Journal of the International Society for Telemedicine and eHealth最新文献_第6页

How to Prevent Technical Issues in Large Multiparty Medical Videoconferencing 如何预防大型多方医疗视频会议中的技术问题

Journal of the International Society for Telemedicine and eHealth Pub Date : 2018-05-05 DOI: 10.29086/JISFTEH.6.E10

Shunta Tomimatsu, Kuriko Kudo, T. Moriyama, T. Moriyama, Tomoaki Taguchi, S. Shimizu

{"title":"How to Prevent Technical Issues in Large Multiparty Medical Videoconferencing","authors":"Shunta Tomimatsu, Kuriko Kudo, T. Moriyama, T. Moriyama, Tomoaki Taguchi, S. Shimizu","doi":"10.29086/JISFTEH.6.E10","DOIUrl":"https://doi.org/10.29086/JISFTEH.6.E10","url":null,"abstract":"Introduction: Videoconferencing (VC) is useful for physicians who need to learn about many cases without moving from one institution to another. However, this advantage can be hampered by technical issues. This study aims to analyse the factors relating technical support that cause technical issues in regular multiparty medical VC to provide high-quality VC to meet participants’ demands. Methods: The study includes large multiparty VC between the Kyushu University Hospital Department of Paediatric Surgery and different institutions within Japan that were held from September 2014 to January 2017. Technical tests, a “previous-week test” and a “last-hour test,” were conducted for checking conditions prior to the VC. The chi-square test was used for factors: participation for previous-week and last-hour test, and attendance by an engineer VCs in each participating institution. A questionnaire survey was distributed among the participants to collect feedback on the quality of VC, ease of preparation and necessity of previous-week testing. Results: Participation in the last-hour test (P=0.002) and the presence of an engineer (P=0.049) significantly decreased overall technical issues. The last-hour tests significantly decreased disconnection (P=0.015) and audio (P=0.019) issues. The engineer’s attendance decreased content-sharing issues (P=0.027). Participants reporting “very good” and “good” audio and visual quality were 92% (109/118) and 96% (105/110). Eighty-three percent of participants (82/99) found the preparation “very easy” or “easy”; while 61% (63/103) found the previous-week test, “unnecessary.” Conclusions: Based on our study, “engineers’ attendance” and “last-hour” technical testing significantly reduced technical problems; these factors help provide high-quality output VC and meet the needs of the participants.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":"6 1","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2018-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46367276","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}

引用次数: 2

Consent: A Luta Continua 同意:斗争仍在继续

Journal of the International Society for Telemedicine and eHealth Pub Date : 2018-04-03 DOI: 10.29086/JISFTEH.6.E1

M. Mars, R. Scott

引用次数: 0

Development of a Smartphone Application to Enable Remote Monitoring in the Outpatient Management of Cirrhotic Ascites 开发一款智能手机应用程序，在肝硬化腹水的门诊管理中实现远程监测

Journal of the International Society for Telemedicine and eHealth Pub Date : 2018-03-29 DOI: 10.29086/jisfteh.6.e7

P. Ha, S. Warner, P. O'Neil, P. Anderson, W. Sievert

{"title":"Development of a Smartphone Application to Enable Remote Monitoring in the Outpatient Management of Cirrhotic Ascites","authors":"P. Ha, S. Warner, P. O'Neil, P. Anderson, W. Sievert","doi":"10.29086/jisfteh.6.e7","DOIUrl":"https://doi.org/10.29086/jisfteh.6.e7","url":null,"abstract":"Patients who develop hepatic decompensation with ascites have a poor prognosis and often experience other complications including spontaneous bacterial peritonitis, hepatic encephalopathy and variceal bleeding. We hypothesised that smartphone (SP)-enabled remote monitoring of patients with ascites may enable early detection of infection and acute decompensation, facilitate timely intervention and improve patient outcomes. Aim: We aimed to design, develop and implement a remote monitoring system (RMS) for outpatients with cirrhotic ascites. Method: We undertook surveys with patients and hepatologists to quantify the demand for a RMS and identify issues regarding implementation. A smartphone and a web-based application were developed as a RMS. Patients used the RMS in a 6-week prospective non-randomised trial. Results: We surveyed 27 patients (mean age 56 years, 18 (67%) were male, 16 (59%) had Childs Pugh B cirrhosis, and 20 (74%) had a history of alcoholic liver disease) and 5 hepatologists. There were 19 patients (70%) who reported that they would use a RMS. The RMS was used by 10 patients for a mean 53.8days (11-70), who entered 20.6 (0-71) updates. A total of 18 automated alerts occurred. 22% of automated alerts resulted in clinically significant changes to management, such as inpatient admission n=1 (6%), early outpatient appointment n=1 (6%) and reinforced adherence n=2 (11%). Conclusion: We have successfully designed an internet-enabled RMS for outpatients with cirrhotic ascites that could be used as an adjunct to existing outpatient services. Future studies will optimise the alert thresholds, assess long-term patient adoption and quantify clinical impact.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47073007","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}

