The Impact of Introducing a Temporary Telemedicine Policy on Primary Care Visits: An Analysis of National Claims Data in South Korea

Telemedicine Journal and e-Health, Год журнала: 2025, Номер unknown

Опубликована: Фев. 21, 2025

Background: This study evaluates the impact of temporary telemedicine implementation on primary care visits, which surged during COVID-19 pandemic in South Korea. Methods: was conducted using national claims data from February 24, 2020 to 23, 2021. The included 1,926,300 patients with acute mild respiratory diseases and 1,031,174 gastrointestinal diseases. compared medication prescriptions, follow-up visit patterns, safety outcomes, including admissions emergency departments (EDs), general wards (GWs), intensive units (ICUs), between in-person visits. Results: Telemedicine linked higher prescription rates for both conditions, levels antibiotics use, longer durations. Patients who had an initial consultation were more likely have within 1 day. Conversely, those inclined use their early second There no significant differences ED or ICU admissions, except a slight increase GW conditions. Conclusion: can effectively complement conditions without compromising patient safety, suggesting its potential broader integration into care. Further studies are recommended optimize address any long-term impacts health delivery.

Язык: Английский

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Improving forensic healthcare: ARMED, a new telemedical examination

International Journal of Legal Medicine, Год журнала: 2025, Номер unknown

Опубликована: Март 3, 2025

Abstract Background the Istanbul Convention demands care to victims of violence while upholding forensic standards. Victims, however, often seek medical help at hospitals where availability experts is limited. This results in overlooked injuries and lost or damaged evidence, ultimately impacting court proceedings identification individuals risk. The aim this paper was establish real-time remote guidance for distant physicians during examination victims. Methods Augmented Reality Assisted Medical Evidence Collection Documentation (ARMED) established Heidelberg Institute Forensic Traffic Medicine (IFTM) 2023 as an innovative telementoring model. Video-teleconferencing components including a head-mounted device (HMD), customized software package, hardware devices, data management portal were employed facilitate seamless expert delivery, sharing, ensure privacy confidentiality. ARMED platform evaluated three partner with parameters internet connection stability, clarity live-streaming audio-visual communication, quality photos, safety management. Results combination RealWear Navigator 500 HMD, version videoconferencing software, server system safe secure patient constituted robust, user-friendly, practical telemedicine solution. Conclusion facilitates communication between healthcare providers experts, enhancing their ability recognize detect effectively. holds potential significantly improve process evidence collection documenting cases violence, aiding pursuit justice protection

Язык: Английский

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Enabling Telemedicine From the System-Level Perspective: Scoping Review

Journal of Medical Internet Research, Год журнала: 2025, Номер 27, С. e65932 - e65932

Опубликована: Март 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.

Язык: Английский

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

European Journal of Public Health, Год журнала: 2025, Номер unknown

Опубликована: Март 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.

Язык: Английский

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Branding a New Technological Outlook for Future Orthopaedics

Bioengineering, Год журнала: 2025, Номер 12(5), С. 494 - 494

Опубликована: Май 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.

Язык: Английский

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

JMIR Medical Informatics, Год журнала: 2025, Номер 13, С. e58712 - e58712

Опубликована: Май 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.

Язык: Английский

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Patients’ experiences of using a digital platform for chat-based consultation in primary healthcare in Sweden: A qualitative study (Preprint)

Опубликована: Май 16, 2025

The present study reveals a wide variation in user experiences, with most participants encountering both opportunities and challenges. For digital platform to improve efficiency primary care, the suggests considering following key areas: ease of access, time-saving aspects, more individualised contact process. Failure recognise needs returning patients may hinder higher uptake care. To explore patients’ experiences using for chat-based consultation healthcare Sweden understand concerns when contacting services digitally. 23 semi-structured interviews were conducted from three regions southeastern regarding their use 1177-direkt care centre at least once 2024, who available an interview Swedish. invited via message chat conversation they completed session. Interviews March December 2024. Thematic analysis was applied inductive approach. A sentiment also conducted, where sentences or phrases emerged as either positive, negative neutral. Three main themes, nine sub-themes, generated: Digital technology impacts on access services, Perceived functionality affects usability, communication changes balance between patient professionals. showed that frequent user’s (≥4 during past 12 months) positive talked about compared infrequent users. expected provide quicker PHCC but perceived quick challenged waiting time transferred downstream Patient personalised contact, particularly Most found it easy navigate platform, there uncertainty types situations enquiries which should be used. Concerns raised automated symptom checker, some range symptoms too broad specific, blunt its approach, failed interpret contextualise responses, leaving make own interpretations. Access computer tablet easier smartphone.

Язык: Английский

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Determinants of Having Online Health Consultations During the COVID-19 Pandemic Among Middle-Aged and Older Adults in Germany: Representative Longitudinal Survey Study

JMIR Aging, Год журнала: 2025, Номер 8, С. e60311 - e60311

Опубликована: Май 26, 2025

Abstract Background During the COVID-19 pandemic, telemedicine services represented a widely implemented alternative to in-person doctor and therapist appointments. Consequently, rates of use rapidly increased worldwide, also in Germany. Research regarding longitudinal determinants is needed, particularly from nationally representative German samples, improve understanding behavior major target groups such as middle-aged older adults. Objective This study aimed longitudinally investigate online health consultation among individuals during pandemic Methods Nationally data adults (≥46 years old) were taken Ageing Survey (DEAS). Data Compact (conducted between June July 2020) wave 7 November 2020 March 2021) DEAS observed (pooled analytic sample N=5456). Having experienced consultations with doctors or therapists on platforms served outcome measure. Associations socioeconomic, health- behavior–related, psychological, COVID-19–related tested using random effects logistic regressions. Results In our sample, 49% (2673/5456) participants female mean age was 67.8 (SD 9.4) years. Past experience reported by 10.3% (561/5456) sample. Online associated high education (OR 1.43, 95% CI 1.06‐1.93; P =.02), poor self-rated 0.60, 0.49‐0.75; <.001), higher frequency physical activity (reference: low frequency; medium frequency: OR 1.58, 1.15‐2.17; =.005; 1.73, 1.09‐2.76; =.02). Moreover, greater levels loneliness =.04) life satisfaction 1.33, 1.02‐1.73; well perceiving crisis personal threat 1.08, 1.01‐1.15; =.02) having pandemic. Conclusions does not seem be exclusively patients. Study findings emphasize association psychosocial factors knowledge may help adapt this patient group, which could contribute utilization future. Future studies are needed verify these initial under postpandemic circumstances across different countries.

Язык: 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, Год журнала: 2023, Номер 30(5), С. 387 - 399

Опубликована: Авг. 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.

Язык: 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, Год журнала: 2023, Номер 6, С. e41032 - e41032

Опубликована: Июнь 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

Язык: Английский

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