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https://www.readbyqxmd.com/read/29766913/telemedicine-and-neurosciences
#1
Krishnan Ganapathy
It is well documented that there is an acute shortage of neurologists and neurosurgeons in India and globally. Despite all efforts, it will be impossible to make available neurospecialists in all suburban and rural areas. Simultaneously, there has been an exponential increase in the growth and development of Information and Communication Technology (ICT). Plummeting costs and unbelievable sophistication in the availability of user-friendly mobile video conferencing devices is making distance meaningless. Geography has become History! Worldwide, the ultraconservative health care industry, in particular, the medical community, has been uniformly slow to adopt and embrace the use of ICT to extend their clinical reach...
May 2018: Neurology India
https://www.readbyqxmd.com/read/29756527/when-will-telemedicine-appear-in-the-icu
#2
Mark V Avdalovic, James P Marcin
As our population ages and the demand for high-level intensive care unit (ICU) services increase, the ICU physician supply continues to lag. In addition, hospitals, physician groups, and patients are demanding rapid access for the highest level of expertise in the care of critically ill patients. Telemedicine in the ICU combined with remote patient monitoring has been increasingly touted as a model of care to increase efficiencies and quality of care. Telemedicine in the ICU provides the potential to connect critically ill patients to sophisticated specialty care on a 24/7 basis, even for those hospitalized in rural locations where access to timely specialty consultations are uncommon...
January 1, 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29754561/an-economic-cost-analysis-of-an-expanding-multi-state-behavioural-telehealth-intervention
#3
Siobhan K Yilmaz, Brady P Horn, Chris Fore, Caroline A Bonham
Introduction In this paper the economic costs associated with a growing, multi-state telepsychiatry intervention serving rural American Indian/Alaska Native populations were compared to costs of travelling to provide/receive in-person treatment. Methods Telepsychiatry costs were calculated using administrative, information-technology, equipment and technology components, and were compared to travel cost models. Both a patient travel and a psychiatrist travel model were estimated utilising ArcGIS software and unit costs gathered from literature and government sources...
January 1, 2018: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29742036/emergency-department-telepsychiatry-service-model-for-a-rural-regional-health-system-the-first-steps
#4
James D Meyer, Alastair J S McKean, Rebecca N Blegen, Bart M Demaerschalk
BACKGROUND: Emergency departments (EDs) have recognized an increasing number of patients presenting with mental health (MH) concerns. This trend imposes greater demands upon EDs already operating at capacity. Many ED providers do not feel they are optimally prepared to provide the necessary MH care. One consideration in response to this dilemma is to use advanced telemedicine technology for psychiatric consultation. INTRODUCTION: We examined a rural- and community-based health system operating 21 EDs, none of which has direct access to psychiatric consultation...
May 9, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29720139/patients-understanding-of-telemedicine-terms-required-for-informed-consent-when-translated-into-kiswahili
#5
Rachael Odhiambo, Maurice Mars
BACKGROUND: In Africa, where access to specialist medical services is often limited, telemedicine, the use of information and communication technologies for the provision of healthcare at a distance, can contribute towards enhancing access to healthcare. Informed consent is considered the cornerstone of ethical practice, especially when technology and techniques are considered new and or unproven. It is advised that informed consent should be gained in the patient's mother tongue. However, many African languages have not kept pace with technology and lack the words and terms needed to describe computing and technical terms...
May 3, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29720091/mobility-concepts-and-access-to-health-care-in-a-rural-district-in-germany-a-mixed-methods-approach
#6
Lisa Schröder, Kristina Flägel, Katja Goetz, Jost Steinhäuser
BACKGROUND: Western countries are facing the challenges of an imminent shortage of physicians, especially general practitioners. As a consequence longer travel times to doctors' practices may arise. This study aimed to investigate the mobility behavior of a rural population in terms of medical consultations. METHODS: An exploratory mixed-methods design was conducted in the Waldshut district of the federal state Baden-Württemberg in Germany. Focus groups and a single telephone-interview with representatives, occupationally affiliated with mobility in the district (e...
May 2, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29713481/intent-to-treat-analysis-of-a-simultaneous-multisite-telehealth-diabetes-prevention-program
#7
Elizabeth L Ciemins, Patricia J Coon, Nicholas C Coombs, Barbara L Holloway, Elizabeth J Mullette, William N Dudley
Objective: Determine the effectiveness of a 16-week modified diabetes prevention program (DPP) administered simultaneously to multiple rural communities from a single urban site, as compared with a similar face-to-face intervention. A 12-week intervention was evaluated to consider minimization of staff costs in communities where resources are limited. Research design and methods: A prospective cohort study compared DPP interventions implemented in rural (via telehealth technology) and urban (face-to-face) communities using an intent-to-treat analysis...
