130 results match your criteria prominent telehealth

Lessons Learned: Patient Communication During the Pandemic.

Malays Orthop J 2021 Mar;15(1):12-15

Department of Orthopaedics Tumor Service, University of the Philippines Manila, Manila, Philippines.

A series of mortalities among musculoskeletal tumour patients secondary to medical illnesses during the first few months of the pandemic highlighted the need to review our methods of communication with patients. Prominent among patients' concerns had been a fear of consulting at hospitals and a lack of ready access to health care. Recommendations are made for proactive consultation and patient education, identifying at-risk patients for follow-up and probing for possible co-morbidities. Read More

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Models of Integration of Specialized Palliative Care with Oncology.

Curr Treat Options Oncol 2021 04 8;22(5):44. Epub 2021 Apr 8.

Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, 610 University Ave., 16-712, Toronto, Ontario, M5G 2M9, Canada.

Opinion Statement: Evidence from randomized controlled trials and meta-analyses has shown that early integration of specialized palliative care improves symptoms and quality of life for patients with advanced cancer. There are various models of early integration, which may be classified based on setting of care and method of palliative care referral. Most successful randomized controlled trials of early palliative care have used a model of specialized teams providing in-person palliative care in free-standing or embedded outpatient clinics. Read More

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Barriers to Use of Remote Monitoring Technologies Used to Support Patients With COVID-19: Rapid Review.

JMIR Mhealth Uhealth 2021 04 20;9(4):e24743. Epub 2021 Apr 20.

Chronic Viral Illness Service, Royal Victoria Hospital, McGill University Health Centre, Montréal, QC, Canada.

Background: The COVID-19 pandemic has acted as a catalyst for the development and adoption of a broad range of remote monitoring technologies (RMTs) in health care delivery. It is important to demonstrate how these technologies were implemented during the early stages of this pandemic to identify their application and barriers to adoption, particularly among vulnerable populations.

Objective: The purpose of this knowledge synthesis was to present the range of RMTs used in delivering care to patients with COVID-19 and to identify perceived benefits of and barriers to their use. Read More

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Stroke Care during the COVID-19 Pandemic: International Expert Panel Review.

Cerebrovasc Dis 2021 Mar 23:1-17. Epub 2021 Mar 23.

Department of Diagnostic and Interventional Neuroradiology, Klinikum Bremen-Mitte, Germany.

Background: Coronavirus disease 2019 (COVID-19) has placed a tremendous strain on healthcare services. This study, prepared by a large international panel of stroke experts, assesses the rapidly growing research and personal experience with COVID-19 stroke and offers recommendations for stroke management in this challenging new setting: modifications needed for prehospital emergency rescue and hyperacute care; inpatient intensive or stroke units; posthospitalization rehabilitation; follow-up including at-risk family and community; and multispecialty departmental developments in the allied professions.

Summary: The severe acute respiratory syndrome coronavirus 2 uses spike proteins binding to tissue angiotensin-converting enzyme (ACE)-2 receptors, most often through the respiratory system by virus inhalation and thence to other susceptible organ systems, leading to COVID-19. Read More

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Telehealth's New Horizon: Providing Smart Hospital-Level Care in the Home.

Telemed J E Health 2021 Mar 3. Epub 2021 Mar 3.

William Perry Center for Hemispheric Defense Studies, National Defense University, Washington, District of Columbia, USA.

During the COVID-19 pandemic, medical providers have expanded telehealth into daily practice, with many medical and behavioral health care visits provided remotely over video or through phone. The telehealth market was already facilitating home health care with increasing levels of sophistication before COVID-19. Among the emerging telehealth practices, telephysical therapy; teleneurology; telemental health; chronic care management of congestive heart failure, chronic obstructive pulmonary disease, diabetes; home hospice; home mechanical ventilation; and home dialysis are some of the most prominent. Read More

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Utilization of telehealth by surgeons during the COVID 19 pandemic in Australia: lessons learnt.

ANZ J Surg 2021 Apr 26;91(4):507-514. Epub 2021 Feb 26.

Surgical Services, John Hunter Hospital, Newcastle, New South Wales, Australia.

Background: The COVID-19 pandemic has led to the rapid and widespread adoption of telehealth. There is a need for more evidence regarding the appropriateness of telehealth, as well as greater understanding of barriers to its sustained use within surgery in Australia.

Methods: A survey weblink was sent via email to 5558 Australian Fellows of the Royal Australasian College of Surgeons in August 2020. Read More

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Glycemic control in children and teenagers with type 1 diabetes around lockdown for COVID-19: A continuous glucose monitoring-based observational study.

J Diabetes Investig 2021 Feb 4. Epub 2021 Feb 4.

