Prostate cancer treatment options range from active surveillance to surgery, radiation, hormone therapy, chemotherapy, immunotherapy, and bone-targeted agents depending on whether the cancer is localized or metastatic. Research into new drugs and therapies is ongoing with over 70 phase III trials recruiting patients. Treatment costs vary significantly between countries and change rapidly as new options become available, with a single patient's 18-year treatment costs estimated at close to 300,000 Euros including drugs, hospital care, and supportive care in later stages of metastatic disease.
This document discusses how big data can be used to address major challenges in prostate cancer research and clinical practice. It proposes a model to create a standardized, collaborative data platform that integrates large clinical datasets from multiple European and non-European sources. This would allow for novel analytics and computational approaches to gain new insights into prostate cancer outcomes and improve standardized care pathways. Key elements for success include involvement of experts in prostate cancer and big data as well as all stakeholders, including patients. Education is needed to encourage data sharing while protecting privacy.
Presentation of EuSoMII congress highlighting the similarities and controversies regarding the usage of teleradiology, in the context of the political, economical and legal evolutions in Europe and the USA. Presentation is based upon new JACR paper, accepted for publication in Sept. 2014 - EuSoMII, Warsaw, Sept 2014 - http://www.eusomii.org
This document provides an overview of the development of a white paper on teleradiology by the European Society of Radiology (ESR). It discusses the purpose and objectives of the white paper, which is to establish standards for teleradiology across Europe. A task force was assembled consisting of radiologists with relevant expertise. They reviewed existing literature and standards and aimed to create an online document that could be easily updated. The white paper would address topics like quality, legal issues, and technical standards for teleradiology.
The document discusses new alternatives to acute care that have emerged due to disruptions caused by the COVID-19 pandemic. These include providing acute care services in outpatient settings through house calls by doctors, delivering care virtually through telemedicine, and creating alternate care sites that mimic hospital care in non-traditional settings like converted hotels. Hospitals at home is also discussed as an alternative that provides hospital-level care to patients in their own homes rather than admitting them, which can lead to better outcomes and lower costs.
Information and communications technologies in Health. TELEMEDICINE. LectureJosep Vidal-Alaball
This document provides information about an ICT in Health and Telemedicine course from 2018-2019. It includes definitions of telemedicine, the history of telemedicine dating back to ancient Greece, different types of telemedicine including store-and-forward, videoconferencing, and remote patient monitoring. Global surveys on eHealth from the WHO show telemedicine being used worldwide, especially in teleradiology, with barriers to adoption being costs, resistance to new models, and technological challenges. Evidence suggests telemedicine can be an effective way to increase access to healthcare and reduce waiting times.
Prostate cancer treatment options range from active surveillance to surgery, radiation, hormone therapy, chemotherapy, immunotherapy, and bone-targeted agents depending on whether the cancer is localized or metastatic. Research into new drugs and therapies is ongoing with over 70 phase III trials recruiting patients. Treatment costs vary significantly between countries and change rapidly as new options become available, with a single patient's 18-year treatment costs estimated at close to 300,000 Euros including drugs, hospital care, and supportive care in later stages of metastatic disease.
This document discusses how big data can be used to address major challenges in prostate cancer research and clinical practice. It proposes a model to create a standardized, collaborative data platform that integrates large clinical datasets from multiple European and non-European sources. This would allow for novel analytics and computational approaches to gain new insights into prostate cancer outcomes and improve standardized care pathways. Key elements for success include involvement of experts in prostate cancer and big data as well as all stakeholders, including patients. Education is needed to encourage data sharing while protecting privacy.
Presentation of EuSoMII congress highlighting the similarities and controversies regarding the usage of teleradiology, in the context of the political, economical and legal evolutions in Europe and the USA. Presentation is based upon new JACR paper, accepted for publication in Sept. 2014 - EuSoMII, Warsaw, Sept 2014 - http://www.eusomii.org
This document provides an overview of the development of a white paper on teleradiology by the European Society of Radiology (ESR). It discusses the purpose and objectives of the white paper, which is to establish standards for teleradiology across Europe. A task force was assembled consisting of radiologists with relevant expertise. They reviewed existing literature and standards and aimed to create an online document that could be easily updated. The white paper would address topics like quality, legal issues, and technical standards for teleradiology.
