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In the last three years, the delivery of rehabilitation services at a distance by means of electronic information and communication technologies has come to be known as telerehabilitation. It is part of both the larger spectrum of...
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In the last three years, the delivery of rehabilitation services at a distance by means of electronic information and communication technologies has come to be known as telerehabilitation. It is part of both the larger spectrum of telemedicine activities that have waxed, waned and waxed again since the early seventies; and the growing array of {\it non-medical} applications of consumer electronics and communication technology that can provide ``tele-enhancement of independent living'' for individuals with neurological and other disabilities. While telerehabilitation is still largely hypothetical, activities are underway at several clinical rehabilitation centers. Most commonly, inexpensive video phone connections are used to provide face-to-face two-way image and voice contact between patient and provider, but transmission of data from sensors that monitor health and rehabilitation is technically feasible and promising. Telerehabilitation provides access to quality services for patients who are immobile or geographically remote from direct service. Some view it as a means of compensating for shortened lengths of stay in acute rehabilitation hospitals, while others emphasize the cost reductions it offers. Telerehabilitation methods, both current and in-the-works, are promising but it remains to be seen whether and how the reimbursement policy-makers at HCFA and private payers will respond to its potential.
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The novel coronavirus disease (COVID-19) pandemic has caused significant alterations in our traditional healthcare system. The use of technologies such as telemedicine has seen a rapid upsurge. Though the benefits of telemedicine ...
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The novel coronavirus disease (COVID-19) pandemic has caused significant alterations in our traditional healthcare system. The use of technologies such as telemedicine has seen a rapid upsurge. Though the benefits of telemedicine are well-documented; its use in anaesthesia is still in the nascent stage. Various authors have successfully demonstrated its application in perioperative anaesthesia and chronic pain. The ongoing pandemic has highlighted the importance of its more widespread use in anaesthesia. The establishment of clear guidelines addressing telemedicine and its legal and ethical concerns by many countries should provide a further impetus to its more frequent adoption. This article aims to review the existing literature about the use of telemedicine in the preoperative, intraoperative and postoperative phases of anaesthesia as well as in chronic pain and academics. As the pandemic abates, it presents a unique opportunity to expand the application of telemedicine in the various spheres of anaesthesia and pain.
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Introduction: During the COVID-19 public health emergency, telehealth use grew due to regulatory and reimbursement surrounding the use of video and audio-only visits for the evaluation and management of patients. Methods: We retro...
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Introduction: During the COVID-19 public health emergency, telehealth use grew due to regulatory and reimbursement surrounding the use of video and audio-only visits for the evaluation and management of patients. Methods: We retrospectively reviewed patients seeking outpatient urological care from April 1, 2020 to June 30, 2020 at a urological tertiary care center. Our study was designed to determine the relative effect of demographic, socioeconomic and geographic variables on the likelihood of using video compared to an audio-only telehealth. Results: We identified 4,744 unique patients who had a urological telehealth visit. Demographic factors associated with lower probability of utilizing video telehealth were older age (ages >65 years, average marginal effect [AME] -38.3, 95% CI -40.8, -34.7), Black/African American race and American Indian and Alaska Native race (AME -9.7, 95% CI -10.7, -7.1; AME -17.1, 95% CI -18.8, -13.7, respectively), interpreter use (AME -4.5, 95% CI -5, -3.1), Medicaid insurance (AME -13.3, 95% CI -14.8, -9.8), rural residence and living in area with low broadband Internet access (AME -12.8, 95% CI -14.1, -9.1). Conclusions: Forty-four percent of patients used audio-only visits to connect with their urologists. Age, ethnicity, rurality, type of insurance and broadband access all impacted the type of telehealth used to receive urological care. Without coverage and reimbursement of audio-only visits, video telehealth could exacerbate health disparities in access to urological care.
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Abstract Aim and objectives: This study aimed to assess the implications of telemedicine law on health care practice, particularly how it has affected clinicians' practice during the Covid-19 pandemic. To ensure this, it investiga...
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Abstract Aim and objectives: This study aimed to assess the implications of telemedicine law on health care practice, particularly how it has affected clinicians' practice during the Covid-19 pandemic. To ensure this, it investigated the costs and benefits of telemedicine by healthcare practitioners in South Korea during the COVID-19 pandemic, and to provide insights as to whether telemedicine continue being regulated in South Korea's post-pandemic healthcare system. To assess the implications of South Korean telemedicine ban on health care practice, the survey looked at whether telemedicine leads to improved cost-saving and the extent to which telemedicine contributes to hospital avoidance. Method: A quantiative web-based survey was distributed to health practitioners in South Korea's Daegu Haany University Korean Medicine Hospital. Analysis of data was performed on the basis of parametric statistics and frequency percentages. Findings and Results: The benefits of telemedicine in South Korea during the COVID-19 pandemic can be categorised into three: cost, access, and outcomes. While telemedicine does not seem to have replaced medical examination during Covid-19 pandemic in the context of South Korea's healthcare system, it helped curtail the spread of the virus. It also avoided the need for patients to visit hospitals. Findings also suggested that telemedicine was useful for caring for patient undergoing palliative treatment or for management of chronic disorders during the pandemic by reducing hospital visitation. Conclusion and recommendations: There is an upward acceptance of remote consultations to improve the ease of use of health care for underserved communities. Healthcare providers suggest a need to lift the legislative restrictions on telemedicine for the country's post-COVID-19 healthcare systems.
