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Telemedicine, Telehealth and e-Health: New Frontiers in Medical Practice
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Telemedicine, Telehealth and e-Health: New Frontiers in Medical Practice

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: closed (31 December 2013) | Viewed by 80041

Special Issue Editors

Prof. Dr. Ronald S. Weinstein

E-Mail Website
Guest Editor
Department of Pathology, Arizona Health Sciences Center, The University of Arizona, 1501 N. Campbell Avenue, Room 1156, PO Box 245105, Tucson, AZ 85724, USA
Interests: telemedicine; telepathology; medical education; cancer research; genitourinary pathology; diagnostic accuracy; medical errors; health literacy
Prof. Dr. Elizabeth A. Krupinski

E-Mail Website
Guest Editor
Department of Medical Imaging, Arizona Health Sciences Center, The University of Arizona, 1609 N. Warren Bldg 211, Rm 112, Tucson, AZ 85724, USA
Interests: telemedicine; teleradiology; medical image perception; medical decision making; human factors

Special Issue Information

Dear Colleagues,

This special issue of Healthcare will feature invited papers, by experts, on important topics in the fields of telemedicine, telehealth and mHealth (i.e., mobile Health). After a gestation period of a half a century, since the first multi-specialty telemedicine service was created in Boston at the Massachusetts General Hospital in the late 1960s, telemedicine is now reaching its stride as an important and practical way to deliver a broad spectrum of healthcare services to patients. Over 60 subspecialties of medicine and nursing are involved with telemedicine and telehealth. For example, teleradiology has become a standard-of-care for night time coverage in rural and urban hospitals. Telestroke networks may become the next essential “urgent care” service. Telepsychiatry is commonplace in many practice environments. The “smart phone” is being shown to be well suited for use in many mobile telehealth applications. Today, thousands of healthcare apps are being developed, tested and marketed to healthcare providers as well as patients. This special issue of Healthcare will feature original papers by leaders in telemedicine whose work is at the leading edge of this rapidly advancing field.

Prof. Dr. Ronald S. Weinstein
Prof. Dr. Elizabeth A. Krupinski
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.


Keywords

  • telemedicine
  • telehealth
  • mHealth
  • e-Health
  • telepathology
  • teleradiology
  • telestroke
  • telepsychiatry
  • treatment
  • quality of care
  • robotic surgery
  • home-health monitoring
  • telecommunications

Published Papers (7 papers)

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Editorial

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53 KiB  
Editorial
Telemedicine, Telehealth and m-Health: New Frontiers in Medical Practice
by Elizabeth A. Krupinski and Ronald S. Weinstein
Healthcare 2014, 2(2), 250-252; https://doi.org/10.3390/healthcare2020250 - 13 Jun 2014
Cited by 7 | Viewed by 7816
Abstract
Telemedicine is changing the practice of medicine. It is part of the ever-growing use of communications technology in health care being used in prevention, disease management, home health care, long-term (chronic) care, emergency medicine, remote medical imaging, and many other applications. The pace [...] Read more.
Telemedicine is changing the practice of medicine. It is part of the ever-growing use of communications technology in health care being used in prevention, disease management, home health care, long-term (chronic) care, emergency medicine, remote medical imaging, and many other applications. The pace at which telemedicine is being adopted and integrated into the healthcare enterprise is exponential and, for many (even those in the field!), it is often difficult to keep up with all of the changes occurring. Thus, it is useful periodically to stand back and summarize recent advances, to take stock, analyze where we have been, and project where we are headed. [...] Full article
(This article belongs to the Special Issue Telemedicine, Telehealth and e-Health: New Frontiers in Medical Practice)

