Intensive Care Unit Telemedicine

Bender, William; Hiddleson, Cheryl; Buchman, Timothy G.

doi:10.1016/j.ccc.2019.02.011

Cited by 25 publications

(8 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Telemedicine was perceived as an efficient and effective alternative to in-person consultations, but not for all health conditions especially those requiring physical assessments and diagnostics. Other studies have reported similar findings [40][41][42], with providers having to determine when a telemedicine is most useful vis-à-vis a face-to-face visit, considering their risks and benefits, and the needs of the patient. Innovative solutions such as automated logic flows (bots) for referrals and scheduling, tools such as video otoscopes and electronic stethoscopes for examination, and artificial intelligence technologies can be explored [1].…”

Section: Discussionmentioning

confidence: 59%

Patient satisfaction with telemedicine in the Philippines during the COVID-19 pandemic: a mixed methods study

Noceda

Acierto

Bertiz

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

Background The capacity to deliver essential health services has been negatively impacted by the COVID-19 pandemic, particularly due to lockdown restrictions. Telemedicine provides a safe, efficient, and effective alternative that addresses the needs of patients and the health system. However, there remain implementation challenges and barriers to patient adoption in resource-limited settings as in the Philippines. This mixed methods study aimed to describe patient perspectives and experiences with telemedicine services, and explore the factors that influence telemedicine use and satisfaction. Methods An online survey consisting of items adapted from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician & Group Adult Visit Survey 4.0 (beta) and the Telehealth Usability Questionnaire (TUQ) was completed by 200 participants aged 18 to 65 years residing in the Philippines. A subsample of 16 participants was interviewed to provide further insights on their experiences. We used descriptive statistics to analyze survey data and thematically analyzed data from interviews guided by the principles of grounded theory. Results Participants were generally satisfied with telemedicine, and found it to be an efficient and convenient means of receiving healthcare. About 3 in 5 perceived telemedicine as affordable, with some finding telemedicine costs to be high and comparable to in-person consultations. Our results suggest that participants preferred telemedicine services, especially in cases where they feel that their condition is not urgent and does not need extensive physical examination. Safety against COVID-19, privacy, accessibility, and availability of multiple communication platforms contributed to patient satisfaction with telemedicine. Negative perceptions of patients on quality of care and service related to their telemedicine provider, inherent limitations of telemedicine in the diagnosis and management of patients, perceived high costs especially for mental health conditions, and poor connectivity and other technological issues were barriers to telemedicine use and satisfaction. Conclusion Telemedicine is viewed as a safe, efficient, and affordable alternative to receiving care. Expectations of patients on costs and outcomes need to be managed by providers to increase satisfaction. Continued adoption of telemedicine will require improvements in technology infrastructure and technical support for patients, training and performance evaluation of providers to ensure quality of care and service, better patient communication to meet patient needs, and integration of telemedicine services in remote areas that have limited access to medical services. Telemedicine, to realize its full potential, should be centered in health equity – addressing patient barriers and needs, reducing health disparities across population groups and settings, and providing quality services to all.

show abstract

Section: Discussionmentioning

confidence: 59%

Patient satisfaction with telemedicine in the Philippines during the COVID-19 pandemic: a mixed methods study

Noceda

Acierto

Bertiz

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…25 Beyond costs, there are other obstacles to telemedicine implementation, which can be grouped into technological, legal, and organizational or cultural. 28,29 Technological success is based on achieving effective communication between parties. It is necessary to have both human resources and a technological infrastructure to implement a telemedicine system.…”

Section: Challenges For Telemedicinementioning

confidence: 99%

“…Beyond costs, there are other obstacles to telemedicine implementation, which can be grouped into technological, legal, and organizational or cultural 28,29 …”

Section: Telemedicine In Latin Americamentioning

confidence: 99%

Telehealth and Telemedicine in Latin American Rheumatology, a New Era After COVID-19

