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Journal of Telemedicine and Telecare

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https://www.readbyqxmd.com/read/27913657/cost-benefit-analysis-of-telehealth-in-pre-hospital-care
#1
James R Langabeer, Tiffany Champagne-Langabeer, Diaa Alqusairi, Junghyun Kim, Adria Jackson, David Persse, Michael Gonzalez
OBJECTIVE: There has been very little use of telehealth in pre-hospital emergency medical services (EMS), yet the potential exists for this technology to transform the current delivery model. In this study, we explore the costs and benefits of one large telehealth EMS initiative. METHODS: Using a case-control study design and both micro- and gross-costing data from the Houston Fire Department EMS electronic patient care record system, we conducted a cost-benefit analysis (CBA) comparing costs with potential savings associated with patients treated through a telehealth-enabled intervention...
December 2, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27913656/response-to-use-of-mobile-technology-in-a-community-mental-health-setting
#2
Javier Ash, Shyam Gokani, Georgina Kerry, Alexander Zargaran, Dara Rasasingam, Aaina Mittal
No abstract text is available yet for this article.
December 2, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27909208/evaluation-of-a-national-telemedicine-initiative-in-the-veterans-health-administration-factors-associated-with-successful-implementation
#3
Lauren Stevenson, Sherry Ball, Leah M Haverhals, David C Aron, Julie Lowery
BACKGROUND: The Consolidated Framework for Implementation Research was used to evaluate implementation facilitators and barriers of Specialty Care Access Network-Extension for Community Healthcare Outcomes (SCAN-ECHO) within the Veterans Health Administration. SCAN-ECHO is a video teleconferencing-based programme where specialist teams train and mentor remotely-located primary care providers in providing routine speciality care for common chronic illnesses. The goal of SCAN-ECHO was to improve access to speciality care for Veterans...
November 30, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27838639/economic-evaluation-of-home-based-telebehavioural-health-care-compared-to-in-person-treatment-delivery-for-depression
#4
Mark Bounthavong, Larry D Pruitt, Derek J Smolenski, Gregory A Gahm, Aasthaa Bansal, Ryan N Hansen
INTRODUCTION: Home-based telebehavioural healthcare improves access to mental health care for patients restricted by travel burden. However, there is limited evidence assessing the economic value of home-based telebehavioural health care compared to in-person care. We sought to compare the economic impact of home-based telebehavioural health care and in-person care for depression among current and former US service members. METHODS: We performed trial-based cost-minimisation and cost-utility analyses to assess the economic impact of home-based telebehavioural health care versus in-person behavioural care for depression...
November 12, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27831496/longitudinal-trial-of-a-smartphone-pain-application-for-chronic-pain-patients-predictors-of-compliance-and-satisfaction
#5
Robert N Jamison, Anna Mei, Edgar L Ross
INTRODUCTION: This study was designed to determine the feasibility, tolerability, safety and efficacy of a smartphone pain application (app) among chronic pain patients over a six-month trial. The app was designed for both Android and iPhone devices and enabled users with chronic pain to assess, monitor, and communicate their status to their providers. METHODS: We recruited 90 chronic pain patients to use the pain app. All subjects completed baseline measures and were asked to record their progress every day...
November 9, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27815494/telehealth-solutions-to-enable-global-collaboration-in-rheumatic-heart-disease-screening
#6
Eduardo Lv Lopes, Andrea Z Beaton, Bruno R Nascimento, Alison Tompsett, Julia Pa Dos Santos, Lindsay Perlman, Adriana C Diamantino, Kaciane Kb Oliveira, Cassio M Oliveira, Maria do Carmo P Nunes, Leonardo Bonisson, Antônio Lp Ribeiro, Craig Sable
BACKGROUND: The global burden of rheumatic heart disease is nearly 33 million people. Telemedicine, using cloud-server technology, provides an ideal solution for sharing images performed by non-physicians with cardiologists who are experts in rheumatic heart disease. OBJECTIVE: We describe our experience in using telemedicine to support a large rheumatic heart disease outreach screening programme in the Brazilian state of Minas Gerais. METHODS: The Programa de Rastreamento da Valvopatia Reumática (PROVAR) is a prospective cross-sectional study aimed at gathering epidemiological data on the burden of rheumatic heart disease in Minas Gerais and testing of a non-expert, telemedicine-supported model of outreach rheumatic heart disease screening...
November 4, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27789615/economic-evaluation-strategies-in-telehealth-obtaining-a-more-holistic-valuation-of-telehealth-interventions
#7
Centaine Snoswell, Anthony C Smith, Paul A Scuffham, Jennifer A Whitty
Telehealth is an emerging area of medical research. Its translation from conception, to research and into practice requires tailored research and economic evaluation methods. Due to their nature telehealth interventions exhibit a number of extra-clinical benefits that are relevant when valuing their costs and outcomes. By incorporating methods to measure societal values such as patient preference and willingness-to-pay, a more holistic value can be placed on the extra-clinical outcomes associated with telehealth and evaluations can represent new interventions more effectively...
