European Research in Telemedicine / La Recherche Européenne en Télémédecine最新文献

{"title":"Stratégie nationale de santé, désert médicaux et accès aux soins : une réponse opérationnelle La Télémédecine","authors":"T. Moulin, N. Salles","doi":"10.1016/J.EURTEL.2017.10.004","DOIUrl":"https://doi.org/10.1016/J.EURTEL.2017.10.004","url":null,"abstract":"","PeriodicalId":100509,"journal":{"name":"European Research in Telemedicine / La Recherche Européenne en Télémédecine","volume":"30 1","pages":"103-106"},"PeriodicalIF":0.0,"publicationDate":"2017-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80358114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial board et ours","authors":"","doi":"10.1016/S2212-764X(17)30082-1","DOIUrl":"https://doi.org/10.1016/S2212-764X(17)30082-1","url":null,"abstract":"","PeriodicalId":100509,"journal":{"name":"European Research in Telemedicine / La Recherche Européenne en Télémédecine","volume":"6 3","pages":"Page i"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2212-764X(17)30082-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71862882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medico-economic modelling of stroke care with telemedicine. An experience in Franche-Comté","authors":"M. Le Goff-Pronost ,&nbsp;B. Bouamra ,&nbsp;S. Gantzer ,&nbsp;T. Moulin","doi":"10.1016/j.eurtel.2017.07.001","DOIUrl":"https://doi.org/10.1016/j.eurtel.2017.07.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Telestroke system allows the sharing of medical information and the remote administration of thrombolysis to a person who has suffered a stroke, regardless of their location. The objective of the present study is to provide a tool to model different care scenarios of a stroke patient and to measure results in terms of efficiency and cost.</p></div><div><h3>Materials and methods</h3><p>We established a decision tree-based analytical model representing five scenarios. The baseline scenario represented the current management of patients in eight accident and emergency departments, two primary stroke units (PSUs) and a comprehensive stroke unit (SU), all connected via a telemedicine tool. Four variants of this first scenario were proposed, based or not on telemedicine. Efficiency criteria were thrombolysis rate; rate of return home; and quality-adjusted life-years. Costs were based on actual patient resources used.</p></div><div><h3>Results</h3><p>Once the model parameters were identified, the results were used to compare the scenarios in terms of cost and efficiency. The different assumptions, transition probabilities, data sources, and efficiency and modelling costs are discussed.</p></div><div><h3>Discussion</h3><p>This model provides a medico-economic evaluation of the Telestroke system. It is an adjustable and scalable model that can be applied in other regions and adapted to other medical fields.</p></div><div><h3>Conclusion</h3><p>Telemedicine appears to be a cost-effective modality for the management of stroke. The modelling makes it possible to take into account the regional specificities and the organization of the sector within the territory.</p></div><div><h3>Introduction</h3><p>Le téléAVC ou <em>telestroke</em> permet de partager les informations médicales du patient et de valider à distance l’acte de thrombolyse quel que soit le lieu de prise en charge du patient. L’objectif de l’étude est de proposer un outil permettant de modéliser les différents parcours de soins d’un patient victime d’AVC et de mesurer les résultats en termes d’efficacité et de coût.</p></div><div><h3>Matériels et méthodes</h3><p>Le modèle est une méthode analytique basée sur la réalisation d’arbre de décisions représentant cinq scénarios de prise en charge. Le scénario de référence correspond à la prise en charge actuelle des patients dans huit services d’urgences, deux unités neurovasculaires (UNV) de proximité et une UNV de recours, tous reliés par un outil de télémédecine. Il a été décliné en quatre variantes se basant ou non sur la télémédecine. Les critères d’efficacité retenus sont le taux de thrombolyse, le taux de retour à domicile et les QALYs. Les coûts retenus sont basés sur la consommation réelle des ressources par le patient.</p></div><div><h3>Résultats</h3><p>Une fois les différents paramètres du modèle identifiés, les résultats obtenus permettent de comparer les scénarios en termes de coûts et d’efficacité. Les différente","PeriodicalId":100509,"journal":{"name":"European Research in Telemedicine / La Recherche Européenne en Télémédecine","volume":"6 3","pages":"Pages 107-115"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.eurtel.2017.