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Telehealth interventions for reducing waiting lists and waiting times for specialist outpatient services: A scoping review
We undertook a scoping review of the published literature to identify and summarise key findings on the telehealth interventions that influence waiting times or waiting lists for specialist outpatient services. Searches were conducted to identify relevant articles. Articles were included if the telehealth intervention restructured or made the referral process more efficient. We excluded studies that simply increased capacity. Two categories of interventions were identified – electronic consultations and image-based triage. Electronic consultations are asynchronous, text-based provider-to-provider consultations. Elect...
Source: Journal of Telemedicine and Telecare - October 29, 2016 Category: Information Technology Authors: Caffery, L. J., Farjian, M., Smith, A. C. Tags: Special Issue - SFT 2016 Source Type: research

Integrating telehealth in to 'business as usual: Is it really possible?
The Royal Children’s Hospital, Melbourne, began offering web-based telehealth video consultation in 2011, with the principle being that telehealth should be integrated into ‘business as usual’. In telehealth literature, key differences between telehealth and in-person consultations can make this hard to achieve, so an audit was performed that revealed many small gaps in the process. A total of 125 telehealth appointments were booked during the study period. Of these, 13% (n = 16) were rescheduled, cancelled or changed to face-to-face appointments, and up to two main issues were identified for the remainin...
Source: Journal of Telemedicine and Telecare - October 29, 2016 Category: Information Technology Authors: Jury, S. C., Kornberg, A. J. Tags: Special Issue - SFT 2016 Source Type: research

Impact of simple conventional and Telehealth solutions on improving mental health in Afghanistan
For more than a century Afghanistan has been unstable, facing decades of war, social problems, and intense poverty. As a result, many of the population suffer from a variety of mental health problems. The Government recognises the situation and has prioritised mental health, but progress is slow and services outside of Kabul remain poor. An international collaborative implemented a project in Badakshan province of Afghanistan using conventional and simple low-cost e-Health solutions to address the four most common issues: depression, psychosis, post-traumatic stress disorder, and substance abuse. Conventional town hall mee...
Source: Journal of Telemedicine and Telecare - October 29, 2016 Category: Information Technology Authors: Khoja, S., Scott, R., Husyin, N., Durrani, H., Arif, M., Faqiri, F., Hedayat, E., Yousufzai, W. Tags: Special Issue - SFT 2016 Source Type: research

Exploring the benefits of a stroke telemedicine programme: An organisational and societal perspective
Discussions with the Victorian Stroke Telemedicine management were undertaken and field notes were also reviewed. Several benefits of telemedicine were identified within and across participating hospitals, as well as for the state government and community. For hospitals, standardisation of clinical processes was reported, including improved stroke care co-ordination. Capacity building occurred through professional development and educational workshops. Enhanced networking, and resource sharing across hospitals was achieved between hospitals and organisations. Governments leveraged the Victorian Stroke Telemedicine programm...
Source: Journal of Telemedicine and Telecare - October 29, 2016 Category: Information Technology Authors: Bagot, K. L., Bladin, C. F., Vu, M., Kim, J., Hand, P. J., Campbell, B., Walker, A., Donnan, G. A., Dewey, H. M., Cadilhac, D. A., on behalf of the VST collaborators Tags: Special Issue - SFT 2016 Source Type: research

Delivering patient education by group videoconferencing into the home: Lessons learnt from the Telehealth Literacy Project
We examined the procedures for implementing group videoconference (VC) education for older people delivered into the home environment to identify the most common themes affecting the optimum delivery of VC home-based groups to older people. Participants (n = 52) were involved in a six-week group VC patient education program. There were a total of 44 sessions, undertaken by nine groups, with an average of four participants (range 1–7) and the facilitator. Participants could see and hear each other in real-time whilst in their homes with customised tablets or a desktop computer. The data presented here are based on a p...
Source: Journal of Telemedicine and Telecare - October 29, 2016 Category: Information Technology Authors: Banbury, A., Parkinson, L., Nancarrow, S., Dart, J., Gray, L. C., Buckley, J. Tags: Special Issue - SFT 2016 Source Type: research

