A Systematic Review of Technical Evaluation in Telemedicine Systems

Clarke, Malcolm; Thiyagarajan, Chinnaya

doi:10.1089/tmj.2007.0032

Cited by 22 publications

(16 citation statements)

References 42 publications

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“…New networks, such as sensor networks, e-Health systems for patient monitoring [1] and social networks which promote human interaction, are producing data at a phenomenal rate. This data needs to be efficiently stored, processed and analysed.…”

Section: Introductionmentioning

confidence: 99%

Exploring a New Security Framework for Cloud Storage Using Capabilities

Mapp¹,

Aiash²,

Ondiege

et al. 2014

2014 IEEE 8th International Symposium on Service Oriented System Engineering

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Abstract-We are seeing the deployment of new types of networks such as sensor networks for environmental and infrastructural monitoring, social networks such as facebook, and e-Health networks for patient monitoring. These networks are producing large amounts of data that need to be stored, processed and analysed. Cloud technology is being used to meet these challenges. However, a key issue is how to provide security for data stored in the Cloud. This paper addresses this issue in two ways. It first proposes a new security framework for Cloud security which deals with all the major system entities. Secondly, it introduces a Capability ID system based on modified IPv6 addressing which can be used to implement a security framework for Cloud storage. The paper then shows how these techniques are being used to build an e-Health system for patient monitoring.

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Section: Introductionmentioning

confidence: 99%

Exploring a New Security Framework for Cloud Storage Using Capabilities

Mapp¹,

Aiash²,

Ondiege

et al. 2014

2014 IEEE 8th International Symposium on Service Oriented System Engineering

Self Cite

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“…The interest in the potential of telemedicine to increase the quality, accessibility, utilisation, efficiency, and effectiveness of healthcare services is fuelled by the rapid development of information and communication technology (ICT) and connectivity [1]. The focus of this paper is specifically on the potential of telemedicine to strengthen hospital referral systems by reducing the need to transport patients between facilities [2].…”

Section: Introductionmentioning

confidence: 99%

A Decision Support System For Equipment Allocation In A Telemedicine Referral Network

Treurnicht

Dyk

2014

The South African Journal of Industrial Engineering

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Telemedicine applications have had much success in strengthening health systems worldwide. Unfortunately, many systems are implemented without decisions based on proper needs assessments. In South Africa, this 'technology push' approach has led to a large amount of equipment standing dormant. It is proposed that the potential of telemedicine be measured prior to implementation, thus 'pulling' the technology towards a clinical need. A decision support system is developed that uses health informatics and computational intelligence to determine the need for telemedicine and to allocate equipment in a network of facilities to achieve the best cost benefit. The system facilitates the collection and storage of electronic health record (EHR) data in a data warehouse. A linear programming model is used with a genetic algorithm. The system was developed and tested for the South African public health sector, using data from 27 hospitals in the Western Cape Province. Results have shown that if telemedicine workstations with specific peripheral equipment, as determined by the algorithm, were implemented in the given period, an estimated R8.7 million in referral costs could have been saved for the 27 hospitals. Thus the case study provided evidence for the benefits of implementation in the chosen network of hospitals. This new application of health informatics could provide telemedicine management with a useful tool for making implementation decisions based on evidence. Future work would include the development of similar systems for other markets. OPSOMMING'n Verskeidenheid telegeneeskunde toepassings het reeds groot sukses behaal in die bevordering van gesondheidsdienste wêreldwyd. Ongelukkig word tegnologie dikwels geimplementeer sonder om besluitneming te baseer op behoorlike behoefte bepalings. In Suid-Afrika, het hierdie 'tegnologie stoot' benadering gelei tot 'n groot hoeveelhede ongebruikte toerusting. Daar word voorgestel dat die potensiaal van telemedisyne gemeet moet word, voor implementering, om sodoende tegnologie te 'trek' na kliniese behoefte. 'n Besluitneming ondersteuning stelsel is ontwikkel wat gebruik maak van gesondheidsorg informatika en rekenkundige intelligensie, om die behoefte vir tele-geneeskunde te bepaal en daarvolgens toerusting toe te ken aan 'n netwerk van gesondheidsorg fasiliteite, om die beste kostevoordeel te bereik. Die stelsel fasiliteer die versamel en berg van elektroniese mediese rekord data in 'n data stoor. 'n Lineêre programmering model word gebruik met 'n genetiese algoritme opgelos. Die stelsel is ontwikkel en getoets vir die Suid-Afrikaanse openbare gesondheidsektor, met behulp van data van 27 hospitale in die Wes-Kaap Provinsie. Resultate toon dat indien telemedisyne werkstasies met spesifieke aanvullende toerusting, soos bepaal deur die algoritme, beskikbaar was in die gegewe tydperk, 'n beraamde R8.7 miljoen gespaar kon word met betrekking tot pasiënt verwysingkoste. Die gevallestudie toon dus van die voordele van implementering in die gekose netwerk van hospitale. Hi...

