Design and Application of a Telemedicine System Jointly Driven by Videoconferencing and Data Exchange: Practical Experience from Henan Province, China

Zhai, Yunkai; Gao, Jinghong; Chen, Baozhan; Shi, Jiachen; Wang, Linlin; He, Xianying; Sun, Dongxu; Chen, Haotian; Hou, Hongli; Song, Xiaolong; Zhao, Jie

doi:10.1089/tmj.2018.0240

Cited by 31 publications

(23 citation statements)

References 18 publications

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“…Most doctors and patients agreed that the deployment of telemedicine could save financial costs, which is consistent with the views of existing research [ 47 ]. Some researchers found that telemedicine could help patients save US $1000, on average [ 48 ]. Higher level hospitals provide lower level medical institutions with remote consultations so that patients from less capable hospitals also receive advice from experts with senior titles, which is very beneficial for the patients in rural areas.…”

Section: Discussionmentioning

confidence: 99%

Application of Telemedicine Services Based on a Regional Telemedicine Platform in China From 2014 to 2020: Longitudinal Trend Analysis

Cui¹,

He²,

Zhai³

et al. 2021

J Med Internet Res

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Background Telemedicine that combines information technology and health care augments the operational model of traditional medical services and brings new opportunities to the medical field. China promotes telemedicine with great efforts, and its practices in the deployment of telemedicine platforms and delivery of services have become important references for the research and development in this field. Objective Our work described in this paper focuses on a regional telemedicine platform that was built in 2014. We analyzed the system design scheme and remote consultations that were conducted via the system to understand the deployment and service delivery processes of a representative telemedicine platform in China. Methods We collected information on remote consultations conducted from 2015 to 2020 via the regional telemedicine platform that employs a centralized architectural system model. We used graphs and statistical methods to describe the changing trends of service volume of remote consultation, geographical and demographic distribution of patients, and waiting time and duration of consultations. The factors that affect consultation duration and patient referral were analyzed by multivariable linear regression models and binary logistic regression models, respectively. The attitudes toward telemedicine of 225 medical practitioners and 225 patients were collected using the snowball sampling method. Results The regional telemedicine platform covers all levels of medical institutions and hospitals in all 18 cities of Henan Province as well as some interprovince hospitals. From 2015 to 2020, 103,957 remote medical consultations were conducted via the platform with an annual increasing rate of 0.64%. A total of 86.64% (90,069/103,957) of medical institutions (as clients) that applied for remote consultations were tier 1 or 2 and from less-developed regions; 65.65% (68,243/103,945) of patients who applied for remote consultations were aged over 50 years. The numbers of consultations were high for departments focusing in the treatment of chronic diseases such as neurology, respiratory medicine, and oncology. The invited experts were mainly experienced doctors with senior professional titles. Year of consultation, tier of hospital, consultation department, and necessity of patient referral were the main factors affecting the duration of consultations. In surveys, we found that 60.4% (136/225) of medical practitioners and 53.8% (121/225) of patients had high satisfaction and believed that telemedicine is of vital importance for the treatment of illness. Conclusions The development of telemedicine in China shows a growing trend and provides great benefits especially to medical institutions located in less developed regions and senior citizens who have less mobility. Cases of remote consultations are mainly for chronic diseases. At present, the importance and necessity of telemedicine are well recognized by both patients and medical practitioners. However, the waiting time needs to be further reduced to improve the efficiency of remote medical services.

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Section: Discussionmentioning

confidence: 99%

Application of Telemedicine Services Based on a Regional Telemedicine Platform in China From 2014 to 2020: Longitudinal Trend Analysis

Cui¹,

He²,

Zhai³

et al. 2021

J Med Internet Res

Self Cite

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“…• development of databases, workflow systems and integration of patient data (developed by IBM) [17];…”

Section: Existing Approaches and Methods For Assessing The Investmentmentioning

confidence: 99%

Methodological Approaches to Assessing the Investment Attractiveness of Telemedicine

2020

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The paper considers modern methodological approaches of Russian and foreign authors to assess the investment attractiveness of the industry. The object of analysis is a new industry telemedicine. As a result of the study, industry specifics and factors affecting its investment attractiveness were identified. The work also explores methodological approaches to assessing investment attractiveness and investment efficiency. The uniqueness of the study consist in the fact that previously there were no works, approaches and methods analyzing investment attractiveness in terms of their applicability to the selected industry. Based on the results of a critical analysis of the proposed approaches and methods for assessing investment attractiveness, requirements were formed that need to be considered when developing and applying methodological approaches to assessing the investment attractiveness of telemedicine.

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“…Telemedicine refers to the utilization of modern Information and Communication Technologies (ICT) to deploy a network-based information platform that connects medical institutions, medical professionals, and patients remotely [15]. Telemedicine facilitates provision of healthcare delivery and has rapidly become a necessary tool that provides continuity of healthcare amidst pandemic [16].…”

Section: Significance Of Telemedicine Health Consultation To Manage Covid-19 Pandemicmentioning

confidence: 99%

Applying software-defined networking to support telemedicine health consultation during and post Covid-19 era

2020

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The novel coronavirus disease-19 (COVID-19) infection has altered the society, economy, and entire healthcare system. Whilst this pandemic has presented the healthcare system with unprecedented challenges, it has rapidly promoted the adoption of telemedicine to deliver healthcare at a distance. Telemedicine is the use of Information and Communication Technology (ICT) for collecting, organizing, storing, retrieving, and exchanging medical information. But it is faced with the limitations of conventional IP-based protocols which makes it challenging to provide Quality of Service (QoS) for telemedicine due to issues arising from network congestion. Likewise, medical professionals adopting telemedicine are affected with low QoS during health consultations with outpatients due to increased internet usage. Therefore, this study proposes a Software-Defined Networking (SDN) based telemedicine architecture to provide QoS during telemedicine health consultations. This study utilizes secondary data from existing research works in the literature to provide a roadmap for the application of SDN to improve QoS in telemedicine during and after the COVID-19 pandemic. Findings from this study present a practical approach for applying SDN in telemedicine to provide appropriate bandwidth and facilitate real time transmission of medical data.

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Design and Application of a Telemedicine System Jointly Driven by Videoconferencing and Data Exchange: Practical Experience from Henan Province, China

Cited by 31 publications

References 18 publications

Application of Telemedicine Services Based on a Regional Telemedicine Platform in China From 2014 to 2020: Longitudinal Trend Analysis

Application of Telemedicine Services Based on a Regional Telemedicine Platform in China From 2014 to 2020: Longitudinal Trend Analysis

Methodological Approaches to Assessing the Investment Attractiveness of Telemedicine

Applying software-defined networking to support telemedicine health consultation during and post Covid-19 era

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