Impact of Telemedicine on Healthcare Service System Considering Patients’ Choice

Wang, Xiaoli; Zhang, Zhiyong; Zhao, Jing; Shi, Yongqiang

doi:10.1155/2019/7642176

Cited by 34 publications

(21 citation statements)

References 43 publications

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“…27 Telenursing facilitates this relationship and can broaden the scope of nursing services available to patients at home. [28][29][30] Lifestyle-related chronic diseases such as heart disease, stroke, renal failure, diabetes, etc., can be prevented from onset and aggravation by disease management. Cardiometabolic diseases occupy the top ranks among the diseases that require high medical expenses and long-term care.…”

Section: Discussionmentioning

confidence: 99%

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The Effectiveness of Telenursing for Self-Management Education on Cardiometabolic Conditions: A Pilot Project on a Remote Island of Ōsakikamijima, Japan

Moriyama

Kazawa

Jahan

et al. 2021

J Prim Care Community Health

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Introduction: Providing self-management education for residents with cardiometabolic conditions in remote islands is a challenge due to the shortage of primary care practitioners (PCPs), specialist physicians, and nurses. Therefore, we applied telenursing with lifestyle-related chronic diseases in remote island residents in Japan. This project aimed to improve the self-management behavior, cardiometabolic indicators, self-efficacy, and quality of life (QoL) of residents with cardiometabolic risks. Methods: We chose Ōsakikamijima Island, Hiroshima Prefecture, Japan, which is designated under the Remote Islands Development Act. The project was conducted from 2013 to 2014. The residents aged over 40 and under 75 years old, selected from the annual specific health check-up examination and from PCPs for screening cardiometabolic risks (urinary protein, glycohemoglobin A1c, systolic and diastolic blood pressure (BP), Low-density lipoprotein cholesterol, High-density lipoprotein cholesterol, and triglyceride) were included. The effectiveness of telenursing for self-management education was 6-month-long with a 6-month follow-up and evaluated by a single-group pre-and post-test design. Face-to-face health education was applied at the initial interview followed by telenursing (biweekly telephone calls till third-month, and a monthly telephone call during the fourth and fifth-month) by the trained nurses outside the island. To enhance participants’ self-monitoring health behavior changes, the nurses used motivational interviewing and behavior change techniques based on the transtheoretical model. Results: A total of 130 residents, 42 agreed to participate, 41 finished the 6-month program, and 33 completed the 12-month follow-up. Most of their behavior changes like self-management behaviors, cardiometabolic indicators, and self-efficacy at 6-month were improved significantly except QoL. Among the 12-month study periods, self-management behaviors, body mass index, systolic BP, diastolic BP, and self-efficacy (sense of control), (all P < .05) showed significant improvement. Conclusion: This study results indicated that telenursing might be effective to improve the lifestyles-related behaviors in chronic diseases on the remote island of Ōsakikamijima, Japan.

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Section: Discussionmentioning

confidence: 99%

“… 27 Telenursing facilitates this relationship and can broaden the scope of nursing services available to patients at home. 28 - 30 …”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Telenursing for Self-Management Education on Cardiometabolic Conditions: A Pilot Project on a Remote Island of Ōsakikamijima, Japan

Moriyama

Kazawa

Jahan

et al. 2021

J Prim Care Community Health

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“…Patients will no longer have to stand in long queues, and physicians will be able to access patient information more conveniently and efficiently with electronic files and eliminating overall wait times. Furthermore, remote appointments allow doctors to devote less time to each patient, allowing them to treat a more significant number of patients [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Telemedicine for healthcare: Capabilities, features, barriers, and applications

Haleem

Javaid

Singh

et al. 2021

Sensors International

686

206

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Regular hospital visits can be expensive, particularly in rural areas, due to travel costs. In the era of the Covid-19 Pandemic, where physical interaction becomes risky, people prefer telemedicine. Fortunately, medical visits can be reduced when telemedicine services are used through video conferencing or other virtual technologies. Thus, telemedicine saves both the patient's and the health care provider time and the cost of the treatment. Furthermore, due to its fast and advantageous characteristics, it can streamline the workflow of hospitals and clinics. This disruptive technology would make it easier to monitor discharged patients and manage their recovery. As a result, it is sufficient to state that telemedicine can create a win-win situation. This paper aims to explore the significant capabilities, features with treatment workflow, and barriers to the adoption of telemedicine in Healthcare. The paper identifies seventeen significant applications of telemedicine in Healthcare. Telemedicine is described as a medical practitioner to diagnose and treat patients in a remote area. Using health apps for scheduled follow-up visits makes doctors and patients more effective and improves the probability of follow-up, reducing missing appointments and optimising patient outcomes. Patients should have an accurate medical history and show the doctor any prominent rashes, bruises, or other signs that need attention through the excellent quality audio-video system. Further, practitioners need file management and a payment gateway system. Telemedicine technologies allow patients and doctors both to review the treatment process. However, this technology supplements physical consultation and is in no way a substitute for a physical consultation. Today this technology is a safe choice for patients who cannot go to the doctor or sit at home, especially during a pandemic.

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“…However, with the help of telemedicine, healthcare providers can increase the patient's access to the high-quality service while reducing the medical expenditure, especially for patients in remote areas. Previous studies have focused on the impact of telemedicine on individual healthcare providers [12,34] or the referral system [15,16,35]. They have considered when to introduce telemedicine in the referral service system and whether the role of telemedicine is as a gatekeeper or the advanced care provider.…”

Section: Discussionmentioning

confidence: 99%

Contracts to Coordinate Healthcare Providers in the Telemedicine Referral System

Wang

2021

Sustainability

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With the help of telemedicine, healthcare providers can increase patients’ access to high-quality services while reducing the medical expenditure, especially for patients in remote areas. Once advanced care is needed, local patients will first be referred to an online health service and then be referred to the offline hospital if the online healthcare fails. In practice, local community hospitals and the advanced tertiary hospitals generally lack financial incentives to exert costly, but non-reimbursable, effort to avoid poor patient outcomes. Therefore, we build a new model to analyze the interaction between these two service providers, promoting them to exert the right effort by designing payment contracts. Our results show that neither fee-for-service nor bundled payment contracts can achieve the social optimum. Tertiary hospitals always exert less effort than the socially-optimal effort while the community hospital may exert less or more effort depending on the online treatment cost. Then, we propose a performance-based bundled payment contract that can coordinate both hospitals’ decisions to achieve socially optimal outcomes. Finally, we numerically show the impact of the referral service fee and the online treatment cost on the efficiency of these contracts.

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Impact of Telemedicine on Healthcare Service System Considering Patients’ Choice

Cited by 34 publications

References 43 publications

The Effectiveness of Telenursing for Self-Management Education on Cardiometabolic Conditions: A Pilot Project on a Remote Island of Ōsakikamijima, Japan

The Effectiveness of Telenursing for Self-Management Education on Cardiometabolic Conditions: A Pilot Project on a Remote Island of Ōsakikamijima, Japan

Telemedicine for healthcare: Capabilities, features, barriers, and applications

Contracts to Coordinate Healthcare Providers in the Telemedicine Referral System

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