Journal of Telemedicine and Telecare最新文献

{"title":"2024 JTT statistics and acknowledgements.","authors":"Anthony C Smith","doi":"10.1177/1357633X251345314","DOIUrl":"https://doi.org/10.1177/1357633X251345314","url":null,"abstract":"","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X251345314"},"PeriodicalIF":3.5,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telerehabilitation for peripheral facial palsy: A scoping review.","authors":"Davide Grillo, Gianluca Ossola, Mattia Cecconi, Stefano Vania, Ignazio Geraci, Gianluca Calò, Sara Federico, Mirko Zitti, Błażej Cieślik, Silvia Zangarini, Pawel Kiper","doi":"10.1177/1357633X251342335","DOIUrl":"10.1177/1357633X251342335","url":null,"abstract":"<p><p>Background and ObjectivesDriven by the rising demand for telerehabilitation (TR) services and digital transformations in the healthcare management of people with facial palsy (FP), studies on TR programs in this specific population are steadily increasing. Our scoping review aimed to provide an overview of the current state of knowledge on TR for people with FP by addressing three subquestions regarding the types of studies conducted, the technologies used, and the potential existing technologies that could be adapted for TR in this context.Study Design and MethodsWe followed the Joanna Briggs Institute methodology for scoping reviews. Between January and February 2024, two authors performed a literature search on Medline, Cochrane, PEDro, and Scopus databases, while two additional authors conducted a gray literature search using the \"Grey Matters\" tool, repositories, and Google.ResultsA total of 10,804 reports were initially considered in this scoping review. After the screening process, we included and analyzed 39 results. We found 18 studies with 11 different study designs or types related to TR in FP, 14 technologies projected or already used for TR purposes with a variety of delivery methods or rehabilitative treatments, and 18 additional digital instruments suitable for different TR stages.ConclusionsOur findings indicate a growing interest in and development of TR instruments, aligning with the broader expansion of telemedicine services across healthcare. We have identified a diverse range of delivery methods, rehabilitative treatments, and digital tools utilized in TR for FP. Additionally, our comprehensive overview provides healthcare providers with practical insights to improve their approach to managing patients with FP in TR contexts.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X251342335"},"PeriodicalIF":3.5,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of novel scales to measure trust and confidence in using telephone and video consultation scales in people with chronic kidney disease.","authors":"Soraia de Camargo Catapan, Helen M Haydon, Pedro Hr Santiago, Ingrid J Hickman, Lindsey Webb, Nicole Isbel, David W Johnson, Hannah L Mayr, Oliver J Canfell, Paul Scuffham, Nicola W Burton, Anthony C Smith, Jaimon T Kelly","doi":"10.1177/1357633X251338950","DOIUrl":"https://doi.org/10.1177/1357633X251338950","url":null,"abstract":"<p><p>AimPatients' trust and confidence in telehealth are core components of its adoption, effectiveness and sustained use. This study aimed to develop and validate scales to measure trust and confidence in using telephone and video consultations in people with chronic kidney disease (CKD).MethodsAfter developing potential items, two-phases were conducted to investigate construct validity. Phase 1 examined face and content validity via: think-aloud patients focus group (<i>n</i> = 5), specialists email feedback (<i>n</i> = 3) and telehealth investigators group discussion (<i>n</i> = 4). Phase 2 used factor analytical methods to evaluate structural validity and internal consistency reliability after surveying a sample of people with CKD at an Australian metropolitan hospital. Four exploratory factor analyses (EFA) with oblique rotation Promax were conducted. Parallel analysis was used for factor retention and items with factor loadings ≥0.60 on the primary factor and without substantive cross-loadings were maintained. Cronbach's alpha (<i>α</i>) measured the internal consistency reliability.ResultsPhase 1 resulted in 17 items to measure trust in telephone consultations, 17 items to measure trust in video consultations, 8 items to measure confidence in using telephone consultations and 8 items to measure confidence in using video consultations (total 50 items). Phase 2: EFA results (<i>N</i> = 156) for the trust scales were both unidimensional: (1) 12-item trust in telephone consultations (<i>α</i> = 0.92); (2) 12-item trust in video consultations (<i>α</i> = 0.93). EFA resulted in two factors for each of the confidence scales: (3) Confidence in using telephone consultations (<i>α</i> = 0.82), comprising 4-item 'competence & capability' factor (<i>α</i> = 0.84) and 3-item 'social & technical support' factor (<i>α</i> = 0.82); (4) Confidence in using video consultations (<i>α</i> = 0.84) comprising 4-item experience 'competence & capability' factor (<i>α</i> = 0.84) and 3-item 'social & technical support' factor (<i>α</i> = 0.82). Internal consistency reliability of all scales and subscales were adequate (<i>α</i> > 0.80).ConclusionOur study demonstrated excellent psychometric properties of the TCTVC scales, which can be reliably used across broader cohorts.