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Telehealth Assessment of Diagnostic and Therapeutic Efficacy in Peripheral Vestibular Symptoms: A Systematic Review and Meta-Analysis. 远程医疗评估外周前庭症状的诊断和治疗效果:系统回顾和荟萃分析。
IF 2 3区 医学
Telemedicine and e-Health Pub Date : 2025-05-01 Epub Date: 2025-01-06 DOI: 10.1089/tmj.2024.0301
Maria Jesus Vinolo-Gil, Ismael García-Campanario, María-José Estebanez-Pérez, Jorge Góngora-Rodríguez, Manuel Rodríguez-Huguet, Rocío Martín-Valero
{"title":"Telehealth Assessment of Diagnostic and Therapeutic Efficacy in Peripheral Vestibular Symptoms: A Systematic Review and Meta-Analysis.","authors":"Maria Jesus Vinolo-Gil, Ismael García-Campanario, María-José Estebanez-Pérez, Jorge Góngora-Rodríguez, Manuel Rodríguez-Huguet, Rocío Martín-Valero","doi":"10.1089/tmj.2024.0301","DOIUrl":"10.1089/tmj.2024.0301","url":null,"abstract":"<p><p><b>Background:</b> Despite positive perceptions of telemedicine, there's a recognized need for stronger evidence on its safety and effectiveness. This study aims to evaluate telemedicine's current status in diagnosing and treating peripheral vestibular symptoms. <b>Methods:</b> Systematic searches across multiple databases assessed methodological quality using Physiotherapy Evidence Database scale and Revised Cochrane Risk of Bias tool for randomized trials 2.0. <b>Results:</b> Findings reveal significant improvements in vertigo-related disability with virtual vestibular rehabilitation (mean difference [MD] = -12.6; 95% confidence interval [CI] = -23.61, -1.59; <i>p</i> < 0.01; <i>I</i><sup>2</sup> = 76%) albeit with high heterogeneity. However, pooled analysis on vertigo severity across three studies did not show a significant effect (MD = -0.41; 95% CI = -0.64, -0.17; <i>p</i> < 0.78; <i>I</i><sup>2</sup> = 0%). <b>Conclusions:</b> Evidence suggests telemedicine holds promise in diagnosing and managing peripheral vestibular disorders, potentially alleviating symptoms and improving disability. Nonetheless, caution is warranted due to review limitations, emphasizing the need for further research to optimize telemedicine's benefits for patients experiencing vestibular symptoms.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"540-554"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933640","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
Post-Telemedicine Acute Care for Undifferentiated High-Acuity Conditions: Is a Picture Worth a Thousand Words? 后远程医疗对未分化高敏度疾病的急性护理:一张图片胜过千言万语吗?
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2025-05-01 Epub Date: 2025-01-10 DOI: 10.1089/tmj.2024.0425
Mamata V Kene, Dana R Sax, Reena Bhargava, Madeline J Somers, E Margaret Warton, Jennifer Y Zhang, Adina S Rauchwerger, Mary E Reed
{"title":"Post-Telemedicine Acute Care for Undifferentiated High-Acuity Conditions: Is a Picture Worth a Thousand Words?","authors":"Mamata V Kene, Dana R Sax, Reena Bhargava, Madeline J Somers, E Margaret Warton, Jennifer Y Zhang, Adina S Rauchwerger, Mary E Reed","doi":"10.1089/tmj.2024.0425","DOIUrl":"10.1089/tmj.2024.0425","url":null,"abstract":"<p><p><b>Objectives:</b> Telemedicine use increased substantially with the COVID-19 pandemic. Understanding of the impact of telemedicine modality (video vs. phone) on post-telemedicine acute care for higher risk conditions is limited. <b>Methods:</b> We conducted a retrospective study of telemedicine visits, comparing video with telephone, for selected diagnoses with potentially higher illness acuity, evaluating post-telemedicine emergency department (ED) and hospitalization rates. In a large, multicenter cohort of adult patient-initiated primary care telemedicine visits from March 1, 2020, to July 31, 2021, we evaluated 7-day ED and hospitalization rates for higher acuity diagnostic categories (cardiac, gastrointestinal, and respiratory) by telemedicine modality, provider familiarity, and patient sociodemographic and clinical characteristics. <b>Results:</b> Among 431,705 telemedicine encounters, 128,129 (29.7%) were video visits and 303,576 (70.3%) were telephone visits. Adjusting for patient and appointment factors, telephone encounters for cardiac conditions were associated with significantly higher 7-day ED visit rates than video encounters (5.5% vs. 4.9%, respectively) but similar hospitalization