|
articles |
||||
“The Department of Health has launched its patients’ prospectus on NHS Choices.
The prospectus, promised in a speech by Prime Minister Gordon Brown in January, aims to offer the 15 million people in England living with a long term condition access to a choice of ‘active patient’ or ‘care at home’ options.”
Article
e-Health Insider, 10 November 2008
“Background
Information systems can play a key role in care innovations including task redesign and shared care. Many demonstration projects have presented evidence of clinical and cost effectiveness and high levels of patient satisfaction. Yet these same projects often fail to become part of every-day clinical routines. The aim of the paper is to gain insight into a common paradox that a technology can meet the criteria for success set out at the start of the project yet fail to become part of every-day clinical routines.
Methods
We evaluated a tele-care service set up to reduce the workload of ophthalmologists. In this project optometrists, in 10 optical shops made digital images to detect patients with glaucoma which were further assessed by trained technicians in the hospital. Over a period of three years, we conducted interviews with the project team and the users about the workability of the system and its integration in practice. Beside the interviews, we analyzed record data to measure the quality of the images. We compared the qualitative accounts with these measurements.
Results
According to our measurements, the quality of the images was at least satisfactory in 90% of the cases, i.e. the images could be used to screen the patients - reducing the workload of the ophthalmologist considerably. However, both the ophthalmologist and the optometrists became increasingly dissatisfied respectively with the perceived quality of the pictures and the perceived workload. Through a detailed analysis of how the professionals discussed the quality of the pictures, we re-constructed how the notion of quality of the images and being a good professional were constructed and linked. The IT system transformed into a quality system and, at the same time, transformed the notions of being a good professional. While a continuous dialogue about the quality of the pictures became an emblem for the quality of care, this dialogue was hindered by the system and the way the care process was structured.
Conclusions
To conceptualize what telemedicine does in interdisciplinary work practices, a fine-tuned analysis is needed to assess how IT systems re-shaped the social relations between professional groups. Such transformations should not be exclusively attributed to the technology itself or to the professionals working with it. Instead we need to assess these technologies through an empirically grounded study of the functioning of telemedicine.”
Article
Antoinette A. de Bont and Roland Bal, BMC Medical Informatics and Decision Making 2008, 8:47, doi:10.1186/1472-6947-8-47, 27 October 2008
“A digital TV initiative for public services run by Kirklees Council has won European Commission funding to develop interactive health and social care services.
The European Commission will provide funding to DigiTV as part of a European consortium that is being supported to build and enhance telecare and telehealth provision across Europe.”
Article
e-Health Europe, 21 October 2008
Abstract
The authors want to show the implication of interactive ICT on patient empowerment, through an overview of some of the key aspects - EHR, telecare and patient networks - all this within the context of recent Health 2.0 developments.
Definitions will be given of both Health 2.0 and Patient 2.0 Empowerment.
Article
Lodewijk Bos, Andy Marsh, Denis Carroll, Sanjeev Gupta, Mike Rees, to be published in the SWWS08 Proceedings, August 2008
Telerehabilitation for service delivery in speech-language pathology
“Communication disorders in adults and children can have a significant effect on their quality of life and on that of their families. Speech-language pathologists face several challenges in providing assessment and treatment services to such people. Challenges include facilitating equitable access to services and providing appropriate management within a changing social and economic context. Telerehabilitation has the potential to deliver services in the home or local community via videoconferencing and through interactive computer-based therapy activities. This form of service delivery has the capacity to optimize functional outcomes by facilitating generalization of treatment effects within the person’s everyday environment, and enable monitoring of communication and swallowing behaviours on a long-term basis. A number of image-based telerehabilitation applications have been used in the management of adult neurogenic speech and language disorders, stuttering, voice disorders, speech and language disorders in children, laryngectomy and swallowing dysfunction. Further development of such applications and other computer-based therapies, cost-benefit and cost-effectiveness analyses, and professional education are needed if telerehabilitation is to become an integral part of speech-language pathology practice.”
Abstract
Deborah G Theodoros, J Telemed Telecare 2008;14 221-224, doi:10.1258/jtt.2007.007044
Telehealth: a child and family-friendly approach to mental health-care reform
“Limited access to paediatric mental health services and high drop-out rates from treatment result in poor health outcomes for families with children with mental health problems. New ways of delivering care are required. Telehealth is a promising approach. The Family Help programme employs manualized, distance treatment by telephone. Participants in the Family Help programme (both adults and children) have reported a strong therapeutic alliance with their telephone coach. Participants also described how during treatment sessions they felt comfortable and safe in their own home; they did not feel stigmatized or judged; they had little apprehension about self-disclosure and they felt that treatment was delivered at their convenience. Treatment calls were often scheduled after typical working hours. Attrition rates were found to be very low and children actively engaged in the structured, distance treatment. Evidence-based, distance delivery using non-professionals is a promising approach to the delivery of paediatric mental health care.”
