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Telemedicine

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https://www.readbyqxmd.com/read/27911667/barriers-and-benefits-in-telemedicine-arising-between-a-high-technology-hospital-service-provider-and-remote-public-healthcare-units-a-qualitative-study-in-brazil
#1
Carlos Henrique Amaral de Souza, Renata Albaladejo Morbeck, Milton Steinman, Cora Pereira Hors, Mario Maia Bracco, Elisa H Kozasa, Eliseth Ribeiro Leão
BACKGROUND: In Brazil, the Program for Institutional Development of the Unified Healthcare System (PROADI-SUS) has implemented a telemedicine service for urgent situations and emergencies. It is delivered by a high-technology (HT) hospital to 15 remote healthcare units (RUs) in 11 different Brazilian states. The aim of this study was to investigate possible barriers and benefits in telemedicine service among these units. MATERIALS AND METHODS: We performed a qualitative study on the perceptions of physicians involved in telemedicine service in their role as providers and consultants...
December 2, 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/27910517/flexible-architecture-of-data-acquisition-firmware-based-on-multi-behaviors-finite-state-machine
#2
Pasquale Arpaia, Pasquale Cimmino
A flexible firmware architecture for different kinds of data acquisition systems, ranging from high-precision bench instruments to low-cost wireless transducers networks, is presented. The key component is a multi-behaviors finite state machine, easily configurable to both low- and high-performance requirements, to diverse operating systems, as well as to on-line and batch measurement algorithms. The proposed solution was validated experimentally on three case studies with data acquisition architectures: (i) concentrated, in a high-precision instrument for magnetic measurements at CERN, (ii) decentralized, for telemedicine remote monitoring of patients at home, and (iii) distributed, for remote monitoring of building's energy loss...
November 2016: Review of Scientific Instruments
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/27908843/treatment-of-acute-coronary-syndrome-by-telemedically-supported-paramedics-compared-with-physician-based-treatment-a-prospective-interventional-multicenter-trial
#4
Jörg C Brokmann, Clemens Conrad, Rolf Rossaint, Sebastian Bergrath, Stefan K Beckers, Miriam Tamm, Michael Czaplik, Frederik Hirsch
BACKGROUND: Prehospital treatment of acute coronary syndrome (ACS) in German emergency medical services (EMSs) is reserved for EMS physicians due to legal issues. OBJECTIVE: The objective of this prospective, interventional, multicenter trial was to evaluate the quality of telemedically-delegated therapy and the possible complications in patients with ACS. METHODS: After approval by the ethics committee and trial registration, a one-year study phase was started in August 2012 with 5 ambulances, telemedically equipped and staffed with paramedics, in 4 German EMS districts...
December 1, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27903458/cardiac-arrest-among-patients-with-infections-causes-clinical-practice-and-research-implications
#5
REVIEW
Davide Leoni, Jordi Rello
The incidence of sepsis is increasing, and the condition is now the leading cause of death in general intensive care units (ICUs). Our review failed to identify studies of the causes of cardiac arrest among infected patients, even though non-cardiac causes represent 15% of out-of-hospital cardiac arrests and though one-third of events have positive blood cultures. Sudden cardiac arrest is the result of local damage to the heart and of the impact of systemic and pulmonary conditions on cardiac performance, and its danger is underestimated...
November 26, 2016: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/27899245/lessons-learned-from-mississippi-s-telehealth-approach-to-health-disparities
#6
REVIEW
Richard D deShazo, Sara Bolen Parker
Many people see telemedicine as a solution to the nation's health disparities and in Mississippi as a solution to our last place in health. Over 13 years ago, the University of Mississippi Medical Center developed a successful TelEmergency program that saved rural Critical Access Hospitals and now provides telehealth services throughout the state. This occurred without acrimony because of partnerships UMMC developed with telecommunications companies, state government, health professions' licensure boards and private donors...
November 26, 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/27897466/homebound-patients-perspectives-on-technology-and-telemedicine-a-qualitative-analysis
#7
Kristin T L Huang, Tracy J Lu, Forootan Alizadeh, Arash Mostaghimi
Telemedicine holds promise in bridging the gap between homebound patients and high quality health care, but uptake of such technology remains limited. Qualitative interviews conducted with 17 homebound patients found two major barriers to telemedicine. First, participants who lack familiarity with technology are hesitant about telemedicine, as baseline use of technology in the home is limited, participants did not feel capable of learning, and the advantages of telemedicine were unclear. Second, homebound patients place a high value on in-office visits due to therapeutic benefit, face-to-face communication, and the social aspect of medical appointments...
November 29, 2016: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/27896838/children-with-medical-complexity-a-scoping-review-of-interventions-to-support-caregiver-stress
#8
REVIEW
H Edelstein, J Schippke, S Sheffe, S Kingsnorth
BACKGROUND: Caring for children with chronic and complex medical needs places extraordinary stress on parents and other family members. A scoping review was undertaken to identify and describe the full range of current interventions for reducing caregiver stress. METHODS: Applying a broad definition of caregiver stress, a systematic search of three scientific databases (CINAHL, Embase and Ovid Medline), a general internet search and hand searching of key peer-reviewed articles were conducted...