Graf¹,

Fernández-Ávila

Plazzotta³

et al. 2023

J Clin Rheumatol

View full text Add to dashboard Cite

Telemedicine is the delivery of health care services by health care professionals using information and communication technologies to exchange valid information for the diagnosis, treatment, and prevention of diseases. Telemedicine was further developed in Latin America during the COVID-19 (coronavirus disease 2019) pandemic, becoming the first line of defense for health professionals to stop the spread of infections and allow them to continue the care of their patients. During the pandemic, 79% of rheumatologists in Latin America reported the use of remote communication, the most frequent being the use of phone calls and WhatsApp voice messages. In contrast, 84% of the patients reported that telemedicine was appropriate for them during the pandemic, but only 54% considered telemedicine to be a valid option for rheumatic health care after the pandemic. Telemedicine and telehealth have advantages such as lower costs, improved access in rural areas, shortage of care providers, and reduction in waiting time for appointments. However, it also has some challenges, such as legal, technological, and organizational barriers. In this review, we explore the current state of telemedicine in Latin America and discuss its future.

show abstract

“…Telemedicine in intensive care has been used as a way to improve patient safety by reducing alarm fatigue [9]. Applications in medical education, for instance, during the training of resident intensivists, has also been described [10].…”

Section: Introductionmentioning

confidence: 99%

“…ICUs in the United States are characterized by the dominance of the "open model," with approximately 80% of ICUs staffed by nonintensivists. In contrast, in many countries, the "closed model" is predominant [10]. In this model, patients are systematically transferred to a trained intensivist.…”

Section: Introductionmentioning

confidence: 99%

Telemedicine in Intensive Care Units: Protocol for a Scoping Review

Guinemer¹,

Boeker²,

Weiß³

et al. 2020

JMIR Res Protoc

View full text Add to dashboard Cite

Background Telemedicine has been deployed to address issues in intensive care delivery, as well as to improve outcome and quality of care. Implementation of this technology has been characterized by high variability. Tele-intensive care unit (ICU) interventions involve the combination of multiple technological and organizational components, as well as interconnections of key stakeholders inside the hospital organization. The extensive literature on the benefits of tele-ICUs has been characterized as heterogeneous. On one hand, positive clinical and economical outcomes have been shown in multiple studies. On the other hand, no tangible benefits could be detected in several cases. This could be due to the diverse forms of organizations and the fact that tele-ICU interventions are complex to evaluate. The implementation context of tele-ICUs has been shown to play an important role in the success of the technology. The benefits derived from tele-ICUs depend on the organization where it is deployed and how the telemedicine systems are applied. There is therefore value in analyzing the benefits of tele-ICUs in relation to the characteristics of the organization where it is deployed. To date, research on the topic has not provided a comprehensive overview of literature taking both the technology setup and implementation context into account. Objective We present a protocol for a scoping review of the literature on telemedicine in the ICU and its benefits in intensive care. The purpose of this review is to map out evidence about telemedicine in critical care in light of the implementation context. This review could represent a valuable contribution to support the development of tele-ICU technologies and offer perspectives on possible configurations, based on the implementation context and use case. Methods We have followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist and the recommendations of the Joanna Briggs Institute methodology for scoping reviews. The scoping review and subsequent systematic review will be completed by spring 2021. Results The preliminary search has been conducted. After removing all duplicates, we found 2530 results. The review can now be advanced to the next steps of the methodology, including literature database queries with appropriate keywords, retrieval of the results in a reference management tool, and screening of titles and abstracts. Conclusions The results of the search indicate that there is sufficient literature to complete the scoping review. Upon completion, the scoping review will provide a map of existing evidence on tele-ICU systems given the implementation context. Findings of this research could be used by researchers, clinicians, and implementation teams as they determine the appropriate setup of new or existing tele-ICU systems. The need for future research contributio...

show abstract

Intensive Care Unit Telemedicine

Cited by 25 publications

References 46 publications

Patient satisfaction with telemedicine in the Philippines during the COVID-19 pandemic: a mixed methods study

Patient satisfaction with telemedicine in the Philippines during the COVID-19 pandemic: a mixed methods study

Telehealth and Telemedicine in Latin American Rheumatology, a New Era After COVID-19

Telemedicine in Intensive Care Units: Protocol for a Scoping Review

Contact Info

Product

Resources

About