Effect of TELEmedicine for Inflammatory Bowel Disease on Patient Activation and Self-Efficacy
Zaid BilgramiAmeer AbutalebKenechukwu Chudy‐OnwugajePatricia LangenbergMiguel RegueiroDavid A. SchwartzJ. Kathleen TracyLeyla GhaziSeema PatilSandra QuezadaKatharine RussmanCharlene C. QuinnGuruprasad JambaulikarDawn B. BeaulieuSara HorstRaymond K. Cross
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Successfully developing telemedicine systems is primarily about effective change management. The literature suggests that certain principles are likely to increase the chances of success in developing a telemedicine system. These are: (1) telemedicine applications and sites should be selected pragmatically, rather than philosophically; (2) clinician drivers and telemedicine users must own the systems; (3) telemedicine management and support should follow best-practice business principles; (4) the technology should be as user-friendly as possible; (5) telemedicine users must be well trained and supported, both technically and professionally; (6) telemedicine applications should be evaluated and sustained in a clinically appropriate and user-friendly manner; (7) information about the development of telemedicine must be shared. If telemedicine is to realize its full potential, it must be properly evaluated and the results of any evaluations published, whether the results are positive or negative. Since telemedicine is about communication with colleagues and patients across large distances, it should be possible for those involved in it to do the same with their experiences.
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Successfully developing telemedicine systems is primarily about effective change management. The literature suggests that certain principles are likely to increase the chances of success in developing a telemedicine system. These are: (1) telemedicine applications and sites should be selected pragmatically, rather than philosophically; (2) clinician drivers and telemedicine users must own the systems; (3) telemedicine management and support should follow best-practice business principles; (4) the technology should be as user-friendly as possible; (5) telemedicine users must be well trained and supported, both technically and professionally; (6) telemedicine applications should be evaluated and sustained in a clinically appropriate and user-friendly manner; (7) information about the development of telemedicine must be shared. If telemedicine is to realize its full potential, it must be properly evaluated and the results of any evaluations published, whether the results are positive or negative. Since telemedicine is about communication with colleagues and patients across large distances, it should be possible for those involved in it to do the same with their experiences.
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Telemedicine has the potential to help bridge the time and distance gaps that can mean life or death for some patients. It can provide live video conferencing between local, rural doctors and clinics to the necessary specialists at a major hospital or research center. These conferences can provide quick and accurate diagnosis and save both the patient and the doctor time and money. This article presents a background on telemedicine including components, applications and benefits of telemedicine, challenges and trends in telemedicine, and conclusion with some direction for future research in telemedicine.
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The definition of telemedicine is the use of telecommunications to support health care. Telemedicine includes timely transmission and remote interpretation of patient data for follow-up and preventative interventions. The main purpose of this approach is to facilitate a productive interaction between the patient and the health care provider in order to achieve improved treatment results and lower treatment costs.
To understand the current and potential future advantages and disadvantages of implementing telemedical care, it is helpful to consider the answers to the following seven questions: (1) what is telemedicine, (2) how is telemedicine applied to diabetes, (3) what are the goals for using telemedicine, (4) what are the benefits of using telemedicine, (5) are the goals of telemedicine achieved for diabetes, (6) what are barriers to adoption of telemedicine, and (7) what are promising research opportunities in diabetes telemedicine?
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One year ago, shortly after the onset of the coronavirus disease 2019 (COVID-19) pandemic, we published our initial experience with telemedicine. We showed that during the early pandemic, there was a dramatic shift to telemedicine and that 70% of our patients would decline telemedicine in favor of an in-person visit. As clinical limitations and stay-at-home orders relaxed, we sought to define how we have used telemedicine since. After the initial month of the pandemic, our utilization of telemedicine fell to an average of only 5% of visits over the past year. Nearly 80% of all telemedicine visits were routine follow-up visits, with its usage being unaffected by local policy and pandemic surges. The usefulness and applications of telemedicine have been well described; however, after our initial reliance on telemedicine, its use has been minimal. Moving forward, attention will need to focus on innovation and expanding comprehensive virtual examinations for otolaryngology to fully embrace this technology.
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There are many developments in the Dutch healthcare, diseases are better treatable
and people are getting older. This causes new solutions for delivering care. One of the solutions to
deal with the increasing demand for healthcare is telemedicine. Telemedicine is the delivery of care
on a distance by using communication technologies. But telemedicine is not widely adopted yet.
Important stakeholders for the use of telemedicine in the healthcare setting are the healthcare
professionals. This research focusses on the facilitators and barriers that exist within the choice for
the use (or not) of telemedicine.
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