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X251338950"},"PeriodicalIF":3.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness and cost-effectiveness of a virtual Hospital in the Home service for COVID-19 infection: A cohort study and modelled decision analysis.","authors":"Linh K Vo, Michelle J Allen, Steven M McPhail, Shannon Wallis, Kelly McGowan, Kate Atkinson, Hannah E Carter","doi":"10.1177/1357633X251340262","DOIUrl":"https://doi.org/10.1177/1357633X251340262","url":null,"abstract":"<p><p>IntroductionThis paper estimates the effectiveness and cost-effectiveness of a Hospital in the Home (HITH) service using virtual care technology to provide home-based care for COVID-19 patients with moderate symptoms in Queensland, Australia.MethodsA cohort study was conducted to analyse data of all patients admitted to the virtual COVID-19 HITH service between December 2021 and November 2022. A decision tree model was developed to compare of the cost-effectiveness of this service with a hypothetical usual care cohort admitted to a conventional physical ward from the perspective of the Australian health system. Comparator cohort data were sourced from published literature. Base-case analysis employed a 3-month time horizon with an additional lifetime scenario analysis. Quality-adjusted life-years (QALYs) were used as the measure of effectiveness. Sensitivity analyses were performed to assess the robustness of the model.ResultsThe virtual COVID-19 HITH service saved 15,273 bed days. The cost-effectiveness analysis indicated the virtual COVID-19 HITH model was dominant, resulting in an additional 0.015 QALYs and a cost saving of $201 per patient compared to usual care. The incremental cost-effectiveness ratio was most sensitive to the cost of operating the virtual HITH. When all uncertainties were considered, there was 74% likelihood that the virtual HITH model of care was cost-effective, assuming a willingness to pay of $28,033/QALY.DiscussionHITH services incorporating virtual care modalities replicating the systems, staffing, and daily routines of a hospital ward are likely to be an effective and cost-effective intervention to expand inpatient care capacity.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X251340262"},"PeriodicalIF":3.5,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opportunities for clinical decision support targeting medication safety in remote primary care management of chronic kidney disease: A qualitative study in Northern Australia.","authors":"Madeleine Sa Tan, Bhavini K Patel, Elizabeth E Roughead, Michael Ward, Stephanie E Reuter, Gregory Roberts, Andre Q Andrade","doi":"10.1177/1357633X231204545","DOIUrl":"10.1177/1357633X231204545","url":null,"abstract":"<p><p>IntroductionThis study aimed to identify opportunities for clinical decision support targeting medication safety in remote primary care, by investigating the relationship between clinical workflows, health system priorities, cognitive tasks, and reasoning processes in the context of medicines used in people with chronic kidney disease (CKD).MethodsThis qualitative study involved one-on-one, semistructured interviews. The participants were healthcare professionals employed in a clinical or managerial capacity with clinical work experience in a remote health setting for at least 1 year.ResultsTwenty-five clinicians were interviewed. Of these, four were rural medical practitioners, nine were remote area nurses, eight were Aboriginal health practitioners, and four were pharmacists. Four major themes were identified from the interviews: (1) the need for a clinical decision support system to support a sustainable remote health workforce, as clinicians were \"constantly stretched\" and problems may \"fall through the cracks\"; (2) reliance on digital health technologies, as medical staff are often not physically available and clinicians-on-duty usually \"flick an email and give a call so that I can actually talk it through to our GP\"; (3) knowledge gaps, as \"it takes a lot of mental space\" to know each patient's renal function and their medication history, and clinicians believe \"mistakes can be made\"; and (4) multiple risk factors impacting CKD management, including clinical, social and behavioural determinants.ConclusionsThe high prevalence of CKD and reliance on digital health systems in remote primary health settings can make a clinical decision support system valuable for supporting clinicians who may not have extensive experience in managing medicines for people with CKD.