rates (0.7% vs. 0.8%, respectively); for gastrointestinal conditions, post-telemedicine adjusted ED and hospitalization rates were comparable between telemedicine modalities (4.0% for ED and 1.2% vs. 1.3% for hospitalization, respectively); among respiratory conditions, video encounters were associated with higher ED and hospitalization rates than telephone encounters (ED: 5.9% after video vs. 5.2% after phone; hospitalization: 1.9% after video vs. 1.5% after phone). Telemedicine encounters with patients' own primary care provider (PCP) were associated with lower adjusted rates of ED use across all conditions and modalities. <b>Conclusions:</b> Short-term ED and hospitalization rates following primary care video or telephone visits for selected acute, high-risk conditions varied by condition and PCP familiarity. Nuanced use of video visits may confer benefits triaging to downstream acute care.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"569-578"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958934","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
Transportation-Associated Carbon Dioxide Emissions Avoided by Use of Telehealth Through COVID-19 Pandemic. 在COVID-19大流行期间使用远程医疗避免与交通相关的二氧化碳排放。
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2025-05-01 Epub Date: 2025-02-05 DOI: 10.1089/tmj.2024.0531
Anna Barent, Siddhi Munde, El Kerns, Haiyue Li, Charity Swain, Nicole Tranisi, Jesse E Bell
{"title":"Transportation-Associated Carbon Dioxide Emissions Avoided by Use of Telehealth Through COVID-19 Pandemic.","authors":"Anna Barent, Siddhi Munde, El Kerns, Haiyue Li, Charity Swain, Nicole Tranisi, Jesse E Bell","doi":"10.1089/tmj.2024.0531","DOIUrl":"10.1089/tmj.2024.0531","url":null,"abstract":"<p><p><b>Background:</b> Increasing carbon dioxide (CO<sub>2</sub>) in the atmosphere contributes to Earth's warming, which has negative impacts on human health. The health care system is a major contributor to CO<sub>2</sub> emissions. Telehealth has the capacity to reduce health-care-related emissions by eliminating patient travel to in-person appointments. <b>Methods:</b> Data were obtained from Nebraska Medicine's (NM) electronic medical record. Parameters included patient zip code, provider location, calendar year of visit, and provider specialty. Euclidean distance from centroid zip code to clinic location was calculated. Environmental Protection Agency estimates were used to convert mileage to CO<sub>2</sub> saved. <b>Results:</b> During the period January 1, 2019, to January 31, 2022, the NM health care system completed 214,241 telemedicine visits for patients whose home zip code is within Nebraska, resulting in greater than 2,600 metric tons of CO<sub>2</sub> avoided. Telehealth appointments increased by more than 22,000% from 2019 to 2020. An average of 12.38 kg of CO<sub>2</sub> was avoided with each telehealth visit. Medical specialties that avoided the most CO<sub>2</sub> included family medicine, endocrinology, and infectious disease. <b>Conclusion:</b> This study demonstrates the capability of the NM health care system to rapidly adjust to an emergency pandemic by drastically increasing the use of telehealth, which also avoided thousands of tons of transportation-associated CO<sub>2</sub> emissions. Telehealth appointments increased during the height of the pandemic by more than 22,000%. Telehealth is an effective CO<sub>2</sub> emission-reducing strategy and a worthy avenue to further explore reduced health-care-related emissions.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"590-596"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191368","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
Telehealth and Telemedicine in the Management of Adult Patients after Liver Transplantation: A Scoping Review. 远程医疗和远程医疗在成人肝移植后患者管理中的应用:一个范围综述。
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2025-04-01 Epub Date: 2024-12-04 DOI: 10.1089/tmj.2024.0359
Rong Gao, Sheng-Ya Feng, Jie Zheng, Lin-Jun Zhai, Rong Liu
