Telemedicine - Science topic

The biggest barrier is the healthcare providers themselves. Not many are motivated to deliver telemedicine due to policies, lack of political will/financial incentives and limited time.

"Digital health encompasses the use of digital technologies, such as mobile apps, wearables and telemedicine, to improve health and healthcare delivery. By combining data from the Web of Science™ and Derwent World Patents Index™, experts at the ISI and the newly established Clarivate Center for IP and Innovation Research™ provide a comprehensive analysis of the digital health space...

Explore how integrating research, commercial and healthcare data forms the foundation for tracking the lasting impact of digital health research on our world..."

Dear Nasreddine Hafidi ,

Yes! The conference is held in a hybird format, allowing participation either online or offline.

Yes, we can. Technologies for telemedicine are very advantageous for reaching impoverished communities, particularly in rural locations. Rural residents can now receive health services because of the cooperation of healthcare providers in urban areas and information technology advancements. Our ability to provide effective telecommunications services and sound regulations on information security, privacy, and confidentiality are the primary limitations in this situation.

Thank you dear sir, This helped a lot

For pediatricians and in our long country ,people can acess without moving from home to have consult for speciality like hematology

Nagabhushan Umesh

You can look at these two documents. They don't exactly talk of tele-me dicine, but it should be possible to adapt it to such a case by modifying the scenario and the MAC protocol

Artificial intelligence (AI) has the potential to significantly impact the field of telemedicine processing of biosignals and medical images. Here are some recent advances and challenges:

Advances:

Challenges:

Overall, AI has the potential to revolutionize the field of telemedicine processing of biosignals and medical images, but there are significant challenges that need to be addressed to ensure the safe and effective deployment of these technologies.

Project can be on "Impact of Telehealth platforms on reducing adverse morbidity from chronic health condition and increasing DALY"

I am a Telemedicine expert and will like to be part of your research study. my email is noblesmathsmagic@gmail.com

Through adoption of telehealth applications concerning chronic diseases in terms of control, prevention and management.

In IT area, to create one friendly use telehealth application that serve to improve health promotion regarding chronic diseases.

In research area, to assess the effectiveness and practicality of the telehealth applications. And to evaluate healthcare providers competencies related to telehealth approach.

In education, to integrate telehealth content in both education and practice courses.

In administration, to adopt, support and eliminate the potential barriers to these applications.

Sincerely yours.

In case you still need a reviewer for your paper, I can help with this.

Thank you so much

Dear Celso Pagatpatan, Jr.,

the use of Human Health Digital Twins (HHDTs) to support telemedicine/telehealth is a current and broad area of research.

At address

the Figures 10152, 10153, 10154 and 10159 illustrate the idea of using HHDTs.

The added literature sources should give you a broad overview of the use of HHDTs.

Best regards and much success

Anatol Badach

Jorge Luis Rojas-Arce, Eduardo Cassiel Ortega-Maldonado: „The Advent of the Digital Twin: A Prospective in Healthcare in the Next Decade“; In book: Advances in Production Management Systems. Artificial Intelligence for Sustainable and Resilient Production Systems; Aug 2021, DOI: 10.1007/978-3-030-85910-7_26

J. Masison, J. Beezley, Y. Mei, HAL Ribeiro, A. C. Knapp, et al.: A modular computational framework for medical digital twins; Proc Natl Acad Sci U S A, May 2021, 18;118(20); DOI: 10.1073/pnas.2024287118

Haya Elayan, Moayad Aloqaily, Mohsen Guizani: Digital Twin for Intelligent Context-Aware IoT Healthcare Systems, IEEE Internet of Things Journal ( Early Access ), Jan 2021, DOI: 10.1109/JIOT.2021.3051158

Eugen Octav Popa, Mireille van Hilten, Elsje Oosterkamp, M.J. Bogaardt: „The Use of Digital Twins in Healthcare; Socio-ethical benefits and socio-ethical risks“; Wageningen University, Technical Report, Jan 2021

Tolga Erol, Arif Furkan Mendi, Dilara Doğan: The Digital Twin Revolution in Healthcare; 4th International Symposium on Multidisciplinary Studies and Innovative Technologies (ISMSIT), Oct 2020, DOI: 10.1109/ISMSIT50672.2020.9255249

your topics are very different ones... I think the 1st one is much more promising...I think getting some data would be way easier than the 2nd one..

