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Live Chat with Dr. Jason Hwang on Disruptive Innovation

“At a Live Chat today with Dr. Jason Hwang co-author of The Innovator’s Prescription: A Disruptive Solution for Health Care, (Sponsored by the World Healthcare innovation and Technology Congress) I asked him how he saw the recent and fast paced developments in mobile phone applications and technology having an impact on health care.”
Article
Fred Fortin, AJFortin.com, 23 September 2008

Tagged: , , , , , , and ; posted on Wednesday, September 24th, 2008 at 7:37 am
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Virtual Visits in a General Medicine Practice: A Pilot Study

“The purpose of this pilot study is to investigate the feasibility, effectiveness, and acceptability of a patient-physician real-time encounter using videoconferencing technology (a virtual visit) compared to a face-to-face office visit in the general medical setting. The three broad aims of the study are (1) to compare the physician’s ability to make diagnoses in both settings, (2) to compare the physician’s ability to provide therapy in both settings, and (3) to examine both patient and physician satisfaction with both modalities. Thirty patients were recruited from a single practice to participate in the study. Patients were first interviewed and examined in the virtual setting, and then in the face-to-face setting. Both patients and physician were surveyed after each visit type with regard to quality of the history, quality of the examination, and satisfaction with the experience. The data were analyzed using two-tailed t-tests and analysis of variance. Patients significantly preferred the in-person visit (4.7 of 5), but were very satisfied with the virtual visit as well (4.1 of 5) (p < 0.0001) (scale: 1= poor, 2 = fair, 3 = good, 4 = very good, 5 = excellent). Physical examination effectiveness was significantly worse in the virtual visit modality (2.3 versus 4.9 for the face-to-face visit, p < 0.0001), but history and therapeutic effectiveness were not significantly different. Both patients and the physician felt comfortable with the technology: patients 4.1, physician 4.3. Results suggest that both patients and the physician found the virtual visit a potentially useful alternative to the traditional visit for many medical conditions. This may have significant implications for the general medical care environment. Patients may benefit from reduced opportunity costs associated with physician visits and clinicians may benefit from decrease overhead costs. Further research is ongoing to investigate the generalizability of these findings."
Article
Ronald F. Dixon, James E. Stahl. Telemedicine and e-Health. August 1, 2008, 14(6): 525-530. doi:10.1089/tmj.2007.0101.

Tagged: and ; posted on Monday, September 8th, 2008 at 7:56 am
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New Web site sends virtual house calls knocking

“A new Web site launched Tuesday offers the ability to talk to local physicians online through text, voice or video.
TalktoaDoc. org aims at giving patients a more convenient way to communicates with their physicians and is done in real time.”
Article
Bernie Monegain, Healthcare IT News, 8 July 2008

Tagged: , and ; posted on Wednesday, July 9th, 2008 at 7:50 am
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A second opinion, available from afar

“Although he had never met her, Dr. William Marshall knew a lot about Paulette Schlander.
He knew that Schlander, who lives in Duluth, had gone to Africa on safari with her husband last fall.
He knew, too, that the 58-year-old dental assistant started experiencing strange muscle pains about a month later.
Now he was trying to figure out whether the two events were connected.
In the past, Marshall, an infectious disease expert at the Mayo Clinic, would have invited her to Rochester for a full exam. This time, he didn’t have to.
For the past year, he and other Mayo physicians have been offering “virtual consults,” or second opinions by e-mail, to a Duluth clinic, SuperiorHealth Center, where Schlander is a patient.”
Article
Maura Lerner, Star Tribune (Minneapolis-St. Paul), 8 June 2008

Tagged: , , , and ; posted on Thursday, June 12th, 2008 at 7:56 am
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