{"title":"Telehealth and Telemedicine in the Management of Adult Patients after Liver Transplantation: A Scoping Review.","authors":"Rong Gao, Sheng-Ya Feng, Jie Zheng, Lin-Jun Zhai, Rong Liu","doi":"10.1089/tmj.2024.0359","DOIUrl":"10.1089/tmj.2024.0359","url":null,"abstract":"<p><p><b>Introduction:</b> Telemedicine can support home-based self-care for liver transplant recipients after discharge from the hospital. This study aimed to (1) provide an overview of the forms of home care for liver transplant patients; (2) identify the content elements of telemedicine in the home care of liver transplant patients; and (3) summarize the effect and outcome indexes of using telemedicine in liver transplantation patients. <b>Methods:</b> A search was performed in the electronic databases of PubMed, CINAHL, Web of Science, Cochrane Library, Embase, Google Scholar, CNKI, Wan Fang data and Wei Pu database through March 1, 2024. Subject heading and keywords were used to reflect the concepts of telemedicine, hepatic transplantation. Studies of tele-home care after transplantation in liver transplant recipients over 18 years of age and the form, content elements, and outcome assessments of telemedicine were included. <b>Results:</b> A total of 16 articles met the inclusion criteria, and from this, the application form of telemedicine in liver transplantation patients, intervention elements and evaluation outcome indexes were identified. The forms of application include internet platform, applications, network communication software, and portable devices; and the elements of intervention include telemonitoring, remote health guidance, telerecordings, teleconsultation, and telerehabilitation; and the outcome indicators include physiological indicators, psychological status, Quality of life, self-management ability, compliance, satisfactory degree, complication rate, readmission rate, and feasibility. <b>Conclusion:</b> Telemedicine is active and feasible in the home-based self-care of patients after liver transplantation, but its application is immature and there are still some problems.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"375-385"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781565","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 Preferences for Telemental Health Care in a Federally Qualified Health Center. 联邦合格医疗中心患者对远程心理保健的偏好。
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2025-04-01 Epub Date: 2024-12-05 DOI: 10.1089/tmj.2024.0458
Rebecca L Emery Tavernier, Celia Blaszkowsky, Abigail Jacobs, Peyton Rogers, Grace Wang
{"title":"Patient Preferences for Telemental Health Care in a Federally Qualified Health Center.","authors":"Rebecca L Emery Tavernier, Celia Blaszkowsky, Abigail Jacobs, Peyton Rogers, Grace Wang","doi":"10.1089/tmj.2024.0458","DOIUrl":"10.1089/tmj.2024.0458","url":null,"abstract":"<p><p><b>Objective</b>: This cross-sectional study evaluated whether preferences for attending mental health visits virtually or in-person vary by demographics and identified factors influencing these preferences among federally qualified health center (FQHC) patients. <b>Methods</b>: FQHC patients (<i>N</i> = 350) completed a satisfaction survey of their mental health care experiences in 2022. Demographic data were obtained from the electronic health record. Fisher's Exact tests were used to determine whether modality preferences (phone, video, or in-person) varied across demographic factors. Open-ended comments were qualitatively evaluated using an inductive approach to identify themes related to modality preferences. <b>Results</b>: Modality preferences varied by age and language (<i>p</i>'s <0.02) but not race and gender (<i>p</i>'s >0.36). Reasons for modality preferences fell within six themes: (1) convenience, (2) connection, (3) transportation/accessibility, (4) health concerns, (5) caretaking responsibilities, and (6) technology. <b>Conclusion</b>: These findings clarify the reasons FQHC patients prefer telemental health care and identify gaps in its usage.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"483-489"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781539","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
Impact of Tele-Pulmonary Rehabilitation in Patients with Chronic Obstructive Disease: A Systematic Review and Network Meta-Analysis. 远程肺康复对慢性阻塞性疾病患者的影响:系统综述和网络荟萃分析
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2025-04-01 Epub Date: 2024-12-04 DOI: 10.1089/tmj.2024.0476
Itsarawan Sakunrag, Natharin Boontha, Kansak Boonpattharatthiti, Teerapon Dhippayom
