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May, 2013
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telehealth

A content citizen health management system: a tele-health and tele-care prototype portal for the public

Christopoulou SC, Papoutsis JL. Health and Technology, 2012

The main inspiration for the implementation of the Content Citizen Health Management System (CCHMS) is to provide a daily, convenient and easily accessible collaborative supportive environment, which will concern social and personal health and welfare matters, to computer literate citizens and those who desire to use information technology. It is a fact that Health services involving prevention and wellness are changing significantly towards a more citizen-centered, home care notion why not also mobile services via WEB and WAP technologies. In other words, the CCHMS as a portal is fundamentally an integration of health content and services in a functional and intelligent WEB environment via the development of communication channels among citizens and the public and private organizations. The design and the development of the CCHMS are based on open source software and follow the appropriate HITSP [1] and ISO/TR 22221 [2] standards along with HONcode principles [3].
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Published: 23 February 2012 |
Keyword(s): Health Informatics, Health Promotion, Portal, social care, Telehealth, Telemedicine

Preparing for the Telehealth World: Navigating Legal, Regulatory, Reimbursement, and Ethical Issues in an Electronic Age

Baker DC, Bufka LF. Professional Psychology: Research and Practice, 42(6)

As technology advances, psychologists increasingly have the opportunity to engage with patients or other users of psychological services via less traditional methods. However, little guidance exists to prepare psychologists to navigate the legal, regulatory, reimbursement, and ethical issues that can arise when providing psychological services via technology.
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Published: 7 December 2011 |
Keyword(s): Ethics, Legal, Privacy, reimbursement, Security, Telehealth, Telemedicine, Telemental health, United States

Health-enabling technologies for the elderly – An overview of services based on a literature review

Ludwig W et al, Computer Methods and Programs in Biomedicine, 2011

Background
Services for the elderly based on health-enabling technologies promise to contribute significantly to the efficiency and effectiveness of future health care. Due to this promise, over the last years the scientific community has designed a complex variety of these valuable innovations. A systematic overview of the developed services would help to better understand their opportunities and limitations.
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Published: 23 November 2011 |
Keyword(s): Ambient-Assisted-Living, e-Health, Elderly, Medical Informatics, Telecare, Telehealth

Barriers to Telemedicine: Survey of Current Users in Acute Care Units

Rogove HJ et al, Telemedicine and e-Health, 2011

Context:
The present study of current telemedicine users is a unique attempt to understand the barriers and motivational factors related to the utilization of telemedicine.

Objective:
A survey of emergency and critical care remote presence telemedicine users was conducted to determine the factors that motivate and the barriers that impede the acceptance and maintenance of a robotic telemedicine (RTM) program.
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Published: 14 November 2011 |
Keyword(s): Acute Care, Barriers, Telehealth, Telemedicine, United States

The decreasing cost of telemedicine and telehealth

Doolittle GC et al, Telemedicine and e-Health, 17(9)

The teleoncology practice based at the University of Kansas Medical Center (KUMC) in Kansas City, Kansas, is one of the longest running practices of its kind worldwide. The practice began in 1995 and connected an oncologist at KUMC with a rural medical center in Hays, Kansas. Fifteen years later, the practice continues to thrive at Hays Medical Center and has also expanded to include two additional sites within the state-the Northeast Kansas Center for Health and Wellness in Horton and Goodland Regional Medical Center in Goodland-that offer regularly scheduled teleoncology clinics. While the KUMC practice has witnessed an expansion in service sites throughout its history, the practice has seen a significant decrease in the costs associated with providing such services since its inception.
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Published: November 2011 |
Keyword(s): Costs, Oncology, Telehealth, Telemedicine, United States

Access to emerging technologies and telehealth intervention modality preferences in rural patients

Warren JC et al, Health and Technology, 2011

The importance of telehealth strategies in addressing the health needs of rural residents has been well documented. A core problem in enacting telehealth strategies for patient education in rural settings, however, is a lasting perception that rural residents do not have access to, comfort with, or willingness to use varying emerging technologies. The current study was undertaken to simultaneously investigate access to technologies, comfort with technologies, and willingness to participate in technology-based interventions among high-need rural clinical populations. A sample of 199 patients was recruited at a Federally Qualified Health Center (FQHC) in the rural South using convenience sampling. Participants completed a battery of assessments addressing technology access, use, and comfort as well as likelihood of participating in intervention modalities.
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Published: 20 October 2010 |
Keyword(s): Chronic Disease Management, Rural, Telehealth, Telemedicine, United States

Requirements and Design for Smart Healthcare Applications

Stevenson D. electronic Journal of Health Informatics, 6(2)

