Worldwide implementation of telemedicine programs in association with research performance and health policy

Avanesova, Anna A.; Shamliyan, Tatyana

doi:10.1016/j.hlpt.2019.04.001

Cited by 24 publications

(17 citation statements)

References 69 publications

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“…A total of 25 articles were included in this scoping review. The selection process of these articles is detailed in Figure 1 , and their characteristics are summarized in Multimedia Appendix 3 [ 14 - 38 ].…”

Section: Resultsmentioning

confidence: 99%

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Medical Student Training in eHealth: Scoping Review

Echelard¹,

Méthot²,

Nguyen³

et al. 2020

JMIR Med Educ

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Background eHealth is the use of information and communication technologies to enable and improve health and health care services. It is crucial that medical students receive adequate training in eHealth as they will work in clinical environments that are increasingly being enabled by technology. This trend is especially accelerated by the COVID-19 pandemic as it complicates traditional face-to-face medical consultations and highlights the need for innovative approaches in health care. Objective This review aims to evaluate the extent and nature of the existing literature on medical student training in eHealth. In detail, it aims to examine what this education consists of, the barriers, enhancing factors, and propositions for improving the medical curriculum. This review focuses primarily on some key technologies such as mobile health (mHealth), the internet of things (IoT), telehealth, and artificial intelligence (AI). Methods Searches were performed on 4 databases, and articles were selected based on the eligibility criteria. Studies had to be related to the training of medical students in eHealth. The eligibility criteria were studies published since 2014, from a peer-reviewed journal, and written in either English or French. A grid was used to extract and chart data. Results The search resulted in 25 articles. The most studied aspect was mHealth. eHealth as a broad concept, the IoT, AI, and programming were least covered. A total of 52% (13/25) of all studies contained an intervention, mostly regarding mHealth, electronic health records, web-based medical resources, and programming. The findings included various barriers, enhancing factors, and propositions for improving the medical curriculum. Conclusions Trends have emerged regarding the suboptimal present state of eHealth training and barriers, enhancing factors, and propositions for optimal training. We recommend that additional studies be conducted on the following themes: barriers, enhancing factors, propositions for optimal training, competencies that medical students should acquire, learning outcomes from eHealth training, and patient care outcomes from this training. Additional studies should be conducted on eHealth and each of its aspects, especially on the IoT, AI, programming, and eHealth as a broad concept. Training in eHealth is critical to medical practice in clinical environments that are increasingly being enabled by technology. The need for innovative approaches in health care during the COVID-19 pandemic further highlights the relevance of this training.

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Section: Resultsmentioning

confidence: 99%

“…The main findings relevant to this review’s research question for all No Intervention articles are presented in Table 3 . A summary of the characteristics of all included articles is presented in Multimedia Appendix 3 [ 14 - 38 ], including authors, study location, year of publication, and which aspect of eHealth had been studied.…”

Section: Resultsmentioning

confidence: 99%

Medical Student Training in eHealth: Scoping Review

Echelard¹,

Méthot²,

Nguyen³

et al. 2020

JMIR Med Educ

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“…Our results also highlight the critical need for better technology usability to better support health professionals in this pandemic. The level of user training influences the adoption of healthcare information and communication technologies [31] and usability is one of the most common challenges internationally [50,51]. Studies that have evaluated the usability of technologies used in response to or as key tools during the COVID-19 pandemic highlight the importance of effective user interfaces and easy to use tools, particularly as these can represent important complementary tools to support offline health services (e.g., COVID-19 testing) [52][53][54].…”

Section: 3mentioning

confidence: 99%

“…The International Medical Informatics Association (IMIA) Students and Emerging Professionals Special Interest Group conducted an international survey targeted at health informatics experts. As there is a large variation in application of healthcare information and communication technologies throughout the globe [ 31 ], we purposefully sought perspectives from an international cohort of health informatics experts. The survey can be accessed via http://covidhitimpact.com.…”

Section: Introduction and Objectivesmentioning

confidence: 99%

How to Improve Information Technology to Support Healthcare to Address the COVID-19 Pandemic: an International Survey with Health Informatics Experts

et al. 2021

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Objectives: To identify the ways in which healthcare information and communication technologies can be improved to address the challenges raised by the COVID-19 pandemic. Methods: The study population included health informatics experts who had been involved with the planning, development and deployment of healthcare information and communication technologies in healthcare settings in response to the challenges presented by the COVID-19 pandemic. Data were collected via an online survey. A non-probability convenience sampling strategy was employed. Data were analyzed with content analysis. Results: A total of 65 participants from 16 countries responded to the conducted survey. The four major themes regarding recommended improvements identified from the content analysis included: improved technology availability, improved interoperability, intuitive user interfaces and adoption of standards of care. Respondents also identified several key healthcare information and communication technologies that can help to provide better healthcare to patients during the COVID-19 pandemic, including telehealth, advanced software, electronic health records, remote work technologies (e.g., remote desktop computer access), and clinical decision support tools. Conclusions: Our results help to identify several important healthcare information and communication technologies, recommended by health informatics experts, which can help to provide better care to patients during the COVID-19 pandemic. The results also highlight the need for improved interoperability, intuitive user interfaces and advocating the adoption of standards of care.