The document discusses new alternatives to acute care that have emerged due to disruptions caused by the COVID-19 pandemic. These include providing acute care services in outpatient settings through house calls by doctors, delivering care virtually through telemedicine, and creating alternate care sites that mimic hospital care in non-traditional settings like converted hotels. Hospitals at home is also discussed as an alternative that provides hospital-level care to patients in their own homes rather than admitting them, which can lead to better outcomes and lower costs.
Information and communications technologies in Health. TELEMEDICINE. LectureJosep Vidal-Alaball
This document provides information about an ICT in Health and Telemedicine course from 2018-2019. It includes definitions of telemedicine, the history of telemedicine dating back to ancient Greece, different types of telemedicine including store-and-forward, videoconferencing, and remote patient monitoring. Global surveys on eHealth from the WHO show telemedicine being used worldwide, especially in teleradiology, with barriers to adoption being costs, resistance to new models, and technological challenges. Evidence suggests telemedicine can be an effective way to increase access to healthcare and reduce waiting times.
Telemedicine involves using telecommunications and information technology to provide clinical care from a distance. It allows patients in remote areas to access specialized medical expertise and can reduce costs. In India, telemedicine is necessary rather than optional due to low penetration of healthcare services in rural areas. The presentation outlines the types of telemedicine, how it works, benefits, current efforts, applications and potential for a national telemedicine network in India to improve access to care.
This document discusses telemedicine, including its history, evolution, core principles, objectives, definitions, types, advantages, and processes. It notes that telemedicine originated in 1967 with a transmission between a Boston airport and hospital. It evolved through technologies like telegraphy, radio, television, and the internet. The core principles are that telemedicine must be physician-directed and integrated into clinical operations while preserving the patient-physician relationship. Its objectives are to provide specialized medical advice, monitor patients, guide treatment, and share data for research.
This document discusses telemedicine, which involves transferring medical information via phone or internet for consultations or remote procedures. It describes three main types: store-and-forward, remote monitoring using sensors to transmit patient data, and interactive real-time services. Benefits include improved access to specialists for rural patients, better diagnosis and treatment, and continuing education for doctors. Drawbacks can include costs, decreased human interaction, and technical difficulties. The Apollo Telemedicine Networking Foundation in India is credited as the first to establish a rural telemedicine center and has since expanded significantly.
Telemedicine presentation delivered at the conference sponsored by HEALTHePRACTICES, ICanNY and Windstream Communications entitled Healthcare Technology and the Networks Which Make it Happen.
Innovative Care in Urology: Collaborative and High TechAllina Health
This document summarizes innovative care in urology at Virginia Piper Cancer Institute through collaboration between urology, oncology, pathology, radiology, and genetics departments. Over 350 patients have been presented at monthly conferences since 2011, with 20 enrolled in clinical trials. Integration with other departments provides cancer support groups, preoperative classes, and social services. Robotic surgery in urology has led to decreased lengths of stay for prostatectomy by 30%, partial nephrectomy by 21%, and cystectomy by 12%. A review of 84 small renal mass cases treated with active surveillance, robotic partial nephrectomy, or CT guided cryotherapy showed a 95% success rate at 2 year follow up.
Telemedicine and its application in public healthDr.Preeti Tiwari
Telemedicine uses electronic information and telecommunications technologies to provide remote clinical healthcare and support health education. It has various applications including videoconferencing, transmitting patient images and data, remote patient monitoring, and continuing medical education. Telemedicine provides benefits like improved access to specialists for remote/rural patients, cost savings from reduced travel, and continued education for doctors. However, challenges include persuading doctors and patients to adopt it, infrastructure and connectivity issues in rural areas, the costs of technology and communications, and legal issues around licensing and liability.
mhealth in cancer supportive care - how eSMART can improve quality of lifeKathi Apostolidis
several mhealth apps already in cancer care but lots need still to be done-patients want safely accessible, transferable data everywhere-eSMART project using ASyMS promises to improve the quality of life of cancer patients undergoing chemotherapy- mhealth conference at Bocconi University - Milan
This document provides an introduction to telemedicine, including its definition, history, types, applications, benefits, limitations, and future directions. Telemedicine involves the use of telecommunications technology to provide medical care from a distance. It has evolved from early uses of telegraphy, radio, and television to today's applications using computer and internet technologies like video conferencing, remote patient monitoring, and mobile health apps. Telemedicine allows improved access to care, cost savings, and medical education. While limitations include infrastructure and acceptance issues, its future is promising as technologies advance to enable more services like remote surgery and live monitoring via mobile devices.
