Telemedicine – Meaning, Challenges and Opportunities

Khemapech, Ittipong; Sansrimahachai, Watsawee; Toahchoodee, Manachai

doi:10.33192/smj.2019.38

Cited by 43 publications

(34 citation statements)

References 10 publications

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“…It is unclear if laws such as the Personal Data Protection Act and cyber-laws in the SEA countries ( 25 , 26 ) had international jurisdiction for technology breach. The lack of uniformity in laws and regulations makes it difficult to enforce legislation in malpractice across borders ( 39 , 52 , 53 ). There should be international collaborations to deal with transregional jurisdiction over breach of security and other cyber-crimes.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine Guidelines in South East Asia—A Scoping Review

Sabrina

Defi

2021

Front. Neurol.

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Background: Telemedicine is a useful tool to deliver healthcare to communities in low- to high-income countries, especially in the coronavirus disease 2019 pandemic era. Guidelines on telemedicine would assist healthcare providers in delivering healthcare services based on local circumstances.Objective: To explore and compare guidelines on telehealth and telemedicine in South East Asian countries.Methods: Electronic databases such as Google, PubMed, and Cochrane reviews were searched for articles using keywords such as “telemedicine” OR “telehealth” OR “eHealth” OR “telemedis” AND “guidelines” AND “South East Asia” OR “Malaysia” OR “Singapore” OR “Indonesia” OR “Thailand” OR “Vietnam” published up to 2020. Inclusion criteria were full articles and gray materials (i.e., policy statements, advisories, blueprints, executive summaries, and circulars) related to telemedicine guidelines. No language restrictions were imposed. Only the first 100 Google searches were included for eligibility based on its relevance to telemedicine guidelines. Exclusion criteria were abstracts, duplicate publications, blogs, news articles, promotional brochures, conference proceedings, and telemedicine projects unrelated to telemedicine guidelines.Results: A total of 62,300 articles were identified through the search engines (Google 62,203, PubMed 77, and Cochrane 20) and six articles from additional sources. Sixty-eight full-text articles fulfilled the inclusion criteria, but only 24 articles contained some form of guidelines on telemedicine: Indonesia (nine), Malaysia (seven), Singapore (five), Thailand (two), and Vietnam (one). There were six laws, six advisory guidelines, five policy statements, and two circulars (regulations) issued by either the Ministry of Communication and Multimedia, Ministry of Health, or Medical Councils from the respective countries. Issues addressed were clinical governance (100%); information and communication technology infrastructure (83.3%); privacy, storage, and record-keeping (77.8%, respectively); ethics and legal (77.8%); security and safety (72.2%); definitions and applications of telemedicine (72.2%); confidentiality (66.7%); licensing (66.7%); identification (55.6%); cost of information and communication technology infrastructure (55.6%); reimbursement (16.7%); mobile applications (11.1%); and feedback and choices (5.6%). The Singapore National Telemedicine Guidelines contained the most domains compared with other guidelines from South East Asia.Conclusions: Although there can be no “one-size-fits-all” telemedicine guideline, there should be a comprehensive and universal telemedicine guideline for any country to adapt based on the local context. Details on patient-identification, data ownership, back-up, and disposal; transregional cybersecurity laws and ways to overcome the limitations of telemedicine compared with face-to-face consultations should be outlined clearly to ensure uniformity of telemedicine service and patient safety.

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Section: Discussionmentioning

confidence: 99%

Telemedicine Guidelines in South East Asia—A Scoping Review

Sabrina

Defi

2021

Front. Neurol.

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“…Telemedicine is a method of providing health care services where distance is a critical factor. The services are provided by a representative of all medical specialties using information and communication technologies after receiving the information necessary for the diagnosis, treatment and prevention of diseases and injuries [22]. The MediLedger Project…”

Section: системи обробки інформації 2021 випуск 1 (164) Issn 1681-7710mentioning

confidence: 99%

Peculiarities of blockchain technology introduction in the field of healthcare: current situation and prospects