Department of Endocrinology and Metabolic Disease, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Aims/introduction: The coronavirus disease 2019 (COVID-19) pandemic urged authorities to impose rigorous quarantines and brought considerable changes to people's lifestyles. The impact of these changes on glycemic control has remained unclear, especially the long-term effect. We aimed to investigate the impact of COVID-19 lockdown on glycemic control in children and adolescents with type 1 diabetes. Read More

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February 2021

Analysing the intersection between health emergencies and abortion during Zika in Brazil, El Salvador and Colombia.

Soc Sci Med 2021 Feb 2;270:113671. Epub 2021 Jan 2.

Universidade Federal de Pernambuco-UFPE, Avenida Prof. Moraes Rego, s/n, Hospital das Clínicas, Bloco E - 4° Andar, Cidade Universitária, CEP: 50.670-901, Recife, Pernambuco, Brazil.

The Zika outbreak of 2015-7 is a lens to analyse the positioning of abortion within in global health security. The sequelae of the virus almost exclusively affected newborn children, manifested through Congenital Zika Syndrome (CZS), and a focus on women at risk of, planning or being pregnant. At the global level, debate considered whether Zika would provide impetus for regulatory change for reproductive rights in Latin America, a region with some of the most restrictive abortion regulation in the world. Read More

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February 2021

The COVID-19 Pandemic in Nijmegen, the Netherlands: Changes in Presented Health Problems and Demand for Primary Care.

Ann Fam Med 2021 Jan-Feb;19(1):44-47

Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands.

We studied the changes in presented health problems and demand for primary care since the outbreak of coronavirus disease 2019 (COVID-19) in the Netherlands. We analyzed prominent symptom features of COVID-19, and COVID-19 itself as the reason for encounter. Also, we analyzed the number and type of encounters for common important health problems. Read More

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January 2021

Utilization of Self-Diagnosis Health Chatbots in Real-World Settings: Case Study.

J Med Internet Res 2021 01 6;23(1):e19928. Epub 2021 Jan 6.

The Institute of Software, Chinese Academy of Sciences, Beijing, China.

Background: Artificial intelligence (AI)-driven chatbots are increasingly being used in health care, but most chatbots are designed for a specific population and evaluated in controlled settings. There is little research documenting how health consumers (eg, patients and caregivers) use chatbots for self-diagnosis purposes in real-world scenarios.

Objective: The aim of this research was to understand how health chatbots are used in a real-world context, what issues and barriers exist in their usage, and how the user experience of this novel technology can be improved. Read More

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January 2021

COVID-19 and Kidney Disease Disparities in the United States.

Adv Chronic Kidney Dis 2020 09 23;27(5):427-433. Epub 2020 Jun 23.

Division of Hospital Medicine and Office of Research, Denver Health, Denver, CO; Division of General Internal Medicine and Hospital Medicine, University of Colorado, Denver, CO. Electronic address:

Racial, ethnic, socioeconomic, age, and sex-related health disparities in kidney disease are prominent in the United States. The Coronavirus Disease 2019 (COVID-19) pandemic has disproportionately affected marginalized populations. Older adults, people experiencing unstable housing, racial and ethnic minorities, and immigrants are potentially at increased risk for infection and severe complications from COVID-19. Read More

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September 2020

Usability Assessment of the Rehabilitation Lower-limb Orthopedic Assistive Device by Service Members and Veterans With Lower Limb Loss.

Mil Med 2021 02;186(3-4):379-386

Department of Research, Miami Veterans Affairs Healthcare System, Miami, FL, 33125, USA.

Introduction: Telehealth is an increasingly common approach to improve healthcare delivery, especially within the Veterans Health Administration and Department of Defense (DoD). Telehealth has diminished many challenges to direct access for clinical follow-up; however, the use of mobile telehealth for specialty rehabilitative care is emerging and is referred to as telerehabilitation. As early adopters of telehealth, the Veterans Affairs and DoD have supported collaborated efforts for programs designed to increase the access and quality of rehabilitative care while improving the functional ability of our service members (SMs) and veterans with lower limb amputation (LLA). Read More

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February 2021

Long-term noninvasive ventilation in COPD: current evidence and future directions.

Expert Rev Respir Med 2021 Jan 5;15(1):89-101. Epub 2021 Jan 5.

Department of Pneumology, Cologne Merheim Hospital , Cologne, Germany.

: Long-term noninvasive ventilation (NIV) is an established treatment for end-stage COPD patients suffering from chronic hypercapnic respiratory failure. This is reflected by its prominent position in national and international medical guidelines. : In recent years, novel developments in technology such as auto-titrating machines and hybrid modes have emerged, and when combined with advances in information and communication technologies, these developments have served to improve the level of NIV-based care. Read More

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January 2021

Telehealth actions in times of COVID-19: information with evidence.

Rev Assoc Med Bras (1992) 2020 Oct;66(10):1320-1322

Programa de Pós-Graduação em Ciências da Saúde. Universidade Federal de Sergipe, Aracaju, SE, Brasil.