Telemedicine - Moving Beyond the Video VisitHoward Reis
1. Telemedicine is moving beyond video visits to new technologies and patient engagement methods. Recent developments include tele-dermatology businesses, inner-city pediatric telemedicine, cervical cancer screening in developing countries via telepathology, and palliative care services using telehealth.
2. Technical challenges include ensuring quality of care, addressing patient considerations like satisfaction, and overcoming barriers to data-driven medicine and deep learning from medical images.
3. Case studies highlight successful models including a dermatology telehealth startup, an inner-city pediatric telehealth program, cervical cancer screening via remote microscopy, and a palliative care program using telehealth and value-based payments.
1) Prostate cancer is not an indolent disease and is the 2nd or 3rd leading cause of cancer death despite late clinical symptoms, highlighting controversies in screening.
2) The EAU guidelines are evidence-based and updated yearly, involving multiple medical specialties including urologists, oncologists, and a patient representative, and are endorsed by 50 national urological associations across Europe.
3) Screening reduces prostate cancer mortality according to multiple large studies, but there remains a question about diagnosing "insignificant prostate cancer" and whether diagnosis must mean treatment.
This document provides an overview of telemedicine, including its origins, definitions, types, equipment, staffing, benefits, and future directions. Telemedicine allows for the delivery of healthcare services via technology where distance is a factor, including video conferencing between patients and doctors, monitoring patient vitals remotely, and transferring medical data between hospitals. It has various applications like tele-radiology, cardiology, and psychiatry. Establishing telemedicine departments requires equipment like telescopes, ECG machines, displays, and software, as well as staff like technicians and program managers. The benefits are providing expert care to remote areas, reducing costs and travel times. The future of telemedicine includes more robotics, remote surgery, and monitoring via
Telemedicine A BRIGHT FUTURE for hospitality.akriti singh
TELEMEDICINE is a kind of mobile hospital and is very helpful, especially in remote areas , like small towns and villages.
There is no need of Doctor to be present everywhere when u can connect with any doctor from your place only !!! TELEMEDICINE provides us this facility.
The Value of Multimedia-Enhanced Radiology ReportingCarestream
Statistics from the American College of Radiology study,“Traditional Text-Only Versus Multimedia-Enhanced Radiology Reporting: Referring Physicians’ Perceptions of Value," explains how valuable referring physicians believe multimedia radiology report to be.
Older, richer patients more likely to choose in-person doctors' visits than t...Δρ. Γιώργος K. Κασάπης
A large study of more than 1.1 million patients in a Kaiser Permanente health care system in California finds certain characteristics — such as age — may predict which patients choose to visit their primary doctors via telemedicine versus in person. Looking at data between 2016-2018, researchers found that the vast majority of patients chose in-person visits, and that those older than 65 were much less likely than those in the 18-44 age group to choose telemedicine. Patients whose clinic had a paid parking structure versus free parking, and those who lived in residential areas with high internet access were also more likely to choose telemedicine.
IHI TeleMedicine powered by AmeriDoc is a leading provider of on-demand health care access services. IHI TeleMedicine powered by AmeriDoc cloud-based technology platform seamlessly and securely connects patients with U.S. based, board certified physicians for medical consultations via telephone, secure video, and secure email
Alcohol and chronic diseases: complex relations. Guillemont J. Conference on Cardiovascular Diseases (Madrid: Ministry of Health and Social Policy; 2010).
Telemedicine involves using telecommunications and information technology to provide clinical care from a distance. It allows patients in remote areas to access specialized medical expertise and can reduce costs. In India, telemedicine is necessary rather than optional due to low penetration of healthcare services in rural areas. The presentation outlines the types of telemedicine, how it works, benefits, current efforts, applications and potential for a national telemedicine network in India to improve access to care.
This document discusses telemedicine, including its history, evolution, core principles, objectives, definitions, types, advantages, and processes. It notes that telemedicine originated in 1967 with a transmission between a Boston airport and hospital. It evolved through technologies like telegraphy, radio, television, and the internet. The core principles are that telemedicine must be physician-directed and integrated into clinical operations while preserving the patient-physician relationship. Its objectives are to provide specialized medical advice, monitor patients, guide treatment, and share data for research.
