Telemedicine and e-Health最新文献_第10页

A Special Thanks to Our Reviewers for 2024. 特别感谢我们2024年的评审员。

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2025-01-01 DOI: 10.1089/tmj.2024.96542.revack

Charles R Doarn

引用次数: 0

A Qualitative Evidence Synthesis of Patient and Provider Attitudes Toward Audio-Only Telemental Health Care. 患者和医疗服务提供者对音频远程医疗服务态度的定性证据综述。

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2025-01-01 Epub Date: 2024-09-05 DOI: 10.1089/tmj.2024.0355

Samantha L Connolly, Yamini Adusumelli, Robert P Azario, Sierra D Ferris, Andrew R Hwang, Christopher J Miller

{"title":"A Qualitative Evidence Synthesis of Patient and Provider Attitudes Toward Audio-Only Telemental Health Care.","authors":"Samantha L Connolly, Yamini Adusumelli, Robert P Azario, Sierra D Ferris, Andrew R Hwang, Christopher J Miller","doi":"10.1089/tmj.2024.0355","DOIUrl":"10.1089/tmj.2024.0355","url":null,"abstract":"Background: Audio-only (phone) telemental health care can increase access to care, but its lack of nonverbal information may negatively impact care quality as compared to video or in-person visits. The objective of this work was to understand patient and provider attitudes toward phone care via a review of qualitative research. Methods: A qualitative evidence synthesis was conducted of peer-reviewed qualitative research published between 2013 and 2023. Studies were required to include qualitative data regarding patient and/or provider attitudes toward audio-only telemental health care. Results pertinent to phone care were extracted and underwent coding followed by theme identification. Results: We identified 2,065 abstracts and 29 articles were ultimately included in the synthesis; 27 of these studies were conducted during the COVID-19 pandemic. Five themes described benefits of phone care, nine described drawbacks, and three themes were neutral. Phone care was seen as easy to use, particularly for briefer check-ins or as a back-up option if video calls failed, and some patients preferred the privacy of not being seen. However, the loss of visual information during phone visits was considered particularly challenging in the treatment of more complex or severe patients; providers questioned whether they were able to provide high quality care, and patients reported feeling less supported and understood by their providers. Conclusions: The relative benefits and drawbacks of audio-only telemental health care must be carefully weighed against the options of video or in-person treatment based on patient needs and severity. Future work should continue to examine patient and provider attitudes toward phone care as the mental health landscape evolves postpandemic.","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"3-17"},"PeriodicalIF":2.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134475","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}

引用次数: 0

Patient-Reported Outcomes Improve with a Virtual Diabetes Care Model that Includes Continuous Glucose Monitoring. 包括连续血糖监测在内的虚拟糖尿病护理模式改善了患者报告的结果。

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2025-01-01 Epub Date: 2024-08-21 DOI: 10.1089/tmj.2024.0093

Korey K Hood, Richard M Bergenstal, Terra Cushman, Robin L Gal, Dan Raghinaru, Davida Kruger, Mary L Johnson, Teresa McArthur, Amy Bradshaw, Beth A Olson, Sean M Oser, Tamara K Oser, Craig Kollman, Ruth S Weinstock, Roy W Beck, Grazia Aleppo

{"title":"Patient-Reported Outcomes Improve with a Virtual Diabetes Care Model that Includes Continuous Glucose Monitoring.","authors":"Korey K Hood, Richard M Bergenstal, Terra Cushman, Robin L Gal, Dan Raghinaru, Davida Kruger, Mary L Johnson, Teresa McArthur, Amy Bradshaw, Beth A Olson, Sean M Oser, Tamara K Oser, Craig Kollman, Ruth S Weinstock, Roy W Beck, Grazia Aleppo","doi":"10.1089/tmj.2024.0093","DOIUrl":"10.1089/tmj.2024.0093","url":null,"abstract":"Background: The objective was to examine patient-reported outcomes (PROs) associated with access to a virtual clinic model for diabetes care. Methods: Adults with diabetes (N = 234) received virtual care, including support for continuous glucose monitoring (CGM) over a 6-month study period. Care was led by a Certified Diabetes Care and Education Specialist and focused on optimizing self-management skills and response to glucose values observed on CGM. After 6 months of CGM use and access to diabetes education, participants could opt in to another 6 months of follow-up with access to the virtual care team. Participants completed PRO surveys and had health and glycemic measures collected at baseline, 3, 6, and 12 months. Results: Participants with type 1 diabetes (N = 160) were 44 ± 14 years and had mean baseline HbA1c of 61 mmol/mol (7.7%). Participants with type 2 diabetes (N = 74) were 52 ± 12 years and had mean baseline HbA1c of 66 mmol/mol (8.2%). Compared with baseline levels, at 6 months participants experienced less depression, diabetes distress, and hypoglycemic fears while also experiencing greater satisfaction with glucose monitoring, diabetes technology and specifically with CGM, and confidence for managing hypoglycemic (p < 0.05). For participants with type 1 diabetes, more time in the target range for glucose levels (70-180 mg/dL) was associated with less depression, diabetes distress, and hypoglycemic fears. Conclusions: PROs improved for adults with diabetes utilizing virtual diabetes care, including support for CGM use. Paired with the glycemic improvements observed in this virtual clinic study, there were robust benefits on the quality of life of adults with diabetes. ClinicalTrials.gov Identifier: NCT04765358.","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"75-84"},"PeriodicalIF":2.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009953","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}

