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E-health: Comprehensive Care Models Using ICT

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences & Services".

Deadline for manuscript submissions: closed (31 March 2023) | Viewed by 4502

Special Issue Editors


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Guest Editor
Faculty of Psychology and Educational Sciences, Universitat Oberta de Catalunya (UOC), 08018 Barcelona, Spain
Interests: eHealth; chronic pain; health promotion; web based interventions; telehealth
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Faculty of Health Sciences, Universitat Oberta de Catalunya (UOC), 08018 Barcelona, Spain
Interests: telemedicine; eHealth; tigital health; telehealth; telemedicine adoption; technology drivers, terceived attitudes; tntention to use

Special Issue Information

Dear Colleagues,

Information and communication technologies (ICTs) are a key element in integrated care models. They bring a whole new dimension to the healthcare field by introducing electronic media that open the door to the use of new models of care, favoring their sustainability and improving their effectiveness and efficiency through innovative approaches in the provision of healthcare services and has played an important role in the response to the huge pressure on healthcare systems triggered by COVID-19 pandemic.

However, little is known about how existing technologies have been used to support new models of integrated care. It is well known that the success of ICT use in healthcare is understood as the compatibility between clinical ICT systems and health care professionals' tasks, ICT support for information exchange, communication and collaboration in clinical practice, and interoperability and reliability. In addition, ethical issues such as privacy protection are a common problem that affects healthcare in general but magnified by the use of ICT.

Although the literature describes optimal ICT systems, to our knowledge, there are few studies that have explored how ICT is used to enable integrated care models. To address this gap, this special issue focuses on how to address the challenges faced by current eHealth infrastructures and applications.

The List of Topics may include (but is not limited to):

  • Understanding the role that the structure of healthcare organizations, tasks, personnel policies, incentives, and decision-making processes play in explaining how clinicians overcome challenges in the use of ICT.
  • Understanding the factors that explain the use of ICTs by healthcare professionals, and the range of interconnections between clinical practices and digital devices and forms of information, as well as the ways in which they are used in people's private lives.
  • Understanding the effect on the nature of the health care professionals-patient relationship.
  • What eHealth competencies do healthcare professionals need to provide a comprehensive care.
  • How e-health applications are used to support comprehensive care at the time of COVID-19.
  • Development and/or testing the implementation of eHealth solutions in different healthcare settings.
  • Exploring the needs/perceptions of professionals and/or patients about eHealth solutions to be implemented.

Prof. Dr. Rubén Nieto
Dr. Francesc Saigí-Rubió
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. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly 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 2500 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

  • ICT
  • eHealth
  • comprehensive health care
  • COVID-19
  • telehealth

Published Papers (2 papers)

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16 pages, 983 KiB  
Protocol
Telemedicine Support for Primary Care Providers versus Usual Care in Patients with Heart Failure: Protocol of a Pragmatic Cluster Randomised Trial within the Brazilian Heart Insufficiency with Telemedicine (BRAHIT) Study
by Leonardo Graever, Aurora Felice Castro Issa, Viviane Belidio Pinheiro da Fonseca, Marcelo Machado Melo, Gabriel Pesce de Castro da Silva, Isabel Cristina Pacheco da Nóbrega, Leonardo Cançado Monteiro Savassi, Mariana Borges Dias, Maria Kátia Gomes, Jose Roberto Lapa e Silva, Raphael Mendonça Guimarães, Renato Cony Seródio, Anne Frølich, Henrik Gudbergsen, Janus Christian Jakobsen and Helena Dominguez
Int. J. Environ. Res. Public Health 2023, 20(11), 5933; https://doi.org/10.3390/ijerph20115933 - 24 May 2023
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Abstract
Heart failure is a prevalent condition and a frequent cause of hospital readmissions and poor quality of life. Teleconsultation support from cardiologists to primary care physicians managing patients with heart failure may improve care, but the effect on patient-relevant outcomes is unclear. We [...] Read more.
Heart failure is a prevalent condition and a frequent cause of hospital readmissions and poor quality of life. Teleconsultation support from cardiologists to primary care physicians managing patients with heart failure may improve care, but the effect on patient-relevant outcomes is unclear. We aim to evaluate whether collaboration through a novel teleconsultation platform in the Brazilian Heart Insufficiency with Telemedicine (BRAHIT) project, tested on a previous feasibility study, can improve patient-relevant outcomes. We will conduct a parallel-group, two-arm, cluster-randomised superiority trial with a 1:1 allocation ratio, with primary care practices from Rio de Janeiro as clusters. Physicians from the intervention group practices will receive teleconsultation support from a cardiologist to assist patients discharged from hospitals after admission for heart failure. In contrast, physicians from the control group practices will perform usual care. We will include 10 patients per each of the 80 enrolled practices (n = 800). The primary outcome will be a composite of mortality and hospital admissions after six months. Secondary outcomes will be adverse events, symptoms frequency, quality of life, and primary care physicians’ compliance with treatment guidelines. We hypothesise that teleconsulting support will improve patient outcomes. Full article
(This article belongs to the Special Issue E-health: Comprehensive Care Models Using ICT)
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14 pages, 1019 KiB  
Systematic Review
Utility of Telehealth Platforms Applied to Burns Management: A Systematic Review
by Antonio García-Díaz, Lluís Vilardell-Roig, David Novillo-Ortiz, Purificación Gacto-Sánchez, José Juan Pereyra-Rodríguez and Francesc Saigí-Rubió
Int. J. Environ. Res. Public Health 2023, 20(4), 3161; https://doi.org/10.3390/ijerph20043161 - 10 Feb 2023
Cited by 3 | Viewed by 1883
Abstract
The financial burden of burn injuries has a considerable impact on patients and healthcare systems. Information and Communication Technologies (ICTs) have demonstrated their utility in the improvement of clinical practice and healthcare systems. Because referral centres for burn injuries cover large geographic areas, [...] Read more.
The financial burden of burn injuries has a considerable impact on patients and healthcare systems. Information and Communication Technologies (ICTs) have demonstrated their utility in the improvement of clinical practice and healthcare systems. Because referral centres for burn injuries cover large geographic areas, many specialists must find new strategies, including telehealth tools for patient evaluation, teleconsultation, and remote monitoring. This systematic review was performed according to PRISMA guidelines. PubMed, Cochrane, Medline, IBECS, and LILACS were the search engines used. Systematic reviews, meta-analyses, clinical trials, and observational studies were included in the study search. The protocol was registered in PROSPERO with the number CRD42022361137. In total, 37 of 185 studies queried for this study were eligible for the systematic review. Thirty studies were comparative observational studies, six were systematic reviews, and one was a randomised clinical trial. Studies suggest that telehealth allows better perception of triage, more accurate estimation of the TBSA, and resuscitation measures in the management of acute burns. In addition, some studies assess that TH tools are equivalent to face-to-face outpatient visits and cost-efficient because of transport savings and unnecessary referrals. However, more studies are required to provide significant evidence. However, the implementation of telehealth should be specifically adapted to each territory. Full article
(This article belongs to the Special Issue E-health: Comprehensive Care Models Using ICT)
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