October 27, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27789614/designing-quantitative-telemedicine-research
#8
Victoria Wade, Adrian G Barnett, Melinda Martin-Khan, Trevor Russell
When designing quantitative trials and evaluation of telehealth interventions, researchers should think ahead to the intended way that the intervention could be implemented in routine care and consider how trial participants with similar characteristics to the target population can be included. The telehealth intervention and the context in which it is placed should be clearly described, and consideration given to conducting pragmatic trials in order to show the effect of telehealth in complex environments with rapidly changing technology...
October 27, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27760883/evaluating-mobile-phone-applications-for-health-behaviour-change-a-systematic-review
#9
Fiona H McKay, Christina Cheng, Annemarie Wright, Jane Shill, Hugh Stephens, Mary Uccellini
INTRODUCTION: Increasing smartphones access has allowed for increasing development and use of smart phone applications (apps). Mobile health interventions have previously relied on voice or text-based short message services (SMS), however, the increasing availability and ease of use of apps has allowed for significant growth of smartphone apps that can be used for health behaviour change. This review considers the current body of knowledge relating to the evaluation of apps for health behaviour change...
October 18, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27733640/is-telemonitoring-useful-for-supporting-persons-with-consciousness-disorders-and-caregivers-a-preliminary-observational-study-in-a-real-life-population
#10
Chiara Zucchella, Massimo Di Santis, Biagio Ciccone, Massimiliano Pelella, Marina Scappaticci, Giovanna Badalassi, Susanna Lavezzi, Michelangelo Bartolo
INTRODUCTION: Preliminary evidences showed that telemedicine may allow a reduction of costs and an enhancement of patients' satisfaction and quality of life (QoL), with the same effectiveness of conventional methods of healthcare delivery. Literature is quite absent in relation to the use of telemedicine for patients with disorders of consciousness (DoC) whose management is delegated almost entirely to the family. In order to promote an alternative setting to manage persons affected by DoC, also supporting their families, a pilot project was designed to test the feasibility of home-care assistance based on a system of telemonitoring...
October 12, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27686648/telehealth-interventions-for-reducing-waiting-lists-and-waiting-times-for-specialist-outpatient-services-a-scoping-review
#11
Liam J Caffery, Mutaz Farjian, Anthony C Smith
We undertook a scoping review of the published literature to identify and summarise key findings on the telehealth interventions that influence waiting times or waiting lists for specialist outpatient services. Searches were conducted to identify relevant articles. Articles were included if the telehealth intervention restructured or made the referral process more efficient. We excluded studies that simply increased capacity. Two categories of interventions were identified - electronic consultations and image-based triage...
September 28, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27681227/acceptability-of-a-telecare-intervention-for-persistent-musculoskeletal-pain
#12
Rebecca E Guilkey, Claire B Draucker, Jingwei Wu, Zhangsheng Yu, Kurt Kroenke
INTRODUCTION: Persistent musculoskeletal pain is a prevalent, disabling, and often undertreated condition. This paper examines the acceptability of a telecare intervention for this condition. METHODS: The Stepped Care to Optimize Pain Care Effectiveness (SCOPE) intervention couples automatic symptom monitoring (ASM) with optimized analgesic care management by a nurse-physician team. Data from participants in the telecare intervention arm (n = 124) of a randomized control trial of SCOPE were analysed to determine the acceptability of the telecare intervention as indicated by patient use and satisfaction...
September 27, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27672059/treatment-satisfaction-of-home-based-telehealth-versus-in-person-delivery-of-prolonged-exposure-for-combat-related-ptsd-in-veterans
#13
Daniel F Gros, Cynthia Luethcke Lancaster, Cristina M López, Ron Acierno
INTRODUCTION: Although there is growing support that evidence-based psychotherapies (EBPs) delivered in-person and through telehealth are equivalent in terms of symptom reduction for posttraumatic stress disorder (PTSD), there has been far less investigation comparing these treatment modalities in terms of patient satisfaction. The present study investigated participant satisfaction and perception of the quality of service delivery within a clinical trial comparing the delivery of an EBP, Prolonged Exposure (PE) for PTSD, through home-based telehealth and in-person services...