{"title":"Impact of Tele-Pulmonary Rehabilitation in Patients with Chronic Obstructive Disease: A Systematic Review and Network Meta-Analysis.","authors":"Itsarawan Sakunrag, Natharin Boontha, Kansak Boonpattharatthiti, Teerapon Dhippayom","doi":"10.1089/tmj.2024.0476","DOIUrl":"10.1089/tmj.2024.0476","url":null,"abstract":"<p><p><b>Introduction:</b> Pulmonary rehabilitation (PR) is essential for long-term management of chronic obstructive pulmonary disease (COPD). However, evidence regarding the effectiveness of various PR delivered <i>via</i> telemedicine (tele-pulmonary rehabilitation [tele-PR]) is lacking. This study aims to assess the comparative effects of different tele-PR types on clinical outcomes in patients with COPD. <b>Methods:</b> The following databases were searched: PubMed, EMBASE, CENTRAL, CINAHL, and EBSCO Open Dissertations from inception to May 2023. We included randomized controlled trials, quasi-experimental, and cohort studies investigating the effects of tele-PR on exercise capacity. The Cochrane Effective Practice and Organization of Care Group risk of bias was used to assess the quality of included studies. Data were analyzed using STATA 17.0 with a random-effects model. Tele-PR comparisons were ranked using surface under the cumulative ranking (SUCRA). <b>Results:</b> Seven studies (<i>n</i> = 815) encompassing five tele-PR types were included in the network meta-analysis. Two studies were justified as having a high risk of bias. There were no significant differences among different types of tele-PR and face-to-face PR, in terms of improving the 6-minute walk test. However, the hierarchy estimation suggested that tele-coaching by virtual agents more often than three sessions per week is more likely to be better than other tele-PRs (SUCRA 95.4%). <b>Discussion:</b> While uncertainty persists regarding the optimal tele-PR delivery model, our study suggests that tele-PR was not different from face-to-face PR. However, limited studies and evidence of low-quality underscore the need for well-designed clinical trials to yield more robust comparative evidence.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"441-450"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774858","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
Quality of Life Among Patients with Heart Failure with Reduced Ejection Fraction Receiving Telemedicine Care in Vietnam. 越南接受远程医疗护理的射血分数降低型心力衰竭患者的生活质量。
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2025-04-01 Epub Date: 2024-11-25 DOI: 10.1089/tmj.2024.0440
Phuong Minh Tran, Hieu Ba Tran, Dung Viet Nguyen, Hung Manh Pham, Loi Doan Do, Ha Quoc Nguyen, James N Kirkpatrick, Rajesh Janardhanan, Christopher M Reid, Hoai Thu Thi Nguyen
{"title":"Quality of Life Among Patients with Heart Failure with Reduced Ejection Fraction Receiving Telemedicine Care in Vietnam.","authors":"Phuong Minh Tran, Hieu Ba Tran, Dung Viet Nguyen, Hung Manh Pham, Loi Doan Do, Ha Quoc Nguyen, James N Kirkpatrick, Rajesh Janardhanan, Christopher M Reid, Hoai Thu Thi Nguyen","doi":"10.1089/tmj.2024.0440","DOIUrl":"10.1089/tmj.2024.0440","url":null,"abstract":"<p><p><b>Background:</b> Telemedicine is an effective method to monitor patients at home and improve outcomes of heart failure (HF), especially HF with reduced ejection fraction (HFrEF). However, little is known about the impact of telemedicine on the quality of life (QoL) among outpatients with HFrEF in lower-middle-income countries (LMICs). <b>Methods:</b> In this single-center, prospective, randomized, controlled, open, and parallel-group clinical trial in northern Vietnam, patients with HFrEF were allocated to either telemedicine or control groups. Participants in the experimental arm underwent a home-based telemedicine program with regular telephone follow-ups and consultations. Participants in the control group received usual care. Both groups were followed for 6 months. The primary outcome was the change in Minnesota Living with Heart Failure Questionnaire (MLHFQ) score from baseline. The analysis was conducted on an intention-to-treat basis. <b>Results:</b> A total of 223 participants were randomized into two groups-the telemedicine group and the usual care group. Of the 223, 170 patients [mean age: 61.5 ± 15.0 years; female: 122 (71.8%)] completed