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https://www.readbyqxmd.com/read/29778256/hepatitis-c-care-in-the-department-of-veterans-affairs-building-a-foundation-for-success
#1
REVIEW
Pamela S Belperio, Maggie Chartier, Rachel I Gonzalez, Angela M Park, David B Ross, Tim R Morgan, Lisa I Backus
The Department of Veterans Affairs (VA) has made significant progress in treating hepatitis C virus, experiencing more than a 75% reduction in veterans remaining to be treated since the availability of oral direct-acting antivirals. Hepatitis C Innovation Teams use lean process improvement and system redesign, resulting in practice models that address gaps in care. The key to success is creative improvements in veteran access to providers, including expanded use of nonphysician providers, video telehealth, and electronic technologies...
June 2018: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/29767806/telephone-support-and-telemonitoring-for-low-income-older-adults
#2
Suyong Jeong, Hanna Choi, Seok Hyun Gwon, Jeongeun Kim
The objective of the current pilot study was to determine whether nurse-led telephone counseling improves health behavior, self-care, and physiological indices for low-income older adults using a telemonitoring system. The control group (n = 15) was provided with weekly health education only, and the intervention group (n = 20) was given additional telephone support by nurses. At baseline and 8 weeks, data on health and self-care behaviors were collected using a self-reported questionnaire, and blood pressure and fasting blood glucose levels were assessed...
May 16, 2018: Research in Gerontological Nursing
https://www.readbyqxmd.com/read/29764106/the-challenges-of-a-complex-and-innovative-telehealth-project-a-qualitative-evaluation-of-the-eastern-quebec-telepathology-network
#3
Hassane Alami, Jean-Paul Fortin, Marie-Pierre Gagnon, Hugo Pollender, Bernard Têtu, France Tanguay
BACKGROUND: The Eastern Quebec Telepathology Network (EQTN) has been implemented in the province of Quebec (Canada) to support pathology and surgery practices in hospitals that are lack of pathologists, especially in rural and remote areas. This network includes 22 hospitals and serves a population of 1.7 million inhabitants spread over a vast territory. An evaluation of this network was conducted in order to identify and analyze the factors and issues associated with its implementation and deployment, as well as those related to its sustainability and expansion...
September 13, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/29759287/comprehensive-preoperative-assessment-and-global-optimization
#4
REVIEW
Neil N Shah, Thomas R Vetter
To successfully deliver greater perioperative value-based care and to effectively contribute to sustained and meaningful perioperative population health management, the scope of existing preoperative management and its associated services and care provider skills must be expanded. New models of preoperative management are needed, which rely extensively on continuously evolving evidence-based best practice, as well as telemedicine and telehealth, including mobile technologies and connectivity. Along with conventional comorbidity optimization, prehabilitation can effectively promote enhanced postoperative recovery...
June 2018: Anesthesiology Clinics
https://www.readbyqxmd.com/read/29754649/telemedicine-cardiovascular-risk-reduction-in-veterans-the-cities-trial
#5
Hayden B Bosworth, Maren K Olsen, Felicia McCant, Karen M Stechuchak, Susanne Danus, Matthew J Crowley, Karen M Goldstein, Leah L Zullig, Eugene Z Oddone
BACKGROUND: Comprehensive programs addressing tailored patient self-management and pharmacotherapy may reduce barriers to cardiovascular disease (CVD) risk reduction. METHODS: This is a 2-arm (clinical pharmacist specialist-delivered, telehealth intervention and education control) randomized controlled trial including Veterans with poorly controlled hypertension and/or hypercholesterolemia. Primary outcome was Framingham CVD risk score at 6 and 12 months, with systolic blood pressure; diastolic blood pressure; total cholesterol; low-density lipoprotein; high-density lipoprotein; body mass index; and, for those with diabetes, HbA1c as secondary outcomes...
May 2018: American Heart Journal
https://www.readbyqxmd.com/read/29754561/an-economic-cost-analysis-of-an-expanding-multi-state-behavioural-telehealth-intervention
#6
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/29747712/remote-delivery-of-psychological-interventions-for-parkinson-s-disease
#7
Caitlin Swalwell, Nancy A Pachana, Nadeeka N Dissanayaka
ABSTRACTObjective:Over two-thirds of Parkinson's disease (PD) patients experience comorbid neuropsychiatric symptoms, which adversely impact their quality of life and often require intervention. There is a preference for non-pharmacological, psychological approaches in addressing these symptoms. Given mobility limitations, travel burden, and cost, accessibility to psychological treatment can be problematic in this population. There has been a recent shift toward delivering care via telehealth in PD. Accordingly, this review aimed to examine remotely delivered psychological interventions for PD patients...