引用次数: 0

A Retrospective Secondary Data Analysis of Telemedicine Service Utilization (2020-2023) Among Patients Covered By The Universal Coverage Scheme in Thailand. 泰国全民医保计划覆盖患者远程医疗服务使用情况回顾性二级数据分析（2020-2023 年）》。

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2025-01-01 Epub Date: 2024-09-04 DOI: 10.1089/tmj.2024.0140

Nitichen Kittiratchakool, Thanayut Saeraneesopon, Chotika Suwanpanich, Thanakit Athibodee, Patiphak Namahoot, Tanasak Kaewchompoo, Piyada Gaewkhiew, Suthasinee Kumluang, Tanainan Chuanchaiyakul, Sichen Liu, Wanrudee Isaranuwatchai

{"title":"A Retrospective Secondary Data Analysis of Telemedicine Service Utilization (2020-2023) Among Patients Covered By The Universal Coverage Scheme in Thailand.","authors":"Nitichen Kittiratchakool, Thanayut Saeraneesopon, Chotika Suwanpanich, Thanakit Athibodee, Patiphak Namahoot, Tanasak Kaewchompoo, Piyada Gaewkhiew, Suthasinee Kumluang, Tanainan Chuanchaiyakul, Sichen Liu, Wanrudee Isaranuwatchai","doi":"10.1089/tmj.2024.0140","DOIUrl":"10.1089/tmj.2024.0140","url":null,"abstract":"Objective: The National Health Security Office in Thailand introduced a telemedicine program called \"Telehealth/Telemedicine\" in December 2020, which aimed to reimburse telemedicine services for patients with stable chronic diseases under the Universal Coverage Scheme (UCS). The current study investigated patient characteristics and trends in telemedicine service utilization under the UCS in Thailand and examined the impact of COVID-19 outbreaks on telemedicine services. Methods: A retrospective secondary data analysis using e-claim data from December 1, 2020, to April 18, 2023, was conducted. The analytical methods included descriptive analysis and an interrupted time series analysis. Results: During ∼29 months, 110,153 unique patients used telemedicine services, leading to a total of 259,047 visits. The average age was 54 years, and most of patients were female (57%). Hypertension was the most common diagnosis for patients receiving telemedicine services. Patients with mental health conditions often engaged in telemedicine consultation with drug delivery. During the Delta and Omicron outbreaks, telemedicine service utilization significantly increased compared with that in any nonpandemic periods within the 29-month timeframe (odds ratio [OR]: 3.85, p-value <0.01; OR: 2.55, p-value <0.01). Conclusions: The study findings highlight the initial trend of telemedicine services in Thailand from the start of the COVID-19 pandemic to the beginning of the post-COVID-19 period. As telemedicine will play a critical role in the future of health care, this information can support the scale-up of telemedicine, including monitoring and evaluation plans, to help improve the efficiency of the system.","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"18-27"},"PeriodicalIF":2.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127363","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}

引用次数: 0

Use of Telemedicine Services Is Associated with Longer Time to Initiation of Hormone Therapy in Transgender Teens and Young Adults. 远程医疗服务的使用与变性青少年和年轻人开始接受激素治疗的时间较长有关。

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2025-01-01 Epub Date: 2024-09-18 DOI: 10.1089/tmj.2024.0302

Megan Mia Foo, Zaine Roberts, Rosemary Claire Roden

引用次数: 0

Net Promoter Score as a Reflection of Patients' Opinions About Telemedical Visits: A Mixed Methods Analysis. 净启动因子评分反映患者对远程医疗就诊的意见：一种混合方法分析。

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2024-12-27 DOI: 10.1089/tmj.2024.0300

Mike Kohut, Tracy Jalbuena, Rachel Alfiero, John DiPalazzo, Eric Anderson, Jasmine Bishop