2018: BMJ Open Diabetes Research & Care
https://www.readbyqxmd.com/read/29710150/va-using-telemedicine-to-provide-therapy-to-rural-veterans-with-ptsd
#8
Rita Rubin
No abstract text is available yet for this article.
April 24, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29700551/factors-influencing-the-adoption-of-telemedicine-for-treatment-of-military-veterans-with-post-traumatic-stress-disorder
#9
Clemens Scott Kruse, James M Atkins, Tiffany D Baker, Estefania N Gonzales, Jennifer L Paul, Matthew Brooks
BACKGROUND: Military veterans returning from a combat zone often face mental health challenges as a result of traumatic experiences. The veteran in the United States has been underdiagnosed and underserved. Since its advancement in the 1990s, telemedicine has become a more prevalent means of delivering services for post-traumatic stress disorder among veterans in the United States, but its adoption is not ubiquitous. OBJECTIVE: To clarify the association of telemedicine and the treatment of veterans with post-traumatic stress disorder through identification of facilitators and barriers to the adoption of the modality...
April 26, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29664504/contribution-of-the-use-of-basic-telemedicine-tools-to-the-care-of-children-and-adolescents-with-juvenile-idiopathic-arthritis-at-the-puerto-montt-hospital-chile
#10
A S Strickler, J Palma, R Charris, T Candia, M Grez, B González, A King, V Rivera
Children and adolescents with rheumatologic diseases require specialized and comprehensive care, but pediatric rheumatologists and immunologists are concentrated in hospitals with specific, high-cost and modern technology. Considering that some patients with juvenile idiopathic arthritis (JIA) live in rural, remote and limited accessibility areas, the use of Telemedicine (TM) can optimize diag nosis, follow-up and prognosis. OBJECTIVE: Reporting 10 years of experience of a mixed care model: face-to-face and distance, using basic TM; the institutional impact, advantages, disadvantages and acceptance informed by parents and patients...
February 2018: Revista Chilena de Pediatría
https://www.readbyqxmd.com/read/29664202/training-psychologists-for-rural-practice-exploring-opportunities-and-constraints
#11
Marisa Elena Domino, Ching-Ching Claire Lin, Joseph P Morrissey, Alan R Ellis, Erin Fraher, Erica L Richman, Kathleen C Thomas, Mitchell J Prinstein
PURPOSE: To examine trends in the psychologist workforce and training opportunities, including factors that may influence the decision of clinical psychologists to practice in rural settings. METHODS: We use a mixed-methods approach to examine the psychologist workforce nationally and in North Carolina (NC), including (1) an analysis of the location of programs awarding doctoral degrees; (2) an analysis of the practice, demographic, and educational characteristics of the psychologist workforce; and (3) interviews with directors of doctoral programs in clinical psychology to understand where current graduates are getting jobs and why they may or may not be choosing to practice in rural communities...
April 17, 2018: Journal of Rural Health
https://www.readbyqxmd.com/read/29610570/characterizing-the-use-of-telepsychiatry-for-patients-with-opioid-use-disorder-and-cooccurring-mental-health-disorders-in-ontario-canada
#12
Brittanie LaBelle, Alexandra M Franklyn, Vicky Pkh Nguyen, Kathleen E Anderson, Joseph K Eibl, David C Marsh
Rural patients with opioid use disorder (OUD) face a variety of barriers when accessing opioid agonist therapy (OAT) and psychiatric services, due to the limited supply of physicians and the vast geographic area. The telemedicine allows for contact between patients and their physician-regardless of physical distance. Objective . We characterize the usage of telemedicine to deliver psychiatric services to patients with OUD in Ontario, as well as traits of treatment-seeking patients with opioid dependence and concurrent psychiatric disorders...
2018: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/29548350/telemedicine-in-the-perioperative-experience
#13
Aaron P Lesher, Sohail R Shah
Telemedicine, the remote diagnosis and treatment of patients by means of technology, provides an alternative means for patients to gain access to health care services. Telemedicine is a general term that includes the use of various communication technologies, including telephone, email, or videoconferencing. Telemedicine has the potential to reduce inefficiencies in the delivery of healthcare, diminish patient travel and wait times, and increase access to specialists for patients in rural settings. We review the use of telemedicine in the perioperative phase of care for pediatric surgical patients, their caregivers, and surgical providers, including pre-operative assessments, and post-operative follow-up...
April 2018: Seminars in Pediatric Surgery
https://www.readbyqxmd.com/read/29527626/early-identification-of-asd-through-telemedicine-potential-value-for-underserved-populations
#14
A Pablo Juárez, Amy S Weitlauf, Amy Nicholson, Anna Pasternak, Neill Broderick, Jeffrey Hine, J Alacia Stainbrook, Zachary Warren
Increasing access to diagnostic services is crucial for identifying ASD in young children. We therefore evaluated a telemedicine assessment procedure. First, we compared telediagnostic accuracy to blinded gold-standard evaluations (n = 20). ASD cases identified via telemedicine were confirmed by in-person evaluation. However, 20% of children diagnosed with ASD in-person were not diagnosed via telemedicine. Second, we evaluated telediagnostic feasibility and acceptability in a rural catchment. Children (n = 45) and caregivers completed the telemedicine procedure and provided feedback...
