Enabling Telemedicine From the System-Level Perspective: Scoping Review

Journal of Medical Internet Research, Journal Year: 2025, Volume and Issue: 27, P. e65932 - e65932

Published: March 5, 2025

Background Telemedicine is a strategy for providing health care services remotely that improves service accessibility. has attracted growing research interest in the past 10 years, including systematic reviews synthesize evidence to share experiences and enhance knowledge. However, most of published have focused on synthesizing from studies telemedicine at organizational level. A collected understanding factors system level influence successful implementation adoption needs be developed, especially regional rural areas. Objective This scoping review aims explore key success challenges level, particularly Methods was conducted accordance with framework by Arksey O’Malley reported using PRISMA-ScR (Preferred Reporting Items Systematic Reviews Meta-Analyses Extension Scoping Reviews). total 5 databases (CINAHL, Cochrane, Medline, Ovid, Scopus) were searched articles English between January 2010 2023, established inclusion criteria. Results Of 10,691 papers identified, 89 included this review, 16 (17.98%) areas 13 (14.61%) metropolitan Another both Overall, 6 categories more than 70 factors, system-level requirements (n=13, 18.40%), economic considerations funding (n=6, 8.70%), technological (n=19, 27.54%), supporting clinicians (n=12, 17.39%), improving patients’ perceptions 18.84%), identified. Additionally, containing over 50 challenges, those related levels (n=11, 23.91%), 13.04%), 28.26%), (n=10, 21.74%), patients Among identified 11 (9.57%) specific Conclusions confirms requires collective efforts levels, coordination collaboration across different regions organizations. It underscores importance establishing national network enhances public awareness clarity payment benefit distribution models strengthens data security protection measures. The also highlights necessity addressing infrastructural deficiencies, internet connectivity areas, suggests targeted incentives support required are detailed proposed promotes popularizing telemedicine, enhancing overall quality efficiency services, achieving broader equity.

Language: Английский

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Digital health literacy among the Spanish population: a descriptive and latent class analysis study

European Journal of Public Health, Journal Year: 2025, Volume and Issue: unknown

Published: March 18, 2025

Abstract Spain has been consolidating the implementation of digital healthcare. However, there is not a comprehensive picture health literacy population in relation to existing policies and practices. To identify different profiles people by analysing their literacy, with ultimate goal providing healthcare organizations indications improve relationship between system. This cross-sectional survey study included 400 aged ≥18 years from May 2021 2022 Spain. Participants were stratified gender, age range, residential area mirroring Spanish population, recruited an online panel community settings. A self-administered was used, including eHLQ questionnaire as main measure sociodemographic information. The level medium balanced among seven dimensions (ranging 2.60 2.77 out 5). latent class analysis revealed five based on scores taking into account age, technology use, educational level. Access services that work, together using process information, challenge identified participants. National institutions should focus only educating training skills but also reliable useful services. first provide profile questionnaire.

Language: Английский

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Branding a New Technological Outlook for Future Orthopaedics

Bioengineering, Journal Year: 2025, Volume and Issue: 12(5), P. 494 - 494

Published: May 7, 2025

Orthopedics is undergoing a transformative shift driven by personalized medical technologies that enhance precision, efficiency, and patient outcomes. Virtual surgical planning, robotic assistance, real-time 3D navigation have revolutionized procedures like total knee arthroplasty hip replacement, offering unparalleled accuracy reducing recovery times. Integrating artificial intelligence, advanced imaging, 3D-printed patient-specific implants further elevates minimizes intraoperative complications, supports individualized care. In sports orthopedics, wearable sensors motion analysis are revolutionizing diagnostics, injury prevention, rehabilitation, enabling decision-making improved safety. Health-tracking devices advancing supporting preventative care, transforming athletic performance management. Concurrently, breakthroughs in biologics, biomaterials, bioprinting reshaping treatments for cartilage defects, ligament injuries, osteoporosis, meniscal damage. These innovations poised to establish new benchmarks regenerative medicine orthopedics. By combining cutting-edge with interdisciplinary collaboration, the field redefining standards, optimizing paving way highly efficient future.

