Telemedicine reports最新文献

{"title":"Teleneuropsychology: Reliability and Acceptance in Memory Assessment.","authors":"Mariana Varandas, Filipa Ribeiro","doi":"10.1089/tmr.2024.0066","DOIUrl":"10.1089/tmr.2024.0066","url":null,"abstract":"<p><strong>Introduction: </strong>The use of telehealth in psychological interventions has experienced a significant increase in recent years. This form of patient interaction has important implications, especially in neuropsychological assessment. Given the limited research on this subject in Portugal, the reliability of neuropsychological tests and acceptance of this format by the Portuguese elderly must be studied.</p><p><strong>Methods: </strong>The sample consisted of 43 healthy Portuguese adults. They were assessed by cognitive measures and questionnaires regarding sociodemographic aspects, memory complaints, computer literacy, functionality, depressive symptoms, and satisfaction with the teleconsultation via videoconference and in-person approaches. The order of the two conditions was randomized.</p><p><strong>Results: </strong>There were no significant differences between scores on the Logical Memory Test. However, higher scores were found in the online condition for the Paired Associate Learning Test. The level of satisfaction with teleconsultation was high, but it did not translate into a greater preference for this format.</p><p><strong>Discussion: </strong>The neuropsychological assessment of auditory-verbal episodic memory through teleconsultation is promising and well accepted by the older Portuguese population. The data indicate that teleconsultation provides reliable results for episodic memory assessment.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"5 1","pages":"421-428"},"PeriodicalIF":1.5,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11848051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI and Technology Enabled Clinical Workflow Redesign.","authors":"Lee H Schwamm, Sarah Pletcher, Alistair Erskine","doi":"10.1089/tmr.2024.0079","DOIUrl":"10.1089/tmr.2024.0079","url":null,"abstract":"<p><p>The rapid evolution of digital health technologies has significantly transformed health care delivery, particularly in the realm of virtual care. This article synthesizes insights from the Annual Virtual Care Symposium entitled \"Virtual Care: Embedding Virtual Care into Post-Pandemic Healthcare Delivery\" held on March 13, 2024, hosted by Yale School of Medicine, Emory University, University of Washington, and Mayo Clinic Arizona. By examining the initiatives presented by faculty from Yale, Houston Methodist, and Emory in this session, we explore the integration of advanced technologies in virtual care, the challenges faced, and the potential for improving patient outcomes and health care efficiency as these novel practices become systematized and sustainable. The session focused on artificial intelligence and technology-enabled clinical workflow redesign.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"5 1","pages":"415-420"},"PeriodicalIF":1.5,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11848050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The 2024 Virtual Care Symposium \"From Novelty to Sustainability\".","authors":"Elizabeth A Krupinski","doi":"10.1089/tmr.2024.0076","DOIUrl":"10.1089/tmr.2024.0076","url":null,"abstract":"","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"5 1","pages":"402-403"},"PeriodicalIF":1.5,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying Factors Contributing to Dropouts in a Pilot Telenutrition Weight-Loss Program: A Qualitative Study.","authors":"Noura M S Eid, Noor A Hakim, Najlaa M Jawad, Sarah N Alsharif, Soaad Alsulami, Khulud A Almalki, Dana S Aljohani","doi":"10.1089/tmr.2024.0071","DOIUrl":"10.1089/tmr.2024.0071","url":null,"abstract":"<p><strong>Background: </strong>Telehealth programs exhibit strong potential to improve health measures and quality of life among obese and overweight individuals for whom medical nutritional therapy remains a challenge due to poor adherence and dietary compliance. Supporting weight-management programs with dietary interventions or \"telenutrition\" and integrating telemonitoring and/or telehealth coaching have had a significant positive impact on weight-loss patients achieving their goals in long-term interventions.</p><p><strong>Methods: </strong>The aim of the current study was to identify the factors leading patients to drop out of a telenutrition weight-loss program, including weekly telemonitoring (total of 36 weeks) and monthly telehealth coaching (total of 6 months). Descriptive qualitative semistructured interviews were held with 10 obese and overweight participants. The data gathered through these interviews were then thematically analyzed through a content analysis.</p><p><strong>Results: </strong>The findings showed that 50% of participants who dropped out of the study felt pressured at work and/or university. Specifically, 60% reported being influenced by marital responsibilities, and 50% indicated that they did not achieve their goals. Nevertheless, participants who dropped out of the study reported that they were not negatively influenced by family factors and/or financial status. Participants also indicated feeling happy to take part in the program and noted that the diet positively influenced their psychological status. Participants also noted the clarity of instructions and that they were fully motivated during the trial.</p><p><strong>Conclusions: </strong>The factors associated with dropouts in this study were different from those identified in the literature, given that our weight-loss program was delivered remotely and supported with weekly telemonitoring and monthly telehealth coaching. Despite the dropouts, the interview data highlighted positive factors that could enhance adherence to the dietary program and reduce dropout rates in larger and longer interventions. Future research should highlight the need to develop clear guidelines related to telenutrition programs or other digital health interventions to ensure successful long-term positive outcomes.