When developing a “smart healthcare” application that takes the participants beyond their experience of the conventional analogue of that application, a challenge is to gather the requirements for the application and to map those requirements onto a successful design. Some requirements will come from the conventional way of delivering the healthcare service. Some will come from the domains of the technologies that have been used to create the smart healthcare application. Some requirements, however, particularly for point-of-care applications, will emerge from the interplay of the actual clinical situation and the novelty of the smart healthcare application.
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Published: 10 August 2011 |
Keyword(s): Applications, Australia, Design, Evaluation, Requirements, Telehealth, Trial

Integrated telehealth and care management program for medicare beneficiaries with chronic disease linked to savings

Baker LC et al, Health Affairs, 30(9)

Treatment of chronically ill people constitutes nearly four-fifths of US health care spending, but it is hampered by a fragmented delivery system and discontinuities of care. We examined the impact of a care coordination approach called the Health Buddy Program, which integrates a telehealth tool with care management for chronically ill Medicare beneficiaries. We evaluated the program’s impact on spending for patients of two clinics in the US Northwest who were exposed to the intervention, and we compared their experience with that of matched controls. We found significant savings among patients who used the Health Buddy telehealth program, which was associated with spending reductions of approximately 7.7-13.3 percent ($312-$542) per person per quarter. These results suggest that carefully designed and implemented care management and telehealth programs can help reduce health care spending and that such programs merit continued attention by Medicare. Meanwhile, mortality differences in the treatment and control groups suggest that the intervention may have produced noticeable changes in health outcomes, but we leave it to future research to explore these effects fully.

Published: September 2011 |
Keyword(s): Benefits, Chronic Diseases, Telehealth, Telemedicine, United States

Telehealthcare for asthma: a Cochrane review

BACKGROUND:
Telehealthcare has the potential to provide care for long-term conditions that are increasingly prevalent, such as asthma. We conducted a systematic review of studies of telehealthcare interventions used for the treatment of asthma to determine whether such approaches to care are effective.
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Published: 11 July 2011 |
Keyword(s): Asthma, Review, Telehealth, Telemedicine

Telehealth – Future Directions in Cardiovascular Care

Cleland JGF, Barrett D. European Cardiology, 6(3)

Over recent years, telehealth has increasingly demonstrated its value in supporting the delivery of cardiovascular healthcare. From teletriage services as a portal into healthcare through to telemonitoring of heart failure patients, technology is already increasing the ability of practitioners to provide care remotely, empower patients and improve clinical outcomes. In the future, telehealth services have the potential to have an even greater impact on the provision of cardiovascular care.
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Published: September 2010 |
Keyword(s): Cardiovascular, Telehealth, Telemedicine, Telemonitoring, Telestroke

The Taxonomy of Telemedicine

Bashshur R et al, Telemedicine and e-Health, 17(6)

The purpose of this article is to present a taxonomy for telemedicine. The field has markedly grown, with an increasing number of applications, a variety of technologies, and newly introduced terminology. A taxonomy would serve to bring conceptual clarity to this burgeoning set of alternatives to in-person healthcare delivery. The article starts with a brief discussion of the importance of taxonomy as an information management strategy to improve knowledge sharing, facilitate research and policy initiatives, and provide some guidance for the orderly development of telemedicine.
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Published: 30 June 2011 |
Keyword(s): e-Health, mHealth, Taxonomy, Telehealth, Telemedicine

Impact of Telehealth on Patient Self-management of Heart Failure: A Review of Literature

Radhakrishnan K, Jacelon C. The Journal of Cardiovascular Nursing, 2011

PURPOSE
The objective of the study was to explore the impact of telehealth interventions on individuals’ self-care of heart failure (HF).

BACKGROUND
Heart failure is a chronic illness that requires a complex treatment regimen over a long period. Historically, effective self-care has been difficult for this population. There is a need for innovative and effective approaches to improve individual self-care. Telehealth can potentially help individuals with HF follow the plan of care resulting in improved health outcomes and a better quality of life.
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Published: 9 May 2011 |
Keyword(s): Digital Homecare, Heart Failure, Literature Review, Self Care, Self Management, Telehealth, Telemedicine, Telemonitoring

Disruptive innovation: the future of healthcare?