Language: Английский

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Benefits and Limitations of Teledermatology in German Correctional Facilities: Cross-Sectional Analysis

JMIR Medical Informatics, Journal Year: 2025, Volume and Issue: 13, P. e58712 - e58712

Published: May 7, 2025

Abstract Background Teledermatology consultations offer the advantage of rapid diagnosis and care. Since 2019, our institute at University Medical Center Hamburg-Eppendorf has been part an interdisciplinary team for teledermatology support in German prisons as alternative to extramural transports patients. Objective This study aims analyze benefits limitations patients with limited access medical specialties. Methods We conducted a descriptive cross-sectional analysis 651 teleconsultations from February 2020 April 2023. All cases were performed store-and-forward (asynchronous mode) optional hybrid live (synchronous) consultation patient or in-house staff. Results The main this case processing was avoidance external transport. Of teleconsultations, 608 (93.4%) could be finalized telemedical 43 (6.6%) required additional workup, including verifications type tumors (n=22, 51%), which needed biopsies, open that inflammatory (n=11, 26%) involved infectious skin conditions (n=5, 12%). Digital imaging lesions improved experience personnel but remained challenge, photo quality depending on technical devices available broadband supply. Conclusions Hybrid represents effective resource-saving method providing specialized care situations video experts exchange knowledge about presented opened opportunity train intramural colleagues. One challenges remains digital transmission.

Language: Английский

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Telemedicine in Elderly Hypertensive and Patients with Chronic Diseases during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis

Journal of Clinical Medicine, Journal Year: 2023, Volume and Issue: 12(19), P. 6160 - 6160

Published: Sept. 24, 2023

One aspect of the distancing measures imposed in response to COVID-19 pandemic is that telemedicine consultations have increased exponentially. Among these consultations, assessment and follow-up patients with chronic diseases a non-presential setting has been strengthened considerably. Nevertheless, some controversy remains about most suitable means patient follow-up. To analyze impact implemented during period on patients. A systematic review was carried out using following databases: PubMed, Pro-Quest, Scopus. The followed guidelines outlined Preferred Reporting Items for Systematic Reviews Meta-Analyses (PRISMA). search equation utilized descriptors sourced from Medical Subject Headings (MeSH) thesaurus. was: "hypertension AND older primary care (COVID-19 OR coronavirus)" its Spanish equivalent. data were obtained: 14 articles provided 6,109,628 another 4 focused study population 9684 physicians. Telemedicine less likely be used by elderly (OR 0.85; 95% C.I. 0.83-0.88; p = 0.05), those Asian race 0.69; 0.66-0.73; whose native language not English 0.89; 0.78-0.9; 0.05). In care, lower use associated residents rural areas 0.81; African American 0.65, others 0.64; high proportion (40%) physicians had no prior training techniques. highest quality terms telephone consultation significantly who did increase their prescription antibiotherapy 0.30, 0.05) or prescribe more tests 0.06 i.e., maintained former clinical criteria despite COVID-19. proven value especially useful pandemic. mixed remote-presential model efficient. Appropriate this area patients, together correct provision, essential prevent errors implementation use.

Language: Английский

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Telemedicine and Digital Medicine in the Clinical Management of Hypertension and Hypertension-Related Cardiovascular Diseases: A Position Paper of the Italian Society of Arterial Hypertension (SIIA)

High Blood Pressure & Cardiovascular Prevention, Journal Year: 2023, Volume and Issue: 30(5), P. 387 - 399

Published: Aug. 18, 2023

High blood pressure is the leading cause of death and disability globally an important treatable risk factor for cardiovascular, cerebrovascular chronic kidney diseases. Digital technology, including mobile health solutions digital therapy, expanding rapidly in clinical medicine has potential to improve quality care effectiveness drug treatment by making medical interventions timely, tailored hypertensive patients' needs improving adherence. Thus, systematic application technologies could support diagnosis awareness hypertension its complications, ultimately improved BP control at population level. The progressive implementation national systems must be accompanied supervision guidance authorities scientific societies ensure correct use these new with consequent maximization benefits. role relation rapid adoption technologies, therefore, should encompass entire spectrum activities pertaining their institutional role: information, training, promotion research, collaboration advice, evaluation validation technological tools, regulatory authorities.