Thank You. I submitted the paper with new research.

Thanks very much

I will answer the question on interpretation of the scale:

1. Is this scale used before and are research results published? Did authors come up with an interpretation? You shall do a literature search to answer this and find out. If you do not do this, why would you have applied this CSS-12 in first place.

2. What are the actual answer categories? Are these of Likert type? Then the load for low - moderate - high can be interpreted from generic question and answer rules for such scales. See scientific literature about construction of Likert type scales and instruments.

3. How did you apply it to your participants? Low = 1, moderate = 2, high =3 is quite common. Perhaps the manual gives a hint to that. If that is the case number of questions x score gives a good option to interpret the total scores per participant. And from there you can move to interpret at group level.

Say 10 questions, then 10 x 2 is moderate and 10 x 3 is high. You might consider anything between 20 and 30 as an appropriate level or high enough and hence, anything between 10 and 19 as inappropriate or too low.

You can never generalize from one instrument to the other how the individual scores to questions and the total score must be handled. Each scale or instrument has its own number of questions, each direction for each question (normally some Q are more positively worded and others more negatively to prevent bias in answering), and each different number of answers. The only more or less comparable approach is with Visual Analogue Scales, such as the pain scale.

And even within the scale CCS-12 you cannot interpret from question 1 to question 2, unless the loading of each question is similar (both positive, or both negative). This requires each question to have exactly the same Likert scale (there are instruments applying a different Likert scale to each question).

Hi Liliana,

Yes, you are right. There is a plenty of discussion in this area. Please find below some guidelines.

Thanks a lot for gracious participation respected Dr ranjeet

Hi Alfredo,

although I did not find a paper that 100% fits your questions at first glance, I think the following papers might be a good starting point when you seek to figure out how to evaluate eHealth-based public health interventions:

Best,

Marius

Follow this question and answers:

Here you can find more info

Hi Brooke,

telehealth is a very broad domain. Do you have any particular interests? Maybe with regard to a specific technology or use case? I can provide you with some research once I know what you are aiming for.

Feel free to check out or research on primary care and the appplication of video consultaion:

Another of our articles is currently in press in JMIR, it deals with team-based care and delegation processes:

PS: The Journal of Medical Internet Research (JMIR) is a perfect start for research on that topic.

Hi Elnaz

Here are some recent references on BED and Internet or smartphone treatment:

Keith

I do agree with the previous comment, you will need to complete the additional tests listed to confirm the reliability of the survey. It could impact your data results, whereby it could be incorrect. Jurek Kirakowski gave a thorough response. Good luck with your research.

Yes Samuel. Also, HIPPA protects patients rights.

I think the first question about picking a feasible research journal is that the topic of your research and the scope of the journal do match. That said, it might very well be possible to publish something off topic into another journal because, e.g. the methodology used is exemplary.

Aiming all of a PhD work to one journal in itself would be a kind of publication bias. So carefully select appropriate journals. And besides JMIR (and which of the about 20 derivatives?) there are excellent alternatives as the International Journal of Medical Informatics (IJMI), Health Information Research (HIR), Methods of Information in Medicine (MIM), Applied Clinical Informatics, and so on.

Pros and Cons of Telemedicine for Today's Workers

This paper might be helpful.....it does use simulator

As Cagla Kantarcigil mentioned, this varies drastically from one country to another, and must be treated on a case by case basis.