This document discusses telemedicine, which involves transferring medical information via phone or internet for consultations or remote procedures. It describes three main types: store-and-forward, remote monitoring using sensors to transmit patient data, and interactive real-time services. Benefits include improved access to specialists for rural patients, better diagnosis and treatment, and continuing education for doctors. Drawbacks can include costs, decreased human interaction, and technical difficulties. The Apollo Telemedicine Networking Foundation in India is credited as the first to establish a rural telemedicine center and has since expanded significantly.
Telemedicine presentation delivered at the conference sponsored by HEALTHePRACTICES, ICanNY and Windstream Communications entitled Healthcare Technology and the Networks Which Make it Happen.
Innovative Care in Urology: Collaborative and High TechAllina Health
This document summarizes innovative care in urology at Virginia Piper Cancer Institute through collaboration between urology, oncology, pathology, radiology, and genetics departments. Over 350 patients have been presented at monthly conferences since 2011, with 20 enrolled in clinical trials. Integration with other departments provides cancer support groups, preoperative classes, and social services. Robotic surgery in urology has led to decreased lengths of stay for prostatectomy by 30%, partial nephrectomy by 21%, and cystectomy by 12%. A review of 84 small renal mass cases treated with active surveillance, robotic partial nephrectomy, or CT guided cryotherapy showed a 95% success rate at 2 year follow up.
Telemedicine and its application in public healthDr.Preeti Tiwari
Telemedicine uses electronic information and telecommunications technologies to provide remote clinical healthcare and support health education. It has various applications including videoconferencing, transmitting patient images and data, remote patient monitoring, and continuing medical education. Telemedicine provides benefits like improved access to specialists for remote/rural patients, cost savings from reduced travel, and continued education for doctors. However, challenges include persuading doctors and patients to adopt it, infrastructure and connectivity issues in rural areas, the costs of technology and communications, and legal issues around licensing and liability.
mhealth in cancer supportive care - how eSMART can improve quality of lifeKathi Apostolidis
several mhealth apps already in cancer care but lots need still to be done-patients want safely accessible, transferable data everywhere-eSMART project using ASyMS promises to improve the quality of life of cancer patients undergoing chemotherapy- mhealth conference at Bocconi University - Milan
This document provides an introduction to telemedicine, including its definition, history, types, applications, benefits, limitations, and future directions. Telemedicine involves the use of telecommunications technology to provide medical care from a distance. It has evolved from early uses of telegraphy, radio, and television to today's applications using computer and internet technologies like video conferencing, remote patient monitoring, and mobile health apps. Telemedicine allows improved access to care, cost savings, and medical education. While limitations include infrastructure and acceptance issues, its future is promising as technologies advance to enable more services like remote surgery and live monitoring via mobile devices.
Telemedicine - Moving Beyond the Video VisitHoward Reis
1. Telemedicine is moving beyond video visits to new technologies and patient engagement methods. Recent developments include tele-dermatology businesses, inner-city pediatric telemedicine, cervical cancer screening in developing countries via telepathology, and palliative care services using telehealth.
2. Technical challenges include ensuring quality of care, addressing patient considerations like satisfaction, and overcoming barriers to data-driven medicine and deep learning from medical images.
3. Case studies highlight successful models including a dermatology telehealth startup, an inner-city pediatric telehealth program, cervical cancer screening via remote microscopy, and a palliative care program using telehealth and value-based payments.
1) Prostate cancer is not an indolent disease and is the 2nd or 3rd leading cause of cancer death despite late clinical symptoms, highlighting controversies in screening.
2) The EAU guidelines are evidence-based and updated yearly, involving multiple medical specialties including urologists, oncologists, and a patient representative, and are endorsed by 50 national urological associations across Europe.
3) Screening reduces prostate cancer mortality according to multiple large studies, but there remains a question about diagnosing "insignificant prostate cancer" and whether diagnosis must mean treatment.
