Evaluation of teleconsultation systems

Kern, Josipa

doi:10.1016/j.ijmedinf.2005.08.001

Cited by 52 publications

(21 citation statements)

References 10 publications

(9 reference statements)

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“…The most important modalities of ICT-based care are teleconsultation and videoconferencing [1]. Teleconsultation is a kind of telemonitoring including patient-caregiver communication (monitoring and delivering feedback) via email, phone, automated messaging systems, other equipment without face-to-face contact, or the Internet [7]. Videoconferencing involves real-time face-to-face contact (image and voice) via videoconferencing equipment (television, digital camera, videophone, etc) to connect caregivers and one or more patients simultaneously, usually for instruction [8].…”

Section: Introductionmentioning

confidence: 99%

The Contribution of Teleconsultation and Videoconferencing to Diabetes Care: A Systematic Literature Review

Verhoeven¹,

Gemert-Pijnen²,

Dijkstra³

et al. 2007

J Med Internet Res

181

148

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Background A systematic literature review was carried out to study the benefits of teleconsultation and videoconferencing on the multifaceted process of diabetes care. Previous reviews focused primarily on usability of technology and considered mainly one-sided interventions.Objective The objective was to determine the benefits and deficiencies of teleconsultation and videoconferencing regarding clinical, behavioral, and care coordination outcomes of diabetes care.Methods Electronic databases (Medline, PiCarta, PsycINFO, ScienceDirect, Telemedicine Information Exchange, ISI Web of Science, Google Scholar) were searched for relevant publications. The contribution to diabetes care was examined for clinical outcomes (eg, HbA1c, blood pressure, quality of life), behavioral outcomes (patient-caregiver interaction, self-care), and care coordination outcomes (usability of technology, cost-effectiveness, transparency of guidelines, equity of care access). Randomized controlled trials (RCTs) with HbA1c as an outcome were pooled using standard meta-analytical methods.Results Of 852 publications identified, 39 met the inclusion criteria for electronic communication between (groups of) caregivers and patients with type 1, type 2, or gestational diabetes. Studies that evaluated teleconsultation or videoconferencing not particularly aimed at diabetes were excluded, as were those that described interventions aimed solely at clinical improvements (eg, HbA1c). There were 22 interventions related to teleconsultation, 13 to videoconferencing, and 4 to combined teleconsultation and videoconferencing. The heterogeneous nature of the identified videoconferencing studies did not permit a formal meta-analysis. Pooled results from the six RCTs of the identified teleconsultation studies did not show a significant reduction in HbA1c (0.03%, 95% CI = - 0.31% to 0.24%) compared to usual care. There was no significant statistical heterogeneity among the pooled RCTs (χ 2 7= 7.99, P = .33). It can be concluded that in the period under review (1994-2006) 39 studies had a scope broader than clinical outcomes and involved interventions allowing patient-caregiver interaction. Most of the reported improvements concerned satisfaction with technology (26/39 studies), improved metabolic control (21/39), and cost reductions (16/39). Improvements in quality of life (6/39 studies), transparency (5/39), and better access to care (4/39) were hardly observed. Teleconsultation programs involving daily monitoring of clinical data, education, and personal feedback proved to be most successful in realizing behavioral change and reducing costs. The benefits of videoconferencing were mainly related to its effects on socioeconomic factors such as education and cost reduction, but also on monitoring disease. Additionally, videoconferencing seemed to maintain quality of care while producing cost savings. Conclusions The selected studies suggest that both teleconsultation and videoconferencing are practical, cost-effective, and reliable ways of delivering a worthwhile...

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Section: Introductionmentioning

confidence: 99%

The Contribution of Teleconsultation and Videoconferencing to Diabetes Care: A Systematic Literature Review

Verhoeven¹,

Gemert-Pijnen²,

Dijkstra³

et al. 2007

J Med Internet Res

181

148

View full text Add to dashboard Cite

show abstract

“…The most promising aspect of telecare is teleconsultation, which is defined as telemonitoring intervention including asynchronous communication (monitoring and delivering feedback via e-mail, or other equipment without face-to-face contact) or synchronous communication, which involves face-to-face contact via videoconferencing equipment to connect caregivers and patients simultaneously. 13 Combined synchronous and asynchronous applications might be more effective than synchronous or asynchronous application. 14 In our study, telecare was conducted by synchronous communication in which in-person diabetic education was delivered through the Internet and interactive videoconferencing, as well as asynchronous communication.…”

Section: Discussionmentioning

confidence: 99%

Shared Care Combined with Telecare Improves Glycemic Control of Diabetic Patients in a Rural Underserved Community

Liou

Soon

Chen

et al. 2014

Telemedicine and e-Health

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“…Telemedicine naturally relies on various applications, different modes of interaction, and diversified technical devices [1]. The most encouraging technology nowadays is teleconsultation, involving telemonitoring schemes that include asynchronous exchanges between patients and their healthcare providers (e.g., e-mails, text messages on mobile phones, automated messaging, or other methods requiring no face-to-face contact) or synchronous communications in the form of face-to-face contact using videoconferencing equipment (television, digital camera, webcam, and videophone) to connect healthcare providers to one or more patients at the same time, as well as for the purpose of providing education and training [2]. …”

Section: Changing Epidemiological Scenarios Generate Changing Clinmentioning

confidence: 99%

The Emerging Role of Telemedicine in Managing Glycemic Control and Psychobehavioral Aspects of Pregnancy Complicated by Diabetes

Chilelli

Dalfrà

Lapolla

2014

International Journal of Telemedicine and Applications

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There is a gradual decline in concern of specialists who follow up the care of pregnant women with diabetes. In addition, due to the dwindling economic resources allocated to health services, access to specialized healthcare facilities is becoming more difficult. Telemedicine, or medicine practiced at a distance, is inserted in this context with applications differing for type of interaction (real-time or deferred, i.e., videoconferencing versus store-and-forward data transmission), type of monitoring (automatic versus requesting cooperation from the patient), and type of devices used (web connections and use of mobile phones or smartphones). Telemedicine can cope with the current lack of ability to ensure these patients frequent direct contact with their caregivers. This approach may have an impact not only on the classical maternal-fetal outcome, but also on some underestimated aspects of patients with diabetes in pregnancy, in this case their quality of life, the perception of “diabetes self-efficacy,” and the glycemic variability. In this paper, we will analyze the current evidence regarding the use of telemedicine in pregnancies complicated by diabetes, trying to highlight the main limitations of these studies and possible strategies to overcome them in order to improve the effectiveness of future clinical interventions with these medical applications.

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Evaluation of teleconsultation systems

Cited by 52 publications

References 10 publications

The Contribution of Teleconsultation and Videoconferencing to Diabetes Care: A Systematic Literature Review

The Contribution of Teleconsultation and Videoconferencing to Diabetes Care: A Systematic Literature Review

Shared Care Combined with Telecare Improves Glycemic Control of Diabetic Patients in a Rural Underserved Community

The Emerging Role of Telemedicine in Managing Glycemic Control and Psychobehavioral Aspects of Pregnancy Complicated by Diabetes

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