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“…They provide an opportunity to lead ICT-based projects to empower people, teach them how to manage their health, improve their quality of life, and achieve well-being [ 21 , 22 ]. A recent review highlighted the importance of implementing new technologies in health care policies—specifically, in that case study, telemedicine [ 29 ]. It stressed that further studies should be carried out aimed at a consistent analysis and follow-up of patients after such intervention programs as a strategy to demonstrate that they are necessary [ 30 ].…”

Section: Introductionmentioning

confidence: 99%

A Mobile App–Based Intervention Program for Nonprofessional Caregivers to Promote Positive Mental Health: Randomized Controlled Trial

Ferré‐Grau¹,

Raigal-Aran²,

Lorca-Cabrera³

et al. 2021

JMIR Mhealth Uhealth

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Background While nonprofessional caregivers often experience a sense of fulfillment when they provide care, there is also a significant risk of emotional and physical burnout. Consequently, this can negatively affect both the caregiver and the person being cared for. Intervention programs can help empower nonprofessional caregivers of people with chronic diseases and develop solutions to decrease the physical and psychological consequences resulting from caregiving. However, most clinically tested intervention programs for nonprofessional caregivers require face-to-face training, and many caregivers encounter obstacles that hinder their participation in such programs. Consequently, it is necessary to design internet-based intervention programs for nonprofessional caregivers that address their needs and test the efficacy of the programs. Objective The aim of this study was to evaluate the effectiveness of a smartphone app–based intervention program to increase positive mental health for nonprofessional caregivers. Methods This study was a randomized controlled trial of 3 months’ duration. A total of 152 caregivers over 18 years of age with a minimum of 4 months’ experience as nonprofessional caregivers were recruited from primary health care institutions. Nonprofessional caregivers were randomized into two groups. In the intervention group, each caregiver installed a smartphone app and used it for 28 days. This app offered them daily activities that were based on 10 recommendations to promote positive mental health. The level of positive mental health, measured using the Positive Mental Health Questionnaire (PMHQ), and caregiver burden, measured using the 7-item short-form version of the Zarit Caregiver Burden Interview (ZBI-7), were the primary outcomes. Users’ satisfaction was also measured. Results In all, 113 caregivers completed the study. After the first month of the intervention, only one factor of the PMHQ, F1–Personal satisfaction, showed a significant difference between the groups, but it was not clinically relevant (0.96; P=.03). However, the intervention group obtained a higher mean change for the overall PMHQ score (mean change between groups: 1.40; P=.24). The results after the third month of the intervention showed an increment of PMHQ scores. The mean difference of change in the PMHQ score showed a significant difference between the groups (11.43; P<.001; d=0.82). Significant changes were reported in 5 of the 6 factors, especially F5–Problem solving and self-actualization (5.69; P<.001; d=0.71), F2–Prosocial attitude (2.47; P<.001; d=1.18), and F3–Self-control (0.76; P=.03; d=0.50). The results of the ZBI-7 showed a decrease in caregiver burden in the intervention group, although the results were inconclusive. Approximately 93.9% (46/49) of the app users indicated that they would recommend the app to other caregivers and 56.3% (27/49) agreed that an extension of the program’s duration would be beneficial. Conclusions The app-based intervention program analyzed in this study was effective in promoting positive mental health and decreasing the burden of caregivers and achieved a high range of user satisfaction. This study provides evidence that mobile phone app–based intervention programs may be useful tools for increasing nonprofessional caregivers’ well-being. The assessment of the effectiveness of intervention programs through clinical trials should be a focus to promote internet-based programs in health policies. Trial Registration ISRCTN Registry ISRCTN14818443; http://www.isrctn.com/ISRCTN14818443 International Registered Report Identifier (IRRID) RR2-10.1186/s12889-019-7264-5

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Worldwide implementation of telemedicine programs in association with research performance and health policy

Cited by 24 publications

References 69 publications

Medical Student Training in eHealth: Scoping Review

Medical Student Training in eHealth: Scoping Review

How to Improve Information Technology to Support Healthcare to Address the COVID-19 Pandemic: an International Survey with Health Informatics Experts

A Mobile App–Based Intervention Program for Nonprofessional Caregivers to Promote Positive Mental Health: Randomized Controlled Trial

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