follow-up and were included in the final analysis (87 in the telemedicine group and 83 in the usual care group). At baseline, the MLHFQ scores were equivalent between the two groups (median [interquartile range]: 81 [73-92] vs. 81 [74-92]; <i>p</i> = 0.992). After 6-month follow-up, the telemedicine group showed greater improvement in MLHFQ total scores than the usual care group (mean change in MLHFQ score: -15.5 ± 14.0 vs. -1.3 ± 6.2; difference in change: -14.2 [95% confidence interval, CI: -17.5, -11.0]; <i>p</i> < 0.0001). Similar results were found for the MLHFQ physical dimension score (difference in change: -5.8 [95% CI: -7.4, -4.1]; <i>p</i> < 0.0001) and the MLHFQ emotional dimension score (difference in change: -3.2 [95% CI: -4.2, -2.2]; <i>p</i> < 0.0001). <b>Conclusions:</b> In this study, a telemedicine intervention significantly improved QoL compared with usual care among patients with HFrEF in an LMIC.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"431-440"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711902","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
Remote Consultations in General Practice in Ireland: Who Is Missing Out? 爱尔兰全科医生远程会诊:谁错过了?
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2025-04-01 Epub Date: 2024-12-16 DOI: 10.1089/tmj.2024.0503
Ellen McHugh, Sheelah Connolly
{"title":"Remote Consultations in General Practice in Ireland: Who Is Missing Out?","authors":"Ellen McHugh, Sheelah Connolly","doi":"10.1089/tmj.2024.0503","DOIUrl":"10.1089/tmj.2024.0503","url":null,"abstract":"<p><p><b>Introduction</b>: This research examines the characteristics associated with the use of remote consultations in general practice in Ireland during and after the COVID-19 pandemic. <b>Methods</b>: The analysis uses three waves of a nationally representative cross-sectional survey of health in Ireland (\"Healthy Ireland\" survey), relating to the years 2020/2021, 2021/2022, and 2022/2023. The sample includes people aged 15 and over who reported seeing a general practitioner (GP) in the 4 weeks prior to the survey. The outcome variable (\"remote consultation\") captures whether a respondent reported that their most recent GP consultation took place via telephone or video (\"remote consultation\"). Logistic regression analysis was used to assess the relationship between the likelihood of having a remote consultation and a range of potential explanatory variables including age, gender, insurance status, and socioeconomic status. <b>Results</b>: There was a significant decrease in the percentage of respondents reporting remote consultations over the period of analysis, from 39% in 2020/2021 to 10% in 2022/2023. In later periods, being female (odds ratio [OR] = 1.47 [1.04, 2.09]), having private health insurance (OR = 1.76 [1.13, 2.73]), and having a long-term health condition (OR = 1.53 [0.98, 2.39]) were positively associated with the probability of reporting a remote consultation, while being in an older age group (OR = 0.29 [0.13, 0.62]) was negatively associated with the likelihood of a remote consultation. <b>Discussion</b>: The high prevalence of remote consultations during the COVID-19 pandemic was not maintained in the postpandemic period. Policymakers should consider the reasons for this and consider the gendered, age-based, and insurance-based disparities in remote consultation utilization in the development and promotion of digital health care.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"468-475"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840147","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 Statewide Telemedicine Referral System for Regional Monoclonal Antibody Infusion Centers. 区域单克隆抗体输液中心的全州远程医疗转诊系统。
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2025-04-01 Epub Date: 2025-01-30 DOI: 10.1089/tmj.2023.0666
Romeo R Fairley, Andrew Ta, Tatiana Emanuel, Traceee Rose, Justine Skyler, Ralph Riviello
