact.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47073007","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}
Tony Norris, Jose J. Gonzalez, D. Parry, R. Scott, J. Dugdale, D. Khazanchi
This paper describes the origins and progress of an international project to advance disaster eHealth (DEH) – the application of eHealth technologies to enhance the delivery of healthcare in disasters. The study to date has focused on two major themes; the role of DEH in facilitating inter-agency communication in disaster situations, and the fundamental need to promote awareness of DEH in the education of disaster managers and health professionals. The paper deals mainly with on-going research on the second of these themes, surveying the current provision of disaster medicine education, the design considerations for a DEH programme for health professionals, the key curriculum topics, and the optimal delivery mode.
{"title":"The Role of e-Health in Disasters: A Strategy for Education, Training and Integration in Disaster Medicine","authors":"Tony Norris, Jose J. Gonzalez, D. Parry, R. Scott, J. Dugdale, D. Khazanchi","doi":"10.29086/JISFTEH.6.E2","DOIUrl":"https://doi.org/10.29086/JISFTEH.6.E2","url":null,"abstract":"This paper describes the origins and progress of an international project to advance disaster eHealth (DEH) – the application of eHealth technologies to enhance the delivery of healthcare in disasters. The study to date has focused on two major themes; the role of DEH in facilitating inter-agency communication in disaster situations, and the fundamental need to promote awareness of DEH in the education of disaster managers and health professionals. The paper deals mainly with on-going research on the second of these themes, surveying the current provision of disaster medicine education, the design considerations for a DEH programme for health professionals, the key curriculum topics, and the optimal delivery mode.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":"6 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2018-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45291273","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}
In the UK it is estimated the NHS spends almost £100 million every year in unused drugs. In addition, hospital admission costs attributed to patients not taking their prescribed medicine properly was estimated to be between £36m and £197m per year. In the U.S., medication non-adherence is estimated to lead to between $100 and $300 billion of avoidable healthcare costs annually, representing 3–10% of total U.S. healthcare costs. Studies show that improving medication adherence may have a greater influence on the health of the population than the discovery of any new therapy. Effective medicines are available for many conditions and yet patients are non-adherent 50% of the time. This can be critical point in certain disease states, such as asymptomatic conditions like hypertension, where the incidence may approach 80% non-compliance. It is proposed to create a therapeutic adherence monitoring device within a smart blister pack that is coupled to a device with the capacity to collect and send data to a common server. This would allow a clinician to know, with high certainty, if the patient is taking their medication as prescribed and on schedule. This paper gathers information to identify current technology to support integrated monitoring and control of therapeutic adherence.
{"title":"What’s the Importance of Portable Tele-Monitoring Devices in Patient Therapeutic Adherence?","authors":"O. Rodrigues","doi":"10.1111/IJPP.1","DOIUrl":"https://doi.org/10.1111/IJPP.1","url":null,"abstract":"In the UK it is estimated the NHS spends almost £100 million every year in unused drugs. In addition, hospital admission costs attributed to patients not taking their prescribed medicine properly was estimated to be between £36m and £197m per year. In the U.S., medication non-adherence is estimated to lead to between $100 and $300 billion of avoidable healthcare costs annually, representing 3–10% of total U.S. healthcare costs. Studies show that improving medication adherence may have a greater influence on the health of the population than the discovery of any new therapy. Effective medicines are available for many conditions and yet patients are non-adherent 50% of the time. This can be critical point in certain disease states, such as asymptomatic conditions like hypertension, where the incidence may approach 80% non-compliance. It is proposed to create a therapeutic adherence monitoring device within a smart blister pack that is coupled to a device with the capacity to collect and send data to a common server. This would allow a clinician to know, with high certainty, if the patient is taking their medication as prescribed and on schedule. This paper gathers information to identify current technology to support integrated monitoring and control of therapeutic adherence.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46846332","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}
Pub Date : 2017-03-02DOI: 10.14569/ijacsa.2017.080329
F. Yusifov
This paper explores electronic health (eHealth) as a segment of electronic government. International practice in electronic health field and electronic health strategies adopted in Europe are analysed. Current practices in delivery of electronic health services in G2C are investigated and perspectives are explained. Future studies of best practices in this field will facilitate the expansion of citizen-centric e-services.
