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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/27903766/sudden-unexpected-death-in-epilepsy-measures-to-reduce-risk
#2
REVIEW
Brendan Mclean, Rohit Shankar, Jane Hanna, Caryn Jory, Craig Newman
This review looks at the strategies that may help to reduce the risk of sudden unexpected death in epilepsy beyond that of trying to achieve seizure cessation, which is not possible for up to 30% of patients with epilepsy. These strategies include seizure safety checklists, mobile phone technology, telehealth and various devices currently available or in development. We highlight interventions where there is evidence of benefit, and draw attention for the need both to involve patients with epilepsy in risk reduction and to improve communication with those at risk...
November 30, 2016: Practical Neurology
https://www.readbyqxmd.com/read/27902575/veterans-voice-through-the-lens-of-their-medical-records-what-it-reveals-about-congestive-heart-failure-readmissions
#3
Carl W Stevenson, Kattie Payne
PURPOSE OF STUDY: The medical record is a sea of information that can reveal what patients are trying to tell us about their health condition. It can reveal hints and trends as to why veterans with congestive heart failure (CHF) are being readmitted within 30 days after hospital discharge. These hints and trends lead caregivers to key contributing variables to veterans' readmission. Furthermore, these variables can be used to predict patient outcomes such as readmission and even prognosis...
January 2017: Professional Case Management
https://www.readbyqxmd.com/read/27899245/lessons-learned-from-mississippi-s-telehealth-approach-to-health-disparities
#4
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/27894484/-nursing-care-in-telemedicine-and-telehealth-across-the-world
#5
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/27894058/a-non-inferiority-trial-of-prolonged-exposure-for-posttraumatic-stress-disorder-in-person-versus-home-based-telehealth
#6
Ron Acierno, Rebecca Knapp, Peter Tuerk, Amanda K Gilmore, Carl Lejuez, Kenneth Ruggiero, Wendy Muzzy, Leonard Egede, Melba A Hernandez-Tejada, Edna B Foa
This is the first randomized controlled trial to evaluate non-inferiority of Prolonged Exposure (PE) delivered via home-based telehealth (HBT) compared to standard in-person (IP) PE. One-hundred thirty two Veterans recruited from a Southeastern Veterans Affairs Medical Center and affiliated University who met criteria for posttraumatic stress disorder (PTSD) were randomized to receive PE via HBT or PE via IP. Results indicated that PE-HBT was non-inferior to PE-IP in terms of reducing PTSD scores at post-treatment, 3 and 6 month follow-up...
November 22, 2016: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/27893953/leveraging-telehealth-to-bring-volunteer-physicians-into-underserved-communities
#7
Lori Uscher-Pines, Robert Rudin, Ateev Mehrotra
Many disadvantaged communities lack sufficient numbers of local primary care and specialty physicians. Yet tens of thousands of physicians, in particular those who are retired or semiretired, desire meaningful volunteer opportunities. Multiple programs have begun to use telehealth to bridge the gap between volunteer physicians and underserved patients. In this brief, we describe programs that are using this model and discuss the promise and pitfalls. Physician volunteers in these programs report that the work can be fulfilling and exciting, a cutting-edge yet convenient way to remain engaged and contribute...
November 28, 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/27890046/investigation-of-training-and-support-needs-in-rural-and-remote-disability-and-mainstream-service-providers-implications-for-an-online-training-model
#8
Genevieve Johnsson, Rachel Kerslake, Sarah Crook, Corinne Cribb
Objectives It is known that there are difficulties in recruiting and retaining practitioners in rural and remote communities and that access to support and professional development can be key in breaking this cycle. Technology provides a possible solution not only for increasing access to these opportunities, but also in building community capacity to support children with autism. The aim of the present study was to investigate the current learning and support needs within rural and remote professionals prior to setting up a model of support...
