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https://www.readbyqxmd.com/read/28243873/closing-the-false-divide-sustainable-approaches-to-integrating-mental-health-services-into-primary-care
#1
Kurt Kroenke, Jurgen Unutzer
Mental disorders account for 25% of all health-related disability worldwide. More patients receive treatment for mental disorders in the primary care sector than in the mental health specialty setting. However, brief visits, inadequate reimbursement, deficits in primary care provider (PCP) training, and competing demands often limit the capacity of the PCP to produce optimal outcomes in patients with common mental disorders. More than 80 randomized trials have shown the benefits of collaborative care (CC) models for improving outcomes of patients with depression and anxiety...
February 27, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28236077/intervention-mediators-in-a-randomized-controlled-trial-to-increase-colonoscopy-uptake-among-individuals-at-increased-risk-of-familial-colorectal-cancer
#2
Barbara H Brumbach, Wendy C Birmingham, Watcharaporn Boonyasiriwat, Scott Walters, Anita Y Kinney
BACKGROUND: Understanding the pathways by which interventions achieve behavioral change is important for optimizing intervention strategies. PURPOSE: We examined mediators of behavior change in a tailored-risk communication intervention that increased guideline-based colorectal cancer screening among individuals at increased familial risk. METHODS: Participants at increased familial risk for colorectal cancer (N = 481) were randomized to one of two arms: (1) a remote, tailored-risk communication intervention (Tele-Cancer Risk Assessment and Evaluation (TeleCARE)) or (2) a mailed educational brochure intervention...
February 24, 2017: Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine
https://www.readbyqxmd.com/read/28213882/a-standard-mutual-authentication-protocol-for-cloud-computing-based-health-care-system
#3
Prerna Mohit, Ruhul Amin, Arijit Karati, G P Biswas, Muhammad Khurram Khan
Telecare Medical Information System (TMIS) supports a standard platform to the patient for getting necessary medical treatment from the doctor(s) via Internet communication. Security protection is important for medical records (data) of the patients because of very sensitive information. Besides, patient anonymity is another most important property, which must be protected. Most recently, Chiou et al. suggested an authentication protocol for TMIS by utilizing the concept of cloud environment. They claimed that their protocol is patient anonymous and well security protected...
April 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/28192101/transforming-gastroenterology-care-with-telemedicine
#4
REVIEW
Corey A Siegel
Health care is changing rapidly, so we must change with the times to develop more efficient, practical, cost-effective, and, importantly, high-quality methods to care for patients. We teach medical students that optimal patient care requires face-to-face interaction to collect information on the patient's history and perform the physical examination. However, management of many patients-especially those with chronic diseases-does not always require physical examination. Telemedicine offers an opportunity to take advantage of technology while leveraging the progressive push toward efficiency and value but also requires the belief that excellent patient care is not always provided in person...
February 10, 2017: Gastroenterology
https://www.readbyqxmd.com/read/28181095/icasme-an-improved-cloud-based-authentication-scheme-for-medical-environment
#5
Qingfeng Cheng, Xinglong Zhang, Jianfeng Ma
Unlike the traditional medical system, telecare medicine information system (TMIS) ensures that patients can get health-care services via the Internet at home. Authenticated key agreement protocol is very important for protecting the security in TMIS. Recently scholars have proposed a lot of authenticated key agreement protocols. In 2016, Chiou et al. demonstrated that Chen et al.'s authentication scheme fails to provide user's anonymity and message authentication and then proposed an enhanced scheme (Chiou et al...
March 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/28143495/self-monitoring-of-blood-glucose-in-non-insulin-treated-type-2-diabetes-the-smbg-study-study-protocol-for-a-randomised-controlled-trial
#6
RANDOMIZED CONTROLLED TRIAL
Sharon Parsons, Stephen Luzio, Stephen Bain, John Harvey, Jillian McKenna, Atir Khan, Sam Rice, Alan Watkins, David R Owens
BACKGROUND: The benefit of Self-monitoring of Blood Glucose (SMBG) in people with non-insulin treated type 2 diabetes remains unclear with inconsistent evidence from randomised controlled trials fuelling the continued debate. Lack of a consistent finding has been attributed to variations in study population and design, including the SMBG intervention. There is a growing consensus that structured SMBG, whereby the person with diabetes and health care provider are educated to detect patterns of glycaemic abnormality and take appropriate action according to the blood glucose profiles, can prove beneficial in terms of lowering HbA1c and improving overall well-being...
