urban
Stockwell MS et al, JAMA, 307(16)
Context
Influenza infection results in substantial costs, morbidity, and mortality. Vaccination against influenza is particularly important in children and adolescents who are a significant source of transmission to other high-risk populations, yet pediatric and adolescent vaccine coverage remains low. Traditional vaccine reminders have had a limited effect on low-income populations; however, text messaging is a novel, scalable approach to promote influenza vaccination.
[ More ]
Published:
25 April 2012 |
Keyword(s): Adolescents, mHealth, Pedriatics, Randomized Controlled Trials, SMS, United States, Urban, Vaccines
Finkelstein SM et al, Journal of Telemedicine and Telecare, 17(6)
We conducted a randomized controlled trial to evaluate the perception, satisfaction and utilization of a home telehealth service for frail elderly people living independently in their home communities. Control group subjects continued with their usual care and intervention group subjects were able to supplement their usual care with the use of a web portal. The web portal allowed videoconferencing and electronic messaging between home care nurses and clients, ordering health-related and home care services, access to health-related information and general access to the Internet. A total of 99 eligible people (59 female, 40 male) from one urban and one rural study site agreed to participate in the study. Eighty-four subjects were active participants for nine months.
[ More ]
Published:
15 August 2011 |
Keyword(s): Digital Homecare, Elderly, Messaging, Perception, Portal, Rural, Satisfaction, Telemedicine, United States, Urban, Videoconferencing
De Leon S et al. The Journal of Medical Practice Management, 25(6)
Electronic health records (EHRs) are expected to transform and improve the way medicine is practiced. However, providers perceive many barriers toward implementing new health information technology. Specifically, they are most concerned about the potentially negative impact on their practice finances and productivity. This study compares the productivity of 75 providers at a large urban primary care practice from January 2005 to February 2009, before and after implementing an EHR system, using longitudinal mixed model analyses.
[ More ]
Published:
May 2010 |
Keyword(s): Electronic Health Records, Health Information Technology, Primary Care, Provider, United States, Urban
McConnochie K et al, Telemedicine and e-Health, 16(3)
Background:
Health-e-Access, an urban telemedicine service, enabled 6,511 acute-illness telemedicine visits over a 7-year period for children at 22 childcare and school sites in Rochester, NY.
Objectives:
The aims of this article were to (1) describe provider attitudes and perceptions about efficiency and effectiveness of Health-e-Access and (2) assess hypotheses that (a) providers will complete a large proportion of the telemedicine visits attempted and (b) high levels of continuity with the primary care practice will be achieved.
[ More ]
Published:
20 April 2010 |
Keyword(s): Children, Telemedicine, United States, Urban
Cresci, M. Kay et al, Computers, Informatics, Nursing, 28(2)
Computers and the Internet offer older adults opportunities and resources for independent living. However, many urban older adults do not use computers. This study examined the demographic, health, and social activities of urban older adults to determine variables that might predict the use and nonuse of computers in this population. A secondary data analysis was performed using the 2001 Detroit City-Wide Needs Assessment of Older Adults (n = 1410) data set. Logistic regression was used to explore potential differences in predictor variables between computer users and nonusers.
[ More ]
Published:
March 2010 |
Keyword(s): Digital Divide, Elderly, Internet, United States, Urban
Singh, Hardeep et al, BMC Medical Informatics and Decision Making, 9(1)
Background
Early detection of colorectal cancer through timely follow-up of positive Fecal Occult Blood Tests (FOBTs) remains a challenge. In our previous work, we found 40% of positive FOBT results eligible for colonoscopy had no documented response by a treating clinician at two weeks despite procedures for electronic result notification. We determined if technical and/or workflow-related aspects of automated communication in the electronic health record could lead to the lack of response.
[ More ]
Published:
9 December 2009 |
Keyword(s): Alerts and Reminders, Colonoscopy, Communication, Electronic Health Records, Oncology, Primary Care, United States, Urban
Heath, Barry et al, Pediatric Critical Care Medicine, 10(5)
Objective:
A disparity in access to health care exists between rural and urban areas. Although 21% of children in the United States live in rural areas, only 3% of pediatric intensivists practice in rural areas. In an attempt to address this issue, we implemented a program of pediatric critical care telemedicine consultations in rural emergency departments (EDs) and report our results.