Yellowlees P et al, Telemedicine and e-Health, 17(3)

The traditional face-to-face doctor-patient relationship is the core of conventional medical practice. One key aspect of this changing relationship is the increasing dependency on asynchronous data collection in clinical consultations. Such electronic communications and data streams may be numeric, text-based, audio, digitized still pictures, video and radiologic, as well as emanating from multiple medical devices. While asynchronous medicine may be established in specialties like radiology and dermatology, there is little research regarding the use of asynchronous medicine in areas of medicine that traditionally rely on the physical doctor-patient interaction such as primary care, internal medicine, geriatrics, and psychiatry.
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Published: 1 March 2011 |
Keyword(s): Asynchronous, Disruptive, e-Health, Innovation, Telehealth, Telemedicine, Telepsychiatry

Nursing and information and communication technology (ICT): A discussion of trends and future directions

While A, Dewsbury G. International Journal of Nursing Studies, 2011

This paper traces the development of information and communication (ICT) within health care and the emergence of telehealth as a key component of modern health care delivery as health care moves from the ‘face to face age’ to the ‘information age’. The paper examines the interface of ICT and nursing practice and highlights the limited evidence relating to the nursing contribution within telehealth particularly beyond data input and output analysis for other health care personnel.
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Published: 6 April 2011 |
Keyword(s): ICT, Nursing, Portal, Telecare, Telehealth, Telemedicine, Telemonitoring

Is Telehealth Finally Ready to Answer the Call?

Baldwin G. Health Data Management Magazine, 19(4)

The test group was small, and more research is called for, but Gail Nunlee-Bland, M.D., and Ernest Carter, M.D., are now sold on the idea of remote patient monitoring via the Web.

Affiliated with Howard University Hospital, Washington, D.C., the two physicians conducted an 18-month research project to determine if a provider-assisted, telehealth self-management application could be an effective intervention tool for diabetic urban minorities. In short, the answer was yes. A group of patients equipped with camera-enabled laptops that could download data directly from blood pressure cuffs, glucometers and weight scales got key diabetic measures under control. In fact, the online patients-who conducted Web cam visits with a nurse-did a better job of health maintenance than a control group who relied on traditional face-to-face encounters.

Published: 1 April 2011 |
Keyword(s): Telehealth, Telemedicine, United States

Barriers to the up-take of telemedicine in Australia – a view from providers

Moffatt JJ, Eley DS. Rural and Remote Health, 11(1)

Introduction:
The continued poorer health status of rural and remote Australians when compared with their urban counterparts is cause for concern. The use of advanced technology to improve access to health care has the potential to assist in addressing this problem. Telemedicine is one example of such technology which has advanced rapidly in its capacity to increase access to healthcare services or provide previously unavailable services. The important anticipated benefits of greater access to healthcare services are improved health outcomes and more cost-effective delivery.
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Published: 10 February 2011 |
Keyword(s): Australia, Barriers, Telehealth, Telemedicine

Models of information exchange for UK telehealth systems

Aim
The aim of the paper was to identify the models of information exchange for UK telehealth systems.

Methodology
Twelve telehealth offerings were evaluated and models representing the information exchange routes were constructed. Questionnaires were used to validate the diagrammatical representations of the models with a response rate of 55%.
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Published: 4 March 2011 |
Keyword(s): Devices, Health Information Exchange, Model, Point of Care, Telehealth, Telemedicine, UK

A peach of a telehealth program: georgia connects rural communities to better healthcare

Brewer R et al, Perspectives in Health Information Management, 8(Winter)

This article presents Georgia’s telehealth response to some of the significant healthcare challenges and disparities facing the rural citizens of this state. When compared to their urban and suburban counterparts, rural communities have fewer healthcare providers, and residents must travel longer distances to reach them.
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Published: 2011 |
Keyword(s): Efficiency, Quality, Rural, Telehealth, Telemedicine, Underserved, United States

Telehealth in Primary Healthcare: An Analysis of Belo Horizonte’s Experience

de Fátima Dos Santos A et al, Telemedicine and e-Health, 17(1)

Background:
Telehealth resources were implemented in the city of Belo Horizonte, providing tools for the medical assistance model as well as strengthening the quality of primary healthcare attention.

Objective:
The objective of this study was to analyze the characteristics of the incorporation of telehealth resources in Belo Horizonte, Brazil, and its contribution to the structuring of primary healthcare.
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Published: 7 January 2011 |
Keyword(s): Brazil, e-Health, Primary Care, Telehealth, Telemedicine

An evaluation of telehealth websites for design, literacy, information and content

Whitten P et al, J Telemed Telecare, 17(1)

We examined 62 telehealth websites using four assessment criteria: design, literacy, information and telehealth content. The websites came from the member list of the American Telemedicine Association and the Office for the Advancement of Telehealth and partner sites, and were included if they were currently active and at least three clicks deep. Approximately 130 variables were examined for each website by two independent researchers.
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Published: 12 November 2010 |
Keyword(s): Awareness, Design, Literacy, Telehealth, Telemedicine, United States, Websites

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