May 11, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29746187/queensland-youth-cancer-service-a-partnership-model-to-facilitate-access-to-quality-care-for-young-people-diagnosed-with-cancer
#8
Natalie K Bradford, Roslyn Henney, Rick Walker, Euan Walpole, Glen Kennedy, Wayne Nicholls, Ross Pinkerton
Global recognition of the need to improve outcomes for adolescents and young adults (AYA) with cancer has led to the development of specific oncology programs and services. In Australia, Youth Cancer Services (YCS) are now established across the country. While each service has been shaped by nationally agreed principles, program development has been influenced by local policy and geographic differences. Queensland is a vast state with a widely dispersed population; coordination of cancer services for young people across this landscape presents unique challenges...
May 10, 2018: Journal of Adolescent and Young Adult Oncology
https://www.readbyqxmd.com/read/29730827/an-online-randomized-controlled-trial-with-or-without-problem-solving-treatment-for-long-term-cancer-survivors-after-hematopoietic-cell-transplantation
#9
Karen L Syrjala, Jean C Yi, Samantha B Artherholt, Joan M Romano, Marie-Laure Crouch, Allison S Fiscalini, Mark T Hegel, Mary E D Flowers, Paul J Martin, Wendy M Leisenring
PURPOSE: This randomized controlled trial examines the efficacy of INSPIRE, an INternet-based Survivorship Program with Information and REsources, with or without problem-solving treatment (PST) telehealth calls, for survivors after hematopoietic cell transplantation (HCT). METHODS: All adult survivors who met eligibility criteria were approached for consent. Participants completed patient-reported outcomes at baseline and 6 months. Those with baseline impaired scores on one or more of the outcomes were randomized to INSPIRE, INSPIRE + PST, or control with delayed INSPIRE access...
May 5, 2018: Journal of Cancer Survivorship: Research and Practice
https://www.readbyqxmd.com/read/29726455/challenges-of-a-hl7-cda-guideline-for-telehealth-based-dmp-systems
#10
Nikola Tanjga, René Baranyi, Thomas Grechenig, Christian Gossy, Stefan Welte, Peter Kastner, Robert Modre-Osprian
BACKGROUND: Disease management programs (DMP) are a modern way of treating health conditions and are becoming a part of standard care. One telehealth DMP service has been in regular operation since 2017, named "HerzMobil Tirol". OBJECTIVES: This paper investigates, if the electronic health record standard HL7 CDA, which is widely accepted in the health care industry, could be used for telehealth DMP services as well. It is already in use in a legally required integrated element of healthcare in Austria called ELGA...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29726454/is-austria-ready-for-telemonitoring-a-readiness-assessment-among-doctors-and-patients-in-the-field-of-diabetes
#11
Domenik Muigg, Peter Kastner, Robert Modre-Osprian, Daniela Haluza, Georg Duftschmid
BACKGROUND: Telemonitoring offers new opportunities in the treatment of chronically ill patients and could help to improve their quality of life while reducing healthcare costs. OBJECTIVES: The willingness to use telemonitoring is examined for both physicians and patients. From the perspective of the most important stakeholders, advantages and disadvantages as well as barriers for telemonitoring are analysed. METHODS: A Telehealth Readiness Assessment was carried out with physicians (n = 41) and patients (n = 47) in a cross-sectional study...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29726453/two-stage-evaluation-of-a-telehealth-nutrition-management-service-in-support-of-diabesity-therapy
#12
Veronika Schusterbauer, Dieter Feitek, Peter Kastner, Hermann Toplak
BACKGROUND: Diabesity, a combination of diabetes mellitus type 2 and obesity, is one of the biggest global health problems. Individual nutrition therapy and physical activity are effective measures in prevention and treatment. METHODS: Requirements for an integrated diabesity service were specified and evaluated in two stages. The aim of the first stage was to perform a feasibility trial in patients with diabesity, using separate diaries. DiabMemory for diabetes and Nutrinaut for nutrition...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29725667/telehealth-management-of-parkinson-s-disease-using-wearable-sensors-an-exploratory-study
#13
Dustin A Heldman, Denzil A Harris, Timothy Felong, Kelly L Andrzejewski, E Ray Dorsey, Joseph P Giuffrida, Barry Goldberg, Michelle A Burack
Background: Parkinson's disease (PD) motor symptoms can fluctuate and may not be accurately reflected during a clinical evaluation. In addition, access to movement disorder specialists is limited for many with PD. The objective was to assess the impact of motion sensor-based telehealth diagnostics on PD clinical care and management. Methods: Eighteen adults with PD were randomized to control or experimental groups. All participants were instructed to use a motion sensor-based monitoring system at home one day per week, for seven months...