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"5 1","pages":"393-401"},"PeriodicalIF":1.5,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric Primary Care Telemedicine: Perspectives from English- and Spanish-Speaking Medicaid Enrollees.","authors":"Anne R Links, Eliana M Perrin, Sarah Polk, Divya Konduru, Shafkat Meraj, Nakiya N Showell, Suzanne M Grieb, Helen Hughes","doi":"10.1089/tmr.2024.0028","DOIUrl":"10.1089/tmr.2024.0028","url":null,"abstract":"<p><strong>Objective: </strong>To qualitatively explore Medicaid-enrolled parents' and young adult patients' perspectives and experiences with telemedicine in pediatric primary care.</p><p><strong>Methods: </strong>We conducted semi-structured interviews with participants to explore their experiences with telemedicine. Participants consisted of English- and Spanish-speaking parents and young adults (18-21) who engaged in a telemedicine visit between March 15, 2021 and December 31, 2022 at two pediatric primary care clinics whose patients are predominantly insured by Medicaid. A qualitative descriptive design was used to develop a taxonomy. Frequencies were obtained to identify the most prevalent themes.</p><p><strong>Results: </strong>Twenty-six participants (22 parents, 4 young adults) were interviewed. Twelve (46%) participants were English-speaking and 14 (53%) were Spanish-speaking. Four domains were identified, each further classified into themes: pre-visit expectations (option for in-person visit, general anticipation, and specific worries), visit experience (general sentiment, technology, and quality of care), comfort (with overall process, privacy, and communication), and feelings about telemedicine (advantages, disadvantages, and loss of telemedicine). Although many participants had negative expectations of telemedicine prior to their appointment, a majority indicated positive experiences with visits and concerns about a possible future where telemedicine visits at home were no longer covered by their health insurance.</p><p><strong>Discussion: </strong>Most participants indicated positive experiences with telemedicine and perceived negative impact if access was removed. Findings related to perceived quality of care, advantages, and disadvantages suggest that patient preferences and individual circumstances should be taken into account when choosing visit modality in similar settings.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"5 1","pages":"380-392"},"PeriodicalIF":1.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11693964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual Primary Care-Improving Access, Efficiency, and Patient Experience.","authors":"Crystal Kong-Wong, Michelle Lin, John D Scott","doi":"10.1089/tmr.2024.0078","DOIUrl":"10.1089/tmr.2024.0078","url":null,"abstract":"<p><p>The United States faces a growing scarcity of primary care resources within an already overstressed and poorly accessible health care system. Many health care organizations are evaluating novel models of care and adoption of digital technologies to improve primary care access and efficiency of health care delivery. This article describes a virtual primary care (VPC) model that expands access and increases the efficiency of the traditional primary care team by utilizing on-demand and asynchronous digital tools. In the first year of operations, this service line provided >21,000 on-demand telemedicine visits and >4,000 asynchronous eVisits. The VPC service line improved access to primary care services in a financially successful and sustainable model.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"5 1","pages":"373-379"},"PeriodicalIF":1.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11693957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Poor Representation of Rural Counties of the United States in Some Measures of Consumer Broadband.","authors":"Cari A Bogulski, Maysam Rabbani, Corey J Hayes, Aysenur Betul Cengil, Catherine C Shoults, Hari Eswaran","doi":"10.1089/tmr.2024.0048","DOIUrl":"10.1089/tmr.2024.0048","url":null,"abstract":"<p><strong>Introduction: </strong>Telehealth has the potential to mitigate the lack of health care access in rural and underserved communities; however, telehealth is only viable where sufficiently high-speed internet broadband is available to patients. Existing broadband data sets may not accurately reflect the state of broadband, particularly in rural communities. We examined consumer internet speed test data from two organizations to see if the number of tests per 1,000 residents varied across county-level rurality.</p><p><strong>Methods: </strong>We analyzed county-level data from Measurement Labs (M-Lab) and Ookla for Good (Ookla fixed and mobile) across the calendar years 2020 and 2021. We used the number of tests conducted per 1,000 residents within United States counties as the outcome variable, and Rural-Urban Continuum Codes (RUCC) as the main independent variable of interest.</p><p><strong>Results: </strong>Using negative binomial models with robust standard errors, we found that the number of fixed speed tests conducted per 1,000 residents was generally lower in rural counties relative to counties with over one million residents. However, we found no associations between any categories of county-level rurality for the number of mobile tests conducted per 1,000 residents. Patterns of association with other covariates emerged as significant in some models and not in others, suggesting key differences among users generating speed tests among these data sources.</p><p><strong>Conclusions: </strong>Our findings demonstrate the poor representation of residents from very rural counties in M-Lab and Ookla fixed data sets of user-generated internet speed tests. Additional data are needed to inform broadband infrastructure investment to identify those communities most left behind by broadband expansion efforts.