Technical and Clinical Progress in Telemedicine

Strode, Steven W.

doi:10.1001/jama.281.12.1066

Cited by 121 publications

(71 citation statements)

References 11 publications

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“…Telemedicine underwent considerable evolution from this time. [29] Today, telemedicine is perceived not only as the way of delivery of healthcare services in some extreme circumstances (as geographic isolation or emergency states) but more as the use of modern telematic tools for improvement of availability and quality of medical services. The use of telemedical application is not even over the world.…”

Section: The Improvement Of Access To Health Care Services With Telemmentioning

confidence: 99%

The Impact of Information Technology on Quality of Healthcare Services

Duplaga

2004

Computational Science - ICCS 2004

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Abstract. The incorporation of information technology tools in medical practice results not only in opportunities related to improved quality and availability of services but also in transformation of the model of care delivery. Spreading use of the computer applications in healthcare is propelled by the growing expectations of citizens about quality of medical care. Furthermore, modern healthcare system relies on the concepts of patient's empowerment, shared care and continuity of services. The fulfilment of all these requirements may be possible through establishment of the e health environment allowing for safe "electronic" contacts between physicians and their patients. In turn, the use of telemedical applications improves the process of information exchange between professionals representing different referential levels and areas of medicine. The awareness of the fact that medical errors themselves may be meaningful cause of morbidity and mortality, accerelated searches for effective countermeasures. The use of computer-based solutions is perceived currently as one of the effective remedies. The paper explores the opportunities of improvement of healthcare performance and quality with solutions brought by information technology. The Role of Information Technology in the Vision of Modern HealthcareThe perception of healthcare has been evolving from the moment when humans started to perform conscious actions for preserving health and treating ailments. The approaches based on the irrational beliefs or individual experience of practitioners were substituted by evidence-based clinical practice in 20th century. Simultaneously, radical changes in lifestyle and nutrition had profound impact on life duration and quality of life. The expenditures for healthcare remain important part of national products in developed countries. Increased awareness of health-related problems results in high expectations about healthcare performance among the citizens. The increased life duration, the emphasis put on maintaining high quality of healthcare services, the sophisticated medical technology and high incidence of chronic conditions in modern societies add to growing trends in healthcare expenditures. The progress in telecommunication and computers science leads to essential transformations in other domains. The great expectations about opportunities for increased cost-effectiveness and quality of services exist also in healthcare. Information technology opens the window for assuring appropriate healthcare quality obtained within reasonable costs. Particularly, rapid growth of Internet community is

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Section: The Improvement Of Access To Health Care Services With Telemmentioning

confidence: 99%

The Impact of Information Technology on Quality of Healthcare Services

Duplaga

2004

Computational Science - ICCS 2004

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“…These are almost all for diagnosis rather than continuous patient monitoring. Recent studies show that [4] the number of patients being managed at home is increasing, in an effort to cut part of the high hospitalization's cost, while trying to increase patient's comfort. Using low cost televideo equipment that runs over regular phone lines, providers are expanding the level while reducing the frequency of visits to healthcare institutions [5].…”

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confidence: 99%

A novel codification scheme based on the "VITAL" and "DICOM" standards for telemedicine applications

Anagnostaki

Pavlopoulos

Kyriakou

et al. 2002

IEEE Trans. Biomed. Eng.

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Abstract-The field of interest discussed in this study is a novel codification scheme for (vital signs) medical device communication and patient monitoring data interchange, into the context of effective home care service provisioning. With medical technology having developed in isolation and major manufacturers developing their own proprietary communication protocols, which preclude connection to devices from different manufacturers, and with healthcare trends having evolved, pointing to primary care, telecare and home care monitoring, there is an increasing need for technical standardization in healthcare environments and the development of protocols that enable communication in a structured and open way. In this study, a novel codification scheme has been developed, based on two healthcare informatics standards, the VITAL and DICOM Sup. 30, in addressing the robust interchange of waveform and medical data for a home care application. Based on this scheme, we created a real-time facility, consisting of a base unit and a telemedicine (mobile) unit, that enables home telemonitoring, by installing the telemedicine unit at the patient's home while the base unit remains at the physician's office or hospital. The system allows the transmission of vital biosignals (3-lead ECG, pulse rate, blood pressure and SpO 2 ) of the patient. This paper presents an object-oriented design with unified modeling language (UML) of a class hierarchy for exchanging the acquired medical data and performing alert management, and investigates the applicability of the proposed scheme into a commercial patient-connected medical device, thus addressing service and functionality requirements with focus on home-care applications. The system has been validated for technical performance over several telecommunication means and for clinical validity via real patient-involved pilot trials.

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“…Telemedicine refers to the delivery of health care and sharing of medical knowledge over a distance 1 and is increasingly being applied to solve problems of access to a wide range of healthcare specialists, particularly in rural and remote regions. Use of the telephone and ship-to-shore radio for medical purposes are well-established examples of telemedicine.…”

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confidence: 99%

“…The widespread adoption of this technique has been slow for various reasons, including discomfort with the technology, inability (unwillingness) to alter clinical practice patterns and cost 1 . The clinicaland cost-effectiveness of many new telemedicine applications has also yet to be properly investigated 4,5 .…”

mentioning

confidence: 99%

Can telemedicine be used to promote sexual health?

Wootton

Bourne

2001

Int J STD AIDS

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Telemedicine refers to the delivery of health care and sharing of medical knowledge over a distance 1 and is increasingly being applied to solve problems of access to a wide range of healthcare specialists, particularly in rural and remote regions. Use of the telephone and ship-to-shore radio for medical purposes are well-established examples of telemedicine. Recent developments in digital communications and cheap computer technology have brought interactive video and the Internet to the medical desktop, thus facilitating the possibility of telemedicine where once it would have been impractical 2,3 .The widespread adoption of this technique has been slow for various reasons, including discomfort with the technology, inability (unwillingness) to alter clinical practice patterns and cost 1 . The clinicaland cost-effectiveness of many new telemedicine applications has also yet to be properly investigated 4,5 . Nevertheless, studies con® rm high levels of satisfaction amongst healthcare staff and patients with telemedicine services for dermatology, neurology, surgery, colposcopy and psychiatry 6± 10 . However, it is also true that such services have proved more popular with patients than with healthcare staff, since usually the direct bene® ts of telemedicine accrue to the patient.In telemedicine, as in other IT-related sectors, equipment costs have declined more than 5-fold in a decade and the equipment also has more capabilities 1 . Furthermore, adding non-clinical uses like educational programmes and administrative meetings to the application of telemedicine has been suggested to foster networks and generate referrals 11 . In Australia, telemedicine services for psychiatry, renal dialysis, ophthalmology and dermatology 12± 15 are well established for clinical consultations, education and staff development including links with the Royal Flying Doctor Service (see http://www.¯ying doctorqueensland.net/).Telemedicine therefore has demonstrated its utility in a wide range of clinical applications.

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Technical and Clinical Progress in Telemedicine

Cited by 121 publications

References 11 publications

The Impact of Information Technology on Quality of Healthcare Services

The Impact of Information Technology on Quality of Healthcare Services

A novel codification scheme based on the "VITAL" and "DICOM" standards for telemedicine applications

Can telemedicine be used to promote sexual health?

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