Web-based (online) comprehensive geriatric assessment is more time efficient, and as reliable, as reading patient medical records and conducting traditional in person consultations
The aim of this study was to report the time taken by geriatricians to reach triage decisions using an online assessment format compared with face-to-face (FTF) assessment. Patients (N = 166) were randomly allocated to two groups: online and FTF assessments (OF group); and dual FTF assessments (FF group). Case preparation was conducted by trained nurse assessors using a web-enabled clinical decision support system. Geriatricians allocated to perform an ‘online’ assessment had access to this information only. Geriatricians allocated FTF assessments reviewed this data, as well as the paper-based medical file and ...
Source: Journal of Telemedicine and Telecare - October 29, 2016 Category: Information Technology Authors: Martin-Khan, M. G., Edwards, H., Wootton, R., Varghese, P., Lim, K., Darzins, P., Dakin, L., Gray, L. C. Tags: Special Issue - SFT 2016 Source Type: research

Mobile health (mHealth) for headache disorders: A review of the evidence base
The aim of this review was to explore and summarise the evidence base for using mobile apps for the management of headache disorders. PubMed, Web of Science, Embase and Scopus were searched for studies reporting the use of mobile health applications (apps) for managing headache disorders. Different combinations of keywords for mobile health, smartphone and headache were used for electronic search. Six studies (two journal papers and four conference papers) met the inclusion criteria and were reviewed. All of the reviewed studies were categorised as the lowest level (level IV) of evidence according to the National Health an...
Source: Journal of Telemedicine and Telecare - October 29, 2016 Category: Information Technology Authors: Mosadeghi-Nik, M., Askari, M. S., Fatehi, F. Tags: Special Issue - SFT 2016 Source Type: research

Enablers and barriers in providing telediabetes services for Indigenous communities: A systematic review
A systematic review of studies which reported on telediabetes services within Indigenous communities was undertaken in June 2016. The aim of this study was to identify enablers and barriers associated with the delivery of telehealth services for diabetes care amongst Indigenous people. A total of 14 articles met the study inclusion criteria, reporting work in Canada, Australia, India, and the US. Key enablers included the use of cultural and spiritual elements, acknowledgement of local beliefs and traditions, and appropriate community engagement. The involvement of Indigenous health workers was also very important because ...
Source: Journal of Telemedicine and Telecare - October 29, 2016 Category: Information Technology Authors: Wickramasinghe, S. I., Caffery, L. J., Bradford, N. K., Smith, A. C. Tags: Special Issue - SFT 2016 Source Type: research

Use of telehealth to treat and manage chronic viral hepatitis in regional Queensland
For regional and rural Queenslanders, chronic viral hepatitis treatment is a major unmet health need, with restricted access to specialists outside of tertiary, largely metropolitan hospitals. To increase treatment of chronic viral hepatitis in regional Queensland, a team-based telehealth model was expanded. This expansion embedded an initial nursing consultation prior to specialist telehealth consultation. We conducted a retrospective audit of the introduction and expansion of hepatology telehealth services. Activity from July 2014–June 2015 (pre-expansion) was compared with July 2015– June 2016 (post-expansio...
Source: Journal of Telemedicine and Telecare - October 29, 2016 Category: Information Technology Authors: Keogh, K., Clark, P., Valery, P. C., McPhail, S. M., Bradshaw, C., Day, M., Smith, A. C. Tags: Special Issue - SFT 2016 Source Type: research