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Technological development around the world has led to the digitalisation of the health system. Along with the digitalisation of the health sector, financial, legal, awareness-related, technological and IT barriers appeared. The ai...
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Technological development around the world has led to the digitalisation of the health system. Along with the digitalisation of the health sector, financial, legal, awareness-related, technological and IT barriers appeared. The aim of the article is to present recommendations for the development of telemedicine services in Poland on the basis of a list of implementation barriers and ways of resolving them in the USA and selected European countries. A literature review was conducted in accordance with the PRISMA-ScR, using the PubMed and Google Scholar databases, Scopus and the OECD iLibrary. A total of 59 literature positions were used, which constituted the references. The article presented the implemented and effective solutions in selected countries. Based on these solutions, recommendations for the development of telemedicine in Poland were presented, as well as successes in the form of telemedicine startups, which can inspire other countries. The analysis of the publications discussed in the article shows that the implementation of telemedicine services should begin with the elimination of barriers limiting the development of telemedicine systems. An important issue in their elimination is to analyse their interconnections and implement such solutions which would have a multi-area coverage.
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Background: Despite evidence supporting telehealth provision in developed countries, there is limited evidence regarding its economic benefits for patients living in areas where access and cost present major barriers to health car...
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Background: Despite evidence supporting telehealth provision in developed countries, there is limited evidence regarding its economic benefits for patients living in areas where access and cost present major barriers to health care, particularly in low- and middle-income countries (LMICs). This study explores the economic benefits of telemedicine for patients, in terms of cost and times savings, and its potential role in improving chronic disease outcomes. Methods: This retrospective cross-sectional study compared telemedicine services with hypothetical in-person consultations, with a focus on patient travel time and travel cost savings. A database containing teleconsultation visits (N = 25,182) conducted at health facilities in remote regions of Afghanistan, Pakistan, Tajikistan, and the Kyrgyz Republic, was analyzed. A two-sample homoscedastic t test was used to determine differences between the two groups. A one-way sensitivity analysis was also conducted, presuming in-person teleconsultations at 90%, 75%, and 50%. Results: The study extracted data from 25,182 teleconsultation visits (12,814 males; 12,368 females). The cumulative patient savings through the program amounted to USD 9,175,132, and 1,876,146 h, or 213.1 years. A significant difference was seen between the two groups in terms of mean time savings (p-value <0.05), and a nearly significant difference was observed in terms of mean cost savings (p-value = 0.05). Conclusions: This study suggests that considerable economic benefits imparted to patients in low-resource settings of LMICs via accessing telemedicine. Telemedicine has great potential to improve chronic disease outcomes in low-resource areas by reducing socioeconomic barriers related to cost and access, and increasing uptake of services, thereby enabling early intervention and long-term management.
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In this study, telemedicine and the use of advanced telemedicine technologies are explained. Telemedicine is the use of modern telecommunications and information technologies for the provision of clinical care to individuals at a ...
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In this study, telemedicine and the use of advanced telemedicine technologies are explained. Telemedicine is the use of modern telecommunications and information technologies for the provision of clinical care to individuals at a distance, and transmission of information to provide that care. Telemedicine can be used for decision making, remote sensing, and collaborative arrangements for the real-time management of patients at a distance. The use of telecommunications and information technologies in providing health services is determined. Telemedicine is described as combination of topics from the fields of telecommunication, medicine, and informatics. The medical systems infrastructure consisting of the equipment and processes used to acquire and present clinical information and to store and retrieve data are explained in details. The challenges existing in telemedicine development in different countries are given. Technological, political, and professional barriers in applications of telemedicine are defined. An investigation of telemedicine applications in various fields is presented, and enormous impact of telemedicine systems on the future of medicine is determined.
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Purpose of review Although telemedicine and telehealth services have been a part of type 1 diabetes (T1D) clinical care for several decades, the expansion of in-home telemedicine during the COVID-19 pandemic significantly increase...
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Purpose of review Although telemedicine and telehealth services have been a part of type 1 diabetes (T1D) clinical care for several decades, the expansion of in-home telemedicine during the COVID-19 pandemic significantly increased interest in long-term use as part of routine care. This review highlights the current literature regarding telemedicine in T1D care as well as the benefits and barriers to use in a postpandemic world. Recent findings Telemedicine has increased patient contact with healthcare providers, allowing for more frequent insulin dose adjustments and improvements in glycemic outcomes. In addition to routine clinical care, T1D device training and mental healthcare have been successful through telemedicine. Significant barriers to continued telemedicine care exist, including patient access and technology knowledge, language, and loss of face-to-face interaction. Healthcare providers additionally face unpredictable reimbursement and loss of continuity across state lines, and lack of resources and training for device downloads and telemedicine software. Telemedicine can be successfully used in T1D care and has the potential to significantly impact glycemic and long-term outcomes. Due to continued interest for in-person visits by people with T1D and providers, it is likely that long-term telemedicine use will include a hybrid format.
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The aim of this research is to measure patient privacy factor of adopting telemedicine project in Iraq since it plays a central role in adopting telemedicine in developed countries or even in Developing countries this research mea...
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The aim of this research is to measure patient privacy factor of adopting telemedicine project in Iraq since it plays a central role in adopting telemedicine in developed countries or even in Developing countries this research measures the importance of patient privacy in developing countries and take Iraq as case study, Questionnaire used as instrument of collection data. First was the pilot study and 35 questionnaire were distributed at Baghdad medical city and 500 were distributed to physicians, some of these questionnaire were ignored because they was not completed thus 312 respondent only were used for the final result.
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