{"title":"A Statewide Telemedicine Referral System for Regional Monoclonal Antibody Infusion Centers.","authors":"Romeo R Fairley, Andrew Ta, Tatiana Emanuel, Traceee Rose, Justine Skyler, Ralph Riviello","doi":"10.1089/tmj.2023.0666","DOIUrl":"10.1089/tmj.2023.0666","url":null,"abstract":"<p><p><b>Background:</b> Regional infusion centers (RICs) played an integral role in treating high-risk patients with COVID-19, with mild to moderate symptoms, who did not need acute hospitalization, with monoclonal antibodies. While any medical provider could place a RIC referral, it was recognized that many people face challenges with accessing care. A dedicated medical team was created to provide telemedical evaluation of patients and place appropriate referrals to RICs. The objective of this work was to assess patient populations who utilized a telemedicine referral system for COVID-19 antibody infusions. <b>Methods:</b> Providers used Pulsara, a Health Insurance Portability and Accountability Act-compliant video chat platform, to remotely screen patients and refer them to regional monoclonal antibody infusion centers if they met criteria. Basic demographic data were collected anonymously on all patients referred to the RICs, and medically underserved populations were determined using the uniform data system mapper. <b>Results:</b> A total of 6,031 patients were referred to RICs through Pulsara. Of these, 1,723 (29%) lived in medically underserved areas and 1,042 (17%) lived in mixed zones. In the second half of the program, 36 providers virtually screened 3,531 patients with 1,890 patients (53.5%) receiving an infusion. <b>Conclusions:</b> The successful implementation of a telehealth referral system facilitated the decentralization of monoclonal antibody infusion therapy from emergency departments to RICs. This system reached a significant number of people living within medically underserved areas.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"490-493"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069769","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
Impact of a Patient Portal-Based Telehealth Outreach Program on Recall of Patients with Diabetic Retinopathy. 基于患者门户的远程医疗外展计划对糖尿病视网膜病变患者召回的影响。
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2025-04-01 Epub Date: 2024-12-13 DOI: 10.1089/tmj.2024.0454
Justin Y Yip, Keara C Geckeler, Kailynn M Barton, Shiyoung Roh, David J Ramsey
{"title":"Impact of a Patient Portal-Based Telehealth Outreach Program on Recall of Patients with Diabetic Retinopathy.","authors":"Justin Y Yip, Keara C Geckeler, Kailynn M Barton, Shiyoung Roh, David J Ramsey","doi":"10.1089/tmj.2024.0454","DOIUrl":"10.1089/tmj.2024.0454","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate the effectiveness of a patient portal telehealth outreach program to return patients with diabetic retinopathy (DR) lost to follow-up (LTFU) for eye care. <b>Methods:</b> Patients with DR receiving intravitreal injection (IVI) therapy who were >90 days beyond recommended return were deemed LTFU. Outreach messages were sent via a patient portal, when available, or through the U.S. mail. Patients received information on how to schedule a retinal examination and a symptom-screening questionnaire. The adherence rate to scheduled appointments was assessed 90 days postintervention. Labor costs were estimated based on communication time. <b>Results:</b> Among 359 patients with DR receiving IVIs, 22% were LTFU, overdue by a median of 362 days. Receiving fewer IVIs was the factor most strongly associated with becoming LTFU (8.9  ±  9.1 injections vs. 22 ± 20 injections, <i>p</i> < 0.001). The outreach program engaged 39 patients <i>via</i> the patient portal and 28 patients <i>via</i> the U.S. mail. A similar number of patients in each cohort was scheduled (13% vs. 14%, <i>p</i> = 0.862) and completed appointments (10% vs. 14%, <i>p</i> = 0.616). Whereas patient-portal messages took an average of 64 s to send at a labor cost of $0.35/message, each letter sent by mail took approximately 5 min to prepare at a total cost of $2.19. <b>Conclusions:</b> A patient portal-based telehealth outreach program is effective at returning patients with DR to eye care and can be implemented at a lower cost, compared with conventional mailed recall letters. Efforts are needed to increase digital health literacy and access to improve the efficiency of health care delivery.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"459-467"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016613","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}
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