System of Telemedicine Services Designed for Family Doctors' Practices

Bujnowska–Fedak, Maria Magdalena; Staniszewski, Andrzej; Steciwko, Andrzej; Puchała, Edward

doi:10.1089/15305620050503933

Cited by 13 publications

(8 citation statements)

References 9 publications

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“…Furthermore, it is necessary to reflect the diversity of the healthcare system and its stakeholders in a rural environment. [22][23][24][25][26][27][28][29] Finally, based on relevant attainable performance measures, careful objective and well-developed evaluation efforts must be continued to determine the true impact and value of telehealth upon the health and wellness of the populations served. [19][20][21][30][31][32][33][34][35] …”

Section: Discussionmentioning

confidence: 99%

Telehealth in the Trenches: Reporting Back from the Frontlines in Rural America

Alverson

Shannon²,

Sullivan³

et al. 2004

Telemedicine Journal and e-Health

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Access to appropriate healthcare services continues to be a major challenge in rural America. Telehealth technologies offer an opportunity to bridge gaps in health services in rural and remote areas and possibly support rural economic development. Lack of access to healthcare services to a growing population may create barriers to recruitment of businesses and economic growth. Several rural-oriented programs have attempted to leverage these emerging distance technologies, but success has varied despite the application of considerable federal, state governmental, and private resources. Barriers to adoption and sustainability of rural telehealth embody several factors that must be considered when planning, developing, implementing, and evaluating a rural telehealth program. New Mexico, the fifth largest state in the United States, represents many of the issues related to the potential benefits and challenges in developing a telehealth system to serve its rural communities. The Center for Telehealth at the University of New Mexico Health Sciences Center has been supported in large part by state and federal funding. Through our experiences, successes, failures, and lessons learned, we have developed approaches to overcoming barriers to adoption and sustainment of telehealth applications, including the establishment of partnerships with economic development projects in the state. This article describes these experiences and identifies and provides strategies for planning, development, implementation, and sustainment of telehealth in a rural program.

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Section: Discussionmentioning

confidence: 99%

Telehealth in the Trenches: Reporting Back from the Frontlines in Rural America

Alverson

Shannon²,

Sullivan³

et al. 2004

Telemedicine Journal and e-Health

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“…Other than this work, to our knowledge, the extent to which information provided during physician-to-physician consultation is used in the care of the index patient or subsequent patients has not been well described. A few studies have investigated virtual consultation using the electronic messaging capabilities of an EHR system within an integrated healthcare environment [23-25]. Researchers have evaluated the use of telemedicine for remote consultations [26-29].…”

Section: Introductionmentioning

confidence: 99%

Comparing virtual consults to traditional consults using an electronic health record: an observational case–control study

Palen

Price

Shetterly³

et al. 2012

BMC Med Inform Decis Mak

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BackgroundPatients have typically received health care through face-to-face encounters. However, expansion of electronic communication and electronic health records (EHRs) provide alternative means for patient and physicians to interact. Electronic consultations may complement regular healthcare by providing “better, faster, cheaper” processes for diagnosing, treating, and monitoring health conditions. Virtual consultation between physicians may provide a method of streamlining care, potentially saving patients the time and expense of added visits. The purpose of this study was to compare physician usage and patient satisfaction with virtual consultations (VCs) with traditional consultations (TCs) facilitated within an EHR.MethodsWe conducted an observational case–control survey study within Kaiser Permanente, Colorado. A sample of patients who had VCs requested by physicians (N = 270) were matched with patients who had TCs requested by physicians (N = 270), by patient age, gender, reason for the consult, and specialty department. These patients (VC and TC), were invited to participate in a satisfaction survey. In addition, 205 primary care physicians who submitted a VC or TC were surveyed.ResultsDuring the study period, 58,146 VC or TC were requested (TC = 96.3%). Patients who completed a satisfaction survey (267 out of 540 patients, 49.4% response rate) indicated they were satisfied with their care, irrespective of the kind of consult (mean 10-point Likert score of 8.5). 88 of 205 primary care physicians surveyed (42.9%) returned at least one survey; VC and TC survey response rates and consulted departments were comparable (p = 0.13). More TCs than VCs requested transfer of patient care (p = 0.03), assistance with diagnosis (p = 0.04) or initiating treatment (p =0.04). Within 3 weeks of the consultation request, 72.1% of respondents reported receiving information from VCs, compared with 33.9% of the TCs (p < 0.001). Utility of information provided by consultants and satisfaction with consultations did not differ between VCs and TCs.ConclusionsReferring physicians received information from consultants more quickly from VCs compared with TCs, but the value and application of information from both types of consultations were similar. VCs may decrease the need for face-to-face specialty encounters without a decrease in the patient’s perception of care.

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“…In general, published articles were expert opinions on telemedicine, with most focused on cardiology, family medicine, and pathology. [11][12][13][14][15][16][17][18][19][20][21][22][23][24] Telecardiology seems to be a very prominent telemedicine sector in Poland, and cardiac telerehabilitation has become well-recognized due to several projects. 14,20,[25][26][27] Specialists in family medicine, primary care and internal medicine usually implement home telemonitoring of chronic diseases and blood pressure monitoring in their studies, and there are a few research groups focused on telediabetology.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine and eHealth in Poland from 1995 to 2015

Glinkowski¹,

Karlińska²,

Karliñski³

et al. 2018

Adv Clin Exp Med

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The aim of this study is to present a review based on the literature and proceedings from selected telemedicine conferences. The review was developed using the PRISMA framework. The Embase and PubMed (updated until July 13, 2015) literature databases were searched for telemedicine-related terms and Poland. The literature search identified 129 eligible articles in the databases and 85 in conference proceedings until July 2015. Articles measured as a number of contributions per year presented a similar rising, fluctuating and almost parallel pattern. Fifty-nine percent of the reviewed papers were published in impacted journals. Almost half of all publications presented original papers. The published articles concerned mostly cardiology (16%), family medicine (15%) and pathology (11%). Conference proceedings papers concerned orthopedics (29%, significantly more frequent; p < 0.001) and cardiology (14%). Scientific activity of researchers and practitioners in Poland in the field of telemedicine is not high, but it is increasing over time. There is a tendency to present the research rather in high-quality journals instead of conferences before publication. The occurrence of individual medical specialty telemedicine in Poland may reflect country-specific needs.

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System of Telemedicine Services Designed for Family Doctors' Practices

Cited by 13 publications

References 9 publications

Telehealth in the Trenches: Reporting Back from the Frontlines in Rural America

Telehealth in the Trenches: Reporting Back from the Frontlines in Rural America

Comparing virtual consults to traditional consults using an electronic health record: an observational case–control study

Telemedicine and eHealth in Poland from 1995 to 2015

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