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71720822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Economic evaluation methods applied to telemedicine: From a literature review to a standardized framework","authors":"I. Bongiovanni-Delarozière ,&nbsp;M. Le Goff-Pronost","doi":"10.1016/j.eurtel.2017.08.002","DOIUrl":"https://doi.org/10.1016/j.eurtel.2017.08.002","url":null,"abstract":"<div><h3>Context</h3><p>Telemedicine is proposed as a useful tool to increase efficiency, improve access and the quality of care. The widespread use of telemedicine has created the need to evaluate its efficiency. This implies that we need use appropriate evaluation methods. In this context, what lessons can be learned from previous economic evaluation studies? The first objective was to explore economic evaluation studies of telemedicine in terms of their descriptive analysis, methodological quality and the main shortcomings of the methodology. The second objective was to identify a standardized framework for economic evaluation, with a view to providing a tool for policymakers and stakeholders.</p></div><div><h3>Method</h3><p>The analysis was based on a review of the international literature from 2000 to 2013. After reviewing the full-text articles, 74 studies that implemented an economic evaluation for a telemedicine project and 27 systematic reviews on economic evaluation remained. Twenty-six partial economic evaluations that only focussed on costs were excluded. A standardised analysis framework was developed in collaboration with a methodological working group, based on the results of literature review and the study of existing projects.</p></div><div><h3>Results</h3><p>Two main results appear: an important heterogeneity of the publications which leads to the impossibility of comparing the results and adjudicate on a possible efficiency of telemedicine and a poor quality of the cost-effectiveness method used for telemedicine. These findings are consistent with those of the systematic reviews of the literature examined. An update of the literature review was made from 2013 to 2017. Economic evaluation protocols are actually more sophisticated. The use of economic evaluation to assess the economic consequences of telemedicine interventions requires adequate use of standard methodology. The French National Authority for Health has proposed the development of an impact matrix showing the expected effects of telemedicine on the various stakeholders.</p></div><div><h3>Conclusions</h3><p>While the results of economic evaluation studies can be criticized in terms of methodology and are not very decisive, the recommendations relating to implementing economic evaluations were identified to promote a coherent development of economic evaluations. The methodological framework presented here is not considered as an end in itself but rather than the beginning of what is hoped will be an ongoing process of telemedicine evaluation.</p></div><div><h3>Contexte</h3><p>La télémédecine est présentée comme un vecteur d’amélioration de l’efficience, de l’accès et de la qualité des soins. Son déploiement à grande échelle nécessite d’apporter des éclairages sur la question spécifique de l’efficience de la télémédecine. D’où la place centrale de l’évaluation économique qui met en regard les résultats attendus d’une intervention de santé avec les ressources consommées","PeriodicalId":100509,"journal":{"name":"European Research in Telemedicine / La Recherche Européenne en Télémédecine","volume":"6 3","pages":"Pages 117-135"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.eurtel.2017.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71862878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sunscreen mobile apps: A content analysis","authors":"W. A. Tellez, W. Nieto-Gutierrez, Á. Taype-Rondan","doi":"10.1016/J.EURTEL.2017.08.001","DOIUrl":"https://doi.org/10.1016/J.EURTEL.2017.08.001","url":null,"abstract":"","PeriodicalId":100509,"journal":{"name":"European Research in Telemedicine / La Recherche Européenne en Télémédecine","volume":"19 1","pages":"157-163"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78704168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilisation et perceptions de la télésanté par les professionnels de la santé des zones rurales au Mali","authors":"G. Mbemba, Louise Hamelin-Brabant, Marie-Pierre Gagnon, Patrice Ngangue, C. Bagayoko","doi":"10.1016/J.EURTEL.2017.10.001","DOIUrl":"https://doi.org/10.1016/J.EURTEL.2017.10.001","url":null,"abstract":"","PeriodicalId":100509,"journal":{"name":"European Research in Telemedicine / La Recherche Européenne en Télémédecine","volume":"42 1","pages":"165-172"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89761605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilisation et perceptions de la télésanté par les professionnels de la santé des zones rurales au Mali","authors":"G.I.C. Mbemba ,&nbsp;L. Hamelin-Brabant ,&nbsp;M.