Abstract
Patricia Lingley-Pottie and Patrick J McGrath, J Telemed Telecare 2008;14 225-226, doi:10.1258/jtt.2008.008001
Effect of a behavioural health and specialty care telemedicine programme on goal attainment for youths in juvenile detention
“We conducted a pre-post study of the effect of a telepsychiatry counselling service on youths housed in three juvenile detention facilities. In the first year of the telemedicine programme, 321 psychiatry consultations were conducted via telemedicine; in the second year of the programme, 573 psychiatry consultations were conducted. Records for 190 students were then examined by two raters. The total number of behavioural goals for each adolescent increased from 8.2 in the pre-telemedicine year to 8.7 in the first year of telemedicine and then to 10.0 in the second year (P < 0.05). In Year 2 of the study, subjects also had a significantly higher number of goals in four of the five categories: education, family, health and social skills (P < 0.05). Although other changes at the youth detention facilities or in the juvenile justice system may have been partly responsible for the effects observed, the study suggests that telemedicine may be useful for improving the rate of attainment of goals associated with family relations and personality/behaviour."
Abstract
Karen C Fox, Pamela Connor, Elizabeth McCullers, and Teresa Waters, J Telemed Telecare 2008;14 227-230, doi:10.1258/jtt.2008.071102
Non-invasive monitoring of the activities of daily living of elderly people at home – a pilot study of the usage of domestic appliances
“We conducted a feasibility study of a system for non-invasive monitoring of subjects at home. Electrical activity was recorded from room lights and from electrical domestic appliances; this was translated into the probability of physical activity or a particular Activity of Daily Living (ADL). Thirteen volunteer subjects were monitored for a period of 6.4 months (range 3–8). The mean age of the subjects was 80 years and they all lived alone at home; one had moderate Alzheimer’s disease. A one-week validation was carried out to ascertain whether the recorded activity actually occurred. The results showed that daily and nocturnal activity could be well differentiated. The probability of having eaten, taken a bath and going to the toilet could be calculated each day. Eating was the most accurately measured ADL; toileting and bathing results were less accurate. The system appears to be a promising component of home telecare.”
Abstract
Georgina Corte Franco, Floriane Gallay, Marc Berenguer, Christine Mourrain, and Pascal Couturier, J Telemed Telecare 2008;14 231-235, doi:10.1258/jtt.2008.071207
A paediatric therapeutic alliance occurs with distance intervention
“We investigated whether a distance therapeutic alliance occurs when children receive manualized, cognitive-behavioural treatment via telephone, in the absence of face-to-face contact. The therapeutic alliance scores were measured in 55 child–parent pairs. The mean total Working Alliance Inventory child scores were 236 (95% confidence interval [CI]: 232, 240) and the mean parent scores were 245 (95% CI: 242, 247). Parent scores were significantly higher than child scores, although the difference may not be clinically meaningful. This study provides evidence that a strong therapeutic alliance does occur between child–coach and parent–coach pairs when treatment is delivered from a distance by non-professionals. The term ‘child’ encompasses both children and adolescents.”
Abstract
Patricia Lingley-Pottie and Patrick J McGrath, J Telemed Telecare 2008;14 236-240, doi:10.1258/jtt.2008.080101
International telepsychiatry: a study of patient acceptability
“An international telepsychiatry service was established between Denmark and Sweden for cross-cultural patient groups, such as asylum seekers, refugees and migrants. Over an 18-month period starting in mid 2006, 30 patients were treated by telepsychiatry (21 men and 9 women). The patients received mental health care by videoconferencing from providers who spoke the patients’ own language, i.e. without the assistance of interpreters. The total number of telepsychiatry sessions was 203 (range 1–22; average 6.8 sessions per patient). Patients completed a satisfaction questionnaire at the end of treatment. Seven patients (23%) were not able to complete a questionnaire, due to illiteracy and/or a psychotic condition. The rest of the patients (n=23) reported a high level of acceptance and satisfaction with telepsychiatry, as well as a willingness to use it again or recommend it to others. Any disadvantages of telemedicine were compensated by the fact that the doctor and patient spoke the same language and had similar cultural and/or national references. Mentally ill asylum seekers, refugees and migrants are under-served in their mother tongue and telepsychiatry can improve access to scarce health-care resources.”
