2010 Second International Conference on eHealth, Telemedicine, and Social Medicine最新文献

{"title":"A Theory of Constraints Approach to Health Technology Assessment","authors":"Johan Groop, Karita Reijonsaari, P. Lillrank","doi":"10.1109/ETELEMED.2010.28","DOIUrl":"https://doi.org/10.1109/ETELEMED.2010.28","url":null,"abstract":"Applying assessment methods commonly used in healthcare, such as randomized controlled trials (RCT) and financial analysis, often proves challenging in health technology assessment (HTA). Procurement and implementation of process improving information and communication technology (ICT) is traditionally sought to be based on financial estimates. These are often difficult to produce and may be misleading. There is a need for a more pragmatic managerial solution. This paper suggests an alternative approach, based on the theory of constraints (TOC), arguing that the primary focus of technology assessment should be on technologies’ ability to break or alleviate organizational constraints, in order to increase throughput rather than reduce cost. Ultimately the latter will become as a consequence of the former. This paper presents a conceptual contribution. The suggested approach is illustrated through a case study of a home care unit.","PeriodicalId":213702,"journal":{"name":"2010 Second International Conference on eHealth, Telemedicine, and Social Medicine","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128146928","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":"African Telenursing: What is It and What's Special about It?","authors":"S. Wynchank, J. Fortuin","doi":"10.1109/eTELEMED.2010.10","DOIUrl":"https://doi.org/10.1109/eTELEMED.2010.10","url":null,"abstract":"Telenursing is well established in developed nations. Pilot telenursing schemes have been introduced in South Africa and elsewhere in the continent and, where justified, slowly expanded to allow maximum benefit from this modality of care. However systems, equipment and procedures which may be successful in the developed world are usually inappropriate for direct, unmodified transfer to developing countries. The appropriate changes to telenursing application for African needs and progress already made in African telenursing will be described, but currently there is little quantitiative data available.","PeriodicalId":213702,"journal":{"name":"2010 Second International Conference on eHealth, Telemedicine, and Social Medicine","volume":"192 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124273956","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":"Implementation a Holistic Model, Interactive and Persuasive to Facilitate Self-Care of Patients with Diabetes (hIPAPD)","authors":"Miguel Vargas-Lombardo, Armando Jipsion, Rafael Vejarano, Ismael Camargo, Humberto Alvarez, E. Villalba, Ernestina Menasalva Ruiz","doi":"10.1109/eTELEMED.2010.34","DOIUrl":"https://doi.org/10.1109/eTELEMED.2010.34","url":null,"abstract":"Health indicators express remarkable gaps in health systems at a world-wide level. Countries of all over the world are implementing new strategies, methodologies and technologies to better serve the millions of patients, who demand better medical attention. The current system, which is archaic and not very systematic, widens the gap even more than the quality of medical services that should be provided to the millions of diabetic patients. Diabetic patients go through several difficulties with their medical treatment such as lack of motivation, difficulty of understanding, real or functional analphabetism, serious economic problems, high levels of depression, and self-care of diabetes. In the same manner, the medical relationship among patient, sanitary personnel, relatives and society is extremely affected by the little or no intention to establish follow-up parameters, prevention and self-care among the aforementioned actors. The Holistic, Interactive and Persuasive model to facilitate self-care of patients with diabetes (hiPAPD) is a model of Information and Communications Technologies centered on the diabetic patient. Its main goal is to facilitate the self-care of the patient and to stimulate bonds of prevention, attendance and support among the Family Contexts of the Patient, Friends of the Patient, Doctors, Sanitary Personnel and Society, as is shown in the rest of this article.","PeriodicalId":213702,"journal":{"name":"2010 Second International Conference on eHealth, Telemedicine, and Social Medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133991113","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":"Interactive Games to Improve Quality of Life for the Elderly: Towards Integration into a WSN Monitoring System","authors":"E. Lawrence, C. Sax, Karla Felix Navarro, Mu Qiao","doi":"10.1109/eTELEMED.2010.21","DOIUrl":"https://doi.org/10.1109/eTELEMED.2010.21","url":null,"abstract":"The authors investigate the feasibility of using modern interactive games to help improve the quality of life of the elderly whether they are living in their own homes or in aged care facilities. Ultimately the aim is to integrate such technologies into their prototype health monitoring system called ReMoteCare, a wireless sensor network based system. It is hoped that a series of interactive exercises will help to improve the physical and mental health