A Telemedicine System to Support a New Model for Care of Chronically Ill Patients

Toledo, Paula de; Jiménez, Silvia; Pozo, Francisco del

doi:10.1177/1357633x020080s208

Cited by 8 publications

(9 citation statements)

References 2 publications

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“… 24 The images produced were of sufficient quality for diagnosis. 26 Harper et al 47 performed coloposcopies in 79 women whereby the images were sent to a hub site for further assessment and comparison. 47 The interobserver agreement was as high as 86% (k=0.68) and the colposcopists’ and patients’ satisfaction was rated as ‘excellent’.…”

Section: Resultsmentioning

confidence: 99%

Evaluating the use of telemedicine in gynaecological practice: a systematic review

et al. 2020

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ObjectivesThe aim of this systematic review is to examine the use of telemedicine in the delivery and teaching of gynaecological clinical practice. To our knowledge, no other systematic review has assessed this broad topic.DesignSystematic review of all studies investigating the use of telemedicine in the provision of gynaecological care and education. The search for eligible studies followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and focused on three online databases: PubMed, Science Direct and SciFinder.Eligibility criteriaOnly studies within gynaecology were considered for this review. Studies covering only obstetrics and with minimal information on gynaecology, or clinical medicine in general were excluded. All English language, peer-reviewed human studies were included. Relevant studies published up to the date of final submission of this review were considered with no restrictions to the publication year.Data extractions and synthesisData extracted included author details, year of publication and country of the study, study aim, sample size, methodology, sample characteristics, outcome measures and a summary of findings. Data extraction and qualitative assessment were performed by the first author and crossed checked by the second author. Quality assessment for each study was assessed using the Newcastle-Ottawa scale.ResultsA literature search carried out in August 2020 yielded 313 records published between 1992 and 2018. Following a rigorous selection process, only 39 studies were included for this review published between 2000 and 2018. Of these, 19 assessed gynaecological clinical practice, eight assessed gynaecological education, one both, and 11 investigated the feasibility of telemedicine within gynaecological practice. 19 studies were classified as good, 12 fair and eight poor using the Newcastle-Ottawa scale. Telecolposcopy and abortion care were two areas where telemedicine was found to be effective in potentially speeding up diagnosis as well as providing patients with a wide range of management options. Studies focusing on education demonstrated that telementoring could improve teaching in a range of scenarios such as live surgery and international teleconferencing.ConclusionsThe results of this review are promising and demonstrate that telemedicine has a role to play in improving clinical effectiveness and education within gynaecology. Its applications have been shown to be safe and effective in providing remote care and training. In the future, randomised controlled studies involving larger numbers of patients and operators with measurable outcomes are required in order to be able to draw reliable conclusions.

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Section: Resultsmentioning

confidence: 99%

Evaluating the use of telemedicine in gynaecological practice: a systematic review

et al. 2020

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“…The possibility of remote use of spirometry through telemedicine equipment has been investigated by several authors both as a prevention and monitoring tool in patients suffering from respiratory syndrome [45]. Telespirometry is used in clinical practice to monitor asthma patients and patients with COPD living at a distance from the hospital [46,47]. These integrated systems, in patients with respiratory diseases and frequent exacerbations, can reduce both emergency room visits and the number of hospitalizations [48].…”

Section: Spirometrymentioning

confidence: 99%

Telemedicine for Pre-Employment Medical Examinations and Follow-Up Visits on Board Ships: A Narrative Review on the Feasibility

et al. 2021

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Background: Telemedicine has already been applied to various medical specialties for diagnosis, treatment, and follow-up visits for the general population. Telemedicine has also proven effective by providing advice, diagnosis, and treatment to seafarers during emergency medical events onboard ships. However, it has not yet been applied for pre-employment medical examinations and follow-up visits on board ships. Objective: This review aimed to assess the possibility of using telemedicine during periodic visits between one pre-employment medical examination and others on board ships, and to recommend necessary medical examination tests with screening intervals for seafarers. Methods: Various databases including PubMed, EMBASE, Scopus, CINAHL, and Cochrane Library were explored using different keywords, titles, and abstracts. Studies published between 1999 and 2019, in English, in peer-reviewed journal articles, and that are conference proceedings were considered. Finally, the studies included in this review were chosen on the basis of the eligibility criteria. Results: Out of a total of 168 studies, 85 studies were kept for further analysis after removing the duplicates. A further independent screening based on the inclusion and exclusion criteria resulted in the withdrawal of 51 studies that were not further considered for our analysis. Finally, 32 studies were left, which were critically reviewed. Out of 32 accepted studies, 10 studies demonstrated the effectiveness of the electrocardiogram (ECG) in monitoring and managing remote patients with heart failure, early diagnosis, and postoperative screening. In 15 studies, telespirometry was found to be effective in diagnosing and ruling out diseases, detecting lung abnormalities, and managing patients with chronic obstructive pulmonary disease (COPD) and asthma. Seven studies reported that telenephrology was effective, precise, accurate, and usable by non-medical personnel and that it reduced sample analysis times and procedures in laboratories. Conclusion: using new technologies such as high-speed internet, video conferencing, and digital examination, personnel are able to make the necessary tests and perform virtual medical examination on board ships with necessary training.

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“…Nowadays, some of these sensors are wireless [61], and these systems can also operate from the patient’s home to provide chronic medical care.…”

Section: The Future Of Telemedicinementioning

confidence: 99%

“…In the last two decades, telemedicine has developed in parallel with new technology (sensors and devices) [4,5]. Telemonitoring is emerging as a highly promising way of managing the large numbers of patients with chronic illness [6,7]. The most sophisticated telemedicine systems offer real-time visualization of patients at home and of their physiological data [8,9].…”

Section: Introductionmentioning

confidence: 99%

State-of-the-Art Sensor Technology in Spain: Invasive and Non-Invasive Techniques for Monitoring Respiratory Variables

Domingo

Blanch

Murias

et al. 2010

Sensors

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The interest in measuring physiological parameters (especially arterial blood gases) has grown progressively in parallel to the development of new technologies. Physiological parameters were first measured invasively and at discrete time points; however, it was clearly desirable to measure them continuously and non-invasively. The development of intensive care units promoted the use of ventilators via oral intubation ventilators via oral intubation and mechanical respiratory variables were progressively studied. Later, the knowledge gained in the hospital was applied to out-of-hospital management. In the present paper we review the invasive and non-invasive techniques for monitoring respiratory variables.

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A Telemedicine System to Support a New Model for Care of Chronically Ill Patients

Cited by 8 publications

References 2 publications

Evaluating the use of telemedicine in gynaecological practice: a systematic review

Evaluating the use of telemedicine in gynaecological practice: a systematic review

Telemedicine for Pre-Employment Medical Examinations and Follow-Up Visits on Board Ships: A Narrative Review on the Feasibility

State-of-the-Art Sensor Technology in Spain: Invasive and Non-Invasive Techniques for Monitoring Respiratory Variables

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