Designing a telemedicine platform for three different medical applications

Tohme, Walid Gabriel; Hayes, W S; Mun, Seong Ki; Komo, Darmadi; Meissner, Marion C.

doi:10.1109/imac.1995.532566

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…The telehealth evaluation literature discusses small-scale demonstration projects and feasibility studies. While considered methodologically inadequate [190], this literature discusses a range of problems that relate to evaluation [191][192][193][194][195][196][197][198][199][200][201][202][203][204][205]. Among these are not only issues about the nature of evaluation and evidence when technologies have not yet become stable [134], but also about changes health care delivery is undergoing.…”

Section: New Challenges Changes In Technologies and In Health Care Dementioning

confidence: 99%

Future Directions in Evaluation Research: People, Organizational, and Social Issues

Kaplan

Shaw

2004

Methods Inf Med

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Evaluation research is key in identifying how people, organizational, and social issues - all crucial to system design, development, implementation, and use - interplay with informatics projects. Building on a long history of contributions and using a variety of methods, researchers continue developing evaluation theories and methods while producing significant interesting studies. We recommend that future research: 1) Address concerns of the many individuals involved in or affected by informatics applications. 2) Conduct studies in different type and size sites, and with different scopes of systems and different groups of users. Do multi-site or multi-system comparative studies. 3) Incorporate evaluation into all phases of a project. 4) Study failures, partial successes, and changes in project definition or outcome. 5) Employ evaluation approaches that take account of the shifting nature of health care and project environments, and do formative evaluations. 6) Incorporate people, social, organizational, cultural, and concomitant ethical issues into the mainstream of medical informatics. 7) Diversify research approaches and continue to develop new approaches. 8) Conduct investigations at different levels of analysis. 9) Integrate findings from different applications and contextual settings, different areas of health care, studies in other disciplines, and also work that is not published in traditional research outlets. 10) Develop and test theory to inform both further evaluation research and informatics practice.

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Section: New Challenges Changes In Technologies and In Health Care Dementioning

confidence: 99%

Future Directions in Evaluation Research: People, Organizational, and Social Issues

Kaplan

Shaw

2004

Methods Inf Med

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show abstract

“…Newer applications of information and communication technologies, such as for telehealthcare, have given rise to a body of research literature reporting results from small-scale demonstration projects and feasibility studies. This literature also discusses a range of problems that relate to evaluation [91,92,93,94,95,96,97,98,99,100,101,102,103,104]. Among these issues are how technology incorporates new rules and resources that embody new structures for health care [105].…”

Section: Current Studiesmentioning

confidence: 99%

People, Organizational, and Social Issues: Evaluation as an exemplar

Kaplan¹,

Shaw²

2002

Yearb Med Inform

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“…The U.S. Department of Health and Human Services 5 describes telemedicine as “the use of telecommunications technology for medical diagnosis, monitoring and therapeutic purposes when distance separates the users.” As T ohme et al . 6 assert, telemedicine “should provide patients and practitioners located at remote sites the possibility to access primary or specialty care thereby increasing the quality of care while minimizing costs.” B elardinelli et al . 7 have demonstrated the effects of the increasing diffusion of computer technology and telecommunications, which have made the “telemedicine approach, the providing of medical information and services at a distance, a fundamental tool to harmonize quality and cost in the Health System.” W ootton 8 describes telemedicine as “a technique that has been used in industrialized countries, such as North America and Australia, for bringing health care to rural and remote areas where there are few doctors or other health-care workers.” From the engineering perspective, there are many applications for telemedicine throughout the specialties, including cardiology 9 10 11 , surgery 12 13 14 , dermatology 15 16 17 , emergency medicine 18 19 20 , speech therapy 21 22 23 24 , gynecology 25 26 27 , immunology 28 29 , neurology 30 31 32 , ophthalmology 33 34 35 36 , pathology 37 38 39 40 , psychiatry 41 42 , radiology 43 44 45 46 , otolaryngology 47 48 49 , and others.…”

Section: Introductionmentioning

confidence: 99%

Remote hearing aid fitting: Tele-audiology in the context of Brazilian Public Policy

Penteado

Ramos

Battistella

et al. 2012

Int Arch Otorhinolaryngol

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Summary Introduction: Currently, the Brazilian government has certificated nearly 140 specialized centers in hearing aid fittings through the Brazilian National Health System (SUS). Remote fitting through the Internet can allow a broader and more efficient coverage with a higher likelihood of success for patients covered by the SUS, as they can receive fittings from their own homes instead of going to the few and distant specialized centers. Aim: To describe a case of remote fitting between 2 cities, with revision of the literature. Method: Computer gears, a universal interface, and hearing aids were used. Case study: An audiologist located in a specialized center introduced a new hearing aid and its fitting procedure to a remote center (200 km away). The specialized center helped the remote center in fitting a hearing aid in 2 patients, and performed fitting in one of its own patients. The whole process was done through the Internet with audio and video in real time. Results: Three patients were fitted remotely. Three audiologists were remotely trained on how to fit the hearing aids. Conclusions: Remote fitting of hearing aids is possible through the Internet, as well as further supplying technical training to a remote center about the fitting procedures. Such a technological approach can help the government advance public policies on hearing rehabilitation, as patients can be motivated about maintaining their use of hearing aids with the option to ask for help in the comfort of their own homes.

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Designing a telemedicine platform for three different medical applications

Cited by 4 publications

References 6 publications

Future Directions in Evaluation Research: People, Organizational, and Social Issues

Future Directions in Evaluation Research: People, Organizational, and Social Issues

People, Organizational, and Social Issues: Evaluation as an exemplar

Remote hearing aid fitting: Tele-audiology in the context of Brazilian Public Policy

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