This document provides an overview of telemedicine, including its origins, definitions, types, equipment, staffing, benefits, and future directions. Telemedicine allows for the delivery of healthcare services via technology where distance is a factor, including video conferencing between patients and doctors, monitoring patient vitals remotely, and transferring medical data between hospitals. It has various applications like tele-radiology, cardiology, and psychiatry. Establishing telemedicine departments requires equipment like telescopes, ECG machines, displays, and software, as well as staff like technicians and program managers. The benefits are providing expert care to remote areas, reducing costs and travel times. The future of telemedicine includes more robotics, remote surgery, and monitoring via
Telemedicine A BRIGHT FUTURE for hospitality.akriti singh
TELEMEDICINE is a kind of mobile hospital and is very helpful, especially in remote areas , like small towns and villages.
There is no need of Doctor to be present everywhere when u can connect with any doctor from your place only !!! TELEMEDICINE provides us this facility.
The Value of Multimedia-Enhanced Radiology ReportingCarestream
Statistics from the American College of Radiology study,“Traditional Text-Only Versus Multimedia-Enhanced Radiology Reporting: Referring Physicians’ Perceptions of Value," explains how valuable referring physicians believe multimedia radiology report to be.
Older, richer patients more likely to choose in-person doctors' visits than t...Δρ. Γιώργος K. Κασάπης
A large study of more than 1.1 million patients in a Kaiser Permanente health care system in California finds certain characteristics — such as age — may predict which patients choose to visit their primary doctors via telemedicine versus in person. Looking at data between 2016-2018, researchers found that the vast majority of patients chose in-person visits, and that those older than 65 were much less likely than those in the 18-44 age group to choose telemedicine. Patients whose clinic had a paid parking structure versus free parking, and those who lived in residential areas with high internet access were also more likely to choose telemedicine.
IHI TeleMedicine powered by AmeriDoc is a leading provider of on-demand health care access services. IHI TeleMedicine powered by AmeriDoc cloud-based technology platform seamlessly and securely connects patients with U.S. based, board certified physicians for medical consultations via telephone, secure video, and secure email
Alcohol and chronic diseases: complex relations. Guillemont J. Conference on Cardiovascular Diseases (Madrid: Ministry of Health and Social Policy; 2010).
The impact of eHealth on Healthcare Professionals and Organisations: The Impact of ICT at Kaiser Permanente. Wiesenthal A. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
Risk Assessment and Management of Cardiovascular Diseases - an English Approach. Lynam E. Conference on Cardiovascular Diseases (Madrid: Ministry of Health and Social Policy; 2010).
1) Denmark aimed to create common processes and data structures across 13 municipalities and multiple medical vendors from 2002-2007, but faced issues with too many concurrent users and high data transmission.
2) From 2007-2012, Denmark established a shared medication record and common database to address prior issues.
3) The document discusses various roles that medical intermediaries can play, including consumer/professional content aggregation, patient management, records management, physician career services, and more. It also covers intermediation theory and the challenges in Europe.
The document discusses the challenges facing builders of national health information systems over the next decade. It identifies sustainability and safety/quality as the two core problems. A top-down approach like the UK's NPfIT program faced challenges like cost overruns and delays, while US bottom-up health information exchanges saw variable success. The document proposes a "middle-out" strategy where governments, providers, and others work together to agree on standards and each contributes their expertise. It also identifies strategic risks around health IT safety, managing expectations, and solving the right problems in order to successfully build integrated yet resilient national health information systems.
Multidisciplinary care: a perspective from diagnosis and treatment of rare cancers. Casali P. Technical Conference: Multidisciplinary Care in Cancer as a model of health care quality (Madrid: Ministry of Health and Social Policy, 2010)
This document discusses telehealth and highlights the need for more robust evidence on its effectiveness and cost-effectiveness through high-quality studies. It provides definitions of telehealth and telemedicine. While telehealth has potential benefits, the evidence from systematic reviews is mixed and inconclusive. Larger controlled trials are still needed to demonstrate clear benefits. Decision-makers require strong evidence from well-designed studies to justify full-scale implementation of telehealth services.
Telemedicina i pacients crònics / Telemedicine in chronic patientsAntoni Parada
Telemedicina i pacients crònics. Conferència impartida pel Professor canadenc Denis Protti Health Information Science - Victoria University. Barcelona, 2 de febrer de 2012. Organitzada per la Fundació TicSalut i l’Agència d’Informació, Avaluació i Qualitat en Salut.