-P. Gagnon ,&nbsp;P.A. Ngangue ,&nbsp;C.O. Bagayoko","doi":"10.1016/j.eurtel.2017.10.001","DOIUrl":"https://doi.org/10.1016/j.eurtel.2017.10.001","url":null,"abstract":"<div><h3>Introduction</h3><p>L’utilisation des technologies de l’information et de la communication (TIC) a connu une expansion importante dans les systèmes de santé de plusieurs pays. Cette étude visait à décrire les perceptions des agents de santé relatives à l’implantation et l’utilisation de la télésanté, de même que la satisfaction et la motivation dans le cadre de leur travail en zones rurales au Mali.</p></div><div><h3>Matériels et méthodes</h3><p>Il s’agit d’une étude qualitative. Des entrevues semi-dirigées (<em>n</em> <!-->=<!--> <!-->17) ont été réalisées auprès des professionnels de la santé travaillant dans les quatre centres de santé en zone rurale où un projet de télésanté a été implanté depuis 2011. Les données des entrevues ont été transcrites, codées et thématiquement analysées.</p></div><div><h3>Résultats</h3><p>L’analyse des entrevues a permis de dégager trois principaux constats : (1) la motivation principale pour travailler et rester en zone rurale se basait sur l’acquisition des compétences, malgré les conditions de vie et de travail difficiles ; (2) les facteurs d’implantation et d’utilisation des TIC évoqués étaient : la formation du personnel, la disponibilité du matériel, la sécurité de la connexion internet et l’implication personnelle et organisationnelle et (3) les principaux avantages perçus par les participants regroupaient : le développement des compétences, l’amélioration de la qualité des prestations, l’amélioration des relations avec les autres professionnels et les patients, le gain de temps et d’argent. Les inconvénients mentionnés portaient sur l’augmentation de la charge de travail et la réduction des possibilités de formation à l’extérieur.</p></div><div><h3>Discussion</h3><p>L’implantation et l’utilisation des TIC ont été facilitées par des facteurs individuels et organisationnels qui sont particuliers au contexte malien. Les avantages des TIC qui ont été évoqués étaient de nature médicale et économique. Ces résultats concordent avec des études antérieures. Les principaux inconvénients étaient de nature professionnelle et devraient être pris en compte lors de la mise en œuvre des projets des TIC. De plus, l’accessibilité aux TIC ou à la télésanté pourrait favoriser le recrutement et la rétention des professionnels de la santé en zones rurales. Cette hypothèse est en accord avec la littérature où certaines études ont documenté cette relation indirecte de la télésanté qui agit sur les facteurs de recrutement et de rétention.</p></div><div><h3>Conclusion</h3><p>La télésanté est reconnue comme un outil indispensable dans la pratique clinique. Elle pourrait également contribuer au recrutement et à la rétention des professionnels de la santé. Les différents avantages de la télésanté ont une influence sur la satisfaction au travail qui, en retour, peut avoir un effet sur le recrutement et la rétention du personnel de santé.</p></div><div><h3>Introduction</h3><p>The use of information and communication technologi","PeriodicalId":100509,"journal":{"name":"European Research in Telemedicine / La Recherche Européenne en Télémédecine","volume":"6 3","pages":"Pages 165-172"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.eurtel.2017.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71739095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A new adaptive traffic engineering method for telesurgery using ACO algorithm over Software Defined Networks","authors":"M. Parsaei, Reza Mohammadi, R. Javidan","doi":"10.1016/J.EURTEL.2017.10.003","DOIUrl":"https://doi.org/10.1016/J.EURTEL.2017.10.003","url":null,"abstract":"","PeriodicalId":100509,"journal":{"name":"European Research in Telemedicine / La Recherche Européenne en Télémédecine","volume":"7 1","pages":"173-180"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78255255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sunscreen mobile apps: A content analysis","authors":"W.A. Tellez ,&nbsp;W. Nieto-Gutierrez ,&nbsp;A. Taype-Rondan","doi":"10.1016/j.eurtel.2017.08.001","DOIUrl":"https://doi.org/10.1016/j.eurtel.2017.08.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Currently, many sunscreen mobile apps are available for use. However, little is known about their characteristics. We aimed to describe the available sunscreen mobile apps for Android and iOS.</p></div><div><h3>Material and methods</h3><p>An observational descriptive study was conducted. We searched in App Store and Google Play Store using specific terms in Spanish and English, and collected the mobile apps that aimed to improve sunscreen use. We extracted general characteristics from all of these apps, and specific characteristics from free apps.