Review

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107 KiB  
Review
Mobile Tele-Mental Health: Increasing Applications and a Move to Hybrid Models of Care
by Steven Richard Chan, John Torous, Ladson Hinton and Peter Yellowlees
Healthcare 2014, 2(2), 220-233; https://doi.org/10.3390/healthcare2020220 - 06 May 2014
Cited by 81 | Viewed by 18552
Abstract
Mobile telemental health is defined as the use of mobile phones and other wireless devices as applied to psychiatric and mental health practice. Applications of such include treatment monitoring and adherence, health promotion, ecological momentary assessment, and decision support systems. Advantages of mobile [...] Read more.
Mobile telemental health is defined as the use of mobile phones and other wireless devices as applied to psychiatric and mental health practice. Applications of such include treatment monitoring and adherence, health promotion, ecological momentary assessment, and decision support systems. Advantages of mobile telemental health are underscored by its interactivity, just-in-time interventions, and low resource requirements and portability. Challenges in realizing this potential of mobile telemental health include the low penetration rates of health applications on mobile devices in part due to health literacy, the delay in current published research in evaluating newer technologies, and outdated research methodologies. Despite such challenges, one immediate opportunity for mobile telemental health is utilizing mobile devices as videoconferencing mediums for psychotherapy and psychosocial interventions enhanced by novel sensor based monitoring and behavior-prediction algorithms. This paper provides an overview of mobile telemental health and its current trends, as well as future opportunities as applied to patient care in both academic research and commercial ventures. Full article
(This article belongs to the Special Issue Telemedicine, Telehealth and e-Health: New Frontiers in Medical Practice)
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Graphical abstract

108 KiB  
Review
University-Based Teleradiology in the United States
by Tim B. Hunter and Elizabeth A. Krupinski
Healthcare 2014, 2(2), 192-206; https://doi.org/10.3390/healthcare2020192 - 15 Apr 2014
Cited by 8 | Viewed by 5746
Abstract
This article reviews the University of Arizona’s more than 15 years of experience with teleradiology and provides an overview of university-based teleradiology practice in the United States (U.S.). In the U.S., teleradiology is a major economic enterprise with many private for-profit companies offering [...] Read more.
This article reviews the University of Arizona’s more than 15 years of experience with teleradiology and provides an overview of university-based teleradiology practice in the United States (U.S.). In the U.S., teleradiology is a major economic enterprise with many private for-profit companies offering national teleradiology services (i.e., professional interpretation of radiologic studies of all types by American Board of Radiology certified radiologists). The initial thrust for teleradiology was for after-hours coverage of radiologic studies, but teleradiology has expanded its venue to include routine full-time or partial coverage for small hospitals, clinics, specialty medical practices, and urgent care centers. It also provides subspecialty radiologic coverage not available at smaller medical centers and clinics. Many U.S. university-based academic departments of radiology provide teleradiology services usually as an additional for-profit business to supplement departmental income. Since academic-based teleradiology providers have to compete in a very demanding marketplace, their success is not guaranteed. They must provide timely, high-quality professional services for a competitive price. Academic practices have the advantage of house officers and fellows who can help with the coverage, and they have excellent subspecialty expertise. The marketplace is constantly shifting, and university-based teleradiology practices have to be nimble and adjust to ever-changing situations. Full article
(This article belongs to the Special Issue Telemedicine, Telehealth and e-Health: New Frontiers in Medical Practice)
85 KiB  
Review
Telemedicine Workplace Environments: Designing for Success
by Elizabeth A. Krupinski
Healthcare 2014, 2(1), 115-122; https://doi.org/10.3390/healthcare2010115 - 24 Feb 2014
Cited by 12 | Viewed by 7918
Abstract
When designing a facility for telemedicine, there are several things to consider from a human factors point of view, as well as from a practicality point of view. Although the future practice of telemedicine is likely to be more of a mobile-based practice [...] Read more.
When designing a facility for telemedicine, there are several things to consider from a human factors point of view, as well as from a practicality point of view. Although the future practice of telemedicine is likely to be more of a mobile-based practice and centered more in the home than it is now, it is still very important to consider ways to optimize the design of clinic-based telemedicine facilities. This is true on both ends of a consultation—where the patient is and where the consultant is. On the patient side, the first thing to realize is that most telemedicine clinics are not going to be newly designed and built. In all likelihood they will be existing rooms converted to telemedicine clinic rooms. Quite often the former room will not even have been used for clinical purposes, but may have simply been a storage area cleared out for telemedicine use. Therefore, design is often a challenge but there are a few basic principles that can be followed to create a workable clinical space. This paper will review some of the basic human factors principles to take into account when designing a working telemedicine environment. Full article
(This article belongs to the Special Issue Telemedicine, Telehealth and e-Health: New Frontiers in Medical Practice)
287 KiB  
Review
Human Factors and Human-Computer Considerations in Teleradiology and Telepathology
by Elizabeth A. Krupinski
Healthcare 2014, 2(1), 94-114; https://doi.org/10.3390/healthcare2010094 - 19 Feb 2014
Cited by 12 | Viewed by 7997
Abstract
Radiology and pathology are unique among other clinical specialties that incorporate telemedicine technologies into clinical practice, as, for the most part in traditional practice, there are few or no direct patient encounters. The majority of teleradiology and telepathology involves viewing images, which is [...] Read more.
Radiology and pathology are unique among other clinical specialties that incorporate telemedicine technologies into clinical practice, as, for the most part in traditional practice, there are few or no direct patient encounters. The majority of teleradiology and telepathology involves viewing images, which is exactly what occurs without the “tele” component. The images used are generally quite large, require dedicated displays and software for viewing, and present challenges to the clinician who must navigate through the presented data to render a diagnostic decision or interpretation. This digital viewing environment is very different from the more traditional reading environment (i.e., film and microscopy), necessitating a new look at how to optimize reading environments and address human factors issues. This paper will review some of the key components that need to be optimized for effective and efficient practice of teleradiology and telepathology using traditional workstations as well as some of the newer mobile viewing applications. Full article
(This article belongs to the Special Issue Telemedicine, Telehealth and e-Health: New Frontiers in Medical Practice)
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261 KiB  
Review
Standards and Guidelines in Telemedicine and Telehealth
by Elizabeth A. Krupinski and Jordana Bernard
Healthcare 2014, 2(1), 74-93; https://doi.org/10.3390/healthcare2010074 - 12 Feb 2014
Cited by 78 | Viewed by 24176
Abstract
The development of guidelines and standards for telemedicine is an important and valuable process to help insure effective and safe delivery of quality healthcare. Some organizations, such as the American Telemedicine Association (ATA), have made the development of standards and guidelines a priority. [...] Read more.
The development of guidelines and standards for telemedicine is an important and valuable process to help insure effective and safe delivery of quality healthcare. Some organizations, such as the American Telemedicine Association (ATA), have made the development of standards and guidelines a priority. The practice guidelines developed so far have been well received by the telemedicine community and are being adopted in numerous practices, as well as being used in research to support the practice and growth of telemedicine. Studies that utilize published guidelines not only help bring them into greater public awareness, but they also provide evidence needed to validate existing guidelines and guide the revision of future versions. Telemedicine will continue to grow and be adopted by more healthcare practitioners and patients in a wide variety of forms not just in the traditional clinical environments, and practice guidelines will be a key factor in fostering this growth. Creation of guidelines is important to payers and regulators as well as increasingly they are adopting and integrating them into regulations and policies. This paper will review some of the recent ATA efforts in developing telemedicine practice guidelines, review the role of research in guidelines development, review data regarding their use, and discuss some of areas where guidelines are still needed. Full article
(This article belongs to the Special Issue Telemedicine, Telehealth and e-Health: New Frontiers in Medical Practice)
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Other