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"656-666"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41218048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Demographic and socioeconomic disparities in the hybrid ophthalmology telemedicine model.","authors":"Manal Dia, Samaneh Davoudi, Nedda Sanayei, Diana C Martin, Melanie M Albrecht, Steven Ness, Manju Subramanian, Nicole Siegel, Xuejing Chen","doi":"10.1177/1357633X231211353","DOIUrl":"10.1177/1357633X231211353","url":null,"abstract":"&lt;p&gt;&lt;p&gt;ImportanceAs telemedicine use expands, it is important to evaluate demographic and socioeconomic disparities among patients receiving ophthalmic care through new hybrid telemedicine models.ObjectiveTo evaluate whether there are demographic and socioeconomic disparities in the delivery of the hybrid telemedicine model.DesignRetrospective, cross-sectional, case-control analysis of patient encounters from April to December 2020.SettingA single, academic, hospital-based eye clinic in Boston, Massachusetts.MethodsElectronic medical records of all patient encounters from April to December 2020 were reviewed and categorized into hybrid, virtual-only, and standard in-person visits. Patient-level data for all visits were extracted including age, sex, race/ethnicity, primary language, Area Deprivation Index (ADI), insurance type, and marital status. Visit-level data for all hybrid visits were also extracted from the medical record including the visit dates and patient adherence. Demographics for the cohort of patients with at least one no-show visit were compared with demographics for the cohort of patients who only had completed visits. The primary study outcomes were the differences in demographic characteristics between the hybrid visit show and no-show groups. The secondary outcomes included demographic characteristics of patients who did not complete their hybrid visit versus a time-matched cohort of patients who did not complete their standard in-person visit. Continuous variables for patient characteristics were compared with independent samples &lt;i&gt;t&lt;/i&gt;-tests and categorical variables were compared using Pearson chi-square tests. Multivariate logistic regression was used to examine the differences between the cohorts. Variables with missing values other than suppressed ADI values were imputed using multiple imputations by chained equations.ResultsOf a total of 1025 patients who were scheduled for a hybrid visit, 145 (14.1%) patients failed to complete their visit. Primary language and insurance were found to be statistically different between patients who completed and did not complete their hybrid visits. More English speakers and fewer Haitian Creole speakers completed their hybrid visits (&lt;i&gt;p&lt;/i&gt; = 0.007) while more patients with private insurance and fewer patients with Medicaid completed their hybrid telemedicine visits (&lt;i&gt;p&lt;/i&gt; = 0.026). No associations were found between hybrid telemedicine visit adherence and age, sex, race/ethnicity, marital status, or ADI. When the 145 patients who failed to complete their hybrid visits were compared to a time-matched cohort of patients who failed to complete their standard in-person visit, we found that patients who missed hybrid visits were similar to those who missed standard in-person visits except for patients insured by Medicare. These patients were more likely to miss a hybrid visit than a standard in-person visit (Odds Ratio 2.199, 95% confidence interval 1.136-4.259, &lt;i&gt;p&lt;/i&gt; = 0.019). No","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"697-704"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92157141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating the ethical and practical challenges of large language models in telehealth.","authors":"Aaron Lawson McLean","doi":"10.1177/1357633X231205060","DOIUrl":"10.1177/1357633X231205060","url":null,"abstract":"","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"752-753"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telehealth versus face-to-face delivery of cognitive behavioural therapy for insomnia: A systematic review and meta-analysis of randomised controlled trials.","authors":"Anna Mae Scott, Ruwani Peiris, Tiffany Atkins, Magnolia Cardona, Hannah Greenwood, Justin Clark, Paul Glasziou","doi":"10.1177/1357633X231204071","DOIUrl":"10.1177/1357633X231204071","url":null,"abstract":"<p><p>ObjectiveThis systematic review and meta-analysis compared the effectiveness of the delivery of care to patients with insomnia via telehealth to its delivery face-to-face.MethodsWe searched Medline, Embase, and Cochrane CENTRAL from inception to 11 January 2023, and conducted a citation analysis on 13 June 2023. No language restrictions were imposed. We included randomised controlled trials. Where feasible, mean differences were calculated; we used a random effects model.ResultsFour trials (239 patients) were included. There were no significant differences between telehealth and face-to-face for insomnia severity scores shortly post-intervention (MD 1.13, 95% CI -0.29-2.55) or at 3 months (mean difference (MD) 1.79, 95% CI -0.01-3.59). There were no differences in Short Form-36 physical and mental scores, Work and Social Adjustment scores, and sleep quality components. Depression scores did not differ post-intervention or at 3 months (MD 0.42, 95% CI -2.42-3.26). Functioning likewise did not differ post-intervention or at 3 months (standardised mean difference (SMD) 0.15, 95% CI -0.37-0.67, <i>P</i> = 0.58). Treatment satisfaction did not differ (one trial) or favoured the face-to-face group (one trial).ConclusionsTelehealth may be a viable alternative to the face-to-face provision of cognitive behavioural therapy for insomnia to patients with insomnia. However, the volume of the existing evidence is limited, therefore additional trials are needed, evaluating cognitive behavioural therapy for insomnia and other therapies for individuals for whom cognitive behavioural therapy for insomnia is not effective, and conducted with a wider range of populations, providers and settings.