outcomes of the elderly","PeriodicalId":213702,"journal":{"name":"2010 Second International Conference on eHealth, Telemedicine, and Social Medicine","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125064688","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":"Experiences and Preferences of Patients with Rheumatic Diseases Regarding an Interactive Health Communication Application","authors":"R. van der Vaart, C. Drossaert, E. Taal, M. V. D. Laar","doi":"10.1109/ETELEMED.2010.16","DOIUrl":"https://doi.org/10.1109/ETELEMED.2010.16","url":null,"abstract":"Objective Interactive Health Communication Applications (IHCAs) can make a valuable contribution to rheumatological care. The development of online health applications is moving quickly, and positive results have been shown. Yet solid research on use and acceptance of different information, communication and participation tools by patients is still lacking. In this qualitative study, we examined the health-related internet use of patients with rheumatic diseases, their motives for using or not using certain applications, and their needs and preferences with regard to a rheumatology IHCA. Method Semi-structured individual interviews were conducted with eighteen patients, who were selected from a hospital’s patient panel. Participants were diagnosed with eight different forms of rheumatism and their mean age was 50.7 years. The interviews were coded by two independent researchers. Results The applications most preferred by participants were: information provision on both medical and support topics, online communication with their doctor and insight in their personal health records. Patient support groups were less valued as were participation tools such as symptom monitoring and online exercise programs. Furthermore, a large discrepancy was shown between patients’ current use and their future preferences with respect to information about care and support, access to personal health records and having online contact with their doctor. Conclusion Patients see great value in an IHCA provided by their own hospital, since it could increase reliability, and would give them the confidence to use the application. The current study shows a significant discrepancy between current use and future preferences rheumatism patients have regarding online communication with their doctor, online symptom monitoring and insight in their personal health record. Overall a rheumatology IHCA should contain communication and participation tools, both linked to the hospital, and information about disease, care and practical support. Since this study focused on the communication with patients regarding a technological ehealth system which will include information, communication and participation, this paper is relevant on the conference topics eHealth systems and communcations, eHealth technology and devices and Telemedicine/ehealth applications.","PeriodicalId":213702,"journal":{"name":"2010 Second International Conference on eHealth, Telemedicine, and Social Medicine","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127255894","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":"Web Communities for Preventive Health Care - Experienced Usability and Health Impact among Smokers and Overweight People","authors":"Åsa B. Smedberg","doi":"10.1109/eTELEMED.2010.29","DOIUrl":"https://doi.org/10.1109/eTELEMED.2010.29","url":null,"abstract":"The number of web based health communities has increased during the latest years, and so has also the number of users. Among these, we find the health communities for people who suffer from lifestyle problems. These communities aim at helping people change their habits, and thereby preventing them from getting severe illnesses later. The communities are used for conversations about everyday struggles for a healthier lifestyle, and they contain issues concerning treatments, exercises, motivation, setbacks, etc. The question is in what ways and to what extent these communities support self-management among the members. This paper presents the results from a survey to members of a web community on overweight and another one on smoking. The results showed the members’ appreciation for existing conversational topics on facts and motivation. They also thought that answers in which the senders offer new perspectives were valuable and could increase.","PeriodicalId":213702,"journal":{"name":"2010 Second International Conference on eHealth, Telemedicine, and Social Medicine","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123316055","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":"Usage and Effect of a Web-Based Intervention for the Prevention of Overweight; a Randomized Controlled Trial","authors":"S. Kelders, J. V. Gemert-Pijnen, A. Werkman, E. Seydel","doi":"10.1109/eTELEMED.2010.22","DOIUrl":"https://doi.org/10.1109/eTELEMED.2010.22","url":null,"abstract":"Web-based interventions can be effective in changing behaviour of people faced with health problems. However, it is unclear whether they are effective in preventing health problems like overweight. The aim of this study was to investigate usage and effectiveness of a web-based application to increase healthy behaviour in adults with a healthy weight or slight overweight (BMI 18-28 kg/m2) by means of a Randomized Controlled