You might find this review aimed to explore which frameworks are used the most, to understand clinicians’ adoption of mHealth as well as to identify potential shortcomings in these frameworks. Highlighting these gaps and the main factors that were not specifically covered in the most frequently used frameworks in order to assist future researchers to include all relevant key factors https://mhealth.jmir.org/2020/7/e18072/

I think one of the major factors that influences the dissemination of telemedicine across developed countries are the legal conditions and governmental policies that prevail in the specific countries. In Germany, for instance, many practitioners hesitate to adopt telemedicine due to legal requirements (which is supposed to be a good thing in general, but it hampers implementation in individual cases) and ambiguity in funding the technology.

Best regards

Marius

Aparna Sathya Murthy Vikas Ramachandra Thank you very much for your valuable answers.

To do a cost-benefit analysis of a telehealth program is not much different from doing cost-benefit analysis of other types of health care interventions.

You need a clinical study with an intervention group and a control group that you can follow and collect data from. Then you need to collect data on the total cost of the telehealth intervention including investments, training, time by the clinical staff ect. You also need to assess change in costs related to the patients use of health care and transportation.

If the study shold be consistent with welfare economic theory, you also need to estimate the value of the telehealth service for the patients of the citizens. This is difficult, but it can be estimated as the patients or the citizens willingness to pay for the services, e.g. by use of an interview study. The results will always be very uncertain, but if you expect patients to have strong preferences for a services, you can use their willingness to pay as a way to illustrate these preferences.

You can find information about how to do a cost benefit analysis in the Drummond et al. handbook on health economic evaluation: https://www.bookdepository.com/Methods-for-the-Economic-Evaluation-of-Health-Care-Programmes-Michael-F.-Drummond/9780199665884?redirected=true&utm_medium=Google&utm_campaign=Base1&utm_source=DK&utm_content=Methods-for-the-Economic-Evaluation-of-Health-Care-Programmes&selectCurrency=DKK&w=AF4ZAU99VZBZQXA8VCXS&gclid=CjwKCAjwkoz7BRBPEiwAeKw3q6HROU3IHVGPOnYwkzDgoq4wG53KD3wzdsfOfB9V-9DTNymSOF-8fxoCeIoQAvD_BwE

Regards,

Kristian

John Tredinnick-Rowe we've recently published a review of the most used frameworks in assessing technology adoption in healthcare, including a gap analysis and a suggested aggregated framework covering all relevant factors, thought you might find it relevant

https://www.pulsara.com/blog/5-ways-telemedicine-can-help-turn-the-tide-against-covid-19

There are a lot of aspects to talk about regarding teledentistry. Here are some articles on the topic.

This is a good question and it should be added that teledentistry has long been existing, yet the existence of COVID-19 highlighted it. Sub-questions should or may also be added for an in-depth discussion on teledentistry.

@christine

Thank you so much for your reply and sharing your paper with me.

Can we work together next in this domain of research health.?

Hello, in Portugal, during Covid there was a huge increase of tele consultation. Still some barriers were found:

- older people have more difficulties in using digital tools.

- 3G and 4G coverage is still low in some rural areas.

- Lack of good tele consultation tools available to be used, some physicians then still want to do the face to face consultation.

Good point, there is no legal cover for telemedicine even by patients directly. COVID-19 pandemic showed this problem promptly. We need from WHO help to put the basis of legal rules for telehealth in world wide.

Regards.

Hi, there is a very similar question with some answers here:

While you can find generic criteria to evaluate, I think you also need to evaluate the needs that the technology should meet. These will differ from use case to use case, and hence it's difficult to say which would be the "best" mhealth app in any given situation.

A.s. Albahri and this one too could be helpful

Are you interested in evaluating health information systems, or only the technology in isolation?

For the former, i would recommend the HMN Framework as a start

and use the assessment tool you will find from WHO here:

The PRISM framework would also be relevant

And there will be lots of relevant information from the WHO guidelines on digital interventions:

Have a look at web supplement 1 and 2 for references and reviews of mHealth evluations.

m-Health, short for mobile health, is increasingly making its mark because of the benefits it offers due to wearable ans other devises. It comprises apps and data collection utilities based on smartphones/mobile phones and other wireless technology to promote care coordination, treatment support, and other communication in the healthcare industry and prevention interventions, disease surveillance, epidemic outbreak tracking and chronic disease management in public health.

