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27
January, 2012
Friday

Articles

Assessment of Long-Term Outcomes for the STRokE DOC Telemedicine Trial

Meyer BC et al, Journal of Stroke and Cerebrovascular Diseases, 2010

Telemedicine can provide stroke evaluations in locations with limited available expertise. The reliability of telestroke has been established. Decision making efficacy has been shown in the National Institutes of Health’s STRokE DOC trial. No prospective trial has assessed long-term telestroke outcomes, however. In an institutional review board-approved trial (NCT00936455), we contacted patients originally enrolled in the STRokE DOC trial. A telephone script was used to verify consent. Patients were asked standardized questions regarding disposition, modified Rankin Scale (mRS) score, mortality, and recurrent stroke for 2 retrospective time points (6 and 12 months postevent) and one current time point. Blind was maintained. Primary outcome measures of mortality and percent mRS score of 0-1 [%mRS(0-1)] at 6 months are reported. Wilcoxon’s rank-sum test was used for continuous variables, and Fisher’s exact was used for categorical variables. Of the original 222 participants, 75 patients or surrogates could be contacted. Mean time from enrollment was 3.96 ± 1.0 years (range, 2.33-5.45 years). Mean National Institutes of Health Stroke Scale (NIHSS) score was 8 ± 7 (5 ± 8 for telephone; 12 ± 8 for telemedicine; P = .002).
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21 September 2010 | No Comments »
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Mobile phones handy in disease surveillance

SciDev.net

“The mobile phone can be handy in tracking outbreaks of communicable diseases in rural areas, according to pilot studies carried out by a global consortium in Sri Lanka and India’s Tamil Nadu state.
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21 September 2010 | No Comments »
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More doctors moving to e-prescriptions

Julie Steenhuysen, Reuters

“U.S. doctors increasingly are ditching pen and paper and sending prescriptions to pharmacies electronically, lured by up to $27 billion in government funds aimed at speeding the switch to electronic medical records.
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21 September 2010 | No Comments »
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iPhones help the disabled

Chris Gibbons, Healthcare Disparities Solutions Blog

“IPhones are helping stroke victims, as well as people with autism, speech disabilities and brain injuries communicate.”
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21 September 2010 | No Comments »
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Smartphones, other mobile devices may boost use of personal health records

Pamela Lewis Dolan, amednews

“In concept, the public has been in favor of using personal health records for some time. But in practice, it hasn’t found much to like.
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21 September 2010 | No Comments »
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Aussie app a shot to e-health

Darren Pauli, ZDNet.com.au

“A mobile application is set to ease the burden of rehabilitation on the health system by allowing patients to report their conditions to doctors through their phone handsets.
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21 September 2010 | No Comments »
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Health Innovations in Japan The Final Chapter Progressions

Michelle Petersens, Following Innovation In Healthcare

“Before we begin these are my personal views and don’t necessarily reflect the views of my employer. I enjoyed my time in Japan and the knowledge I gained from these highly driven spiritual people, a paradox in terms within itself.
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21 September 2010 | No Comments »
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Un “e.médecin” sur internet

Philippe Cortay, Le Dauphine

“Une petite vibration du portable, message : “Vous allez entrer en hypoglycémie”. Et le diabétique de suivre les préconisations du texto qu’il vient de recevoir.
Nous ne sommes plus dans la science-fiction, cette application est pour demain.
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21 September 2010 | No Comments »
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Persisten los problemas con el sistema informático de Atención Primaria en Madrid

Apiscam

“Las deficiencias detectadas en el nuevo sistema informático de la Consejería de Sanidad de Madrid siguen dando problemas en Atención Primaria, tal y como vienen denunciando los propios profesionales desde hace meses, sin que la Administración ponga remedio.
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21 September 2010 | No Comments »
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EHRs play an important role in patient-centered medical homes

Patty Enrado, EHRWatch

“The Deloitte Center for Health Solutions released a new report last week on the current state and future of medical homes and identified health IT as an important component to integrating and coordinating care, which is so central to medical homes.
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21 September 2010 | No Comments »
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Discharge Summary inertia

Eric Filed, Healthbase Australia Blog

“The inertia embodied in the Australian health system is immense. Attempts to change it have mainly foundered over the years. Portents of failure are writ large, almost everywhere one turns.
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21 September 2010 | No Comments »
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Has Google lost the PHR race?

Anne Zieger, HealthcareiX

“A few years ago, a consensus began to develop that healthcare consumers needed a place to store — and control — their health data online. (If you’re asking why access to a well-designed electronic medical record doesn’t get the job done, join the club.)
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21 September 2010 | No Comments »
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Health information, human rights, and mhealth

Ano Lobb, Justmeans

“A key piece of health data that many of us take for granted is the recording of births and deaths. It fundamental on several levels. To measure population, you need to know how many births and deaths are adding and subtracting from your total population. Calculating rates of disease or death requires total population as a denominator.
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20 September 2010 | No Comments »
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Telemedicine: improving the health care system through innovation

Nathalie Elgrably-Lévy and Germain Belzile, Montreal Economic Institute

The Quebec health care system has long been a target of criticism. Since the mid-1970s, newspapers have been reporting on staff shortages, emergency room overcrowding, challenges in finding family doctors, waiting lists that keep getting longer, and so on. Optimal use of resources is vital if we wish to reduce waiting times and provide better and faster service to patients.
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20 September 2010 | No Comments »
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Peru link: Health professor helps find solutions for rural healthcare

Gabrielle Brandini, Arbiter Online

“What started out as Uwe Reischl, a health sciences professor, giving directions to a lost visitor to Boise State a few years ago turned into partnership between Boise State and the University of Ica.
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20 September 2010 | No Comments »
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Nieuwe internetpatiëntenportal voor diabetici

Zorgvisie

“De Diabetesvereniging Nederland heeft een nieuwe patiëntenportal voor diabetici gelanceerd. Mijn Diabetes is de nieuwe naam voor de patiëntenportal die tot voor kort Mijn DVN heette.
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20 September 2010 | No Comments »
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Telehealth comparison website launched

Sarah Bruce, e-Health Europe

“A telehealth product comparison website has been launched by assisted living specialists, Alvolution to help trusts and local authorities choose the best quality and best value telehealth products for their organisation.
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20 September 2010 | No Comments »
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Advanced Electronic Medical Records Usage Reduces Length of Hospital Stay

Michael Young, Free Ezine Articles

“A recent study by the W.P. Carey School of Business at Arizona State University shows that patients who are admitted to a hospital with advanced electronic medical record (EMR) system implemented, experience a 22% shorter length of stay and a 13% shorter treatment time than ERs with minimal or no EMR system.
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20 September 2010 | No Comments »
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Please take a number

Karen Kissane, Sydney Morning Herald

“Cath Ringwood has seen it all. As a former nurse and social worker, she has witnessed time and again delays, muddles and even dangers caused by a medical world in which communication relies on scraps of paper that too often are lost, or on patients’ own foggy understanding of their history.
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20 September 2010 | No Comments »
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Diffusion of EHR Innovation

Margalit Gur-Arie, On Healthcare Technology

“No matter what your opinion of Electronic Health Records (EHR) is, you would probably agree that the concept of computerizing medical records represents an innovation of sorts. The spread of innovation, or its diffusion, has been researched and modeled by Rogers[1] as a bell shaped advancement through populations of Innovators, Early Adopters, Early Majority, Late Majority and Laggards (the blue curve in the figure below).
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20 September 2010 | No Comments »
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