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  • Telehealth opportunities in the COVID-19 Pandemic early days : what happened, did not happen, should have happened, and must happen in the near future?

    Amorim, Paula; Brito, Dulce; Castelo-Branco, Miguel; Fàbrega, Carles; Gomes da Costa, Fernando; Martins, Henrique; Gonçalves, Luis; Gonçalves, Luis Martins; Martin, Verónica; Milner, James (Mary Ann Liebert, Inc., 2020-12-15)
    © 2020 Mary Ann Liebert, Inc., publishers.
  • US and territory telemedicine policies: identifying gaps in perinatal care

    Okoroh, Ekwutosi M.; Kroelinger, Charlan D.; Smith, Alexander M.; Goodman, David A.; Barfield, Wanda D. (DigitalCommons@University of Nebraska - Lincoln, 2016-01-01)
    BACKGROUND: Perinatal regionalization is a system of maternal and neonatal risk-appropriate health care delivery in which resources are ideally allocated for mothers and newborns during pregnancy, labor and delivery, and postpartum, in order to deliver appropriate care. Typically, perinatal risk-appropriate care is provided in-person, but with the advancement of technologies, the opportunity to provide care remotely has emerged. Telemedicine provides distance-based care to patients by consultation, diagnosis, and treatment in rural or remote US jurisdictions (states and territories). OBJECTIVE: We sought to summarize the telemedicine policies of states and territories and assess if maternal and neonatal risk-appropriate care is specified. STUDY DESIGN: We conducted a 2014 systematic World Wide Webebased review of publicly available rules, statutes, regulations, laws, planning documents, and program descriptions among US jurisdictions (N=59) on telemedicine care. Policies including language on the topics of consultation, diagnosis, or treatment, and those specific to maternal and neonatal risk-appropriate care were categorized for analysis. RESULTS: Overall, 36 jurisdictions (32 states; 3 territories; and District of Columbia) (61%) had telemedicine policies with language referencing consultation, diagnosis, or treatment; 29 (49%) referenced consultation, 30 (51%) referenced diagnosis, and 35 (59%) referenced treatment. In all, 26 jurisdictions (22 states; 3 territories; and District of Columbia) (44%), referenced all topics. Only 3 jurisdictions (3 states; 0 territories) (5%), had policy language specifically addressing perinatal care. CONCLUSION: The majority of states have published telemedicine policies, but few specify policy language for perinatal risk-appropriate care. By ensuring that language specific to the perinatal population is included in telemedicine policies, access to maternal and neonatal care can be increased in rural, remote, and resource-challenged jurisdictions.
  • Translating eHealth visions from strategy to practice - A benefit management approach

    Villumsen, Sidsel; Nøhr, Christian; Faxvaag, Arild (IOS Press, 2018)
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  • Defining evaluation indicators for telemedicine as a tool for reducing health inequities: Study and results of a community of practice

    Pan American Health Organization (PAHO, 2016-07-18)
    This report presents the opinion of participants in a discussion forum on “Defining Evaluation&#xd; Indicators for Telemedicine Projects,” convened by the Pan American Health Organization, and held in&#xd; April and May 2015. In all, 52 people from at least 13 countries in Latin America were registered in the&#xd; introductory forum. The participants were very clear on the variety of definitions of telemedicine and&#xd; on the implications of its inclusion in the term “telehealth”. The greatest benefit discussed was “access&#xd; and timeliness”. They thought that telemedicine projects were not and should not be understood simply&#xd; as technology projects, but rather were health interventions that relied on and/or used information&#xd; and communications technologies (ICTs) for service delivery. For the participants, the differences and&#xd; similarities between telemedicine and health services not provided through ICTs were that, while both&#xd; basically were health services, the interface created a new paradigm both for the user and the beneficiary.&#xd; They found that the greatest challenge in terms of evaluation was the lack of knowledge on use&#xd; of telemedicine, which hindered the development of reliable evaluation indicators. Another challenge&#xd; was that evaluation should occur in every phase of the project, both comprehensively and in individual&#xd; processes. The participants thought that early phases of telemedicine projects should be evaluated systematically,&#xd; mainly with regard to feasibility and acceptability. They considered it important to measure&#xd; the health impact of telemedicine projects despite the difficulties inherent in the complex multicausal&#xd; processes typical of this type of project.
  • Framework for the Implementation of a Telemedicine Service

    Pan American Health Organization (PAHO, 2016-05-19)
    [Introduction]. This document aims to provide solutions for the successful implementation of telemedicine services&#xd; (and eHealth, in general) in the health care setting. Following a literature review that identifies&#xd; key theories, models, and frameworks used in the science of implementation, we introduce a theoretical&#xd; framework that addresses the obstacles to incorporating and standardizing the use of telemedicine in&#xd; health care institutions. This narrative review gathers qualitative information from different sources on&#xd; a particular topic, and summarizes and synthesizes the literature in order to determine “what is known”&#xd; about a topic (3).&#xd; This theoretical framework is based on understanding the context within its broader structure,&#xd; together with existing challenges and opportunities. The document introduces the reader to the reality&#xd; of implementing telemedicine services in actual health care settings; analyzes interactions that occur&#xd; during the process of ICT implementation and changes that occur in organizations, management&#xd; models, culture, and medical care services; and, finally, reflects on key aspects related to prioritization,&#xd; design, deployment, integration, and assessment. Analysis of this theoretical framework should allow&#xd; for the creation of a research program that focuses on major aspects in the successful development of&#xd; telemedicine, and generate proposed actions to overcome difficulties.&#xd; Bearing in mind its cross-cutting nature, this report is aimed at the community of professionals&#xd; (in its broadest sense) willing to work in any field related to the advancement of the health care sector,&#xd; both in health and social settings, with the implementation and intensive use of ICTs.&#xd; This publication consists of eight chapters. Chapter 2 provides a context for information presented&#xd; later in the report, with a special emphasis on terminology and key concepts and their relationship&#xd; with the subject under study. With that aim, it provides a brief summary of “state of the art” scientific&#xd; publications on telemedicine and introduces the main obstacles and facilitators that should be kept in&#xd; mind during implementation.

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