Check this.

https://elcvia.cvc.uab.es/article/view/v18-n1-sunkara

Agree with Emre Sezgin and Nabil Zary , engaging the users in the constant development of eHealth tools is crucial for their sustainability and success, by listening to the users, providers can ensure that their tools will stay useful and relevant.

In our Hospital we have implemented the Manchester triage system with very good results. From 51 reasons of consultation and through some questions addressed in a diagram. That is, according to the answer yes / no, classification occurs, with 5 severity levels. It also has a digital version.

No, you can't. Blockchain is not a database. It is a transaction record. It allows you to track when data was shared, but it does not allow sharing of the data itself. Blockchain is a tracking tool. It was designed to prevent people from double-spending an electronic 'coin'. Real-world coins get physically transferred from one person to the next. But in the electronic world, you can make a 'copy' of something and give the copy away and still retain a copy for yourself. This would not work for transactions of value.

So, blockchains can be used to track where data goes, as long as everyone who uses it reports the transaction to the blockchain!

Thank you Dear Doctor Brain for your reply.

This mHealth assessment tool is an example of what the WHO guidance offers https://apps.who.int/iris/bitstream/handle/10665/185238/9789241509510_eng.pdf?sequence=1

Could you please clarify what you mean with Ad hoc here? Are you referring to Telemedicine service providers?

Rajiv Kumar Gupta Thanks again for your inspirations. I aim to pick the positives for doing something for rural people.

Dear Mario,

will hand the MARS german paper in this week. For the uMARS validation study we need some more time. Approximateley June. You can have access to both instruments if you sign our "data use agreement". Just contact me via Mail: eva-maria.messner@uni-ulm.de and I will submit you the form. Yes it is the above mentioned versions.

Kind regards from Brisbane,

Eva.

There are many factors impacting adoption, not only technological factors but also some social/organisational factors... this systematic review might be very helpful to you

Attached are some articles I found in related to your question.

Regarding industry 4.0 on the specific topic of EHR, hopefully interoperability between different systems will be achieved and we will see the potential use of blockchain technology

I don't think there are formal guidelines for reporting mixed methods research because so much depends on the kind of design you use. For instance, you might be using an "exploratory sequential" design (qual --> QUANT) where you begin with a preliminary qualitative study to develop the content for the quantitative portion of the study, or you might be using an "explanatory sequential" design (QUANT --> qual) where you use a follow-up qualitative design to understand the results of the quantitative study. These two different designs would require different approaches to reporting the results.

Alternatively, if you have basically done two studies on the same topic (QUAL + QUANT), you can report the results in two separate sections, and then use the Discussion section to "integrate" the two sets of findings.

Telemedicine can facilitate multidisciplinary meeting with experts in the field to discuss and put plan for the proper management of lung cancer among other types of cancers

I recommend my work: Recognition of the Pathology of the Human Movement with the Use of Mobile Technology and Machine Learning

I think that In bipolar patients a device that would keep track of some basic activities like the duration of sleep and his regolarity could be useful to pay attention to a possible switch of the mood.

Non-mydriatic fundus camera Centervue Eidon Confocal Retinal Scannerhttps://www.centervue.com/products/eidon/

True color, Red Free and infrared confocal imagesSuper-high resolution and contrastCapability to image through cataract and media opacitiesDilation-free operation (minimum pupil 2.5 mm)Wide Field imaging (60° in single exposure and up to 150° with Mosaic function)Optimal exposure of the optic discExam time less than 1’ per eye (single field)From Fully automated to Fully manual modeUser friendly software interface https://www.ophthalmetry.com/retinal-cameras/centervue-eidon.html

Centervue Eidon Confocal Retinal Scanner is a hybrid device with wide-view system that combines non-mydriatic fundus camera with confocal scanning technology to provide a true-color image

Hi Eduard. You can have look at Dr. Catherine Mohr projects. She successfully developed some surgical robots but I am not sure are those robots support telemedicine or not. On one of her talks in New Zealand (2014) she mentioned about her project on telemedicine robots.