March 12, 2018: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/29525897/unmet-supportive-care-needs-of-haematological-cancer-survivors-rural-versus-urban-residents
#15
Flora Tzelepis, Christine L Paul, Robert W Sanson-Fisher, H Sharon Campbell, Kenneth Bradstock, Mariko L Carey, Anna Williamson
Due to fewer cancer services in rural locations, rural survivors may have unique unmet needs compared to urban survivors. This study compared among rural and urban haematological cancer survivors the most common "high/very high" unmet supportive care needs and the unmet need scores for five domains (information, financial concerns, access and continuity of care, relationships and emotional health). Survivors' socio-demographics, rurality, cancer history and psychological factors associated with each unmet need domain were also explored...
March 10, 2018: Annals of Hematology
https://www.readbyqxmd.com/read/29498301/comparing-an-on-site-nurse-practitioner-with-telemedicine-physician-support-hospitalist-programme-with-a-traditional-physician-hospitalist-programme
#16
Michelle Boltz, Norma G Cuellar, Casey Cole, Brent Pistorese
Introduction Since 2010, more than 75 rural hospitals have closed in the USA and more than one-third are at risk of closure due to lower patient volumes, lower funding levels, decreased hospital revenue and lower physician employment pools. Telemedicine can provide new models of care delivery that maintain quality and reduce cost of healthcare in rural populations. The purpose of this project was to evaluate a cross-organizational pilot program by comparing a NP/telemedicine physician hospitalist programme with a traditional physician hospitalist model to assess effects on length of patient stay, mortality rates, readmission rate, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) ratings of provider communication, and total hospital costs...
January 1, 2018: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29471032/results-of-an-asthma-education-program-delivered-via-telemedicine-in-rural-schools
#17
Tamara T Perry, Jill S Halterman, Rita H Brown, Chunqiao Luo, Shemeka M Randle, Cassandra R Hunter, Mallikarjuna Rettiganti
BACKGROUND: Asthma morbidity is high in low-income children living in rural US regions, yet few interventions have been designed to decrease the asthma burden in rural populations. OBJECTIVE: To examine the effect of a school-based asthma education program delivered by telemedicine in children living in an impoverished rural region. METHODS: We conducted a cluster randomized trial with rural children 7 to 14 years old by comparing a school-based telemedicine asthma education intervention with usual care...
April 2018: Annals of Allergy, Asthma & Immunology
https://www.readbyqxmd.com/read/29469148/advances-in-point-of-care-diagnostic-devices-in-cancers
#18
Puja Sandbhor Gaikwad, Rinti Banerjee
The early diagnosis and monitoring of the progress of cancers are limited due to the lack of adequate screening tools. Ultrasensitive and precise point-of-care cancer diagnostic tools are required for the early detection and screening of cancer biomarkers at the bedside with accuracy and specificity of diagnosis. Recent advances in nano- and microfabrication based technologies integrated with different sensing platforms are accelerating the development of rapid, low-cost and reliable point-of-care cancer diagnostic devices...
March 12, 2018: Analyst
https://www.readbyqxmd.com/read/29461992/healthcare-s-future-strategic-investment-in-technology
#19
Michael A Franklin
Recent and rapid advances in the implementation of technology have greatly affected the quality and efficiency of healthcare delivery in the United States. Simultaneously, diverse generational pressures-including the consumerism of millennials and unsustainable growth in the costs of care for baby boomers-have accelerated a revolution in healthcare delivery that was marked in 2010 by the passage of the Affordable Care Act.Against this backdrop, Maryland and the Centers for Medicare & Medicaid Services entered into a partnership in 2014 to modernize the Maryland All-Payer Model...
April 2018: Frontiers of Health Services Management
https://www.readbyqxmd.com/read/29456356/the-current-state-of-rural-neurosurgical-practice-an-international-perspective
#20
REVIEW
Pavan S Upadhyayula, John K Yue, Jason Yang, Harjus S Birk, Joseph D Ciacci
Introduction: Rural and low-resource areas have diminished capacity to care for neurosurgical patients due to lack of infrastructure, healthcare investment, and training programs. This review summarizes the range of rural neurosurgical procedures, novel mechanisms for delivering care, rapid training programs, and outcome differences across international rural neurosurgical practice. Methods: A comprehensive literature search was performed for English language manuscripts with keywords "rural" and "neurosurgery" using the National Library of Medicine PubMed database (01/1971-06/2017)...
January 2018: Journal of Neurosciences in Rural Practice
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