Telemedicine in Skilled Nursing Facilities by Reza SadeghianReza Sadeghian
This document discusses using telemedicine in skilled nursing facilities to help avoid unnecessary hospitalizations. It finds that two-thirds of nursing home residents are on Medicaid and most are also enrolled in Medicare. These residents frequently experience avoidable hospitalizations, which are expensive and disruptive. The document outlines a study using telemedicine carts equipped with examination tools to help nurse practitioners manage acute changes in residents' conditions and palliative care assessments remotely rather than transferring residents to hospitals unnecessarily. The study found the telemedicine approach helped avoid hospital transfers 60% of the time with estimated cost savings of $396,000.
Telemedicine involves using telecommunication technologies to provide remote clinical healthcare. It overcomes barriers of distance and improves access to services for rural communities. There are three main types: interactive medicine with real-time communication between doctors and patients; remote patient monitoring using mobile devices; and store-and-forward sharing of health information. The first telemedicine system was set up in 1967 between Boston and Massachusetts. Telemedicine has advanced healthcare access and has limitations such as technical issues and state laws restricting access to out-of-state doctors.
The Concept of Application of Telemedicine in IndonesiaHamedoemar
The document discusses the need for telemedicine in Indonesia to address shortages of doctors, especially specialists, in remote areas by using technology like video conferencing to enable consultations between rural hospitals and experts in major hospitals, helping to provide better access to healthcare while reducing costs. It outlines the types of equipment required for telemedicine and how the system would connect hospitals.
Teleradiology Benefits :
Improved Communication
Immediate accessibility to ER doctor/specialist
Support for Technologist – protocols, rescans
Radiologist Productivity, Efficiency, Lifestyle
Cost benefit – economy of scale
The document discusses Belgium's high level of radiation exposure from medical diagnostics compared to neighboring countries. A strategic committee was formed with subcommittees to develop guidelines, increase awareness, and create incentives to reduce radiation levels through accreditation and optimization of practices. The subcommittees are working to standardize prescription forms, calculate patient radiation doses, and create a clinical audit tool to improve quality while avoiding excessive costs and paperwork. The overall goal is to lower radiation exposure levels through coordinated guidelines and incentives.
In this thesis the impact of digitisation on radiology is analysed based upon diverse initiatives and research projects that were conducted in the period between the early days and now. Various topics such as web-based sharing of radiological images, teleradiology, digital communication and advanced processing of medical data, are discussed. Based on these findings the author formulates his vision and advises about the future role of the radiologist.
In the dissertation The impact of information technology on radiology services the author describes the most important changes that took place in the field of information technology since the end of past century, and their impact on radiology.
A real revolution has been provoked in radiology by the complete digitisation of medical imaging and the deep integration of Internet in both society and healthcare. Digital archiving, processing and distribution of radiological images, as well as the development of various types of teleradiology, are an important part of this change.
Radiology is facing many new challenges and opportunities due to the on-going exchangeability, integration and automated analysis of medical data and images. Other major trends such as the increasing personalisation of medicine and growing engagement of patients in their healthcare process are also significantly influencing this turnaround in radiology.
This document summarizes a presentation on assessing and enhancing the public value of telehealthcare. It begins by discussing the various terms used in telehealth, including telehealthcare, telemedicine, telecare, telemonitoring, and eHealth. It then reviews definitions of telemedicine from Cochrane reviews, the European Commission, and other sources. The presentation notes the potential benefits of telehealthcare, such as reduced hospital and care home days, but also discusses challenges to adoption like a lack of clarity around cost savings and reluctance from physicians.
Healthcare delivery continues to evolve and change as new technology and regulations come to light. Telehealth has come to the forefront as the new paradigm for healthcare in many clinical situations.
In this session, IVCi and Avizia reveal the:
Best practices for adoption of telemedicine.
Expansion of telemedicine into new service lines & trends of innovation.
Many uses of telemedicine for prevention based applications.
Telemedicine provides healthcare services through electronic communication technologies when participants are separated by distance. It has evolved from point-to-point systems within hospitals to multi-point systems connecting multiple patients and doctors across different locations. Store-and-forward and interactive videoconferencing are two main delivery models. Telemedicine advantages include improved access to remote areas, reduced transportation costs, home monitoring, and access to specialist expertise. However, barriers include perspectives of medical practitioners, patient unfamiliarity, high costs, lack of basic infrastructure, literacy and language issues, and the need for more advanced technologies and quality standards. The Indian government has initiated telemedicine programs through community service centers to provide rural healthcare access.