I am not sure if the question refers to 'healthcare' and 'telemedicine' or 'telemedicine' and 'telehealth'.

Differences in terminology are basically a matter of the context in which it is used.

My take on this (not necessarily right) is that 'telehealth' is referred to the distant monitoring of the 'health' of individuals (irrespective of healthy or ill) and 'telemedicine' is related to the practice of medicine in remote areas (or not so remote) by remote means. Thus, 'telehealthcare' would be the assistance to health issues by remote means, and a synonym of 'teleassistance'.

Examples of these concepts would be: a) telehealth (i.e., monitoring exercise routines or diet through mobile apps or wearable devices.); b) telemedicine (i.e., a technician doing a retinography in a remote location which results would be interpreted by a specialist in another location, operate remotely by a robot interface, etc.); and c) telehealthcare (e.g., conducting a medical visit and examination through video conference on the internet.)

In my opinion, they are not interchangeable, although they try to convey different context that generally overlaps.

Patient education: Customization- have a generic template practitioner can customize (drugs prescribed, notes etc.) Updates- auto-alters, monitoring, pt input, tracking outcomes.

Research: make any software work with other software, interoperability. Prompts to related research- garbage in, garbage out. Need to know what you are looking for, synonyms. Help clinicians form good clinical questions- PICO.

RockHealth puts out reports, but not formal studies, that may have what you are looking for. 

I suggest you to consider the Momentum Framework It offers critical factors for implementation success...

Business Insights is a website used by many University tech transfer offices for inventions based on the field in which the item will be used.  It does provide some basic outlook on the economic prospects in the particular field.  I did some literature reviews in the past on efficacy of telehealth for COPD patients.  The poster presentation on this topic is listed on my researchgate site.  I did find enough literature to at least do an effect size.  Good luck!

Thanks Hooper, good to know that. i will check on that.

Dear,

Currently ICT play very big role in health care sector. Following are the benefits which you can include in your questioners

1. A physician in a remote rural hospital is initially unable to diagnose a patient with a complex array of symptoms. However, using his ICT,  he is able to diagnose and successfully treat the patient for a tropical disease the patient picked up while traveling abroad.

2. A neonatologist, who transmits CT-scans and other medical images by e-mail to his network of personal contacts around the world to help in diagnosing and treating premature newborns, estimates that teleconsultations have helped him to save numerous lives during the past year.

I shudder at the thought of your hypothesis, which so clearly does not reflect any kind of depth psychology. At least have a look at these discussions:

Supervisory processes in the training of psychotherapists: Introduction to the special section.

doi: http://dx.doi.org/10.1037/pst0000020

By Owen, Jesse

Psychotherapy, Vol 52(2), Jun 2015, 151-152.

Special Section: Supervision Process.

To help advance the dialogue on effective supervisory processes, we are proud to introduce this special section on supervisory processes. This special section follows the same format of the Clinical Processes published in Psychotherapy. Specifically, authors were charged to describe two to three supervisory actions that are important for an effective supervisory session. For each supervisory process, each author provided information on each of the following areas: (a) the theoretical basis for this action and how students are expected to gain new knowledge, skills, or/and awareness, (b) two to three verbatim supervisory exchanges clearly demonstrating this action, and (c) any supervisory or research that supports the use of this action. (PsycINFO Database Record (c) 2015 APA, all rights reserved)

Review of Creative supervision across modalities: Theory and applications for therapists, counsellors and other helping professionals.

By Kefalogianni, Maria

Counselling & Psychotherapy Research, Vol 15(2), Jun 2015, 155-156.