{"title":"Electronic Health as a Component of G2C Services","authors":"F. Yusifov","doi":"10.14569/ijacsa.2017.080329","DOIUrl":"https://doi.org/10.14569/ijacsa.2017.080329","url":null,"abstract":"This paper explores electronic health (eHealth) as a segment of electronic government. International practice in electronic health field and electronic health strategies adopted in Europe are analysed. Current practices in delivery of electronic health services in G2C are investigated and perspectives are explained. Future studies of best practices in this field will facilitate the expansion of citizen-centric e-services.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43300714","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}
eHealth systems include applications of information and communication technologiesy to improve healthcare services delivery, support, and education. Many countries around the world, including Botswana, are in the process or have already adopted the use of such technology in their healthcare sectors. Often this is done without first gauging the readiness of the setting: healthcare workers meant to use the technology, or the facilities in which such technology will be used. eHealth Readiness is the ‘preparedness of healthcare workers, communities, or institutions for the anticipated change brought about by programs related to information and communications technology’. This study measured eHealth readiness of healthcare institutions in Botswana, and identified personal attributes of users that may influence their readiness to apply eHealth. A self-administered questionnaire with closed-ended questions was used to collect data from 87 healthcare workers at two hospitals in Botswana. The questionnaire contained 19 questions covering 3 domains (aptitudinal readiness, attitudinal readiness, and infrastructural readiness). The responses were rated on a 5-point Likert-type scale ranging from strongly disagree to strongly agree. The questionnaires were then coded and data analysed using Statistical Package for Social Sciences (SPSS) version 21.0. Results highlighted that participating institutions showed a different degree of eHealth infrastructural readiness. Participants in the study showed a high level of eHealth attitudinal readiness but a low level of eHealth awareness.
{"title":"eHealth Readiness of Health Care Institutions in Botswana","authors":"Kabelo Leonard Mauco","doi":"10.2316/P.2014.815-022","DOIUrl":"https://doi.org/10.2316/P.2014.815-022","url":null,"abstract":"eHealth systems include applications of information and communication technologiesy to improve healthcare services delivery, support, and education. Many countries around the world, including Botswana, are in the process or have already adopted the use of such technology in their healthcare sectors. Often this is done without first gauging the readiness of the setting: healthcare workers meant to use the technology, or the facilities in which such technology will be used. eHealth Readiness is the ‘preparedness of healthcare workers, communities, or institutions for the anticipated change brought about by programs related to information and communications technology’. This study measured eHealth readiness of healthcare institutions in Botswana, and identified personal attributes of users that may influence their readiness to apply eHealth. A self-administered questionnaire with closed-ended questions was used to collect data from 87 healthcare workers at two hospitals in Botswana. The questionnaire contained 19 questions covering 3 domains (aptitudinal readiness, attitudinal readiness, and infrastructural readiness). The responses were rated on a 5-point Likert-type scale ranging from strongly disagree to strongly agree. The questionnaires were then coded and data analysed using Statistical Package for Social Sciences (SPSS) version 21.0. Results highlighted that participating institutions showed a different degree of eHealth infrastructural readiness. Participants in the study showed a high level of eHealth attitudinal readiness but a low level of eHealth awareness.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":"2 1","pages":"43-49"},"PeriodicalIF":0.0,"publicationDate":"2014-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68676558","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}
Telemedicine programmes, though popular and increasingly effective, can sometimes fail with little indication as to why they did so. This study provides first a qualitative analysis of the authors' failed telepsychiatry project, and second, an interview study completed with personnel from successful telepsychiatry programmes. Together, these shed light on what went wrong with the authors' project, and also provide insight about critical factors for telepsychiatry success. Findings suggest the sophistication or features of the technology are not key factors in failure or success. Instead, community, patient-based, and study-specific barriers were most commonly cited as issues that inhibited study recruitment and enrolment. Based on these findings, recommendations are provided to address common barriers and increase the likelihood of success in telepsychiatry.
{"title":"BARRIERS AND CONTRIBUTORS TO SUCCESS IN TELEMEDICINE: A QUALITATIVE STUDY OF A STRUGGLING TELEPSYCHIATRY PROJECT AND A SAMPLING OF HIGHLY SUCCESSFUL PROGRAMMES.","authors":"Carolyn Lauckner, Pamela Whitten","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Telemedicine programmes, though popular and increasingly effective, can sometimes fail with little indication as to why they did so. This study provides first a qualitative analysis of the authors' failed telepsychiatry project, and second, an interview study completed with personnel from successful telepsychiatry programmes. Together, these shed light on what went wrong with the authors' project, and also provide insight about critical factors for telepsychiatry success. Findings suggest the sophistication or features of the technology are not key factors in failure or success. Instead, community, patient-based, and study-specific barriers were most commonly cited as issues that inhibited study recruitment and enrolment. Based on these findings, recommendations are provided to address common barriers and increase the likelihood of success in telepsychiatry.</p>","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":"2 ","pages":"71-76"},"PeriodicalIF":0.0,"publicationDate":"2014-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8045892/pdf/nihms-1582730.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38879134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"DigiHealthDay 2020 (Abstracts)","authors":"M. Mars","doi":"10.29086/jisfteh.8.es1","DOIUrl":"https://doi.org/10.29086/jisfteh.8.es1","url":null,"abstract":"","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69683865","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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