引用次数: 0

The Role of e-Health in Disasters: A Strategy for Education, Training and Integration in Disaster Medicine 电子健康在灾害中的作用：灾害医学教育、培训和整合战略

Journal of the International Society for Telemedicine and eHealth Pub Date : 2018-03-29 DOI: 10.29086/JISFTEH.6.E2

Tony Norris, Jose J. Gonzalez, D. Parry, R. Scott, J. Dugdale, D. Khazanchi

引用次数: 3

What’s the Importance of Portable Tele-Monitoring Devices in Patient Therapeutic Adherence? 便携式远程监测设备在患者治疗依从性中的重要性是什么？

Journal of the International Society for Telemedicine and eHealth Pub Date : 2017-04-06 DOI: 10.1111/IJPP.1

O. Rodrigues

{"title":"What’s the Importance of Portable Tele-Monitoring Devices in Patient Therapeutic Adherence?","authors":"O. Rodrigues","doi":"10.1111/IJPP.1","DOIUrl":"https://doi.org/10.1111/IJPP.1","url":null,"abstract":"In the UK it is estimated the NHS spends almost £100 million every year in unused drugs. In addition, hospital admission costs attributed to patients not taking their prescribed medicine properly was estimated to be between £36m and £197m per year. In the U.S., medication non-adherence is estimated to lead to between $100 and $300 billion of avoidable healthcare costs annually, representing 3–10% of total U.S. healthcare costs. Studies show that improving medication adherence may have a greater influence on the health of the population than the discovery of any new therapy. Effective medicines are available for many conditions and yet patients are non-adherent 50% of the time. This can be critical point in certain disease states, such as asymptomatic conditions like hypertension, where the incidence may approach 80% non-compliance. It is proposed to create a therapeutic adherence monitoring device within a smart blister pack that is coupled to a device with the capacity to collect and send data to a common server. This would allow a clinician to know, with high certainty, if the patient is taking their medication as prescribed and on schedule. This paper gathers information to identify current technology to support integrated monitoring and control of therapeutic adherence.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46846332","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}

引用次数: 1

Electronic Health as a Component of G2C Services 电子医疗作为G2C服务的组成部分

Journal of the International Society for Telemedicine and eHealth Pub Date : 2017-03-02 DOI: 10.14569/ijacsa.2017.080329

F. Yusifov

引用次数: 3

eHealth Readiness of Health Care Institutions in Botswana 博茨瓦纳卫生保健机构的电子保健准备情况

Journal of the International Society for Telemedicine and eHealth Pub Date : 2014-11-24 DOI: 10.2316/P.2014.815-022

Kabelo Leonard Mauco

{"title":"eHealth Readiness of Health Care Institutions in Botswana","authors":"Kabelo Leonard Mauco","doi":"10.2316/P.2014.815-022","DOIUrl":"https://doi.org/10.2316/P.2014.815-022","url":null,"abstract":"eHealth systems include applications of information and communication technologiesy to improve healthcare services delivery, support, and education. Many countries around the world, including Botswana, are in the process or have already adopted the use of such technology in their healthcare sectors. Often this is done without first gauging the readiness of the setting: healthcare workers meant to use the technology, or the facilities in which such technology will be used. eHealth Readiness is the ‘preparedness of healthcare workers, communities, or institutions for the anticipated change brought about by programs related to information and communications technology’. This study measured eHealth readiness of healthcare institutions in Botswana, and identified personal attributes of users that may influence their readiness to apply eHealth. A self-administered questionnaire with closed-ended questions was used to collect data from 87 healthcare workers at two hospitals in Botswana. The questionnaire contained 19 questions covering 3 domains (aptitudinal readiness, attitudinal readiness, and infrastructural readiness). The responses were rated on a 5-point Likert-type scale ranging from strongly disagree to strongly agree. The questionnaires were then coded and data analysed using Statistical Package for Social Sciences (SPSS) version 21.0. Results highlighted that participating institutions showed a different degree of eHealth infrastructural readiness. Participants in the study showed a high level of eHealth attitudinal readiness but a low level of eHealth awareness.","PeriodicalId":93212,"journal":{"name":"Journal of the International Society for Telemedicine and eHealth","volume":"2 1","pages":"43-49"},"PeriodicalIF":0.0,"publicationDate":"2014-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68676558","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}

引用次数: 3

BARRIERS AND CONTRIBUTORS TO SUCCESS IN TELEMEDICINE: A QUALITATIVE STUDY OF A STRUGGLING TELEPSYCHIATRY PROJECT AND A SAMPLING OF HIGHLY SUCCESSFUL PROGRAMMES. 远程医疗成功的障碍和因素:对一个挣扎中的远程精神病学项目的定性研究和非常成功的方案抽样。

Journal of the International Society for Telemedicine and eHealth Pub Date : 2014-03-31

Carolyn Lauckner, Pamela Whitten

引用次数: 0

DigiHealthDay 2020 (Abstracts) 数字健康日2020(摘要)

Journal of the International Society for Telemedicine and eHealth Pub Date : 1900-01-01 DOI: 10.29086/jisfteh.8.es1

M. Mars

引用次数: 0