September 2017: Digital Biomarkers
https://www.readbyqxmd.com/read/29723691/telehealth-based-evaluation-identifies-patients-who-are-not-candidates-for-liver-transplantation
#14
Venkata Rajesh Konjeti, Douglas Heuman, Jasmohan Bajaj, HoChong Gilles, Michael Fuchs, Phillip Tarkington, Binu V John
No abstract text is available yet for this article.
April 30, 2018: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29718522/using-a-web-based-e-visit-simulation-to-educate-nurse-practitioner-students
#15
Lisa Schaeg Merritt, Allison N Brauch, Annah K Bender, Daria Kochuk
BACKGROUND: The purpose of this pilot study was to develop and implement a Web-based, e-Visit simulation experience for nurse practitioner students and evaluate student satisfaction and perceived learning. METHOD: The convenience sample consisted of 26 senior-level Master of Science in Nursing students in the Pediatric Nurse Practitioner and Adult-Gerontology Nurse Practitioner programs. A Likert survey was used for evaluation that measured items from 1 (strongly disagree) to 5 (strongly agree)...
May 1, 2018: Journal of Nursing Education
https://www.readbyqxmd.com/read/29718218/current-landscape-of-telemedicine-practice-in-inflammatory-bowel-disease
#16
Seema A Patil, Raymond K Cross
Inflammatory bowel disease (IBD), comprised of Crohn's disease and ulcerative colitis, affects 1.6 million people in the United States. Although effective medical treatments exist to treat the disease, outcomes are still suboptimal. The reasons for poor outcomes vary but include nonadherence to therapy, inadequate monitoring of patients, limited access to IBD specialty care, concurrent psychiatric disease, limited patient knowledge of the disease and treatments, and patient provider discordance. Telemedicine is a candidate intervention that can be used to improve patient outcomes through more frequent monitoring, patient self-management, delivery of education (patient and provider), and to increase access to multidisciplinary IBD care...
April 28, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29713481/intent-to-treat-analysis-of-a-simultaneous-multisite-telehealth-diabetes-prevention-program
#17
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/29710200/the-role-of-telehealth-in-the-medical-response-to-disasters
#18
Nicole Lurie, Brendan G Carr
No abstract text is available yet for this article.
April 23, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/29709201/telehealth-and-autism-a-systematic-search-and-review-of-the-literature
#19
Rebecca Sutherland, David Trembath, Jacqueline Roberts
PURPOSE: Research interest in telehealth and autism spectrum disorder (ASD) has grown. There is a need to review the literature to allow speech-language pathologists (SLPs) and other service providers to consider applicability to their settings. The aim of this review was to examine the nature and outcomes of studies examining telehealth assessment and/or intervention in ASD. METHOD: A systematic search of the literature was undertaken, with 14 studies meeting inclusion criteria...
April 30, 2018: International Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/29705155/the-effect-of-telehealth-telephone-support-or-usual-care-on-quality-of-life-mortality-and-healthcare-utilization-in-elderly-high-risk-patients-with-multiple-chronic-conditions-a-prospective-study
#20
Bernardo Valdivieso, Anibal García-Sempere, Gabriel Sanfélix-Gimeno, Raquel Faubel, Julian Librero, Elisa Soriano, Salvador Peiró
BACKGROUND AND OBJECTIVE: To assess the effect of home based telehealth or structured telephone support interventions with respect to usual care on quality of life, mortality and healthcare utilization in elderly high-risk multiple chronic condition patients. PATIENTS AND METHODS: 472 elderly high-risk patients with plurimorbidity in the region of Valencia (Spain) were recruited between June 2012 and May 2013, and followed for 12 months from recruitment. Patients were allocated to either: (a) a structured telephone intervention, a nurse-led case management program with telephone follow up every 15 days; (b) telehealth, which adds technology for remote self-management and the exchange of clinical data; or (c) usual care...
April 25, 2018: Medicina Clínica
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