November 28, 2016: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/27888171/clinical-relevance-of-the-first-domomedicine-platform-securing-multidrug-chronotherapy-delivery-in-metastatic-cancer-patients-at-home-the-incasa-european-project
#9
Pasquale F Innominato, Sandra Komarzynski, Ali Mohammad-Djafari, Alexandre Arbaud, Ayhan Ulusakarya, Mohamed Bouchahda, Mazen Haydar, Rachel Bossevot-Desmaris, Virginie Plessis, Magali Mocquery, Davina Bouchoucha, Mehran Afshar, Jacques Beau, Abdoulaye Karaboué, Jean-François Morère, Joanna Fursse, Jordi Rovira Simon, Francis Levi
BACKGROUND: Telehealth solutions can improve the safety of ambulatory chemotherapy, contributing to the maintenance of patients at their home, hence improving their well-being, all the while reducing health care costs. There is, however, need for a practicable multilevel monitoring solution, encompassing relevant outputs involved in the pathophysiology of chemotherapy-induced toxicity. Domomedicine embraces the delivery of complex care and medical procedures at the patient's home based on modern technologies, and thus it offers an integrated approach for increasing the safety of cancer patients on chemotherapy...
November 25, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27881926/improving-pain-care-through-implementation-of-the-stepped-care-model-at-a-multisite-community-health-center
#10
Daren R Anderson, Ianita Zlateva, Emil N Coman, Khushbu Khatri, Terrence Tian, Robert D Kerns
PURPOSE: Treating pain in primary care is challenging. Primary care providers (PCPs) receive limited training in pain care and express low confidence in their knowledge and ability to manage pain effectively. Models to improve pain outcomes have been developed, but not formally implemented in safety net practices where pain is particularly common. This study evaluated the impact of implementing the Stepped Care Model for Pain Management (SCM-PM) at a large, multisite Federally Qualified Health Center...
2016: Journal of Pain Research
https://www.readbyqxmd.com/read/27879382/veteran-preferences-regarding-wireless-management-of-positive-airway-pressure-for-obstructive-sleep-apnea-at-a-tertiary-health-care-system
#11
Ken He, Brian N Palen, Elizabeth A Mattox, Elizabeth C Parsons
BACKGROUND: Timely monitoring of obstructive sleep apnea (OSA) therapy can be a challenge amid conflicting pressures of rising patient volume and shortage of sleep medicine providers. Positive airway pressure (PAP) devices with wireless modem technology have the potential to improve patient access to care and streamline work load, yet little is known about patient attitudes toward telehealth integration among veterans with sleep apnea. As part of a larger quality improvement initiative at the Veterans Affairs (VA) Puget Sound Health Care System, we elicited veterans' preferences toward modem versus traditional PAP data download, including patient attitudes and factors affecting those preferences...
November 22, 2016: Respiratory Care
https://www.readbyqxmd.com/read/27871183/hiv-patient-and-provider-feedback-on-a-telehealth-collaborative-care-for-depression-intervention
#12
Karen L Drummond, Jacob T Painter, Geoffrey M Curran, Regina Stanley, Allen L Gifford, Maria Rodriguez-Barradas, David Rimland, Thomas P Monson, Jeffrey M Pyne
In the HIV Translating Initiatives for Depression into Effective Solutions project, we conducted a randomized controlled effectiveness and implementation trial comparing depression collaborative care with enhanced usual care in Veterans Health Administration HIV clinics in the US. An offsite HIV depression care team including a psychiatrist, a depression care manager (DCM), and a clinical pharmacist provided collaborative care using a stepped-care model of treatment and made recommendations to providers through the electronic health record system...
November 22, 2016: AIDS Care
https://www.readbyqxmd.com/read/27868300/outcomes-of-using-telehealth-for-the-provision-of-healthcare-to-aboriginal-and-torres-strait-islander-people-a-systematic-review
#13
Liam J Caffery, Natalie K Bradford, Sumudu I Wickramasinghe, Noel Hayman, Anthony C Smith
OBJECTIVE: To examine reported outcomes of health services delivered by telehealth to Indigenous Australians. METHODS: Systematic review of the literature. Searches were conducted to identify articles that reported a telehealth service used to provide clinical services to Indigenous Australians. Articles were screened for inclusion using pre-defined criteria. Findings were synthesised narratively and reported using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines...
November 20, 2016: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/27863024/creating-an-integrated-care-model-for-childhood-obesity-a-randomized-pilot-study-utilizing-telehealth-in-a-community-primary-care-setting
#14
A Fleischman, S E Hourigan, H N Lyon, M G Landry, J Reynolds, S K Steltz, L Robinson, S Keating, H A Feldman, R C Antonelli, D S Ludwig, C B Ebbeling
In an integrated care model, involving primary care providers (PCPs) and obesity specialists, telehealth may be useful for overcoming barriers to treating childhood obesity. We conducted a pilot study comparing body mass index (BMI) changes between two arms (i) PCP in-person clinic visits plus obesity specialist tele-visits ( PCP visits + specialist tele-visits) and (ii) PCP in-person clinic visits only ( PCP visits only), with ongoing tele-consultation between PCPs and obesity specialists for both arms...