The coronavirus pandemic (COVID-19) brought up discussions about improvements in both primary healthcare and hospital care in Brasil. In addition, the use of information and communication technology tools has become more prominent in the transmission of health information to patients remotely. Through content dissemination actions for professionals and direct guidance to users, remote telehealth/telemedicine services offer qualified actions that can reduce unnecessary referrals and decrease the flow of patients in health units. Read More

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October 2020

eHealth in transplantation.

Transpl Int 2021 Jan 27;34(1):16-26. Epub 2020 Nov 27.

Department of Nephrology and Medical Intensive Care, Charité - Universitätsmedizin Berlin, Berlin, Germany.

eHealth ("electronic" Health) is a new field in medicine that has the potential to change medical care, increase efficiency, and reduce costs. In this review, we analyzed the current status of eHealth in transplantation by performing a PubMed search over the last 5 years with a focus on clinical studies for post-transplant care. We retrieved 463 manuscripts, of which 52 clinical reports and eight randomized controlled trials were identified. Read More

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January 2021

Telehealth and the Community SMI Population: Reflections on the Disrupter Experience of COVID-19.

J Nerv Ment Dis 2021 01;209(1):49-53

Group for Advancement of Psychiatry, New York, New York.

The novel coronavirus pandemic and the resulting expanded use of telemedicine have temporarily transformed community-based care for individuals with serious mental illness (SMI), challenging traditional treatment paradigms. We review the rapid regulatory and practice shifts that facilitated broad use of telemedicine, the literature on the use of telehealth and telemedicine for individuals with SMI supporting the feasibility/acceptability of mobile interventions, and the more limited evidence-based telemedicine practices for this population. We provide anecdotal reflections on the opportunities and challenges for telemedicine drawn from our daily experiences providing services and overseeing systems for this population during the pandemic. Read More

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January 2021

A lasting impression: telemedicine in urogynecology during the coronavirus disease 2019 pandemic.

Curr Opin Obstet Gynecol 2020 12;32(6):456-460

Division of Female Pelvic Medicine & Reconstructive Surgery, Department of Obstetrics and Gynecology, MSC 10-5580, 1 University of New Mexico, Albuquerque, New Mexico, USA.

Purpose Of Review: Amidst the worldwide coronavirus disease 2019 pandemic, a new medical landscape revolving around telemedicine has arisen. The purpose of this review is to describe and analyze current urogynecologic guidelines for optimizing usage of telemedicine when treating women with pelvic floor disorders.

Recent Findings: Women managed by urogynecologists are on average older, and hence more likely to have comorbidities that make them susceptible to developing coronavirus disease 2019 with severe symptoms. Read More

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December 2020

Conducting Psychoeducational Assessments During the COVID-19 Crisis: the Danger of Good Intentions.

Contemp Sch Psychol 2020 Jun 2:1-6. Epub 2020 Jun 2.

Oklahoma State University, Stillwater, OK USA.

Decision-makers in school psychology are presently engaged in the process of determining how to, if possible, move forward with conducting mandated psychoeducational evaluations of students in schools during the pandemic. Whereas prominent organizations within the profession (e.g. Read More

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Mental Health Care Goes Online: Practitioners' Experiences of Providing Mental Health Care During the COVID-19 Pandemic.

Cyberpsychol Behav Soc Netw 2020 Dec 18;23(12):860-864. Epub 2020 Aug 18.

Human-Technology Interaction Group, Eindhoven University of Technology, Eindhoven, Netherlands.

The outbreak of the COVID-19 pandemic has necessitated sudden and radical changes in mental health care delivery, as strict social distancing and lockdown measures were imposed in the early phases of the pandemic. Almost overnight, practitioners were forced to transfer their face-to-face care practice to online means. To understand the implications of this drastic change for mental health care, and to improve the online care offerings, an online qualitative survey was held among mental health care professionals in Netherlands ( = 51). Read More

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December 2020

Smartphone and Mobile Health Apps for Tinnitus: Systematic Identification, Analysis, and Assessment.

JMIR Mhealth Uhealth 2020 08 18;8(8):e21767. Epub 2020 Aug 18.

Institute of Distributed Systems, Ulm University, Ulm, Germany.

Background: Modern smartphones contain sophisticated high-end hardware features, offering high computational capabilities at extremely manageable costs and have undoubtedly become an integral part in users' daily life. Additionally, smartphones offer a well-established ecosystem that is easily discoverable and accessible via the marketplaces of differing mobile platforms, thus encouraging the development of many smartphone apps. Such apps are not exclusively used for entertainment purposes but are also commonplace in health care and medical use. Read More

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Patients' Perceptions of Barriers and Facilitators to the Adoption of E-Hospitals: Cross-Sectional Study in Western China.