Language: Английский

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Technology-enabled value co-creation in healthcare: a configurational approach

Public Management Review, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 23

Published: March 19, 2024

Based on the well-recognized multidimensionality of public value and increasing role technology in service co-production, this paper investigates how combinations caregivers' antecedents stemming from Health Co-Creation Evaluation Framework, can either support or hamper value-in-use co-creation by being empowered carrying out telemedicine. This article employs a fuzzy-set qualitative comparative analysis (fsQCA) 23 cases shows different but functionally equivalent configurations conditions that lead to co-destruction value. The findings also reveal practical insights managers policy makers could use foster

Language: Английский

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Underestimated Factors Regarding the Use of Technology in Daily Practice of Long-Term Care: Qualitative Study Among Health Care Professionals

JMIR Nursing, Journal Year: 2023, Volume and Issue: 6, P. e41032 - e41032

Published: June 8, 2023

Increasing life expectancy is resulting in a growing demand for long-term care; however, there shortage of qualified health care professionals (HCPs) to deliver it. If used optimally, technology can provide solution this challenge. HCPs play an important role the use care. However, influences several core aspects work that do, and it therefore have good understanding their viewpoint regarding daily practice care.The aim study was identify factors consider as relevant using care.In qualitative study, 11 focus groups were organized with 73 HCPs. The group discussions guided by innovative game, which specifically developed study. content game categorized into 4 categories: me; technology, patient, organization, facilitating conditions. perspectives about working discussed based on game. recorded transcribed, followed inductive thematic analysis ATLAS.ti 9x (ATLAS.ti Scientific Software Development GmbH).Overall, 2 main domain summaries from data: should improve quality acceptance first factor indicates need tailored personalized balance between human contact technology. second addresses such trusting learning collaboration colleagues.HCPs are motivated when adds value sufficient trust, expertise, colleagues. Their be considered they crucial part successful transcending actor implementation. On basis findings we recommend focusing developing situations where both efficiency improved; redefining roles impact hereon; involving design process enable them link practice; creating ambassadors teams who enthusiastic support train

Language: Английский

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Sustainable adoption of noninvasive telemonitoring for chronic heart failure: A qualitative study in the Netherlands

Digital Health, Journal Year: 2023, Volume and Issue: 9

Published: Jan. 1, 2023

Noninvasive telemonitoring aims to improve healthcare for patients with chronic heart failure (HF) by reducing hospitalizations and improving patient experiences. Yet, sustainable adoption seems be limited. Therefore, the goal of our study is gain insight in processes that support HF.We conducted semi-structured interviews 25 stakeholders were involved telemonitoring, such as professionals, policymakers insurers. We analyzed using a combination open-coding themes Non-adoption or Abandonment technology individuals difficulties achieving Scale-up, Spread Sustainability framework.We found projects have moved beyond initial pilot phases despite high level complexity on multiple topics. The selection, business case, evidence, integration care pathway, reimbursement, future centralization items yielded different sometimes contradictory opinions.This showed HF complex endeavor. Different perspectives play an important role design, evaluations envisioned futures telemonitoring. High conviction among participants added value may further Structural will needed guide cyclical improvement adapt programs employ manner it contributes collectively supported aims.

Language: Английский

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Virtual physical examination in teleconsultation: A scoping review

International Journal of Medical Informatics, Journal Year: 2024, Volume and Issue: 191, P. 105561 - 105561

Published: July 27, 2024

The conduct of virtual physical examination has provided significant information for the diagnosis during a teleconsultation session, especially COVID-19 pandemic, where in-person examinations have been greatly compromised. aim this scoping review was to provide comprehensive overview available evidence concerning (VPE) in all healthcare settings pandemic. focuses on types VPE, technological and non-technological approaches, patient clinician experiences, as well barriers facilitators VPE. A literature search conducted across three databases, namely MEDLINE, Embase, Scopus. Only studies English language with primary research data collected from December 2019 January 2023 were included. narrative analysis, highlighting patients' clinicians' included studies. This reported using PRISMA extension reviews (PRISMA-ScR) Checklist. total 25 articles meeting eligibility criteria identified. Three major VPE musculoskeletal, head neck, chest exams. Sixteen involved specific aids, while aids. Patients found helped them better assess their disease conditions, or aided understanding conditions. Clinicians also that had enough clinically relevant decision-making 2 neurological evaluations. Barriers conducting challenges, efficacy concerns, confidence level assistants, health literacy, safety, privacy. helpful own clinicians it useful assessing patient's From point view, sufficient Major identified issues, literacy.

Language: Английский

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