Abstract
Davor Mucic , J Telemed Telecare 2008;14 241-243, doi:10.1258/jtt.2008.080301
The availability of telecardiology consultations and transfer patterns from a remote neonatal intensive care unit
“We examined records of all admissions to an isolated community neonatal intensive care unit (NICU) in California between 2001 and 2006. We also reviewed the echocardiograms for diagnosis, disposition of patient and necessity for transport. In 2004, a telemedicine link (mainly store-and-forward) was established to a university children’s hospital (UCH) 290 km away. The number of NICU patients having an echocardiogram increased from 280 (27% of 1029 admissions) to 385 (40% of 963, P = <0.001) after telemedicine became available. There was an increase in the proportion of normal studies, from 31% to 37% (P = 0.03), and an increase in the number of patients diagnosed with cardiac pathology from 192 (19% of all admissions) to 241 (25%, P < 0.001). Twenty-four patients were transferred for cardiac reasons during each three-year period; however seven pre-telemedicine transfers were avoidable, compared with two post-telemedicine transfers (P = 0.06). There was a change in referral pattern (65% to the UCH pre-telemedicine, compared with 78% post-telemedicine) although it was not significant (P = 0.10). Thus the availability of the telecardiology link was associated with increases in the utilization of echocardiography, in the proportion of normal studies, and in the percentage of neonates diagnosed with cardiac pathology without an increase in the number transferred for cardiac reasons. There was a reduction in unnecessary transfers and a strengthened relationship with the centre providing the telecardiology service."
Abstract
Tannie Huang, Anita J Moon-Grady, Craig Traugott, and James Marcin, J Telemed Telecare 2008;14 244-248, doi:10.1258/jtt.2008.080102
Feasibility of a home-based telerehabilitation system compared to usual care: arm/hand function in patients with stroke, traumatic brain injury and multiple sclerosis
“We conducted a randomized controlled multicentre trial to investigate the feasibility of a telerehabilitation intervention for arm/hand function (the Home Care Activity Desk [HCAD] training) in a home setting. Usual care was compared to HCAD training. The hypothesis was that the clinical outcomes of the HCAD intervention would be at least the same as those measured after a period of usual care for patients with stroke, traumatic brain injury (TBI) and multiple sclerosis (MS) with respect to their arm/hand function. Eighty-one patients with affected arm/hand function resulting from either stroke, MS or TBI were recruited in Italy, Spain and Belgium; 11 were lost during follow-up (14%). The outcome measures were the Action Research Arm Test (ARAT) and the Nine Hole Peg Test (NHPT). There were no significant differences between the two groups on the outcome measures (ARAT and NHPT); in both groups, patients maintained or even improved their arm/hand function. The HCAD training was found to be as feasible as usual care in terms of clinical outcomes, and both therapists and patients were satisfied with the HCAD intervention. A telerehabilitation intervention using HCAD may increase the efficiency of care.”
Abstract
Barbara CH Huijgen, Miriam MR Vollenbroek-Hutten, Mauro Zampolini, Eloy Opisso, Montse Bernabeu, Johan Van Nieuwenhoven, Stephan Ilsbroukx, Riccardo Magni, Claudia Giacomozzi, Velio Marcellari, Sandro Scattareggia Marchese, and Hermie J Hermens, J Telemed Telecare 2008;14 249-256, doi:10.1258/jtt.2008.080104
Satisfaction with care in post-stroke patients undergoing a telerehabilitation programme at home
“We conducted a pilot telerehabilitation study with post-stroke patients with arm motor impairment. We compared the degree of satisfaction of patients undergoing a virtual reality (VR) therapy programme at home (Tele-VR group) to satisfaction experienced by those undergoing the same VR therapy in a hospital setting (VR-group). The rehabilitation equipment used a 3D motion tracking system to create a virtual environment in which the patient’s movement was represented. In tele-therapy, the patient equipment was installed in their homes, connected to the hospital by four ISDN lines at a total bandwidth of 512 kbit/s. Rehabilitation data were transmitted via one line and videoconferencing via the other three. Ten patients with mild to intermediate arm motor impairment due to an ischaemic stroke, were randomized into VR or Tele-VR groups. A questionnaire was used at the end of treatment to measure each patient’s degree of satisfaction. Tele-VR treated patients showed median values equal to or higher than the VR group patients in all 12 items investigated, except one. In motor performance, the Tele-VR group improved significantly (P ? 0.05), while the VR group showed no significant change. Patients assigned to the Tele-VR group were able to engage in therapy at home and the videoconferencing system ensured a good relationship between the patient and the physical therapist whose physical proximity was not required.”