{"title":"Net Promoter Score as a Reflection of Patients' Opinions About Telemedical Visits: A Mixed Methods Analysis.","authors":"Mike Kohut, Tracy Jalbuena, Rachel Alfiero, John DiPalazzo, Eric Anderson, Jasmine Bishop","doi":"10.1089/tmj.2024.0300","DOIUrl":"https://doi.org/10.1089/tmj.2024.0300","url":null,"abstract":"Introduction: In order to assess patient experiences of telemedicine, researchers and administrators use the net promoter score (NPS), based on a likelihood to recommend (LTR) question. However, there is reason to doubt validity of this metric for this purpose. We assessed the degree to which the LTR question reflects actual patient preferences about telemedicine. Methods: Using data from a patient experience survey collected in Spring 2020, we compared LTR responses to open comments. Through content analysis, we transformed comments into categorical variables and used those variables in a multiple logistic regression model to predict LTR responses. We also thematically analyzed comments to further elucidate our results. Results: Only about half the comments mentioned telemedicine at all. Around 6% of comments were wholly incongruent with LTR responses. In many comments, ideas about telemedicine were semantically entangled with ideas about providers. Our logistic regression found strong associations between sentiments expressed in comments and LTR responses. However, comments about telemedicine were relatively poor predictors for LTR compared to comments about the provider. Discussion: NPS, which is included on many patient experience surveys used by health systems across the United States, has limitations for use as a measure of the acceptability of telemedicine for patients. Patients have more than telemedicine in mind when responding to the LTR question, and ratings conflate attitudes about providers, office policies, and staff with the telemedicine modality. More direct measures are necessary for meaningful research on the acceptability and usability of telemedicine for patients.","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900487","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}

引用次数: 0

Cost-Effectiveness of a Telemedicine Optometric-Based Assessment for Screening Diabetic Retinopathy in a Country with a Universal Public Health System. 在一个拥有全民公共卫生系统的国家，基于远程医疗验光评估筛查糖尿病视网膜病变的成本效益。

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2024-12-01 Epub Date: 2024-07-31 DOI: 10.1089/tmj.2024.0353

Sara Ortiz-Toquero, Guillermo Aleixandre, Yolanda Valpuesta, Cristina Perez Fernandez, Purificación de la Iglesia, Jose Carlos Pastor, Maribel Lopez-Galvez

{"title":"Cost-Effectiveness of a Telemedicine Optometric-Based Assessment for Screening Diabetic Retinopathy in a Country with a Universal Public Health System.","authors":"Sara Ortiz-Toquero, Guillermo Aleixandre, Yolanda Valpuesta, Cristina Perez Fernandez, Purificación de la Iglesia, Jose Carlos Pastor, Maribel Lopez-Galvez","doi":"10.1089/tmj.2024.0353","DOIUrl":"10.1089/tmj.2024.0353","url":null,"abstract":"Objective: To determine the cost-effectiveness of a new telemedicine optometric-based screening program of diabetic retinopathy (DR) compared with traditional models' assessments in a universal European public health system. Methods: A new teleophthalmology program for DR based on the assessment of retinographies (3-field Joslin Vision Network by a certified optometrist and a reading center [IOBA-RC]) was designed. This program was first conducted in a rural area 40 km from the referral hospital (Medina de Rioseco, Valladolid, Spain). The cost-effectiveness was compared with telemedicine based on evaluations by primary care physicians and general ophthalmologists, and to face-to-face examinations conducted by ophthalmologists. A decision tree model was developed to simulate the cost-effectiveness of both models, considering public and private costs. The effectiveness was measured in terms of quality of life. Results: A total of 261 patients with type 2 diabetes were included (42 had significant DR and required specific surveillance by the RC; 219 were undiagnosed). The sensitivity and specificity of the detection of DR were 100% and 74.1%, respectively. The telemedicine-based DR optometric screening model demonstrated similar utility to models based on physicians and general ophthalmologists and traditional face-to-face evaluations (0.845) at a lower cost/patient (€51.23, €71.65, and €86.46, respectively). Conclusions: The telemedicine-based optometric screening program for DR in a RC demonstrated cost savings even in a developed country with a universal health care system. These results support the expansion of this kind of teleophthalmology program not only for screening but also for the follow-up of diabetic patients.","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"2824-2833"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857161","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}

引用次数: 0

Evaluating Patient-Reported Adherence And Safety for Oral Contraception Treatment in Women via a Direct-To-Consumer Prescription Platform: A Cross-Sectional Study. 通过直接面向消费者的处方平台，评估患者报告的妇女口服避孕药治疗的依从性和安全性：一项横断面研究。

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2024-12-01 Epub Date: 2024-09-04 DOI: 10.1089/tmj.2024.0168

