Telemedicine: a new frontier for effective healthcare services

Scalvini, Simonetta; Vitacca, Michele; Paletta, Laura; Giordano, Amerigo; Balbi, Bruno

doi:10.4081/monaldi.2004.686

Cited by 41 publications

(31 citation statements)

References 43 publications

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“…[12][13][14][15] The ADOS is a critical part of ASD assessment in adults, but there is a lack of available clinical expertise to meet need, 16 especially in poorly served areas. A possible solution is the use of technology for remote assessment.…”

mentioning

confidence: 99%

Usability and Reliability of a Remotely Administered Adult Autism Assessment, the Autism Diagnostic Observation Schedule (ADOS) Module 4

Schutte

McCue

Parmanto

et al. 2015

Telemedicine and e-Health

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Introduction: The Autism Diagnostic Observation Schedule (ADOS) Module 4 is an autism assessment designed for verbally fluent adolescents and adults. Because of a shortage of available clinical expertise, it can be difficult for adults to receive a proper autism spectrum disorder (ASD) diagnostic assessment. A potential option to address this shortage is remote assessment. The objective of this study was to examine the feasibility, usability, and reliability of administering the ADOS Module 4 remotely using the Versatile and Integrated System for Telerehabilitation (VISYTER). Materials and Methods: VISYTER consists of computer stations at the client site and clinician site for video communication and a Web portal for managing and coordinating the assessment process. Twenty-three adults with an ASD diagnosis participated in a within-subject crossover design study in which both a remote ADOS and a face-to-face ADOS were administered. After completing the remote ADOS, participants completed a satisfaction survey. Results: Participant satisfaction with the remote ADOS delivery system was high. The kappa value was greater than 0.61 on 21 of 31 ADOS items. There was substantial agreement on ADOS classification (i.e., diagnosis) between assessments delivered face-to-face versus assessments delivered remotely (interclass coefficient = 0.92). Nonagreement may have been due to outside factors or practice effect despite a washout period. Conclusions: The results of this study demonstrate that an autism assessment designed to be delivered face to face can be administered remotely using an integrated Web-based system with high levels of usability and reliability.

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mentioning

confidence: 99%

Usability and Reliability of a Remotely Administered Adult Autism Assessment, the Autism Diagnostic Observation Schedule (ADOS) Module 4

Schutte

McCue

Parmanto

et al. 2015

Telemedicine and e-Health

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“…Data may indicate the need for medical intervention that is promptly made either over the telephone or internet. This new approach is called telemedicine [6]. We hypothesised that a daily monitoring of spirometry with professional feedback could improve asthma control, and prevent exacerbations.…”

mentioning

confidence: 99%

Home telemonitoring (forced expiratory volume in 1 s) in children with severe asthma does not reduce exacerbations

Deschildre

Béghin²,

Salleron³

et al. 2011

European Respiratory Journal

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Some children with severe asthma develop frequent exacerbations despite intensive treatment.We sought to assess the outcome (severe exacerbations and healthcare use, lung function, quality of life and maintenance treatment) of a strategy based on daily home spirometry with teletransmission to an expert medical centre and whether it differs from that of a conventional strategy.50 children with severe uncontrolled asthma were enrolled in a 12-month prospective study and were randomised into two groups: 1) treatment managed with daily home spirometry and medical feedback (HM) and 2) conventional treatment (CT).The children's mean age was 10.9 yrs (95% confidence interval 10.2-11.6). 44 children completed the study (21 in the HM group and 23 in the CT group). The median number of severe exacerbations per patient was 2.0 (interquartile range 1.0-4.0) in the HM group and 3.0 (1.0-4.0) in the CT group (p50.38 with adjustment for age). There were no significant differences between the two groups for unscheduled visits (HM 5.0 (3.0-7.0), CT 3.0 (2.0-7.0); p50.30), lung function (pre-b 2 -agonist forced expiratory volume in 1 s (FEV1) p50.13), Paediatric Asthma Quality of Life Questionnaire scores (p50.61) and median daily dose of inhaled corticosteroids (p50.86).A treatment strategy based on daily FEV1 monitoring with medical feedback did not reduce severe asthma exacerbations.

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“…Telemedicine can be classified on the basis of the mode of operation or type of application [1,2]. According to the mode of operation, it can be divided into two groups: 1) real-time (interactive) mode, and 2) store-and-forward mode.…”

Section: Classificationmentioning

confidence: 99%

“…In 1998, it was defined by the World Health Organization as "the delivery of healthcare services, where distance is a critical factor, by all healthcare professionals using information and communication technologies for the exchange of valid information for diagnosis, treatment and prevention of disease and injuries, research and evaluation, and for the continuing education of healthcare providers, all in the interest of advancing the health of individuals and their communities". It can also be defined as "organisation and integration of information technology in such a way that resources outside the local organisation can be used systematically in the activities of health services" [1,2].…”

Section: Review Telemedicine and Home Carementioning

confidence: 99%

“…Little is known about the effectiveness of triaging by telephone, probably because these schemes are not easy to assess. The data in the literature show a benefit in terms of reduced hospital admissions and cost savings [2,5,6], but transposing the benefits to a wider population outside of a trial is not easy. Diagnosis and even prescribing by nurses remains an area of controversy that has not yet been fully established.…”

Section: Home Telenursingmentioning

confidence: 99%

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