Telemedicine - Technical Developments and Clinical Practice

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Epidemiology & Public Health".

Deadline for manuscript submissions: closed (31 October 2016) | Viewed by 33927

Special Issue Editors


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Guest Editor
Center of Neuroimmunology, Hospital Clinic and Institut d'Investigació Biomèdica August Pi i Sunyer (IDIBAPS), Barcelona, Spain
Interests: clinical assessment; disease activity; disease progression; electronic devices; multiple sclerosis; physical intervention; registries and databases; remote monitoring; telemedicine; teleneurology

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Guest Editor
Center of Neuroimmunology, Hospital Clinic and Institut d'Investigació Biomèdica August Pi i Sunyer (IDIBAPS), Barcelona, Spain
Interests: clinical assessment; disease activity; disease progression; electronic devices; multiple sclerosis; physical intervention; registries and databases; remote monitoring; telemedicine; teleneurology

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Guest Editor
Department of Pediatrics, Division of Pediatric Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA
Interests: telemedicine in pediatric emergency medicine; school tele-health; simulation in pediatric/ emergency medicine education

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Guest Editor
University of Maryland School of Medicine, Baltimore, MD 21201, USA
Interests: pediatric emergency medicine; injury prevention; disaster preparedness
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Special Issue Information

Dear Colleagues,

Telemedicine (TM) is an emerging field in the 21st century and has recently gained widespread acceptance among diverse clinical specialties across the globe thanks to the rapid proliferation of mobile and home-based devices. Advancement in video-conferencing technology, such as digital compression, enhanced display resolution, improved video streaming with real-time interaction and high bandwidth, results in cost effective, high quality audio-video communication, ideal for a number of clinical applications.

The main reason for the great development of TM is because it probably covers an unmet need in the healthcare system (access to remote areas, improvement differential diagnosis, continuous disease monitoring, access to interventions and treatments, improvement of support and information, etc.) with a clear impact in a patient’s life.

More recently, telemedicine has expanded from store and forward technology (tele-radiology and tele-pathology) to real-time video communication with patients/providers and is now commonly used in hospitals, ambulatory settings, clinics, and schools. It has also proved to be a useful tool in the management of different populations, including children, adults, and psychiatric subjects. Despite several challenges (technical, clinical, regulatory, cost, etc.), telemedicine has been increasingly recognized by health systems (hospitals, patients, and payers), state medical boards, and government agencies in the US and Europe.

Clinicians are increasingly using telemedicine solutions as clinical standardized protocols and improved equipment is developed.  Several studies confirm the feasibility, reliability, and cost effectiveness of telemedicine.

There is a great number of published TM studies; they show important methodological differences, including the use of different approaches and devices, which makes the interpretation of the results difficult and limit the focus on patient outcomes.

Please join us in presenting this Special Issue on the state-of-the-art of technical developments in TM research currently performed worldwide in order to broaden the scope of its benefits and frontiers and to bring it to clinical practice.

Dr. Yolanda Blanco
Dr. Núria Solà-Valls
Assist. Prof. Rajender Gattu
Prof. Richard Lichenstein
Guest Editors

Manuscript Submission Information

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Keywords

  • Remote consultation
  • Remote devices
  • Remote intervention
  • Tele-health
  • Tele-monitoring
  • Telemetry
  • Video-audio-conferencing
  • Tele-monitoring
  • Telemedicine
  • Patient-reported outcomes

Published Papers (5 papers)