Abstract
Lamberto Piron, Andrea Turolla, Paolo Tonin, Francesco Piccione, Lisa Lain, and Mauro Dam, J Telemed Telecare 2008;14 257-260, doi:10.1258/jtt.2008.080304
Caregivers’ acceptance of electronic documentation in nursing homes
“A comparative study was conducted in two Australian nursing homes operated by the same organization. One home had implemented an electronic documentation system and the other remained paper-based. Survey questionnaires were answered by 14 of the 17 caregivers at the electronic documentation site (82%) and 10 of the 23 caregivers at the paper documentation site (43%). They provided opinions about satisfaction with their home’s documentation system, and the training and support provided. Information was also obtained on the caregivers’ attitudes towards using electronic documentation. The caregivers at the electronic documentation site quickly adapted to the use of the new technology after receiving effective training and support. Caregivers at both homes were satisfied with their homes’ documentation system, and had positive attitudes towards using electronic documentation systems. As an important communication tool, electronic nursing documentation may lead to improved efficacy of telemedicine in nursing home settings.”
Abstract
Ping Yu, David Hailey, and Haocheng Li, J Telemed Telecare 2008;14 261-265, doi:10.1258/jtt.2008.080310
The use of videoconferencing for mental health services in Finland
“The utilization of telemental health (TMH) services in Finland was surveyed in 2006. In total, 135 health-care units provided responses. Eighty-four responses were received from primary care units (health-care centres and clinics) and eight from other clinics, in all hospital districts. The overall rate of TMH consultations was 4 per 100,000 population. The highest TMH consultation per population ratio, 22 per 100,000, was in northern Finland. Most of the sites used telepsychiatry services for less than 10% of clinical outpatient services. The sites with over 20% utilization of clinical TMH services from all psychiatric consultations were all rural health centres. Compared with Finland, the utilization rates of TMH were higher in Canada; that might be due to differences between the countries in the organization of mental health services in primary and specialized care. In Finland TMH consultations made up only a very small proportion of all mental health services. The use of TMH was particularly common in remote areas; however, there were many rural centres that did not utilize clinical TMH. TMH was widely utilized for continuing and medical education.”
Abstract
Arto Ohinmaa, Risto Roine, David Hailey, Marja-Leena Kuusimäki, and Ilkka Winblad, J Telemed Telecare 2008;14 266-270, doi:10.1258/jtt.2008.071212
Use of mobile phone cameras for after-hours triage in primary care
“Mobile phone images might be useful in after-hours triage of primary care. We conducted a study to identify population access to mobile phone cameras and to assess the clinical usefulness of mobile phone cameras. The survey was conducted among 480 patients attending two rural New Zealand practices. There were significantly more Maori owners compared to non-Maori (P = 0.002). Age was a significant factor influencing the ownership of mobile phones. We also conducted a clinical quiz among health professionals to assess how the provision of images on a mobile phone and on CD-ROM (to simulate the image that would be seen if email was used to transmit the images) influenced diagnostic confidence. Ten photographable clinical conditions were used to quiz 30 health professionals who were randomized into three groups of 10 each on diagnostic confidence. Images were found to significantly increase diagnostic confidence in all cases except one. It appears that mobile phone cameras are generally acceptable to patients and likely to be of practical use to rural practitioners in a range of clinical scenarios.”
Abstract
Chandra Jayaraman, Paul Kennedy, Gaelle Dutu, and Ross Lawrenson, J Telemed Telecare 2008;14 271-274, doi:10.1258/jtt.2008.080303
“Health and social care services have five years to develop the telehealth and telecare services they will need to cope with an ageing population, Dr Mike Bainbridge, NHS Connecting for Health’s clinical architect, has warned.
Speaking at a fringe session at this year’s NHS Confederation conference, Dr Bainbridge said that ageing combined with an increasing burden of chronic disease threatened to make current models of healthcare unsustainable within a few decades.”
Article
e-Health Insider, 23 June 2008
“Telecare will play a major role in ensuring that the 5.2m carers in England and Wales get to have a life of their own, according to the government’s newly-published Carers Strategy.
The strategy sets out a ten-year programme to improve the lives of carers and has been backed by £255m of investment to expand short breaks for carers, provide support carers to re-enter the job market and provide more training for GPs.”