January 26, 2017: BMC Endocrine Disorders
https://www.readbyqxmd.com/read/28134475/acceptability-of-telephone-support-as-perceived-by-patients-with-cancer-a-systematic-review
#7
REVIEW
S Liptrott, P Bee, K Lovell
Telephone-based interventions can increase accessibility to healthcare and are increasingly used as a convenient method of providing support. We conducted a systematic review of published literature reporting adult patients' perceptions of the acceptability of, and satisfaction with, telephone-based interventions during or post-treatment for cancer. Systematic searches identified 4,855 articles. Forty-eight articles describing 50 studies were included in the review. Three intervention categories were identified post hoc: (1) telephone follow-up in lieu of routine hospital follow-up, (2) telephone interventions for treatment side-effect monitoring and toxicity management supplementary to usual care, and (3) supplementary psycho-educational telephone interventions...
January 30, 2017: European Journal of Cancer Care
https://www.readbyqxmd.com/read/27974888/an-iterative-mixed-usability-approach-applied-to-the-telekit-system-from-the-danish-telecare-north-trial
#8
Pernille Heyckendorff Lilholt, Clara Schaarup, Ole Kristian Hejlesen
Objective. The aim of the present study is to evaluate the usability of the telehealth system, coined Telekit, by using an iterative, mixed usability approach. Materials and Methods. Ten double experts participated in two heuristic evaluations (HE1, HE2), and 11 COPD patients attended two think-aloud tests. The double experts identified usability violations and classified them into Jakob Nielsen's heuristics. These violations were then translated into measurable values on a scale of 0 to 4 indicating degree of severity...
2016: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/27955682/health-effectiveness-and-cost-effectiveness-of-telehealthcare-for-heart-failure-study-protocol-for-a-randomized-controlled-trial
#9
Simon Lebech Cichosz, Lars Holger Ehlers, Ole Hejlesen
BACKGROUND: Several heart failure studies have shown promising results for implementing telehealthcare. These studies have led to clinical and political interest in telehealthcare as a way to improve heart failure outcomes and lower costs. However, there is a need for large-scale clinical trials with cost-effectiveness assessments. METHODS/DESIGN: The present study is known as the TeleCare North Heart Failure Trial in Denmark. We are studying the health effectiveness and cost-effectiveness of a telehealth (Telekit) solution compared with usual care for patients with heart failure...
December 12, 2016: Trials
https://www.readbyqxmd.com/read/27932397/sound-trust-and-the-ethics-of-telecare
#10
Sander A Voerman, Philip J Nickel
The adoption of web-based telecare services has raised multifarious ethical concerns, but a traditional principle-based approach provides limited insight into how these concerns might be addressed and what, if anything, makes them problematic. We take an alternative approach, diagnosing some of the main concerns as arising from a core phenomenon of shifting trust relations that come about when the physician plays a less central role in the delivery of care, and new actors and entities are introduced. Correspondingly, we propose an applied ethics of trust based on the idea that patients should be provided with good reasons to trust telecare services, which we call sound trust...
February 2017: Journal of Medicine and Philosophy
https://www.readbyqxmd.com/read/27900653/a-survey-of-authentication-schemes-in-telecare-medicine-information-systems
#11
Muhammad Umair Aslam, Abdelouahid Derhab, Kashif Saleem, Haider Abbas, Mehmet Orgun, Waseem Iqbal, Baber Aslam
E-Healthcare is an emerging field that provides mobility to its users. The protected health information of the users are stored at a remote server (Telecare Medical Information System) and can be accessed by the users at anytime. Many authentication protocols have been proposed to ensure the secure authenticated access to the Telecare Medical Information System. These protocols are designed to provide certain properties such as: anonymity, untraceability, unlinkability, privacy, confidentiality, availability and integrity...
January 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/27894484/-nursing-care-in-telemedicine-and-telehealth-across-the-world
#12
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/27843425/effect-of-telehealth-interventions-on-hospitalization-indicators-a-systematic-review
#13
Leila R Kalankesh, Faramarz Pourasghar, Lorraine Nicholson, Shamim Ahmadi, Mohsen Hosseini
BACKGROUND: Telehealth has been defined as the remote delivery of healthcare services using information and communication technology. Where resource-limited health systems face challenges caused by the increasing burden of chronic diseases and an aging global population, telehealth has been advocated as a solution for changing and improving the paradigm of healthcare delivery to cope with these issues. The aim of this systematic review is to investigate the effect of telehealth interventions on two indicators: hospitalization rate and length of stay...
