Mobile Videoconferencing Apps for Telemedicine

Zhang, Kai; Liu, Weili; Locatis, Craig; Ackerman, Michael J.

doi:10.1089/tmj.2015.0027

Cited by 18 publications

(10 citation statements)

References 20 publications

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“…Recent innovations in technology allow anyone to use mobile phones, tablets or SMS for accessing to telemedicine without special helps of technician. [19][20][21][22] Stolyar et al introduced the implementation of an university curriculum for medical students regarding telemedicine technologies and practical skills on VC in their article. 23 In future, more physicians will be able to organise international teleconference by themselves.…”

Section: Discussionmentioning

confidence: 99%

A Train-the-Trainers (TtT) Program for Engineers for Hosting Multiparty International Clinical Teleconferences

Kudo

Moriyama

Tomimatsu

et al. 2019

J Int Soc Telemed eHealth

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Background: International clinical teleconferencing connecting hospitals contributes to the standardisation of medical care. Introduction: The perception that participating in international teleconferences is easy while hosting and coordinating them is difficult has limited the expansion of these kinds of programmes. We evaluated the effectiveness of a Train-the-Trainer (TtT) programme on hosting international multiparty teleconferences targeted at hospital engineers. Methods: From 2015 to 2017, 20 engineers and physicians from 17 institutions in 10 countries participated in Kyushu University Hospital’s TtT programme. Hands-on training and hosting a Training Report Conference (TRC) were conducted. The impact of the programme was assessed using questionnaires about the participants’ confidence, perception of barriers, and teleconference activity before and one year after the training period. Results: The mean training period was 16.7 days (median, 19 days). Twelve TRCs were hosted by trainees connecting 56 institutions in 11 countries. All participants gave positive evaluations of the overall programme, 19 (95%) "very good" and 1 (5%) "good", and the trainers 9 (90%) "very good" and 1 (10%) "good"). Following the TtT programme, the mean number of trainee-hosted events increased significantly (0.8 to 1.3, p<0.001), and more respondents (12/17, 71%) reported barriers to hosting a programme than participating in one (5/17, 29%, p<0.001). Trainee confidence in both hosting and participating in international teleconferences was significantly higher after TtT. Conclusion: There are more barriers to hosting than participating in international clinical teleconferences. This TtT programmes for engineers could contribute to more active hosting engagement.

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Section: Discussionmentioning

confidence: 99%

A Train-the-Trainers (TtT) Program for Engineers for Hosting Multiparty International Clinical Teleconferences

Kudo

Moriyama

Tomimatsu

et al. 2019

J Int Soc Telemed eHealth

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“…28 Furthermore, ongoing developments in videoconferencing software promise fewer technical issues, decreased latency, and higher video quality. 29 Even before the COVID-19 pandemic, telemedicine had been successfully implemented for neurosurgical care in select settings. Video and image from smartphones are largely of sufficient quality, mitigating some concerns about decreased exam quality.…”

Section: Considerations In the Implementation Of Telehealthmentioning

confidence: 99%

Telemedicine in the Era of Coronavirus Disease 2019 (COVID-19): A Neurosurgical Perspective

et al. 2020

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*Deep tendon, plantar, Babinski reflexes if tele-examiner present Limitations of the telemedicine neurologic examination Comprehensive eye examination Cannot assess corneal reflex May be difficult to assess visual fields Neuromuscular examination Reflex testing may not be possible Difficult to fully assess peripheral strength and grade subtle strength differences between sides of the body Limited assessment of tone and rigidity May be hard to detect subtle signs of Parkinson's disease: in particular rigidity and retropulsion pull testing 44 Vestibular examination Cannot perform HINTs exam (Head Impulse, Nystagmus, Test-of-skew) for vestibular syndrome Cerebellar examination Cannot perform Dix-Hallpike test for cerebellar infarction FDA, Food and Drug Administration. *Elements of the examination that may be more difficult to perform.

