Mobile-health: A review of current state in 2015

Silva, Bruno M. C.; Rodrigues, Joel J. P. C.; Díez, Isabel de la Torre; López-Coronado, Miguel; Saleem, Kashif

doi:10.1016/j.jbi.2015.06.003

Cited by 748 publications

(454 citation statements)

References 48 publications

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“…First, our online approach and system differed from previous reports: (1) there was no additional counselor on site with the patient supporting the counseling process, as in previous studies; 8,11,18,19 (2) counselors used laptops with built-in webcams, and patients used their own equipment at home to run the online application instead of using videoconferencing equipment and television screens; 8,10,18 and (3) supportive tools were shown on-screen together with the webcam image, which was an advantage of our system, but the patient's image was small and not 'whole-screen' visible to the counselor.…”

Section: Discussionmentioning

confidence: 97%

“…Moreover, telemedicine applications may increase efficiency for professionals due to spending less time on patient care and/or reduce or even avoid traveling to regional clinics (http://www.americantelemed.org/docs/default-source/ policy/examples-of-research-outcomes-telemedicine's-impact-onhealthcare-cost-and-quality.pdf). [1][2][3][4][5] Use of telemedicine applications in clinical genetics (commonly called telegenetics) is scarce but may nevertheless be attractive. In clinical genetics, patient numbers rise continuously, due to the introduction and wider availability of new diagnostic techniques, emphasizing the need for increased efficiency and optimization of care within existing personal and financial means.…”

Section: Introductionmentioning

confidence: 99%

“…Adaptations to existing care through the introduction of telemedicine may relate to changing the professionals who provide genetic counseling (professional substitution; 'mainstreaming'); changing the content of counseling; or changing the organization or location of counseling (facility or setting substitution). 2 Depending on the modality chosen, introduction of telemedicine applications may not only have impact on patients and presymptomatic clients, but also on professionals and healthcare costs. Several reports indeed support its favorable cost-effectiveness, (http://www.americantelemed.org/docs/default-source/policy/examplesof-research-outcomes-telemedicine's-impact-on-healthcare-costand-quality.pdf) 6,7 but also point to technical and privacy issues.…”

Section: Introductionmentioning

confidence: 99%

“…Several reports indeed support its favorable cost-effectiveness, (http://www.americantelemed.org/docs/default-source/policy/examplesof-research-outcomes-telemedicine's-impact-on-healthcare-costand-quality.pdf) 6,7 but also point to technical and privacy issues. 1, 2 Reports on interactive telemedicine application in genetics mainly originate from countries with large traveling distances. They show positive outcomes on (symptomatic and presymptomatic) patients' and counselors' satisfaction with pre-test counseling.…”

Section: Introductionmentioning

confidence: 99%

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Online genetic counseling from the providers’ perspective: counselors’ evaluations and a time and cost analysis

et al. 2016

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Telemedicine applications are increasingly being introduced in patient care in various disciplines, including clinical genetics, mainly to increase access to care and to reduce time and costs for patients and professionals. Most telegenetics reports describe applications in large geographical areas, showing positive patients' and professionals' satisfaction. One economic analysis published thus far reported lower costs than in-person care. We hypothesized that telegenetics can also be beneficial from the professional's view in relatively small geographical areas. We performed a pilot study in the Northern Netherlands of 51 home-based online counseling sessions for cardiogenetic and oncogenetic cascade screening, and urgent prenatal counseling. Previously, we showed patient satisfaction, anxiety, and perceived control of online counseling to be comparable to in-person counseling. This study focuses on expectations, satisfaction, and practical evaluations of the involved counselors, and the impact in terms of time and costs. Most counselors expected disadvantages of online counseling for themselves and their patients, mainly concerning insufficient non-verbal communication; few expected advantages for themselves. Afterwards, counselors additionally raised the disadvantage of insufficient verbal communication, and reported frequent technical problems. Their overall mean telemedicine satisfaction itemscore was 3.38 before, and 2.95 afterwards, being afterwards slightly below the minimum level we set for a satisfactory result. We estimated reduced time and costs by online counseling with about 8% and 10-12%, respectively. We showed online genetic counseling to be effective, feasible and cost-efficient, but technical improvements are needed to increase counselors' satisfaction.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Online genetic counseling from the providers’ perspective: counselors’ evaluations and a time and cost analysis

et al. 2016

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“…The use of mobile technologies could improve the quality of services and access to health care, particularly in underserved rural areas [3]. …”

Section: Introductionmentioning

confidence: 99%

Medical mobile technologies – what is needed for a sustainable and scalable implementation on a global scale?

Lundin

Dumont

2017

Global Health Action

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Current advances within medical technology show great potential from a global health perspective. Inexpensive, effective solutions to common problems within diagnostics, medical procedures and access to medical information are emerging within almost all fields of medicine. The innovations can benefit health care both in resource-limited and in resource-rich settings. However, there is a big gap between the proof-of-concept stage and implementation. This article will give examples of promising solutions, with special focus on mobile image- and sensor-based diagnostics. We also discuss how technology and frugal innovations could be made sustainable and widely available. Finally, a list of critical factors for success is presented, based on both our own experiences and the literature.

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