Article
e-Health Insider, Primary Care, 16 June 2008
“The chief executives of two UK care charities have stressed the importance of telecare services and called for the current eligibility criteria for such services to be scrapped.
Speaking at a telehealthcare conference organised by specialists Tunstall in London yesterday, Stephen Burke, chief executive of Counsel and Care, and Imelda Redmond, chief executive of Carers UK, said existing “barriers and obstacles” to telecare must be removed.”
Article
e-Health Insider Primary Care, 4 June 2008
“Telehealthcare has the potential to radically transform health and social care delivery and support the Government’s goal of providing integrated, person-centred care services within the community. This is according to a panel of leading healthcare experts, directors of adult and community services and the Local Government Association.”
Article
eHealthNews.eu, 3 June 2008
Due to many requests, the deadline for the chapter submission for the ICMCC book on Digital Homecare has been extended till June 15
Tagged: digital homecare, telecare, telehealth and telemedicine ; posted on Wednesday, May 14th, 2008 at 9:38 am“The start of the UK’s largest ever trial of telecare and telehealth in a £31m programme covering 6000 people has been announced by the Department of Health.
Health secretary Alan Johnson said the Whole System Demonstrator (WSD) Programme had begun this week in Kent, Newham and Cornwall, testing the potential of technologies like telecare and telehealth to support those with complex health and social care needs.”
Article
e-Health Insider, 13 May 2008
“The Disabled Living Foundation (DLF) launched a new site with focused advice for the public this week: Telecare Made Easy. It has some excellent features.”
Article
Telecare, 2 May 2008
“MEDNet Project will develop a medical network that addresses the problems of providing health care from a distance. The medical network will be supported by expert physician located in urban cities of Latin America. The medical applications will be vary from gynaecology, paediatric, cardiology to typical infectious diseases for the region such as malaria and tuberculosis.”
Article
eHealthNew.eu, 21 April 2008
“The aim of this briefing is to provide commissioners, providers and planners with information on telecare services that are available in England to support people with dementia, their carers and families.”
Briefing
CSIP Networks, April 2008
Abstract
This study involved 162 elderly patients using three different types of care: a daycare center, a nursing home, and telecare service. Each participant completed a questionnaire that assessed socio-demographic characteristics and overall satisfaction. Those using telecare were satisfied 98.5% of the time as compared to the 75.3% for the nursing home and 76.5% for the daycare center.
The primary aim of this study was to assess the level of satisfaction with 3 types of formal care systems of the elderly: (1) a day care center, (2) a nursing home, and (3) telecare service in a group of oldest frail elderly, and to describe the characteristics of the population using the services. The study involved a population of 162 oldest elderly using 3 different types of formal care services. Study participants were asked to complete a questionnaire, investigating socio-demographic characteristics and degree of overall satisfaction with the service, as well as eliciting possible suggestions for improvement. In our study, nearly all subjects using the telecare service were satisfied or very satisfied (98.5%), as compared to 75.3% of those residing in a nursing home, and 76.5% of those attending the day care center. This result confirms the findings of previous studies on elderly subjects satisfaction with telecare services. Telecare, therefore, seems to be the service achieving the greatest levels of satisfaction, a service that can also be used by low-income subjects, by whom it is also perceived as a source of social support.
Article
Maria L. Onor, Marianna Trevisiol, Ornella Urciuoli, Shai Misan, Francesca Bertossi, Gabriella Tirone, Eugenio Aguglia, Elisabetta Pascolo-Fabrici, Telemedicine and e-Health, March 1, 2008, 14(2): 164-169, doi:10.1089/tmj.2007.0028
Abstract:
In health systems, there has been an emergence of new types of data and new technologies that allow continuously monitoring the status of the patients and make easy the achievement of real time information. The storage of all the acquired information makes possible to identify trends in medical data by means of new Clinical Decision Support subsystems. Current knowledge management solutions are specific, proprietary and closed and can not perform real-time analysis to improve the patient’s diagnosis or treatment. There are neither solutions that integrate the large amount of heterogeneous information that nowadays are available in health environments. To overcome these objections, this paper proposes a new approach to design a data management system in a telehealthcare system with specific real-time constraints on knowledge acquisition and generation. It is a preliminary study and presents the main features of the system architecture and a preview of the technological solution implemented.
Fabiola FERNÁNDEZa, Laura M. ROAa,b, Manuel PRADOb,a
a Biomedical Engineering Group, University of Seville, Seville, Spain
b Network Center of Biomedical Research in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Seville, Spain
To be published in “Medical and Care Compunetics 5″, IOSPress, 2008.