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“…20 One method of assessing feasibility is by reporting the amount of technical difficulties experienced to compare whether the number of difficulties has a negative impact on satisfaction rates, 12 as technical issues have been identified as one drawback to telemedicine that negatively affects care. 12,21 The predominant method by which to assess feasibility includes the use of surveys or questionnaires to measure satisfaction, which have been widely used in telehealth applications. 22 Surveys are an appropriate means to measure satisfaction because not only are they easily administered and not cumbersome for the respondent, 23 but they also provide valuable information into the perceptions of the individuals to whom the survey is targeted.…”

Section: List Of Tablesmentioning

confidence: 99%

“…In assessing technical issues related to systems in videoconferencing, Clarke and Thiyagarajan 21 conducted a systematic review to examine which elements needed to be addressed in a technical evaluation. 21 Using forty-seven articles in the review, nine of the articles dealt with business industry using videoconferencing while the other thirty-eight were related to telehealth. 21 They found that of these forty-seven articles reviewed, twenty-two of the studies used subjective measures to assess the technical evaluation, and over half of these subjective measures (59 percent) used Likert scales and questionnaires to evaluate the technical issues.…”

Section: Measuring Feasibility: Technical Difficultiesmentioning

confidence: 99%

“…One method to assess feasibility is by reporting the number of technical difficulties experienced to compare whether this number has a negative impact on satisfaction rates, 12 as technical issues have been identified as one drawback to telemedicine that negatively affects care. 12,21 The predominant method by which to assess feasibility is through the use of surveys or questionnaires to measure satisfaction, which have been widely used in telehealth applications. 22…”

Section: Introduction To Feasibilitymentioning

confidence: 99%

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The Feasibility of a Home Telenutrition Intervention for Weight Reduction in Men in West Virginia

Campion¹

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Background West Virginia (WV) has one of the highest national rates of obesity, especially among middleaged men, and one of the lowest Registered Dietitian Nutritionist (RDN) ratios per capita. Providing nutrition advice via teleconferencing may allow obese WV middle-aged men to overcome access barriers that are preventing them from overcoming obesity. However, before large-scale interventions can be effectively conducted, the feasibility must be assessed. Objective The purpose of this study is to evaluate the feasibility of a home telenutrition weight-loss program using videoconferencing among obese men in WV. Feasibility is assessed through technical difficulties tracked throughout the intervention and through a post-intervention satisfaction survey. Methods A survey was developed to assess the participants' level of satisfaction related to the technological and nutritional care aspects of the intervention. Twenty-seven men aged 40-70 who participated in a 12-week telenutrition weight loss intervention took this survey upon completion of the intervention. The amount and type of technical difficulties were also documented throughout the intervention. Results Eighty-one video calls were attempted throughout the intervention with all but one participant experiencing at least one minor or major technical difficulty either logging on or during the calls. Even with these technical difficulties, overall satisfaction with this mode of delivery was high, regardless of age, income level, education level, employment status, and technical difficulties logging on or during video calls. Previous videoconferencing experience was significantly related to higher satisfaction levels. Conclusion and summary Videoconferencing is a technologically feasible and highly acceptable method of nutrition counseling for the middle-aged, obese male population in WV, as shown with no significant differences between group demographics. Videoconferencing should be used to develop a largerscale intervention for this population to combat obesity within this demographic.

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A Systematic Review of Technical Evaluation in Telemedicine Systems

Cited by 22 publications

References 42 publications

Exploring a New Security Framework for Cloud Storage Using Capabilities

Exploring a New Security Framework for Cloud Storage Using Capabilities

A Decision Support System For Equipment Allocation In A Telemedicine Referral Network

The Feasibility of a Home Telenutrition Intervention for Weight Reduction in Men in West Virginia

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