[ More ]
Published:
September 2009 |
Keyword(s): Disparities, Emergency Department, Feasibility Studies, Pedriatics, Rural, Telemedicine, United States, Urban
Miley, Madeline L. et al, Telemedicine and e-Health, 15(7)
A rural-urban disparity exists in acute stroke management practices in Arizona. A proposed solution is a statewide acute stroke care plan centered on stroke telemedicine. Our purpose was to evaluate the emergency stroke resources available at and care provided by remote Arizona hospitals and to formulate a 5-year stroke telemedicine plan for Arizona rural residents. We used the Arizona Hospital and Healthcare Association Web site to identify all eligible institutions. Consenting personnel were mailed the survey on behalf of the Arizona Department of Health Services. To construct the 5-year telemedicine plan, we used survey data as well as our previously designed stroke telemedicine research trial.
[ More ]
Published:
20 August 2009 |
Keyword(s): Disparities, Rural, Stroke, Telemedicine, United States, Urban
Curran, Janet A. et al, Evaluation and the Health Professions, 32(3)
Disparities exist between rural and urban emergency departments with respect to knowledge resources such as online journals and clinical specialists. As knowledge is a critical element in the delivery of quality care, a web-based learning project was proposed to address the knowledge needs of emergency clinicians. One objective of this project was to evaluate the effectiveness of the online environment for knowledge exchange among rural and urban emergency clinicians.
[ More ]
Published:
20 August 2009 |
Keyword(s): Canada, Clinical Information, Disparities, Emergency Clinician, Internet, Knowledge Exchange, Rural, Urban
Puentes, J. et al, International Journal of Biomedical Engineering and Technology, 2(1)
Mobile telemedicine systems could improve disaster scenario medical response, serving to cope partly with the crucial insufficiency of resources. Mobility is useful to provide the essential remotely assisted care to victims where they were found, in addition to evacuate them. Deciding mobile units’ intervention adds to the complexity of disaster response coordination.
[ More ]
Published:
January 2009 |
Keyword(s): Decision Support, Disaster, e-Health, Health Information Technology, Mobile Telemedicine Units, Remote Assistance, Telecare, Telemedicine, Urban
Palmas, Walter et al, J Telemed Telecare, 14(6)
We studied the perceptions of primary care providers (PCPs) about the telemedicine intervention in a trial of telemedicine for management of diabetes in medically under-served areas of New York State. A survey was mailed to 206 rural and 159 urban PCPs. The response rates were 25% and 22%, respectively. Eighty percent of respondents believed that a diabetes telemedicine case management system would help their practice.
[ More ]
Published:
September 2008 |
Keyword(s): Diabetes Mellitus, Patient Satisfaction, Primary Care, Rural, Telemedicine, United States, Urban
Shivute, Meke I. et al, J Telemed Telecare, 14(6)
We surveyed health service providers in Namibia to find out how they used information and communication technologies (ICTs) to deliver health services to their patients. A structured questionnaire was administered to 21 health service providers in two regions of the country (one urban, one rural). There was overwhelming consensus among the health service providers that ICTs were very important, especially for medical services (100%). Ninety-one percent of health service providers viewed ICT as helping them to interact with other providers in other health institutions.
[ More ]
Published:
September 2008 |
Keyword(s): Computer-Assisted Instruction, Namibia, Questionnaires, Rural, Telemedicine, Urban
Ward, Marcia M. et al, Journal of Medical Systems, 30(6)
Clinical information systems (CIS) capture clinical data to support more efficient and effective decision making and clinical care delivery. Only a few estimates of CIS availability and use in hospitals are available nationally. The purpose of the current research is to examine differences in CIS availability and use between urban and rural hospitals. A survey addressing this purpose was completed by 74 (63.7%) of Iowa hospitals. Rural hospitals lag behind urban hospitals in terms of many CIS applications.
[ More ]
Published:
December 2006 |
Keyword(s): Clinical Information Systems, Decision Making, Electronic Health Records, Hospitals, Medical Informatics, Rural, United States, Urban