Chapter 17 TelemedicineRobert Hoyt MDThomas Martin PhD.docxzebadiahsummers
Telemedicine uses electronic information and telecommunications technologies to support remote clinical healthcare, education, and administration. It has grown in popularity due to rising healthcare costs and physician shortages. Common telemedicine practices include teleradiology, teleneurology, and telepsychiatry which allow specialists to consult remotely. While telemedicine provides benefits like improved access to care, it also faces barriers such as reimbursement issues, high costs, and legal/regulatory challenges. Public health informatics applies information science to public health practice, research and learning. It involves surveillance systems that collect and analyze health data to monitor diseases and protect population health.
The document discusses the potential for a telemedicine pilot program to serve patients with rare diseases. It summarizes surveys that found over 50% of patients would be receptive to telemedicine and over 90% are willing to learn video call applications. The document estimates a 3-year pilot program could save £6.8 million in healthcare costs while costing approximately £975,000 to implement. Key operational requirements for the pilot include videoconferencing capabilities and secure data protection.
The document summarizes Tic Salut Foundation, a Catalan organization that promotes telemedicine and teleassistance. It has several boards and councils that provide advisory, business, scientific, and citizen perspectives. It also has an observatory that maps trends in ICT usage in health organizations. Tic Salut promotes projects and adoption of standards to improve interoperability and continuity of care through telemedicine and digital tools. Its goals include remote diagnosis, management of chronic diseases, and teleconsultations.
How to move Forward the Implementation of the EU Interoperability Recommendation to Establish Trust and user Acceptance Part 1: Perspective of a Member State. Rossing N. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
MoleMap is a global leader in teledermatology that was formed to improve early melanoma detection. It has developed imaging and telemedicine technologies used in clinics across New Zealand, Australia, and the United States. MoleMap's database contains over a million skin lesions from over 100,000 patients. Studies have shown MoleMap is effective at diagnosing melanomas earlier and more accurately compared to in-person examinations alone. Maintaining high quality, secure systems is important to the success of teledermatology programs.
This document discusses telehealth and telenursing. It begins by defining telehealth and describing its history. Telehealth utilizes technology to provide health services from a distance. While early uses date back centuries, major advances occurred in the last 50 years as technology improved. The document then discusses driving forces for telehealth like aging populations and provider shortages. It explores clinical applications of telehealth including transmitting images, data, and providing education. Telenursing involves using telecommunications for remote nursing care. Key roles of telenurses discussed are home telehealth, tele-intensive care, and chronic disease management. The tools, software, practice protocols and legal/ethical considerations of home telehealth are outlined. The future of more
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Sánchez de Toledo J. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Ortiz H. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Barnadas A. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
Experiencias y percepción de la atención integral de los pacientes con cáncer. Oriol Díaz de Bustamante I. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
Experiencias y percepción de la atención integral de los pacientes con cáncer. Moreno Marín P. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Medina JA. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
Experiencias y percepción de la atención integral de los pacientes con cáncer. Fisas Armengol A. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
Este documento describe la atención oncológica multidisciplinar y la gestión de casos como un modelo de calidad asistencial. Explica que la gestión de casos implica coordinar y facilitar el acceso a los servicios sanitarios adecuados para cada paciente. Además, describe el rol de la enfermera gestora de casos en unidades oncológicas, cuyas funciones principales son coordinar el plan de tratamiento del paciente y servir de referente para el paciente y el equipo médico. Finalmente, concluye que la gestión de casos contribuye
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Díaz Mediavilla J. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Ignacio A. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
The power of lifestyle interventions to prevent cardiovascular diseases. Tuomilehto J. Conference on Cardiovascular Diseases (Madrid: Ministry of Health and Social Policy; 2010).
Cardiovascular disease inequalities: causes and consequences. Capewell S. Conference on Cardiovascular Diseases (Madrid: Ministry of Health and Social Policy; 2010).
Addressing cardiovascular disease at EU level: tangible plans for the future. Hübel M. Conference on Cardiovascular Diseases (Madrid: Ministry of Health and Social Policy; 2010).
The impact of eHealth on Healthcare Professionals and Organisations: A National Perspective. Eccles S. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
The impact of eHealth on Healthcare Professionals and Organisations: Health Information Management Systems in Modern Health Care. Shemer J. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
The impact of eHealth on Healthcare Professionals and Organisations: e-health and Healthcare Organization. Piqué J. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
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When Telemedicine Does Deliver!