J Med Internet Res 2020 06 11;22(6):e17221. Epub 2020 Jun 11.

Massachusetts General Hospital's Institute for Technology Assessment, Harvard Medical School, Boston, MA, United States.

Background: As an innovative approach to providing web-based health care services from physical hospitals to patients at a distance, e-hospitals (ie, extended care hospitals through the internet) have been extensively developed in China. This closed health care delivery chain was developed by combining e-hospitals with physical hospitals; treatment begins with web-based consultation and registration, and then, patients are diagnosed and treated in a physical hospital. This approach is promising in its ability to improve accessibility, efficiency, and quality of health care. Read More

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Rural-urban mental health disparities in the United States during COVID-19.

Psychol Trauma 2020 Aug 1;12(S1):S222-S224. Epub 2020 Jun 1.

Southern Illinois University School of Medicine.

The United States has more confirmed deaths from coronavirus 2019 (COVID-19) than any other country in the world. State governors made decisions around social distancing in their jurisdictions, which caused schools and businesses to close. Those with broadband access continued a sense or normalcy in their lives. Read More

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Trust in the smart home: Findings from a nationally representative survey in the UK.

PLoS One 2020 29;15(5):e0231615. Epub 2020 May 29.

Warwick Manufacturing Group, University of Warwick, Coventry, England, United Kingdom.

Businesses in the smart home sector are actively promoting the benefits of smart home technologies for consumers, such as convenience, economy and home security. To better understand meanings of and trust in the smart home, we carried out a nationally representative survey of UK consumers designed to measure adoption and acceptability, focusing on awareness, ownership, experience, trust, satisfaction and intention to use. We analysed the results using theories of meanings and acceptability of technologies including semiotics, social construction of technology (SCOT) and sociotechnical affordance. Read More

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Patients' perspectives on the barriers to referral after telescreening for diabetic retinopathy in communities.

BMJ Open Diabetes Res Care 2020 03;8(1)

Department of Preventative Ophthalmology, Shanghai Eye Disease Prevention and Treatment Center/Shanghai Eye Hospital, Shanghai, China

Objective: To understand the referral completion and explore the associated barriers to the referral after telescreening for diabetic retinopathy (DR) among people with vision-threatening DR (VTDR).

Research Design And Methods: All participants with VTDR after DR telescreening in the communities completed the self-reported questionnaires to assess referral completion and their perspectives on referral barriers. Sociodemographic characteristics and perceived barriers related to incomplete referrals were identified by conducting univariate analysis and multiple logistic regression model. Read More

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Consumer preference to utilise a mobile health app: A stated preference experiment.

PLoS One 2020 21;15(2):e0229546. Epub 2020 Feb 21.

School of Public Health, Curtin University, Perth, Australia.

Background: One prominent barrier faced by healthcare consumers when accessing health services is a common requirement to complete repetitive, inefficient paper-based documentation at multiple registration sites. Digital innovation has a potential role to reduce the burden in this area, through the collection and sharing of data between healthcare providers. While there is growing evidence for digital innovations to potentially improve the effectiveness and efficiency of health systems, there is less information on the willingness of healthcare consumers to embrace and utilise technology to provide data. Read More

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Clinical effectiveness and cost-effectiveness of teledermatology: Where are we now, and what are the barriers to adoption?

J Am Acad Dermatol 2020 07 5;83(1):299-307. Epub 2020 Feb 5.

Department of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.

There has been rapid growth in teledermatology over the past decade, and teledermatology services are increasingly being used to support patient care across a variety of care settings. Teledermatology has the potential to increase access to high-quality dermatologic care while maintaining clinical efficacy and cost-effectiveness. Recent expansions in telemedicine reimbursement from the Centers for Medicare & Medicaid Services (CMS) ensure that teledermatology will play an increasingly prominent role in patient care. Read More

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Forging a New Frontier: Providing Palliative Care to People With Cancer in Rural and Remote Areas.

J Clin Oncol 2020 03 5;38(9):963-973. Epub 2020 Feb 5.

University of Alabama at Birmingham, Birmingham, AL.

Mounting evidence supports oncology organizations' recommendations of early palliative care as a cancer care best practice for patients with advanced cancer and/or high symptom burden. However, few trials on which these best practices are based have included rural and remote community-based oncology care. Therefore, little is known about whether early palliative care models are applicable in these low-resource areas. Read More

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Ecological Momentary Assessment based Differences between Android and iOS Users of the TrackYourHearing mHealth Crowdsensing Platform.

Annu Int Conf IEEE Eng Med Biol Soc 2019 Jul;2019:3951-3955

mHealth technologies are increasingly utilized in various medical contexts. Mobile crowdsensing is such a technology, which is often used for data collection scenarios related to questions on chronic disorders. One prominent reason for the latter setting is based on the fact that powerful Ecological Momentary Assessments (EMA) can be performed. Read More

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