Video Consultation in Lung Transplant Recipients during the COVID-19 Pandemic

Kayser, Moritz Z.; Valtin, Christina; Greer, Mark; Karow, Bernd; Fuge, Jan; Gottlieb, Jens

doi:10.1101/2020.05.12.20093799

Cited by 5 publications

(1 citation statement)

References 28 publications

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“…The COVID-19 has created a huge gap in the treatment of lung transplant recipients and other chronic respiratory diseases. A new video consultation that includes a structured questionnaire and vital signs documentation for lung transplant recipients is implemented in [32]. A comparison of on-site visits (OSV) consultation was performed six weeks in a lung transplant center in Germany.…”

Section: Related Workmentioning

confidence: 99%

Developing Secure Healthcare Video Consultations for Corona Virus (COVID-19) Pandemic

AlZain¹,

Al-Amri²,

Sallam³

et al. 2022

Intelligent Automation &Amp; Soft Computing

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Many health networks became increasingly interactive in implementing a consulting approach to telemedicine before the COVID-19 pandemic. To mitigate patient trafficking and reduce the virus exposure in health centers, several GPs, physicians and people in the video were consulted during the pandemic at the start. Video and smartphone consultations will allow well-insulated and high-risk medical practitioners to maintain their patient care security. Video appointments include diabetes, obesity, hypertension, stroke, mental health, chemotherapy and chronic pain. Many urgent diseases, including an emergency triage for the eye, may also be used for online consultations and triages. The COVID-19 pandemic shows that healthcare option for healthy healthcare and the potential to increase to a minimum, such as video consultations, have grown quickly. The dissemination of COVID-19 viruses now aims at extending the use of Video-Health Consultations by exchanging insights and simulations of health consultations and saving costs and healthcare practices as a consequence of the COVID-19 pandemic. Our paper focuses on video consulting privacy. This essay further presents the advantages and inconveniences of video consultation and its implementation. This paper suggests the most recent video encryption method known as high efficiency video coding selective encryption (HEVC SE). Our video consultation schema has been improved to secure video streaming on a low calculation overhead, with the same bit rate and to ensure compatibility with the video format. The contribution is made with RC5, a low complexity computer, to encrypt subsets of bin-strings binarized in the HEVC sense using the contextadaptive binary arithmetic coding (CABAC) method through the bypass binary arithmetic coding. This sequence of binstrings consists of a non-zero differential transforming cosine (DCT) coefficient bit, MVD sign bits, remainder absolute DCT suffixes and absolute MVD suffixes. This paper also examines the efficiency assessment of the use of the RC5 with its modes of operations in the HEVC CABAC SE proposed. This study chooses the best operating mode for RC5 to

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Section: Related Workmentioning

confidence: 99%

Developing Secure Healthcare Video Consultations for Corona Virus (COVID-19) Pandemic

AlZain¹,

Al-Amri²,

Sallam³

et al. 2022

Intelligent Automation &Amp; Soft Computing

View full text Add to dashboard Cite

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Frequency and Correlates of Online Consultations With Doctors or Therapists in Middle-Aged and Older Adults: Nationally Representative Cross-sectional Study

Hajek¹,

König²

2022

J Med Internet Res

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Background A few studies have identified the frequency and correlates of online consultations with doctors or therapists. However, there is a lack of studies using nationally representative data from middle-aged and older adults in Germany. Objective This study aims to determine the frequency and correlates of online consultations with doctors or therapists in Germany. Methods For this study, cross-sectional data were taken from the nationally representative German Ageing Survey (DEAS; n=3067 in the analytical sample; age range 46-98 years). As part of the DEAS, a short survey was conducted between June 8 and July 22, 2020, examining the everyday life and living conditions among these middle-aged and older individuals during the COVID-19 pandemic. The frequency of online consultations with doctors or therapists served as the dependent variable (daily, several times a week, once a week, 1-3 times a month, less often, and never). Multiple logistic regressions were performed. Results In sum, 10.02% (381/3806) of individuals with access to the internet had online consultations with doctors or therapists. Multiple logistic regressions showed that the likelihood of using online consultations with doctors or therapists (compared with those never using such services) was positively associated with higher education (compared with medium education; odds ratio [OR] 1.31, 95% CI 1.01-1.70), living with a partner in the same household (compared with single; OR 1.53, 95% CI 1.05-2.22), poorer self-rated health (OR 1.42, 95% CI 1.16-1.74), increased loneliness (OR 1.45, 95% CI 1.10-1.90), and increased satisfaction with life (OR 1.30, 95% CI 1.03-1.64). Conclusions Study findings suggest that a non-negligible proportion of about 1 out of 10 individuals aged 46 years and over had online consultations with doctors or therapists. However, compared with other countries, this proportion remains small. Knowledge about the correlates of (non)use may assist in identifying corresponding individuals. In times of reshaping the health care system, these efforts in online consultations with doctors or therapists may contribute to addressing patient needs. Moreover, increased use of such services may reduce the risk of getting infected with SARS-CoV-2 by reducing social contact.

