eHealth systems and communications

Today, with the nation's health care system undergoing profound changes, telemedicine is attracting attention beyond rural areas. To the extent that telemedicine offers mechanisms for centralizing specialists, reducing costs for specialty care, and supporting primary care clinicians, managed care plans may find certain applications attractive in the urban and suburban areas they typically serve. Some academic medical centers, faced with reduced revenues and exclusion from local managed care networks, are exploring telemedicine options as they seek to develop new regional, national, and international markets for their highly specialized clinicians. Freestanding specialty groups, multiorganization medical consortia, and other entities likewise are investigating telemedicine as they seek far-flung clients for their services.

eHealth systems and emergency situations

ObjectiveThis study aimed to identify the determinants of the use of telemedicine in Senegal.

Telemedicine/eHealth applications

Telemedicine presents a framework for evaluating patient care applications of telemedicine. The book identifies managerial, technical, policy, legal, and human factors that must be taken into account in evaluating a telemedicine program. The committee reviews previous efforts to establish evaluation frameworks and reports on results from several completed studies of image transmission, consulting from remote locations, and other telemedicine programs.

Classical medicine and eHealth integration

Telemedicine--the use of information and telecommunications technologies to provide and support health care when distance separates the participants--is receiving increasing attention not only in remote areas where health care access is troublesome but also in urban and suburban locations.

Telemedicine: A New Health Care Delivery System

Drawing from a widely cited 1990 IOM report, the committee agreed that quality of care is "the degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge" (IOM 1990c, p. 21). Consistent with the concepts set forth in a 1993 report (IOM, 1993a), the committee defined access as the timely receipt of appropriate health care. Costs measure the value of resources expended for an activity or objective. They are generally measured in dollars but are sometimes expressed in other units (e.g., travel time, days lost from work, treatment delays) without monetary conversion. These concepts and related evaluation topics (e.g., cost-effectiveness) are discussed further in later chapters of this report.

Telehealth is sometimes discussed interchangeably with telemedicine

For purposes of this report, an evaluation criterion is a measure, indicator, standard, or similar basis for describing outcomes or making judgments. Examples of criteria in common use in evaluations include mortality, hospital length of stay, and patient satisfaction. The committee focused on the set of basic concerns about the quality, accessibility, and cost of health care that lie at the core of most health services research and technology assessments. Because a comprehensive presentation of specific criteria appropriate for the heterogeneity of telemedicine applications was beyond the committee's resources, this report sets forth criteria in the form of questions with examples of the kinds of measures or standards that would be applied to particular telemedicine applications.

Master Thesis Telemedicine and E-health - Munin

The next four chapters provide context. reviews the evolution of telemedicine and illustrates the range of current applications. considers the technical and human infrastructure of telemedicine, and discusses policy issues with an emphasis on professional licensure, malpractice, medical privacy, payment for services, and telecommunications law. reviews telemedicine evaluation frameworks and selected evaluation projects identified by the committee. As noted earlier, the focus is on programs in the United States.

Find out what are the telemedicine advantages and disadvantages

This chapter has described the origins of this project and presented principles and definitions on which the remaining chapters build. The rest of this report provides a broad context and framework for evaluations that would expand information for decisionmakers considering telemedicine.

PDF 2,092; International Journal of Telemedicine and Applications

outcomes for the least healthy or most vulnerable groups in a population (e.g., elderly individuals, teenage mothers). For example, a telemedicine application might target a high-risk group to test whether telemonitoring, on-line information services, and early intervention could reduce total medical costs compared to conventional care.