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"603-614"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41218049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare utilization impacts of an eConsult program for headache at an academic medical center.","authors":"Margaret H Downes, Rachelle Morgenstern, Georges Naasan, Shanna Patterson, Anna Pace, Parul Agarwal, Susan Shin, Rory Abrams, Bridget Mueller, James Young, Ronald Tamler, Barbara G Vickrey, Benjamin R Kummer","doi":"10.1177/1357633X231207908","DOIUrl":"10.1177/1357633X231207908","url":null,"abstract":"<p><p>IntroductionInterprofessional consultations (\"eConsults\") can reduce healthcare utilization. However, the impact of eConsults on healthcare utilization remains poorly characterized among patients with headache.MethodsWe performed a retrospective, 1:1 matched cohort study comparing patients evaluated for headache via eConsult request or in-person referral at the Mount Sinai Health System in New York. Groups were matched on clinical and demographic characteristics. Our primary outcome was one or more outpatient headache-related encounters in 6 months following referral date. Secondary outcomes included one or more all-cause outpatient neurology and headache-related emergency department (ED) encounters during the same period. We used univariable and multivariable logistic regression to model associations between independent variables and outcomes.ResultsWe identified 74 patients with headache eConsults who were matched to 74 patients with in-person referrals. Patients in the eConsult group were less likely to achieve the primary outcome (29.7% vs 62.2%, <i>P</i> < 0.0001) or have an all-cause outpatient neurology encounter (33.8% vs 79.7%, <i>P</i> < 0.0001) than patients in the comparison group. Both groups did not significantly differ by headache-related ED encounters. In multivariable analyses, patients in the eConsult group had significantly lower odds of having one or more headache-related or all-cause neurology encounters than patients in the comparison group (odds ratio (OR) 0.3, 95% confidence interval (CI) 0.1-0.6; OR 0.1, 95% CI 0.1-0.3, respectively).DiscussionIn comparison to in-person referrals, eConsult requests for headache were associated with reduced likelihood of outpatient neurology encounters in the short-term but not with differential use of headache-related ED encounters. Larger-scale, prospective studies should validate our findings and assess patient outcomes.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"680-689"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing the suitability of virtual versus in-person care: Perceptions from pediatricians.","authors":"Russell Leong, Kate E Sanderson, Anne F Klassen, Elyanne M Ratcliffe, Gregorio Zuniga-Villanueva","doi":"10.1177/1357633X231205329","DOIUrl":"10.1177/1357633X231205329","url":null,"abstract":"<p><p>ObjectivesThe COVID-19 pandemic compelled a portion of healthcare to be delivered virtually. As the pandemic waned, health systems strived to find a balance between re-incorporating in-person care while maintaining virtual care. To find when virtual or in-person encounters are more appropriate, we surveyed pediatricians' perceptions when comparing the suitability of virtual care to in-person care.MethodsWe surveyed a Canadian tertiary-level pediatric hospital where pediatricians assessed whether specific clinical encounters or tasks were more or less effective virtually than when performed in person. Pediatricians also rated the importance of clinical and patient factors when deciding if a patient needs to be seen in person.ResultsOf 160 pediatrics faculty members, 56 (35%) responded to the survey. When assessing different types of clinical encounters, triage, multidisciplinary meetings, discharge, and follow ups were more likely to favor virtual encounters. However, first consultations and family meetings were more likely to favor in-person encounters. Regarding clinical tasks, pediatricians were more likely to endorse explaining test results, offering treatment recommendations, and obtaining patient histories virtually. On the contrary, there was a preference for physical examinations, assessing patients visually, and assessing developmental milestones to be performed in person. When deciding if a patient should be seen in person versus virtual, pediatricians rated the patient's condition and communication barriers as the most important factors favoring an in-person appointment.DiscussionThese results offer an initial framework for pediatricians when choosing which encounter type may be most appropriate for their patients between virtual or in-person appointments.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"667-672"},"PeriodicalIF":3.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}