Christoph Hillen, Charlotte Sachs, Kai J Buhling, Monserat Eschenburg, Sebastian Griewing, Juliana Veneroso, Barbara Schmalfeldt, Johannes von Büren

{"title":"Evaluating Patient-Reported Adherence And Safety for Oral Contraception Treatment in Women via a Direct-To-Consumer Prescription Platform: A Cross-Sectional Study.","authors":"Christoph Hillen, Charlotte Sachs, Kai J Buhling, Monserat Eschenburg, Sebastian Griewing, Juliana Veneroso, Barbara Schmalfeldt, Johannes von Büren","doi":"10.1089/tmj.2024.0168","DOIUrl":"10.1089/tmj.2024.0168","url":null,"abstract":"Background: The acceptance of telemedicine in the German health care system is growing. This also extends to gynecological applications such as the prescription of contraceptives. This study investigates the contraceptive use and adherence of patients using a direct-to-consumer (DTC) prescription platform for oral contraception. Methods: A retrospective cross-sectional study was conducted using anonymized data obtained from a DTC prescription platform between May 2021 and March 2023. The patient-reported outcome was evaluated after 3 months through a follow-up questionnaire. Results: In total, 8,065 patient records were available and 1,008 patients responded to the follow-up questionnaire. Patients were mostly taking combined oral contraceptives (COCs) and only 6% were taking a progestin-only pill (POP). Even in patient populations at higher risk, such as smokers and obese women, the proportion of POP users was less than 20%. Over 90% of users reported that they took the pill without any intake errors, with the main intake error being forgotten intake. Overall, 23% of patients reported adverse events while taking the pill, with POP users reporting more adverse events than COC users (36.7% vs. 22.2%). Over 70% of patients regularly attended cervical screening. Conclusions: Users of a DTC prescribing platform exhibit strong adherence, with over 90% successfully taking oral contraceptive pills. The platform effectively identifies absolute contraindications but could enhance recommendations for contraceptives in the presence of relative contraindications. For healthy women familiar with pill usage, DTC platforms offer a viable and convenient alternative to traditional doctor's office prescriptions.","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"2876-2882"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134476","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}

引用次数: 0

Taking a Step Back or a Step Forward. 退一步还是进一步？

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2024-12-01 Epub Date: 2024-11-19 DOI: 10.1089/tmj.2024.0560

Charles R Doarn

引用次数: 0

The Use of Telemedicine in an Interdisciplinary Pain Center in the Years 2020 and 2021 in Germany: Effects of the COVID-19 Pandemic. 2020 年和 2021 年德国跨学科疼痛中心远程医疗的使用情况：COVID-19 大流行的影响。

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2024-12-01 Epub Date: 2024-07-29 DOI: 10.1089/tmj.2024.0192

Birgit Abberger, Tom Grauer, Kristin Kieselbach

{"title":"The Use of Telemedicine in an Interdisciplinary Pain Center in the Years 2020 and 2021 in Germany: Effects of the COVID-19 Pandemic.","authors":"Birgit Abberger, Tom Grauer, Kristin Kieselbach","doi":"10.1089/tmj.2024.0192","DOIUrl":"10.1089/tmj.2024.0192","url":null,"abstract":"Introduction: COVID-19 changed the management of patients with chronic pain. The increased utilization of telemedicine was recommended as a solution. Telemedicine provides medical services by overcoming the geographical distance between practitioner and patient and makes it possible to continue treating the patients with a high level of safety for patients and staff. The aim of our study is to investigate the data on the use of telemedicine in an interdisciplinary pain center in the years 2020 and 2021. Methods: Every patient contact in 2020 and 2021 with the interdisciplinary pain center was registered. Dataset consists of 4,156 patient contacts (N = 1,996 in the year 2020; N = 2,160 in the year 2021). For each patient contact, we collected data on age, sex, place of residence, and the reason or type of the contact. In addition, the incidence rates were used as a data source for the COVID-19 development. Results: In 2020, there was a significant decrease in face-to-face contacts (85.0% to 59.4%) and a significant increase in telemedicine use (especially video calls 0.6% to 20.0%). The use of telemedicine had a temporary peak at the beginning of 2021 (first quarter of 2021: 41.2%). The trend generally reversed during 2021: face-to-face contacts increased again (25.5% to 58.9%) and telemedicine decreased (mainly video calls 41.2% to 25.9%). Conclusion: The results show that telemedicine was successfully implemented in an interdisciplinary pain center during 2020 and 2021. In addition to the software requirements and the data protection, the aspect of digital literacy appears to be relevant. There seems to be a need for an implementation plan in pain centers that includes guidelines for the use of telemedicine.","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"2815-2823"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789816","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}

引用次数: 0