To be presented at the ICMCC Event 2008.
Papers are published in the proceedings in the Medical and Care Compunetics 5, Studies in Health Technology and Informatics by IOSPress
National and Regional Projects
Aspects of Electronic Health Records
European Projects
Knowledge Management
Platforms
Behavioral Compunetics
Empowerment
Personal Health Paradigm Challenging Citizens and Patients
Empowering Disabled People with ICT Tools
Summary by session chair M. Popovich.
organised by Prof. Bernd Blobel
Special Session organised by the European Federation for Medical Informatics, Working Groups “Electronic Health Records” and “Security, Safety and Ethics”
organised by Prof. Giuseppe Tritto, President of the WABT (World Academy of Biomedical Technologies)
“Abstract:
In a controlled study of older people living in sheltered housing (retirement housing), 24 people provided with telecare were compared with a control group of 28 people. The intervention consisted of second generation telecare equipment, such as automatic flood or falls detectors, a third generation lifestyle reassurance system and an Internet café. After a 12-month monitoring period, there was no noticeable change in the fear of falling. There was no significant difference for eight of the nine SF-36 domains. However, the Social Functioning domain showed a significant difference (P = 0.049), with scores 8% higher in the intervention group, suggesting a beneficial effect of telecare. Positive trends were also evident in areas such as an increase in the length of time spent out of the home, improved feelings of safety during the day and night, and a reduction in the fear of crime. The Internet café was used by 25% of people for at least 20 min per week. The results suggest that second generation telecare systems and Internet facilities could be more widely used in service delivery, but that lifestyle reassurance requires further development.”
Abstract
Brownsell, Simon; Blackburn, Steven; Hawley, Mark S., Journal of Telemedicine and Telecare, Volume 14, Number 1, January 2008, pp. 8-12(5)
“More work is needed to fill the evidence gap on telehealth if it is to enter the mainstream, according to a Department of Health agency.
The Care Services Improvement Partnership (CSIP) has issued a review of the academic literature on the use of telehealth in the management of patients with long term conditions (LTCs).”
Article
e-Health Insider Primary Care, 29 January 2008
“Belfast, Northern Ireland, is to be the home of a new ‘European Centre for Connected Health’, intended to help test technologies that enable people with chronic conditions live independently at home.
NI Health Minister Michael McGimpsey and Economy Minister Nigel Dodds announced the establishment of the centre at last week’s Connected Health Conference, held in Belfast.”
Article
e-Health Insider Primary Care, 29 January 2008
“Materials and methods Ten Focus Group Interviews (FGIs) were conducted with patients suffering from congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), or both, from seven different ethnic groups in Sydney. Six key discussion points were used to conduct the FGIs. The participants were shown a video demonstrating the HTMS and its operation, followed by the demonstration of an HTMS prototype. The participants, who had no prior experience with the HTMS, were then asked questions to access their perceptions in potentially real situations. The discussions were audio-taped and content analysis performed.
Conclusion Most participants perceived the system as a useful and convenient mode of health care delivery, expressed positive attitudes toward the HTMS and expressed intent to use the system. However, there were concerns centred on the issues of cost, ease of use, clinical support, low self-efficacy and anxiety related to the use of the HTMS. The findings of this study suggest that HTMS self-efficacy and anxiety are likely to be important constructs in patients’ acceptance of home telecare. Therefore, we propose these two factors be included in future HTMS acceptance models. Also it is suggested that in order to develop training programs for patients to use HTMS, tailored training components should aim to reduce ‘HTMS anxiety’ and improve ‘HTMS self-efficacy’. Participants agreed that the HTMS would save cost and time by reducing hospital admissions, emergency department and medical practitioner visits and associated travel. Participants generally agreed that the HTMS could inform patients of their health conditions, thus promoting active participation in their health management and empowering them to perform better self-care. Also, they agreed that the HTMS could improve their health management by their doctors by providing more accurate and up-to-date information, to help them make better decisions. They suggested that the HTMS could have a preventative role in terms of providing early warning when their health conditions were deteriorating, which could lead to on-time appropriate interventions. The latter may result in reducing the use of emergency services and hospital admissions.”
Abstract
Mohammadreza Rahimpour, Nigel H. Lovell, Branko G. Celler and John McCormick, International Journal of Medical Informatics, In Press, Corrected Proof, Available online 26 November 2007, doi:10.1016/j.ijmedinf.2007.10.006
“I’m writing this from Philadelphia where this evening I’ll be presenting at the 2007 International Freddie Awards. The awards ceremony honors the very best in health and medical media (television, film and video) from around the globe.”