</p></div><div><h3>Results</h3><p>We found 134 apps that aimed to improve sunscreen use, of which 88 (65.7%) were available only in English, 92 (68.7%) were free of charge, and 53 (39.6%) were updated in 2015 or 2016. We evaluated specific sun protection features of free apps: 5 (5.4%) included videos or animations, 2 (2.2%) included games, 28 (30.4%) had institutional certification, 64 (69.6%) indicated the UV index according to user current location, and 16 (17.4%) informed about the appropriate sunscreen use.</p></div><div><h3>Discussion</h3><p>The majority of dermatology-related apps were available for free maybe because of their high demand among users. Moreover, they were downloaded mostly more than 1000 times perhaps due to a major concern about the harmful consequences of the UV-rays on health among people. Most of the mobile apps evaluated had no institutional certification that is important for guarantee an appropriate display of information on the app.</p></div><div><h3>Conclusions</h3><p>Most of sunscreen mobile apps were available free of charge and were recently updated. However, few free apps have institutional certification, interactive features, and sunscreen use information; which may limit their impact.</p></div><div><h3>Introduction</h3><p>À l’heure actuelle, nombreuses applications mobiles de protection solaire sont disponibles. Cependant, on sait peu de choses sur leurs caractéristiques. Nous avons voulu décrire les applications mobiles de protection solaire disponibles pour Android et iOS.</p></div><div><h3>Matériel et méthodes</h3><p>Une étude descriptive d’observation a été effectuée. Nous avons cherché dans App Store et Google Play Store en utilisant des termes spécifiques en espagnol et en anglais, et nous avons collecté les applications mobiles visant à améliorer l’utilisation de l’écran solaire. Nous avons extrait les caractéristiques générales de toutes ces applications et des caractéristiques spécifiques à partir d’applications gratuites.</p></div><div><h3>Résultats</h3><p>Nous avons trouvé 134 applications qui visaient à améliorer l’utilisation de l’écran solaire, dont 88 (65,7 %) n’étaient disponibles qu’en anglais, 92 (68,7 %) étaient gratuits et 53 (39,6 %) ont été mis à jour en 2015 ou 2016. Nous avons évalué des spécifiques caractéristiques de protection solaire des applications gratuites : 5 (5,4 %) incluaient des vidéos ou des animations","PeriodicalId":100509,"journal":{"name":"European Research in Telemedicine / La Recherche Européenne en Télémédecine","volume":"6 3","pages":"Pages 157-163"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.eurtel.2017.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71862880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telecardiology: What's new from Italy?","authors":"Natale Daniele Brunetti ,&nbsp;Luisa De Gennaro ,&nbsp;Pasquale Caldarola ,&nbsp;Giuseppe Molinari ,&nbsp;Matteo Di Biase","doi":"10.1016/j.eurtel.2017.09.002","DOIUrl":"https://doi.org/10.1016/j.eurtel.2017.09.002","url":null,"abstract":"<div><p>In this report, we concisely describe recent innovations in the field of telemedicine applied to cardiovascular disease management achieved across Italy. Several networks based on pre-hospital triage of acute myocardial infarction by telemedicine electrocardiograms have been currently activated. Telemedicine support was also used for cardiovascular risk prevention and pre-participating screening of young non-competitive athletes, according to recent innovation in the legislative framework of sport medicine. Telemonitoring and telerehabilitation have been used for patients with chronic heart failure and even reimbursed in some regions.</p></div><div><p>Dans ce rapport, nous décrivons de manière concise les innovations récentes dans le domaine de la télémédecine appliquée à la gestion des maladies cardiovasculaires réalisées en Italie. Plusieurs réseaux basés sur le triage pré-hospitalier de l’infarctus du myocarde aigu par électrocardiogrammes de télémédecine ont été actuellement activés. La télémédecine a également été utilisée pour la prévention des risques cardiovasculaires et l’évaluation préparticipante des jeunes athlètes non compétitifs, conformément aux récentes lois en médecine sportive. La télésurveillance et la téléréadaptation ont été utilisées chez des patients souffrant d’insuffisance cardiaque chronique et même remboursées dans certaines régions.</p></div>","PeriodicalId":100509,"journal":{"name":"European Research in Telemedicine / La Recherche Européenne en Télémédecine","volume":"6 3","pages":"Pages 137-146"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.eurtel.2017.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71862881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}