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“…The COVID-19 pandemic provided sufficient incentive for the health care system to shift to web-based care to minimize the exposure to SARS-CoV-2 [19,33] and ultimately, as reported by Portnoy et al, "the only virus one can get while doing telemedicine is a cyber virus" [34,35]. The presence of these different modalities of telemedicine provided different opportunities for patients to connect with their health care providers, with rapid implementation of video and audio consultations partially owing to the availability of smartphones and the ubiquity of videoconferencing apps, since cameras are now an essential feature of these cellphones [36][37][38][39][40][41][42].…”

Section: Principal Findingsmentioning

confidence: 99%

Physicians’ Attitudes Toward Telemedicine Consultations During the COVID-19 Pandemic: Cross-sectional Study

Alhajri¹,

Simsekler²,

Alfalasi³

et al. 2021

JMIR Med Inform

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Background To mitigate the effect of the COVID-19 pandemic, health care systems worldwide have implemented telemedicine technologies to respond to the growing need for health care services during these unprecedented times. In the United Arab Emirates, video and audio consultations have been implemented to deliver health services during the pandemic. Objective This study aimed to evaluate whether differences exist in physicians’ attitudes and perceptions of video and audio consultations when delivering telemedicine services during the COVID-19 pandemic. Methods This survey was conducted on a cohort of 880 physicians from outpatient facilities in Abu Dhabi, which delivered telemedicine services during the COVID-19 pandemic between November and December 2020. In total, 623 physicians responded (response rate=70.8%). The survey included a 5-point Likert scale to measure physician’s attitudes and perceptions of video and audio consultations with reference to the quality of the clinical consultation and the professional productivity. Descriptive statistics were used to describe physicians’ sociodemographic characteristics (age, sex, designation, clinical specialty, duration of practice, and previous experience with telemedicine) and telemedicine modality (video vs audio consultations). Regression models were used to assess the association between telemedicine modality and physicians’ characteristics with the perceived outcomes of the web-based consultation. Results Compared to audio consultations, video consultations were significantly associated with physicians’ confidence toward managing acute consultations (odds ratio [OR] 1.62, 95% CI 1.2-2.21; P=.002) and an increased ability to provide patient education during the web-based consultation (OR 2.21, 95% CI 1.04-4.33; P=.04). There was no significant difference in physicians’ confidence toward managing long-term and follow-up consultations through video or audio consultations (OR 1.35, 95% CI 0.88-2.08; P=.17). Video consultations were less likely to be associated with a reduced overall consultation time (OR 0.69, 95% CI 0.51-0.93; P=.02) and reduced time for patient note-taking compared to face-to-face visits (OR 0.48, 95% CI 0.36-0.65; P<.001). Previous experience with telemedicine was significantly associated with a lower perceived risk of misdiagnosis (OR 0.46, 95% CI 0.3-0.71; P<.001) and an enhanced physician-patient rapport (OR 2.49, 95% CI 1.26-4.9; P=.008). Conclusions These results indicate that video consultations should be adopted frequently in the new remote clinical consultations. Previous experience with telemedicine was associated with a 2-fold confidence in treating acute conditions, less than a half of the perceived risk of misdiagnosis, and an increased ability to provide patients with health education and enhance the physician-patient rapport. Additionally, these results show that audio consultations are equivalent to video consultations in providing remote follow-up care to patients with chronic conditions. These findings may be beneficial to policymakers of e-health programs in low- and middle-income countries, where audio consultations may significantly increase access to geographically remote health services.

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Mobile Videoconferencing Apps for Telemedicine

Abstract: Apps for mobile devices can vary significantly from other videoconferencing software or hardware. App performance increased over the testing period due to improvements in network infrastructure and how apps manage bandwidth.

Cited by 18 publications

References 20 publications

A Train-the-Trainers (TtT) Program for Engineers for Hosting Multiparty International Clinical Teleconferences

A Train-the-Trainers (TtT) Program for Engineers for Hosting Multiparty International Clinical Teleconferences

Telemedicine in the Era of Coronavirus Disease 2019 (COVID-19): A Neurosurgical Perspective

Physicians’ Attitudes Toward Telemedicine Consultations During the COVID-19 Pandemic: Cross-sectional Study

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