Substitution rates of video consultations for traditional consultations at a tertiary public hospital
Using a case study approach, we conducted a retrospective review of 12 months of outpatient activity at the Princess Alexandra Hospital (PAH) in Brisbane, Australia. From our dataset we calculated two variables – the telehealth-eligible substitution rate and the overall telehealth substitution rate. Telehealth eligibility is specialty-specific and is based on clinical and geographical constraints. During the study period there were video consultations (N = 1088) and traditional consultations (N = 41,951). The telehealth-eligible and overall substitution rates were 17.5% and 2.5%, respectively. The overall telehealth ...
Source: Journal of Telemedicine and Telecare - October 29, 2016 Category: Information Technology Authors: Caffery, L. J., Taylor, M., Lucas, K., Smith, A. C. Tags: Special Issue - SFT 2016 Source Type: research

Telehealth coordinators in hospital based telehealth services: Who are they and what do they do?
This study aimed to examine the key functions of telehealth coordinators in the Queensland public health system, their perceptions about their role, and the level of competencies to support this role. All telehealth coordinators within Queensland Health Telehealth Services were invited to complete a questionnaire. We collected: (i) demographic information; (ii) details of their telehealth work; and (iii) information about knowledge and skills relevant to their telehealth coordinator role. Eighteen of 20 (90%) participants completed and submitted the survey. Telehealth coordinators were responsible for a range of tasks rela...
Source: Journal of Telemedicine and Telecare - October 29, 2016 Category: Information Technology Authors: Edirippulige, S., Armfield, N. R., Greenup, P., Bryett, A. Tags: Special Issue - SFT 2016 Source Type: research

The case for end-user involvement in design of health technologies
In conclusion, nurses are the largest group of health practitioners in New Zealand and are at the front line of patient care. Nurses need systems designed around their work methods and a good understanding of e-health in order to be able to use it effectively. Greater consultation with nurses is required to ensure the potential of e-health and its use is maximised. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - October 29, 2016 Category: Information Technology Authors: Walker, L., Clendon, J. Tags: Special Issue - SFT 2016 Source Type: research

Challenges in conducting mHealth research with underserved populations: Lessons learned
We examined these challenges through an existing partnership with a community health agency. We conducted community consultations and a process monitoring phase for a pilot trial aimed at measuring the effect of a brief counselling session on participants’ adherence to use of a mobile app. We identify generalizable challenges in administrative, technological, and logistical domains that will be useful foreknowledge to other investigators planning to conduct mHealth research with underserved populations. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - September 19, 2016 Category: Information Technology Authors: Nelson, L. A., Zamora-Kapoor, A. Tags: Education & amp;amp; Practice Source Type: research

Use of mobile technology in a community mental health setting
The objective of this research is to examine the current ownership, usage patterns, and existing barriers to mobile health interventions for people with SMI treated in a public sector community mental health setting and to compare the findings with national usage patterns from the general population. Methods A survey was conducted to determine rates of ownership of smartphone devices among people with SMI. Surveys were administered to 100 patients with SMI at an outpatient psychiatric clinic. Results were compared with respondents to the 2012 Pew Survey of mobile phone usage. Results A total of 85% of participants report...
Source: Journal of Telemedicine and Telecare - September 19, 2016 Category: Information Technology Authors: Glick, G., Druss, B., Pina, J., Lally, C., Conde, M. Tags: RESEARCH/Original Articles Source Type: research

The EU-project United4Health: User-centred design of an information system for a Norwegian telemedicine service
This study presents the design and evaluation of an information system for a new telemedicine service for chronic obstructive pulmonary disease patients after hospital discharge. Methods A user-centred design approach was employed composed of a workshop with end-users, two user tests and a field trial. For data collection, qualitative methods such as observations, semi-structured interviews and a questionnaire were used. Results User workshop’s outcome informed the implementation of the system initial prototype, evaluated by end-users in a usability laboratory. Several usability and functionality issues were identi...
Source: Journal of Telemedicine and Telecare - September 19, 2016 Category: Information Technology Authors: Smaradottir, B., Gerdes, M., Martinez, S., Fensli, R. Tags: RESEARCH/Original Articles Source Type: research