Ключка

Shmatko

Євсеєв

et al. 2021

soi

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The current situation in the field of health care is considered and the key problems faced by this industry are described. Today, there are two main issues to be addressed in healthcare: data ownership and data security. The patient's medical data is preferably stored in centralized, isolated systems that are incompatible with each other. This situation creates difficulties in terms of timely exchange of medical data and access to them. The lack of data complicates further diagnosis and treatment of the patient. In addition, systems that store medical data are not completely reliable. Third parties can easily access and modify medical data. It is expected that blockchain technology can solve the problems that currently exist in the field of health care. Blockchain technology will create distributed, decentralized systems that will significantly improve the quality of care provided. The paper considers the areas in the field of health care, in which blockchain technology is beginning to develop, as well as related projects. All considered projects can be divided into four areas: supply chain surveillance and fight against counterfeit products, telemedicine, diagnostics, storage and management of medical data. The healthcare sector is developing rapidly and new areas are expected in which the blockchain will be used. Although there are still some problems that need to be overcome for the blockchain to be fully used.

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“…Dalam membangun layanan telemedicine, dibutuhkan adanya teknologi informasi dan komunikasi sebagai infrastruktur yang mendasari. (Khemapech et al, 2019) Komitmen adalah kekuatan yang mengikat seseorang pada tindakan yang relevan dengan satu tujuan atau lebih. Komitmen muncul ketika suatu individu, dengan membuat penilaian, menghubungkan minat yang besar dengan garis aktivitas yang konsisten.…”

Section: Metodeunclassified

Antesedent Dari Online Trust Serta Dampaknya Terhadap Willingness To Choose Konsultasi Online (Studi Empiris Pada Konsumen Aplikasi Layanan Kesehatan)

Alexandro

Antonio

2021

MARSI

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Rumah sakit swasta bersaing dengan cara mengupayakan kualitas pelayanan yang dapat memenuhi berbagai kebutuhan konsumennya. Salah satu unit pelayanan di rumah sakit yang sering terabaikan adalah pelayanan di aplikasi online. Pasien pada jaman sekarang tentunya ingin mendapatkan pelayanan dengan cara yang praktis dan berkualitas. Terutama pada masa pandemi Covid 19 dimana layanan tatap muka dibatasi dan banyak kegiatan dilakukan secara online. Sejauh ini penelitian terkait faktor-faktor yang dapat berpengaruh pada kepuasan konsumen pada pelayanan tersebut masih jarang ditemukan. Untuk mengisi kekosongan tersebut disusun model penelitian yang dimodifikasi dari penelitian terdahulu. Tujuan penelitian ini untuk menguji pengaruh dari professional knowledge, physician rank, treatment effect, physician image, response speed, service commitment, service attitude, communication efforts terhadap cognitive trust dan affective trust serta dampaknya pada willingness to choose. PLS-SEM digunakan untuk menganalisis data empiris yang diperoleh dengan purposive sampling Didapatkan 273 responden yang memenuhi syarat melalui kuesioner yang didistribusikan secara online. Hasil penelitian menunjukkan bahwa professional knowledge dan treatment effect tidak terbukti secara signifikan mempunyai pengaruh positif pada cognitive trust. Service attitude dan communication efforts, tidak terbukti secara signifikan mempunyai pengaruh positif pada afective trust. Physician rank, physician image, dan response speed terbukti signifikan mempunyai pengaruh positif pada cognitive trust. Service commitment terbukti secara signifikan mempunyai dampak positif pada affective trust. Cognitive trust dan affective trust terbukti secara signifikan mempunyai dampak positif pada willingness to choose. Dengan demikian hasil penelitian ini menkonfirmasi teori Kepercayaan pasien terhadap pelayanan dokter dalam melakukan konsultasi kesehatan online baik secara kognitif maupun afektif mempunyai dampak yang nyata pada willingness to choose konsultasi kesehatan online. Model penelitian ini memiliki memiliki moderate predictive accuracy serta medium predictive relevance sehingga dapat dikembangkan dalam penelitian lebih lanjut. Terdapat implikasi manajerial dari temuan penelitian ini serta dan rekomdendasi bagi penelitian selanjutnya.Kata kunci: cognitive trust, affective trust, willingness to choose

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Telemedicine – Meaning, Challenges and Opportunities

Cited by 43 publications

References 10 publications

Telemedicine Guidelines in South East Asia—A Scoping Review

Telemedicine Guidelines in South East Asia—A Scoping Review

Peculiarities of blockchain technology introduction in the field of healthcare: current situation and prospects

Antesedent Dari Online Trust Serta Dampaknya Terhadap Willingness To Choose Konsultasi Online (Studi Empiris Pada Konsumen Aplikasi Layanan Kesehatan)

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