1. When telemedicine does deliver!
Lluís Donoso-Bach, Barcelona/ES
Professional Organisation Committee
Chairman and ESR Executive Council member
2. The ICT situation in Catalonia
Information
Our vision
Information • Telemedicine applications:
Systems and
clinical
Systems
information
processing • Telediagnosis (27 centers)
• Radiology 66,7%
Connectivity,
interoperability, Security
telemedicine • Pathology 12,5%
• Others 20,8%
• Teleconsultation (20 centers)
• Dermatology 43,8%
• Cardiology 18,8%
• Pediatrics 12,5%
• Telemonitoring of chronics (8 centers)
• Diabetes 37,5%
• HTA 25,0%
• EPOC 12,5%
3. • Teleradiology has a number of well-defined
benefits which have already become
established and recognised .
• There are however many potential pitfalls,
especially if teleradiology moves from its
present highly specific role to a general
method of service delivery.
4. Benefits
• For those communities which lie at a considerable
distance from a major centre and where there is
insufficient work to justify the appointment of local
radiologists.
• Images of complex problems can be transmitted to
major tertiary centres for evaluation and advice.
• Tertiary centres can decide whether a patient needs
transfer from the smaller hospital to the tertiary
centre for treatment without unnecessary
discomfort and disruption for the patient.
5. Benefits
• To provide emergency reports on images where the
local centre does not have sufficient radiologists to
provide a 24hour cover.
• Improved continuing professional development.
• Permits users to view images in different locations
simultaneously for the purpose of discussions.
6. Real and Potential Problems
Communication
• Clinic-radiological communication
• Team Working
• Linguistic Problems
• Wording of report and clinical impact
Access to Previous Examinations
7. Real and Potential Problems
Downstream Costs
Quality Control:
• Learning from mistakes through
participation in radiological
discrepancy/error meetings
• It is difficult for teleradiology services to
have a proper feedback of the outcome
and undertake satisfactory audit of their
reports.
8. Real and Potential Problems
Legal issues:
• The registration of the reporting doctors.
• Appropriate CME
• Properly trained
• Abide EU Health and Safety legislation
• Medico-legal liability
• Consent
• Jurisdiction
• Patient Confidentiality
• To comply with Euratom directive
9. Telemedicine Communication
COMMUNICATION FROM THE COMMISSION TO THE
EUROPEAN PARLIAMENT, THE COUNCIL,
THE EUROPEAN ECONOMIC AND SOCIAL
COMMITTEE AND THE COMMITTEE OF THE REGIONS
on telemedicine for the benefit of patients, healthcare
systems and society
Brussels, 4.11.2008
COM(2008)689 final
10. Telemedicine Communication
Aims of Telemedicine Communication:
• Bringing legal clarity
• Solving technical issues and facilitating
market development
• Building confidence in and acceptance
of telemedicine services
11. Telemedicine Communication
ESR Position:
• Teleradiology is a medical act in its own right
• Establish accreditation criteria for teleradiology
providers that are homogenous throughout the EU
• Emphasis on the importance of delivering high-quality
healthcare to the patient
• Cost savings must not come at the expense of quality
or safety – international standards needed – careful
monitoring of service providers
12. Telemedicine Communication
ESR Position:
• The regulation of telemedicine and teleradiology
should be the responsibility of the member state
where the patient undergoes the imaging procedure
or telemedical referral
• Legal clarity
• Full information of patients & informed consent
• Importance of interoperability and standardisation
13. Development of teleradiology
LEGAL:
ESR stresses the importance of bringing clarity.
A legal framework related to teleradiology and
common to all Member States would pave the way to
the trusted development of teleradiology as a medical
practice
14. Development of teleradiology
TECHNOLOGY:
Having the relevant ICT infrastructures (e.g. broadband
availability for all) with consistent attention to the
implementation of measures aimed at ensuring
respect for the right to protection of personal data.
15. Development of teleradiology
ORGANISATION:
The introduction of teleradiology into clinical practice
requires re-engineering of clinical pathways, medical
protocols and management of human resources, with a
noticeable impact on the overall healthcare-delivering
system (both public and private).
The ESR agrees that all stakeholders (including patient
associations) should be alerted to the potential as well
as the pitfalls of teleradiology.