2016: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/27825340/patient-and-provider-acceptance-of-telecoaching-in-type-2-diabetes-a-mixed-method-study-embedded-in-a-randomised-clinical-trial
#14
I Odnoletkova, H Buysse, F Nobels, G Goderis, B Aertgeerts, L Annemans, D Ramaekers
BACKGROUND: Despite advances in diagnosis and treatment of type 2 diabetes, suboptimal metabolic control persists. Patient education in diabetes has been proved to enhance self-efficacy and guideline-driven treatment, however many people with type 2 diabetes do not have access to or do not participate in self-management support programmes. Tele-education and telecoaching have the potential to improve accessibility and efficiency of care, but there is a slow uptake in Europe. Patient and provider acceptance in a local context is an important pre-condition for implementation...
November 9, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27763540/a-vision-based-approach-for-building-telecare-and-telerehabilitation-services
#15
Angela Barriga, José M Conejero, Juan Hernández, Elena Jurado, Enrique Moguel, Fernando Sánchez-Figueroa
In the last few years, telerehabilitation and telecare have become important topics in healthcare since they enable people to remain independent in their own homes by providing person-centered technologies to support the individual. These technologies allows elderly people to be assisted in their home, instead of traveling to a clinic, providing them wellbeing and personalized health care. The literature shows a great number of interesting proposals to address telerehabilitation and telecare scenarios, which may be mainly categorized into two broad groups, namely wearable devices and context-aware systems...
October 18, 2016: Sensors
https://www.readbyqxmd.com/read/27754958/point-of-care-testing-inr-an-overview
#16
Doris Barcellona, Lara Fenu, Francesco Marongiu
Oral anticoagulant therapies with the anti-vitamin K drugs (AVK), warfarin, acenocoumarol and phenprocoumon, are employed in primary and secondary anti-thrombotic prophylaxis in patients with venous thromboembolism, atrial fibrillation and cardiac mechanical valves. However, a monitoring test such as the International Normalized Ratio (INR) is required. The periodic monitoring of this therapy entails discomfort for the patients. Telemedicine and telecare can provide significant aid in the management of this therapy allowing patients to perform the test at home or anywhere else with a portable device, i...
October 18, 2016: Clinical Chemistry and Laboratory Medicine: CCLM
https://www.readbyqxmd.com/read/27681227/acceptability-of-a-telecare-intervention-for-persistent-musculoskeletal-pain
#17
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/27665111/design-of-a-secure-authentication-and-key-agreement-scheme-preserving-user-privacy-usable-in-telecare-medicine-information-systems
#18
Hamed Arshad, Abbas Rasoolzadegan
Authentication and key agreement schemes play a very important role in enhancing the level of security of telecare medicine information systems (TMISs). Recently, Amin and Biswas demonstrated that the authentication scheme proposed by Giri et al. is vulnerable to off-line password guessing attacks and privileged insider attacks and also does not provide user anonymity. They also proposed an improved authentication scheme, claiming that it resists various security attacks. However, this paper demonstrates that Amin and Biswas's scheme is defenseless against off-line password guessing attacks and replay attacks and also does not provide perfect forward secrecy...
November 2016: Journal of Medical Systems
https://www.readbyqxmd.com/read/27646969/a-multiserver-biometric-authentication-scheme-for-tmis-using-elliptic-curve-cryptography
#19
Shehzad Ashraf Chaudhry, Muhammad Tawab Khan, Muhammad Khurram Khan, Taeshik Shon
Recently several authentication schemes are proposed for telecare medicine information system (TMIS). Many of such schemes are proved to have weaknesses against known attacks. Furthermore, numerous such schemes cannot be used in real time scenarios. Because they assume a single server for authentication across the globe. Very recently, Amin et al. (J. Med. Syst. 39(11):180, 2015) designed an authentication scheme for secure communication between a patient and a medical practitioner using a trusted central medical server...
November 2016: Journal of Medical Systems
https://www.readbyqxmd.com/read/27628729/a-robust-and-anonymous-two-factor-authentication-and-key-agreement-protocol-for-telecare-medicine-information-systems
#20
Hu Xiong, Junyi Tao, Yanan Chen
Nowadays people can get many services including health-care services from distributed information systems remotely via public network. By considering that these systems are built on public network, they are vulnerable to many malicious attacks. Hence it is necessary to introduce an effective mechanism to protect both users and severs. Recently many two-factor authentication schemes have been proposed to achieve this goal. In 2016, Li et al. demonstrated that Lee et al.'s scheme was not satisfactory to be deployed in practice because of its security weaknesses and then proposed a security enhanced scheme to overcome these drawbacks...
November 2016: Journal of Medical Systems
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