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Exploring Patient and Staff Experiences With Video Consultations During COVID-19 in an English Outpatient Care Setting: Secondary Data Analysis of Routinely Collected Feedback Data

Bradwell¹,

Baines²,

Edwards³

et al. 2022

JMIR Form Res

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Background Video consultations (VCs) were rapidly implemented in response to COVID-19 despite modest progress before. Objective We aim to explore staff and patient experiences with VCs implemented during COVID-19 and use feedback insights to support quality improvement and service development. Methods Secondary data analysis was conducted on 955 patient and 521 staff responses (from 4234 consultations; 955/4234, 22.6% and 521/4234, 12.3%, respectively) routinely collected following a VC between June and July 2020 in a rural, older adult, and outpatient care setting at a National Health Service Trust. Responses were summarized using descriptive statistics and inductive thematic analysis and presented to Trust stakeholders. Results Most patients (890/955, 93.2%) reported having good (210/955, 22%) or very good (680/955, 71.2%) experience with VCs and felt listened to and understood (904/955, 94.7%). Most patients accessed their VC alone (806/955, 84.4%) except for those aged ≥71 years (23/58, 40%), with ease of joining VCs negatively associated with age (P<.001). Despite more difficulties joining, older adults were most likely to be satisfied with the technology (46/58, 79%). Patients and staff generally felt that patients’ needs had been met (860/955, 90.1% and 453/521, 86.9%, respectively), although staff appeared to overestimate patient dissatisfaction with VC outcomes (P=.02). Patients (848/955, 88.8%) and staff (419/521, 80.5%) felt able to communicate everything they wanted, although patients were significantly more positive than staff (P<.001). Patient satisfaction with communication was positively associated with technical performance satisfaction (P<.001). Most staff members (466/521, 89.4%) reported positive (185/521, 35.5%) or very positive (281/521, 53.9%) experiences with joining and managing VCs. Staff reported reductions in carbon footprint (380/521, 72.9%) and time (373/521, 71.6%). Most patients (880/955, 92.1%) would choose VCs again. We identified three themes in responses: barriers, including technological difficulties, patient information, and suitability concerns; potential benefits, including reduced stress, enhanced accessibility, cost, and time savings; and suggested improvements, including trial calls, turning music off, photo uploads, expanding written character limit, supporting other internet browsers, and shared online screens. This routine feedback, including evidence to suggest that patients were more satisfied than clinicians had anticipated, was presented to relevant Trust stakeholders, allowing for improved processes and supporting the development of a business case to inform the Trust decision on continuing VCs beyond COVID-19 restrictions. Conclusions The findings highlight the importance of regularly reviewing and responding to routine feedback following digital service implementation. The feedback helped the Trust improve the VC service, challenge clinician-held assumptions about patient experience, and inform future use of VCs. It has focused improvement efforts on patient information; technological improvements such as blurred backgrounds and interactive whiteboards; and responding to the needs of patients with dementia, communication or cognitive impairment, or lack of appropriate technology. These findings have implications for other health care providers.

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Video Consultation in Lung Transplant Recipients during the COVID-19 Pandemic

Cited by 5 publications

References 28 publications

Developing Secure Healthcare Video Consultations for Corona Virus (COVID-19) Pandemic

Developing Secure Healthcare Video Consultations for Corona Virus (COVID-19) Pandemic

Frequency and Correlates of Online Consultations With Doctors or Therapists in Middle-Aged and Older Adults: Nationally Representative Cross-sectional Study

Exploring Patient and Staff Experiences With Video Consultations During COVID-19 in an English Outpatient Care Setting: Secondary Data Analysis of Routinely Collected Feedback Data

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