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196 KiB  
Case Report
Telemonitoring via Self-Report and Video Review in Community Palliative Care: A Case Report
by Deidre D. Morgan, Kate Swetenham, Timothy H. M. To, David C. Currow and Jennifer J. Tieman
Healthcare 2017, 5(3), 51; https://doi.org/10.3390/healthcare5030051 - 31 Aug 2017
Cited by 10 | Viewed by 6373
Abstract
Continuous monitoring and management of a person’s symptoms and performance status are critical for the delivery of effective palliative care. This monitoring occurs routinely in inpatient settings; however, such close evaluation in the community has remained elusive. Patient self-reporting using telehealth offers opportunities [...] Read more.
Continuous monitoring and management of a person’s symptoms and performance status are critical for the delivery of effective palliative care. This monitoring occurs routinely in inpatient settings; however, such close evaluation in the community has remained elusive. Patient self-reporting using telehealth offers opportunities to identify symptom escalation and functional decline in real time, and facilitate timely proactive management. We report the case of a 57­year-old man with advanced non-small cell lung cancer who participated in a telehealth trial run by a community palliative care service. This gentleman was able to complete self-reporting of function and symptoms via iPad although at times he was reticent to do so. Self-reporting was perceived as a means to communicate his clinical needs without being a bother to the community palliative care team. He also participated in a videoconference with clinical staff from the community palliative care service and his General Practitioner. Videoconferencing with the nurse and GP was highly valued as an effective way to communicate and also because it eliminated the need for travel. This case report provides important information about the feasibility and acceptability of palliative care telehealth as a way to better manage clinical care in a community setting. Full article
(This article belongs to the Special Issue Telemedicine, Telehealth and e-Health: New Frontiers in Medical Practice)
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