Article
Bill Crounse, Microsoft, Healthblog, 2 November 2007
Objectives: The phenomenon of aging society has derived problems such as shortage of medical resources and reduction of quality in healthcare services.
Method: This paper presents a system infrastructure for pervasive and long-term healthcare applications, i.e. a ubiquitous network composed of wireless local area network (WLAN) and cable television (CATV) network serving as a platform for monitoring physiological signals. Users can record vital signs including heart rate, blood pressure, and body temperature anytime either at home or at frequently visited public places in order to create a personal health file.
Discussion/conclusion: We proposed and implemented a long-term healthcare system integrating WLAN and CATV networks in the form of a ubiquitous network providing a service platform for physiological monitoring. This system can classify the health levels of the resident according to the variation tendency of his or her physiological signal for important reference of health management.
Abstract
Chung-Chih Lin, Ren-Guey Lee and Chun-Chieh Hsiao, International Journal of Medical Informatics, In Press, Corrected Proof, Available online 1 November 2007
“Background: Fourteen years after the reform to Colombia’s health system, the promises of universality, improved equity, efficiency, and better quality of care have not materialized. Remote areas remain underserved and access to care very limited. Recognizing teleconsultation as an effective way to improve access to health care and health information, a noncommercial open-access Web-based application for teleconsultation called Doctor Chat was developed.
Objective: The objective was to report the experience of the Center for Virtual Education and Simulation eHealth (Centro de Educación Virtual y Simulación e-Salud) with open-access Web-based asynchronous teleconsultation for consumers in Colombia.
Conclusion: The implementation of a Web-based teleconsulting service in Colombia appeared to be an innovative way to improve access to health care and information in the community and encouraged open and explicit discussion. Extending the service to underserved areas could improve access to health services and health information and could potentially improve economic indicators such as waiting times for consultations and the rate of pregnancy among teenagers; however, cultural, infrastructural, and Internet connectivity barriers are to be solved before successful implementation can derive population-wide positive impacts.
Article
Valenzuela JI, Arguello A, Cendales JG, Rizo CA, J Med Internet Res 2007;9(4):e33, 22 October 2007
“Speakers came from across the spectrum of organisations that have been involved in exploring and developing telecare in the home countries: from central government to NHS community trusts and local authority housing departments. Most stressed that success in telecare depends crucially on getting the right mix of joint funding and partnership working, and the ‘perfect recipe for that cake’ still remains to be found. The challenges of shifting telecare from small-size projects to nation-wide adoption emerged as a dominant theme.”
Article
Telecare 2007, October 2007
“Six people with multiple health problems living in an extra care housing scheme for older people with vision impairment agreed to take part in a telecare trial. An average of 14.8 sensors was installed in each of the flats. The monitoring period began in January 2006 and lasted for 10 months. The data acquired by the sensors installed in each flat was transmitted from the home unit to a central computer. Four interviews were conducted with each participant. Halfway through the study we created a number of case studies of sensor activity at the time of known events in the lives of the participants, together with an attempt to interpret these patterns of activity with the benefit of available contextual information. Although our investigation showed that sensors are capable of identifying some changes in daily routines at the time of important events, the interpretation of such changes requires a large amount of contextual information and the involvement of participants themselves. Various technical and operational difficulties will need to be resolved before it will be possible to use lifestyle monitoring predictively.”
Abstract
Hanson, Julienne; Osipovi?, Dorota; Hinew, Nick; Amaral, Telmo; Curry, Richard; Barlow, James, Journal of Telemedicine and Telecare, Volume 13, Supplement 1
Arthur van Buitenen*, Patricia Esveld**, Catharina Meijer***
*Pleon BV Strategic Communications, NL
**It Cares BV, NL
***ThuiszorgOnline BV, NL
All our national healthcare systems eventually have to deal with the rising number of elderly people in society. This is what binds us in finding new ways of homecare, using ICT. This workshop is a format to come to concrete next steps in day-to-day practice.
Starting with a vision on future telehomecare and identifying stakeholders, we will demonstrate the opportunities of telehomecare. You will be encouraged to share your knowledge and experience in this area. The aim of the workshop is to come to concrete proposals for actions. After participating in this session, you will have a clear idea on what telehomecare is and how it diminishes pressure on healthcare systems……. starting tomorrow.