November 14, 2016: Clinical Obesity
https://www.readbyqxmd.com/read/27855681/using-telehealth-to-support-end-of-life-care-in-the-community-a-feasibility-study
#15
Jennifer J Tieman, Kate Swetenham, Deidre D Morgan, Timothy H To, David C Currow
BACKGROUND: Telehealth is being used increasingly in providing care to patients in the community setting. Telehealth enhanced service delivery could offer new ways of managing load and care prioritisation for palliative care patients living in the community. The study assesses the feasibility of a telehealth-based model of service provision for community based palliative care patients, carers and clinicians. METHODS: This study was a prospective cohort study of a telehealth-based intervention for community based patients of a specialist palliative care service living in Southern Adelaide, South Australia...
November 17, 2016: BMC Palliative Care
https://www.readbyqxmd.com/read/27843425/effect-of-telehealth-interventions-on-hospitalization-indicators-a-systematic-review
#16
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/27836815/overcoming-perfectionism-protocol-of-a-randomized-controlled-trial-of-an-internet-based-guided-self-help-cognitive-behavioral-therapy-intervention
#17
Radha Kothari, Sarah Egan, Tracey Wade, Gerhard Andersson, Roz Shafran
BACKGROUND: Perfectionism is elevated across, and increases risk for, a range of psychological disorders as well as having a direct negative effect on day-to-day function. A growing body of evidence shows that cognitive behavioral therapy (CBT) reduces perfectionism and psychological disorders, with medium to large effect sizes. Given the increased desire for Web-based interventions to facilitate access to evidence-based therapy, Internet-based CBT self-help interventions for perfectionism have been designed...
November 11, 2016: JMIR Research Protocols
https://www.readbyqxmd.com/read/27835713/psychotherapy-for-depression-in-older-veterans-via-telemedicine-effect-on-quality-of-life-satisfaction-treatment-credibility-and-service-delivery-perception
#18
Leonard E Egede, Ron Acierno, Rebecca G Knapp, Rebekah J Walker, Elizabeth H Payne, B Christopher Frueh
OBJECTIVE: To analyze the impact of telepsychology and same-room care on functioning, satisfaction, and perception of care based on a noninferiority trial of psychotherapy delivered via telemedicine or same-room care to elderly patients with depression. METHODS: 241 elderly patients with depression (meeting DSM-IV diagnostic criteria) were randomly assigned to either telemedicine (n = 120) or same-room treatment (n = 121) between April 1, 2007, and July 31, 2011...
November 8, 2016: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/27833678/telehealth-enabled-emergency-medical-services-program-reduces-ambulance-transport-to-urban-emergency-departments
#19
James R Langabeer, Michael Gonzalez, Diaa Alqusairi, Tiffany Champagne-Langabeer, Adria Jackson, Jennifer Mikhail, David Persse
INTRODUCTION: Emergency medical services (EMS) agencies transport a significant majority of patients with low acuity and non-emergent conditions to local emergency departments (ED), affecting the entire emergency care system's capacity and performance. Opportunities exist for alternative models that integrate technology, telehealth, and more appropriately aligned patient navigation. While a limited number of programs have evolved recently, no empirical evidence exists for their efficacy...
November 2016: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27830229/unintended-consequences-of-tele-health-and-their-possible-solutions-contribution-of-the-imia-working-group-on-telehealth
#20
S B Gogia, A Maeder, M Mars, G Hartvigsen, A Basu, P Abbott
OBJECTIVES: Assess unforeseen consequences of Telehealth and suggest solutions Methods: An outline was created collecting all possible ill effects classified into Clinical considerations, Administrative concerns including interpersonal relations, Technical issues, Legal / Ethical concerns and Miscellaneous. Each topic was assigned to a particular WG member to lead, gather opinion and review existing literature. RESULTS AND CONCLUSION: A wide array of problems have been described...
November 10, 2016: Yearbook of Medical Informatics
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