Reviews the book, Creative Supervision Across Modalities: Theory and Applications for Therapists, Counsellors and Other Helping Professionals edited by Anna Chesner and Lia Zografou (2013). Creative media/methods can bring new perspectives to the supervision process. With this book, the authors invite us, in an attempt to demystify any myths, to stop and reflect: what really is creative supervision? Is it the mere use of creative media? They advocate that we need a strong theoretical basis on which we can support our play/creativity. With such a solid foundation, creativity in supervision can be applied across modalities. They demonstrate this belief by drawing from the fields of systemic family therapy, psychoanalytic psychotherapy, art and drama therapy, psychodrama psychotherapy and theological education. Although the book is one amongst others in referring to student readership, many students would not have sufficient understanding of these approaches to benefit. As such, it is good as an additional book but I would not say that it merits essential reading for the trainee therapist. This book is of great use for trainers in the field who are genuinely interested in employing creativity on their courses. (PsycINFO Database Record (c) 2016 APA, all rights reserved)

I suspect you'll find little support for your hypothesis in the following:

Sarnat, Joan E. , (2016). Supervision essentials for psychodynamic psychotherapies. Clinical supervision essentials., (pp. 129-139). Washington, DC, US: American Psychological Association, xiii, 170 pp.

You should also be sure that all the legal and ethical issues are taken into account in your hypotheses. The risk to the supervisor (and to the client) increases with both group supervision and distance supervision.:

See for example

Common supervisory issues, part III: Working with legal and ethical issues.

doi: http://dx.doi.org/10.1037/14802-008

Supervision essentials for psychodynamic psychotherapies.

By Sarnat, Joan E.

Sarnat, Joan E. , (2016). Supervision essentials for psychodynamic psychotherapies. Clinical supervision essentials., (pp. 113-128). Washington, DC, US: American Psychological Association, xiii, 170 pp.

In this final chapter on common supervisory issues, I discuss the legal and ethical domain. Any psychologist opening such a discussion must begin by referencing the American Psychological Association’s (APA) Ethical Principles of Psychologists and Code of Conduct (2010) and Guidelines for Clinical Supervision in Health Service Psychology (2014), and I refer the reader there for a more all-encompassing discussion of supervisor ethics. In this chapter, I limit myself to ethics topics that are particularly salient in working relationally in psychodynamic supervision. The chapter is divided into three parts, each of which approaches the intersection of legal and ethical issues and the relational model of psychodynamic supervision in a different way. The first part highlights three issues that hold the potential for legal and ethical peril when working relationally: supervisee informed consent, appropriate maintenance of boundaries in supervision, and attending to the impact of supervisor disclosure. Given the experiential and personally intimate nature of the relational approach, supervisor clarity about these three issues helps to maintain a supervisory space of integrity. The second part of this chapter emphasizes the affirmative contributions of the relational model to ethical supervisor conduct. In this section, I make the case that relational-model values provide scaffolding for ethical attitudes in supervision, and I use two vignettes to illustrate. In the third part, I offer some reflections on how the relational construction of power and authority, in particular, operates as an ethical force within psychodynamic supervision: first, by helping the supervisor to step back from the legacy of abuse of power in the psychoanalytic training tradition; and second, by sensitizing the supervisor to the destructive impact of subtly authoritarian teaching methods. (PsycINFO Database Record (c) 2015 APA, all rights reserved)

find out:

I am not sure if there exists an open-source Java API for this. But I guess it can be built. Some resources which you can follow:

1. http://bcnpcl-repo.cvc.uab.cat/51/1/ijcai11.pdf:

2. http://sightcorp.com/crowdsight/

3. http://www.affectiva.com/solutions/apis-sdks/

4. http://www.ipsp.ucl.ac.be/recherche/projets/FaceTales/en/Home.htm

5. http://emotient.com/solutions/academic-research/

6. http://www.iis.fraunhofer.de/en/ff/bsy/tech/bildanalyse/shore-gesichtsdetektion.html

7. elan video recognizer

Hope it helps!