November 29, 2016: Child: Care, Health and Development
https://www.readbyqxmd.com/read/27895966/acceptability-of-service-targets-for-ict-based-healthcare
#9
Eun Min Jeon, Hwa Jeong Seo
OBJECTIVES: In order to adopt and activate telemedicine it is necessary to survey how medical staff, who are providers of medical service, and consumers, who are the service targets, perceive information and communication technology (ICT)-based healthcare service. METHODS: This study surveyed the awareness and acceptability of ICT-based healthcare by involving service targets, specifically workers and students living in the Seoul and Gyeonggi regions who are consumers of healthcare service...
October 2016: Healthcare Informatics Research
https://www.readbyqxmd.com/read/27894641/ethical-use-of-telemedicine-in-emergency-care
#10
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27894484/-nursing-care-in-telemedicine-and-telehealth-across-the-world
#11
Claudia C Bartz
Developments in cyberhealth are now accessible to all patients and healthcare professionals. These tools enable expert advice to be provided remotely and ensure a continuity of care for all those who need it. Telecare is developing across the world, as are networks of nurses who practise it and researchers who analyse the results.
November 2016: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/27894481/-telemedicine-in-hospital-at-home-care
#12
Xavier Dandoy, Dominique Copin
A telemedicine project in a rehabilitation centre has been developed in the framework of hospital at home care, for patients discharged early after surgery. This project is the subject of a medico-economic study in cooperation with the Regional Healthcare Agency in order to assess its impact. The results are promising and herald major changes in the care pathway of patients cared for in the home, as digital technologies continue to develop.
November 2016: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/27894480/-cardiauvergne-is-a-remote-monitoring-and-care-coordination-service-for-patients-with-severe-heart-failure
#13
Marie-Claire Boiteux, Philippe Rey, Françoise Cadiou, Caroline Chauvet
Since 2011, thanks to the cooperation of frontline healthcare professionals, it has provided care to more than 1 200 patients across the Auvergne health region. The organisation, blending telemedicine and human contact, has made this initiative a successful example of how the boundaries between community and hospital healthcare can be removed.
November 2016: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/27894479/-the-benefit-of-telemedicine-for-enabling-elderly-or-disabled-people-to-access-care
#14
Yohann Eudes, Katia Mangeney, Michel Diméo, Stéphane Pierrel, Stavros Sokolakis, Stéphane Carnein
In 2013, a convalescence and care home carried out a telemedicine experiment in order to favour access to care for elderly and/or disabled people. In this context, in accordance with regulations, the team carried out an assessment of the project by studying the added value of this tool, its limits, as well as the initial effects on the residents and the practices of the healthcare professionals.
November 2016: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/27894478/-the-use-of-telemedicine-in-dialysis-and-new-professional-practices
#15
Jean-Pierre Grangier
Since 2006, a remote patient monitoring scheme using digital pens has enabled patients with chronic kidney disease to be monitored remotely in their own home. The implementation of this project was accompanied by a technical and economic study. Today, this scheme has evolved to integrate therapeutic patient education programmes and their evaluation.
November 2016: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/27894477/-telemedicine-cementing-the-nursing-team
#16
Lydie Canipel
Communication technologies have an impact on our healthcare system. We care for human beings in an environment which is now digital and which influences their experience, their treatment and their perception of their disease. Telemedicine will become a key tool for all caregivers. It has no bearing on nurses' skills, but changes the way care is organised, for the benefit of patients as well as healthcare professionals.
November 2016: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/27894476/-telemedicine-and-new-forms-of-cooperation-between-doctors-and-caregivers
#17
Alexandre Mathieu-Fritz
The development of telemedicine is accompanied by new forms of coordination and cooperation between doctors and paramedical caregivers. If we consider the work in terms of the way it is actually carried out in practice, we have a better understanding of the efforts made by practitioners to adapt, as well as the challenges associated with the integration of telemedicine systems. These effect the notions and the execution of 'good work'.
November 2016: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/27894475/-telemedicine-in-france-from-the-concept-to-practice
#18
Dominique Le Bœuf
The implementation of telemedicine has drawn on numerous innovative initiatives and has required a legal framework to be established. Today, the various uses of this valuable 'connected tool' can be appropriated in order to improve access to care. It also improves cooperation between healthcare professionals scattered across the health region.
November 2016: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/27894474/-telemedicine-in-current-nursing-practices
#19
Pierre Simon
The first priority telemedicine programme focused, from 2011, on five areas, with the aim of guaranteeing equal access to care to everybody across a healthcare region. Experiments were financed by public authorities. These practices are now integrated into the organisation of healthcare.
November 2016: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/27893947/challenges-in-the-uptake-of-telemedicine-in-dentistry
#20
Mohamed Estai, Estie Kruger, Marc Tennant, Stuart Bunt, Yogesan Kanagasingam
With the availability of oral care services very unevenly distributed in rural or remote areas, underserved people seek oral care from non-dental care providers. Against this backdrop, and coupled with the decreasing cost of and innovations in technology, there is a growing interest in the adoption of telemedicine services. Regardless of the lack of good-quality evidence supporting the cost-effectiveness of telemedicine, evidence already indicates that telemedicine, even with extra costs, helps in reducing the inequalities in the provision of primary health care...
October 2016: Rural and Remote Health
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