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Research

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Article
A Shared Decision-Making Approach to Telemedicine: Engaging Rural Patients in Glycemic Management
by Michelle L. Griffith, Linda Siminerio, Tammie Payne and Jodi Krall
J. Clin. Med. 2016, 5(11), 103; https://doi.org/10.3390/jcm5110103 - 17 Nov 2016
Cited by 18 | Viewed by 7469
Abstract
Telemedicine can connect specialist health care providers with patients in remote and underserved areas. It is especially relevant in diabetes care, where a proliferation of treatment options has added further complexity to the care of an already complex, highly prevalent disease. Recent developments [...] Read more.
Telemedicine can connect specialist health care providers with patients in remote and underserved areas. It is especially relevant in diabetes care, where a proliferation of treatment options has added further complexity to the care of an already complex, highly prevalent disease. Recent developments in health reform encourage delivery systems to use team-based models and engage patients in shared decision-making (SDM), where patients and providers together make health care decisions that are tailored to the specific characteristics and values of the patient. The goal of this project was to design, integrate, and evaluate a team-based, SDM approach delivered to patients with diabetes in a rural community, building upon the previously established telemedicine for reach, education, access, and treatment (TREAT) model. Patients in this feasibility study demonstrated improvement in hemoglobin A1c values, and reported better understanding of diabetes. Providers reported the SDM aids increased cohesion among team members (including patients) and facilitated patient education and behavioral goal setting. This project demonstrated that SDM could be integrated into the workflow of a telemedicine team visit with good provider and patient satisfaction. Full article
(This article belongs to the Special Issue Telemedicine - Technical Developments and Clinical Practice)
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4442 KiB  
Article
Tele-Operated Echography and Remote Guidance for Performing Tele-Echography on Geographically Isolated Patients
by Philippe Arbeille, Kathryn Zuj, Arnaud Saccomandi, Elise Andre, Cedric De La Porte and Monica Georgescu
J. Clin. Med. 2016, 5(6), 58; https://doi.org/10.3390/jcm5060058 - 13 Jun 2016
Cited by 7 | Viewed by 4750
Abstract
Objective: To evaluate the performance of three tele-echography systems for routine use in isolated medical centers. Methods: Three systems were used for deep (abdomen, pelvis, fetal) and superficial (muscle, thyroid, carotid artery) examinations: (a) a robotic arm (RA) holding an echographic probe; (b) [...] Read more.
Objective: To evaluate the performance of three tele-echography systems for routine use in isolated medical centers. Methods: Three systems were used for deep (abdomen, pelvis, fetal) and superficial (muscle, thyroid, carotid artery) examinations: (a) a robotic arm (RA) holding an echographic probe; (b) an echograph with a motorized probe (MP); and (c) remote guidance (RG) where the patient site operator performed the examination assisted by an expert via videoconference. All systems were tested in the same medical center located 60 km away from the university hospital. Results: A total of 340 remote echography examinations were performed (41% RA and MP, 59% RG). MP and RA allowed full control of the probe orientation by the expert, and provided diagnoses in 97% of cases. The use of RG was sufficient for superficial vessel examinations and provided diagnoses in 98% of cases but was not suited for deep or superficial organs. Assessment of superficial organs was best accomplished using the MP. Discussion: Both teleoperated systems provided control of the probe orientation by the expert necessary for obtaining appropriate views of deep organs but the MP was much more ergonomic and easier to use than the RA. RG was appropriate for superficial vessels while the MP was better for superficial volumic organs. Full article
(This article belongs to the Special Issue Telemedicine - Technical Developments and Clinical Practice)
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Review

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190 KiB  
Review
Telemedicine Applications in Pediatric Retinal Disease
by Akhilesh S. Pathipati and Darius M. Moshfeghi
J. Clin. Med. 2017, 6(4), 36; https://doi.org/10.3390/jcm6040036 - 23 Mar 2017
Cited by 7 | Viewed by 5002
Abstract
Teleophthalmology is a developing field that presents diverse opportunities. One of its most successful applications to date has been in pediatric retinal disease, particularly in screening for retinopathy of prematurity (ROP). Many studies have shown that using telemedicine for ROP screening allows a [...] Read more.
Teleophthalmology is a developing field that presents diverse opportunities. One of its most successful applications to date has been in pediatric retinal disease, particularly in screening for retinopathy of prematurity (ROP). Many studies have shown that using telemedicine for ROP screening allows a remote ophthalmologist to identify abnormal findings and implement early interventions. Here, we review the literature on uses of telemedicine in pediatric retinal disease and consider future applications. Full article
(This article belongs to the Special Issue Telemedicine - Technical Developments and Clinical Practice)
169 KiB  
Review
Telehealth: Increasing Access to High Quality Care by Expanding the Role of Technology in Correctional Medicine
by Jeremy D. Young and Melissa E. Badowski
J. Clin. Med. 2017, 6(2), 20; https://doi.org/10.3390/jcm6020020 - 13 Feb 2017
Cited by 35 | Viewed by 10180
Abstract
The United States (US) has a large correctional population. However, many incarcerated persons lack access to evidence-based, up-to-date medical care, particularly by subspecialty providers, due to limitations of geography, travel, cost and other resources. The use of telehealth technologies can remove these barriers, [...] Read more.
The United States (US) has a large correctional population. However, many incarcerated persons lack access to evidence-based, up-to-date medical care, particularly by subspecialty providers, due to limitations of geography, travel, cost and other resources. The use of telehealth technologies can remove these barriers, increasing access to high quality, multidisciplinary care. Studies have shown that, with telemedicine, timely triage and medical management can be provided across many disciplines, which may lead to improved clinical outcomes and significant cost savings. Full article
(This article belongs to the Special Issue Telemedicine - Technical Developments and Clinical Practice)
509 KiB  
Review
Technical Developments and Clinical Use of Telemedicine in Sleep Medicine
by Marie Bruyneel
J. Clin. Med. 2016, 5(12), 116; https://doi.org/10.3390/jcm5120116 - 13 Dec 2016
Cited by 7 | Viewed by 5805
Abstract
The use of assistive technology and telemedicine is likely to continue to shape our medical practice in the future, notably in the field of sleep medicine, especially within developed countries. Currently, the number of people suffering from obstructive sleep apnea syndrome (OSAS) is [...] Read more.
The use of assistive technology and telemedicine is likely to continue to shape our medical practice in the future, notably in the field of sleep medicine, especially within developed countries. Currently, the number of people suffering from obstructive sleep apnea syndrome (OSAS) is increasing. Telemedicine (TM) can be used in a variety of ways in sleep medicine: telediagnostics, teleconsultation, teletherapy and telemonitoring of patients being treated with positive pressure devices. In this review, we aim to summarize the recent scientific progresses of these techniques and their potential clinical applications and give consideration to the remaining problems related to TM application. Full article
(This article belongs to the Special Issue Telemedicine - Technical Developments and Clinical Practice)
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