Addressing telehealth's foremost barrier: Provider as initial gatekeeper
ABSTRACT During the past decade, telehealth has enjoyed a plethora of public funding and publication outlets around the world. Yet, rhetoric appears to be outpacing the actual diffusion and utilization of telehealth technologies for patient care. Several barriers, such as reimbursement and legal/regulatory issues, are commonly cited as impeding the successful deployment of this innovation. However, two separate studies carried out in Michigan that controlled for these barriers point out a more significant initial gatekeeper to the deployment of telehealth, namely providers.
Multiple data collection strategies were used in both the telehospice and telepsychiatry projects, including utilization logs, surveys, telehospice nursing notes, cost frame data collection, patient interviews, caregiver interviews and focus groups, and videotaped visits.
This study summarizes data from the two studies to support the hypothesis that the provider is the most important initial gatekeeper for telemedicine.
The implications from this conclusion have important consequences for health system deployment strategies. Specifically, telemedicine project managers must keep providers' needs (ease of use and incentives) in mind when designing a telemedicine system.
- SourceAvailable from: Mikko KorpelaProceedings of International Workshop on Ubiquitous Healthcare and Supporting Services (UBI-HEALTH 2010), 31 May - 2 June 2010, Shanghai, China, 01/2011; Helsinki, Finland: Aalto University School of Science and Technology..
Conference Paper: A Six-Port Reflectometer Operating at Submillimeter Wavelengths[Show abstract] [Hide abstract]
ABSTRACT: The frequency range of six-port reflectometry is extended to the range of submillimeter waves by a new quasi-optical six-port device consisting of quasi-optical components such as beam-splitters, reflectors and lenses. The complex reflection coefficient is determined in terms of simple power measurements using commercial r.f. power meters including X-band waveguide thermistor heads. The uncertainty of measurement is Â± 0.02 for the absolute value and Â±2Â° for the phase angle of the reflection coefficient. From the reflection coefficient measurements, the complex permittivity of solid low-loss dielectrics could be determined with small uncertainty of measurement at some fixed frequencies of about 390 GHz.Microwave Conference, 1985. 15th European; 10/1985
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ABSTRACT: Reforming mental health care is a focus of many ongoing initiatives in the United States, both at the national and state levels. Access to adequate mental health care services is one of the identified problems. Telepsychiatry and e-mental health services could improve access to mental health care in rural, remote and underserved areas. The authors discuss the required technology, common applications and barriers associated with the implementation of telepsychiatry and e-mental health services.Psychiatric Quarterly 02/2006; 77(4):335-42. DOI:10.1007/s11126-006-9019-6 · 1.26 Impact Factor