Tagged: elderly, homecare and telecare ; posted on Saturday, June 4th, 2005 at 7:15 pm103,542 hits in October
62,369 pageviews in October.
Since 1 January 2007:
Visitors: 234,125
Pageviews: 917,078
Hits: 1,608,251
Average unique visitors per month: 6,500
November 2008 October 2008 September 2008 August 2008 July 2008 June 2008 May 2008 April 2008 March 2008 February 2008 January 2008 December 2007 November 2007 October 2007 September 2007 August 2007 July 2007 June 2007 May 2007 April 2007 March 2007 February 2007 January 2007 December 2006 November 2006 October 2006 September 2006 August 2006 July 2006 June 2006 April 2006 February 2006 September 2005 June 2005 June 2004
EHR (1677), News (2887), Record Access (168), Science (565), Uncategorized (1),
Countries
Abu Dhabi (2),
Africa (18),
Algeria (1),
Asia (3),
Australia (64),
Austria (3),
Belgium (10),
Brazil (2),
Bulgaria (4),
Canada (106),
China (3),
Denmark (7),
Dubai (1),
Estonia (4),
Finland (12),
France (13),
Germany (114),
Greece (2),
Hungary (1),
India (23),
Ireland (3),
Israel (3),
Italy (6),
Japan (7),
Jordan (1),
Latin America (1),
Lithuania (2),
Luxemburg (1),
Malta (2),
Netherlands (76),
New Zealand (7),
Norway (7),
Pakistan (2),
Philippines (1),
Poland (1),
Portugal (4),
Romania (6),
Saudi Arabia (1),
South-Africa (2),
Spain (36),
Sweden (13),
Switzerland (4),
Taiwan (1),
UAE (1),
UK (318),
USA (1867),
EHR per country
EHR Abu Dhabi (2),
EHR Australia (23),
EHR Belgium (1),
EHR Bulgaria (2),
EHR Canada (62),
EHR Denmark (2),
EHR Estonia (2),
EHR Finland (3),
EHR France (3),
EHR Germany (70),
EHR Hungary (1),
EHR Japan (1),
EHR Netherlands (47),
EHR New Zealand (1),
EHR Norway (3),
EHR Portugal (1),
EHR South-Africa (1),
EHR Spain (6),
EHR Sweden (4),
EHR UAE (1),
EHR UK (160),
EHR USA (944),
3D access administrative adolescents adoption adverse drug reactions alzheimer Ambient Assisted Living archetypes assistive technology asthma autism awareness barcode behaviour benefits biobank bioinformatics biomedicine biometrics biotechnology bioterrorism blind Blog brain CAM cardiology care record CCR cellphone CEN certification children chip chronic care chronic diseases clinical data clinical guidelines clinical messaging clinical trials clinician patient relationship cloud coding Common User Interface communication community comparison compatibility complementary medicine compliance compunetics confidentiality consent consultation consumer COPD costs cpoe Croatia czech republic dashboard data farming data fishing data mining data model data registries data sharing data storage de identification decision support dementia dentistry depression dermatology devices diabetes diagnose dice digital assistant digital divide digital homecare digital hospital digital microscopy disabled disease management disease reporting disease surveillance disruptive DNA document management drugs dubai duplicates e consult e health e mail e patient e prescribing education effectiveness efficiency eICU elderly electronic data capture electronic tagging emergency empowerment emr epidemics ethics ethnicity europe evaluation evidence based finland games gender genetic data GIS Google Health GRID handheld handicapped health 2.0 health inequality health information Health Information Exchange health information networks health information system Health Information Technology health literacy health reform HealthVault heart himss HIS hit HIV HL7 homecare homeopathy hospitals hypertension ICD 10 ict identification identity IHE XDS imaging implants incentives infectious diseases information information on prescription information technology information therapy innovation insurance insurer interface internet interoperability Ix kiosk knowledge management knowledge transfer laboratory legal LIS literacy literature medical equipment medical errors medical home medication medication errors medication surveillance medicine 2.0 Mediterranean mental health messaging middel east middleware mobile mobility modelling molecular monitoring nanotechnology narrative networks nurses obesity oncology online communities online services ontology open source openEHR orphan disease osteopathy ownership PACS paediatrics pandemics parkinson participatory pathology patient patient safety PCEL pda personalised health personalised medicine pharmaceutical pharmacist PHI phr platform poland portability portal practice prevention primary care privacy quality radiology rehabilitation remote reporting responsibility rfid robot rural safety satelite schip sealed envelope search