September 26, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27663681/the-effect-of-telepsychiatric-modalities-on-reduction-of-readmissions-in-psychiatric-settings-a-systematic-review
#14
Henrik Koblauch, Sasha M Reinhardt, Waltraut Lissau, Pia-Lis Jensen
INTRODUCTION: Telepsychiatric modalities are used widely in the treatment of many mental illnesses. It has also been proposed that telepsychiatric modalities could be a way to reduce readmissions. The purpose of the study was to conduct a systematic review of the literature on the effects of telepsychiatric modalities on readmissions in psychiatric settings. METHODS: We conducted a systematic literature search in MEDLINE, CINAHL, Embase, Cochrane, PsycINFO and Joanna Briggs databases in October 2015...
September 22, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27650162/asynchronous-interpretation-of-manual-and-automated-audiometry-agreement-and-reliability
#15
Christopher G Brennan-Jones, Robert H Eikelboom, Rebecca J Bennett, Karina Fm Tao, De Wet Swanepoel
INTRODUCTION: Remote interpretation of automated audiometry offers the potential to enable asynchronous tele-audiology assessment and diagnosis in areas where synchronous tele-audiometry may not be possible or practical. The aim of this study was to compare remote interpretation of manual and automated audiometry. METHODS: Five audiologists each interpreted manual and automated audiograms obtained from 42 patients. The main outcome variable was the audiologist's recommendation for patient management (which included treatment recommendations, referral or discharge) between the manual and automated audiometry test...
September 20, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27650163/determining-the-cost-of-implementing-and-operating-a-remote-patient-monitoring-programme-for-the-elderly-with-chronic-conditions-a-systematic-review-of-economic-evaluations
#16
Daniel Peretz, Antonia Arnaert, Norma Ponzoni
INTRODUCTION: Remote patient monitoring (RPM) in conjunction with home nursing visits is becoming increasingly popular for the follow-up of patients with chronic conditions and evidence exists that it improves patients' health outcomes. Current cost data is reported inconsistently and often gathered from studies of poor methodological quality, making it difficult for decision-makers who consider implementing this service in their organizations. This study reviewed the cost of RPM programmes targeting elderly patients with chronic conditions...
September 19, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27632990/the-role-of-mobile-devices-in-doctor-patient-communication-a-systematic-review-and-meta-analysis
#17
Abdullah Kashgary, Roaa Alsolaimani, Mahmoud Mosli, Samer Faraj
INTRODUCTION: In the last few years, the use of telecommunication and mobile technology has grown significantly. This has led to a notable increase in the utilization of this telecommunication in healthcare, namely phone calls and text messaging (SMS). However, evaluating its global impact on improving healthcare processes and outcomes demands a more comprehensive assessment. In this study, we focused on the role of mobile devices via phone calls and SMS in patient-doctor communication, and aimed to assess its impact on various health outcomes...
September 15, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27624469/feasibility-and-preliminary-efficacy-of-a-telerehabilitation-approach-to-group-adapted-tango-instruction-for-people-with-parkinson-disease
#18
Katie J Seidler, Ryan P Duncan, Marie E McNeely, Madeleine E Hackney, Gammon M Earhart
People with Parkinson disease (PD) demonstrate improvements in motor function following group tango classes, but report long commutes as a barrier to participation. To increase access, we investigated a telerehabilitation approach to group tango instruction. Twenty-six people with mild-to-moderate PD were assigned based on commute distance to either the telerehabilitation group (Telerehab) or an in-person instruction group (In-person). Both groups followed the same twice-weekly, 12-week curriculum with the same instructor...
September 13, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27799455/integrating-telehealth-in-to-business-as-usual-is-it-really-possible
#19
Susan C Jury, Andrew J Kornberg
The Royal Children's Hospital, Melbourne, began offering web-based telehealth video consultation in 2011, with the principle being that telehealth should be integrated into 'business as usual'. In telehealth literature, key differences between telehealth and in-person consultations can make this hard to achieve, so an audit was performed that revealed many small gaps in the process.A total of 125 telehealth appointments were booked during the study period. Of these, 13% (n = 16) were rescheduled, cancelled or changed to face-to-face appointments, and up to two main issues were identified for the remaining appointments...
December 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27799454/impact-of-simple-conventional-and-telehealth-solutions-on-improving-mental-health-in-afghanistan
#20
Shariq Khoja, Richard Scott, Nida Husyin, Hammad Durrani, Maria Arif, Faqir Faqiri, Ebadullah Hedayat, Wahab Yousufzai
For more than a century Afghanistan has been unstable, facing decades of war, social problems, and intense poverty. As a result, many of the population suffer from a variety of mental health problems. The Government recognises the situation and has prioritised mental health, but progress is slow and services outside of Kabul remain poor. An international collaborative implemented a project in Badakshan province of Afghanistan using conventional and simple low-cost e-Health solutions to address the four most common issues: depression, psychosis, post-traumatic stress disorder, and substance abuse...
December 2016: Journal of Telemedicine and Telecare
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