Trial. A total of 297 respondents were randomly assigned to the intervention (n=147) or the waiting list group (n=150). The intervention group received access to the intervention for 12 weeks. At pre- and post-test we measured dietary and physical activity behaviour (primary outcomes) and BMI, knowledge, attitude, self-efficacy, subjective behaviour and insight in behaviour (secondary outcomes). All participants, regardless of randomized group, show improvement in healthy behaviour and subjective assessment of healthy behaviour. People who are older, score higher on dietary behaviour and under-estimate their dietary behaviour are more likely to use the Healthy Weight Assistant (HWA). Using the HWA leads to improvement in physical activity behaviour and insight in this behaviour. Trial Registration: ISRCTN42687923","PeriodicalId":213702,"journal":{"name":"2010 Second International Conference on eHealth, Telemedicine, and Social Medicine","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126194850","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":"e-Dietician in General Practice","authors":"C. Brandt, Cecilia Arendal, D. Glintborg, S. Toubro","doi":"10.1109/eTELEMED.2010.12","DOIUrl":"https://doi.org/10.1109/eTELEMED.2010.12","url":null,"abstract":"Obesity is according to WHO one of the greatest health challenges of our time. The aim of the pilot project was to investigate the weight loss efficacy and the cost of individual dietetic internet-based consultations in a Danish medical centre in combination with an internet community. A total of 46 obese patients in general practice were offered participation in a cohort study during May 15th to December 1st 2008. Patients from three different health centers were included. 32 patients gave informed consent to participate and were given access to weekly e-mail consultations with a dietician and access to an advanced internet community. The weight was objectively decided by inclusion and conclusion of the study. 22 (17 women and 5 men) of the 32 included patients completed the study. The average age was 41 years, the weight was 103 kg and the BMI was 36.7 kg/m2. After four months (42-168 days) of treatment and averagely 17 consultations the participants accomplished an average weight loss of 6.3 kg, p","PeriodicalId":213702,"journal":{"name":"2010 Second International Conference on eHealth, Telemedicine, and Social Medicine","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130133580","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":"Enhancing Rural Healthcare in Emerging Countries through an eHealth Solution","authors":"Saatviga Sudhahar, Dinusha Vatsalan, Dulindra Wijethilake, Y. Wickramasinghe, Shiromi Arunathilake, K. Chapman, G. Seneviratna","doi":"10.1109/eTELEMED.2010.11","DOIUrl":"https://doi.org/10.1109/eTELEMED.2010.11","url":null,"abstract":"This paper investigates the applicability of an eSolution that improves health care delivery settings in the rural parts of the developing world and discusses about a proposed patient-centric eSolution that suits the Sri Lankan setting. Patients in rural areas incur heavy expenditure in traveling long distances spending lot of time to consult Specialists in cities due to the lack of Specialists in their areas. This issue can be addressed by an eSolution that makes appropriate use of Electronic Medical Records (EMR) and Telemedicine technologies which enables the patient to consult a Specialist through eConsultation. The main benefit of implementing such an eSolution is that, it ensures the availability of the Specialist across a distance at many eClinics within the shortest possible time frame. This paper also provides taxonomy of technology choices for connectivity and communication software for conferencing and discusses the overall solution that was proposed for use, considering its adaptability and appropriateness in a developing country perspective.","PeriodicalId":213702,"journal":{"name":"2010 Second International Conference on eHealth, Telemedicine, and Social Medicine","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133995088","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":"Towards a Regional Innovation System for Telemedicine in South Africa","authors":"L. V. Dyk, M. Groenewald, J. Abrahams","doi":"10.1109/eTELEMED.2010.8","DOIUrl":"https://doi.org/10.1109/eTELEMED.2010.8","url":null,"abstract":"The South African government identified telemedicine as a strategic tool to improve delivery of equitable healthcare and educational services. However, the advancement of telemedicine is hindered by the fact that not many South African medical practitioners dwell in the domain of information and communication technicians and visa versa. Attempts to advance healthcare in South Africa are disparate and parties doing complementary work, often do not know of each other. The purpose of this project is to come up with a framework that can be used as a business model towards the establishing of a regional innovation system (RIS) for the advancement of telemedicine, firstly in South Africa.","PeriodicalId":213702,"journal":{"name":"2010 Second International Conference on eHealth, Telemedicine, and Social Medicine","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131151623","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}