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"5 1","pages":"290-303"},"PeriodicalIF":1.5,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11491573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Systematic Review of Telehealth Applications in Endocrinology.","authors":"SeyedAhmad SeyedAlinaghi, Soudabeh Yarmohammadi, Pegah Mirzapour, Soheil Dehghani, Sepide Ahmadi, Faeze Abbaspour, Ava Pashaei, Ayoob Molla, Alireza Pashaei, Samin Ahmadi, Esmaeil Mehraeen","doi":"10.1089/tmr.2024.0032","DOIUrl":"10.1089/tmr.2024.0032","url":null,"abstract":"<p><strong>Introduction: </strong>The prevalence of telehealth has witnessed a significant increase in various medical domains, especially in endocrinology. Telehealth brings about considerable advantages for both patients and health care professionals. However, despite these positive aspects, the growing prominence of telehealth is accompanied by certain challenges. This systematic review aims to assess the role of telehealth in endocrinology, including its applications, effectiveness, challenges, and implications for patient care.</p><p><strong>Methods: </strong>This study involved a thorough search using comprehensive techniques across databases such as PubMed/Medline, Embase, and Scopus. The studies were selected for a tailored adaptation of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) to enhance the clarity of our systematic review's reporting.</p><p><strong>Results: </strong>This systematic review explores global telemedicine applications in endocrinology. Addressing various endocrine conditions, interventions utilize technology tools such as smartphones and applications, offering multifaceted utility from education and data gathering to screening and treatment. Notably, these interventions demonstrate adaptability during the COVID-19 pandemic. Positive outcomes include enhanced patient education, disease self-management, reduced complications, and improved glycemic control. However, drawbacks include the need for technical proficiency, perceived lower care quality, and potential privacy risks. These nuanced findings contribute to the discourse on telemedicine efficacy and limitations.</p><p><strong>Conclusion: </strong>In conclusion, telehealth holds significant potential in transforming endocrine care. While there are challenges to its implementation, the benefits it offers underscore its value as a health care delivery model.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"5 1","pages":"269-289"},"PeriodicalIF":1.5,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Barriers Toward Telehealth in an Underserved, Uninsured Patient Population.","authors":"Ashna Raiker, Meenu Johnkutty, Ambar Ruiz, Jedan Phillips, Melissa J Earle","doi":"10.1089/tmr.2024.0036","DOIUrl":"10.1089/tmr.2024.0036","url":null,"abstract":"<p><strong>Background: </strong>Telehealth has untapped potential to improve health care for underserved communities. However, it remains underutilized, limiting opportunities to improve continuity of care and health care outcomes. This pilot study investigates attitudes and barriers to telehealth at Stony Brook HOME, Renaissance School of Medicine's student-run free-health clinic in Suffolk County, NY.</p><p><strong>Methods: </strong>Surveys (<i>n</i> = 100) were electronically administered bimonthly during clinic waiting room time from May 2022 to August 2023 in both English (40%) and Spanish (60%). Surveys collected information on patient demographics, perceived patient barriers and attitudes to telehealth, and technological comfort levels.</p><p><strong>Results: </strong>Most patients were Hispanic/Latino (68%), female (54%), and 40-60 years old (52%). Spanish speakers often come from high social vulnerability regions. English speakers were more likely to own a smartphone, computer, or tablet than Spanish speakers (<i>p</i> = 0.046). English speakers reported higher levels of technological comfort using a smartphone or tablet (<i>p</i> = 0.0033) and using it for their health care (<i>p</i> = 0.03). Finally, 100% of English speakers reported reliable internet access compared to 66.7% of Spanish speakers.</p><p><strong>Discussion: </strong>These results demonstrate that barriers to telehealth are being disproportionately felt by Spanish speakers, thus necessitating survey-directed interventions to address this disparity.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"5 1","pages":"263-268"},"PeriodicalIF":1.5,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11347875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142116667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Store-and-Forward Teledermatology Wound Checks Following Mohs Surgery: A Pilot Study.","authors":"Tyler Werbel, Navid Farahbakhsh, Sailesh Konda","doi":"10.1089/tmr.2024.0039","DOIUrl":"10.1089/tmr.2024.0039","url":null,"abstract":"<p><strong>Introduction: </strong>Store-and-forward telemedicine is a form of electronic transmission in which patient images or clinical information are transmitted to clinicians for asynchronous clinical decision making. This study evaluated the use, feasibility, savings, and patient satisfaction of postoperative store-and-forward wound checks following Mohs surgery.</p><p><strong>Methods: </strong>Select patients were asked to participate in a virtual postoperative wound check after receiving Mohs surgery. Participants sent photos of their wound site and subsequently completed an anonymous survey.</p><p><strong>Results: </strong>One hundred and ten patients were enrolled, mean age 68 (range 32-87). Patients saved an average of $14.16, 78.6 miles of travel, and 90 min of travel time. Ninety-eight percent of respondents felt their quality of care in teledermatology was \"about the same\" to \"much better\" than compared with traditional in-person care. Sixty-four of the respondents (90.1%) reported they would prefer their next Mohs wound check to be conducted through teledermatology.</p><p><strong>Conclusion: </strong>Store-and-forward telemedicine in patients undergoing Mohs micrographic surgery is a safe, effective, and efficient method for postoperative wound care.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"5 1","pages":"256-262"},"PeriodicalIF":1.5,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11342048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}