Telemedicine Essays

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Significance of the Health Essay

Words: 1555 Length: 4 Pages Document Type: Essay Paper #: 56901

Telemedicine: Possibilities and Issues

This is a paper regarding the use of communication technology in medicine and healthcare. The Issue is telemedicine, and the article related to is given in the reference.

The possibility, practicality and the desirability of the use of communication technologies are discussed and the issues in telemedicine identified. It is recommended that the issues be researched further and the implications, technical and medico legal sorted out side by side with the use of information and communication technologies in medicine.

The benefits of telemedicine can be enormous, and even save money in many cases, but there is also the potential for medico legal implications and the danger of excessive dependence on the machine rather than the man in the use of telemedicine. Overall, it is potentially a highly beneficial field provided it is driven by patient and healthcare needs rather than driven by the profit motive of the IT and communication industries.

Introduction

Enrico Coiera, project manager a Hewlett-Packard Research Laboratories, Stoke Gifford, Bristol has discussed the use of new information technologies in medical informatics and raised the issues pertinent to it in his article "Recent Advances: Medical informatics" in BMJ 1995;310:1381-1387 (27 May). The article summarizes the developments in the field of medical informatics and then discusses the motivation behind and the issues concerned with the application of technology. Any attempt that are motivated by use of technology for its own sake rather than for tailor it to the needs of the healthcare systems are bound to fail.

The growing use of Telemedicine

He acknowledges that the use of the information sciences in medicine is growing and is expected to continues to grow. The scope is enormous. It finds use in:

1. The design of decision support systems for practitioners

2. The development of computer tools for research,

3. The study of the very essence of medicine -- its corpus of knowledge.

His forecast is that the use of informatics in the next [21st] century will probably be as fundamental to the practice of medicine as the study of anatomy has been in the 20th century.

He matches the advances in medical informatics with apparently unbridled technological promise against unsatisfactory practical achievement. His criteria for this…… [Read More]

References:
Coiera, Enrico: "Recent Advances: Medical informatics" BMJ 1995;310:1381-1387 27 May, 1995. Enrico Coiera is project manager at Hewlett-Packard Research Laboratories, Stoke Gifford, Bristol BS12 6QZ ]
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Telehealth and Solving the Problem of Nursing Turnover Essay

Words: 12696 Length: 45 Pages Document Type: Essay Paper #: 99020464

Reducing Nursing Turnover by Implementing Innovative E-Health: A New Strategy for Incentivizing Nurses and Improving Organizational Culture

Problem Identification:

Nursing turnover rates are a serious issue for hospitals: they are costly and result in lost time and energy in continuously training new staff (Twibell, 2012). Identifying the main reasons for nursing turnover and addressing them can lead to better nurse retention (Trivellas, Gerogiannis, Svarna, 2013).

The problem of nurse retention has been identified by academic scholars in journals like the Journal of Nursing Administration, which has estimated the cost of replacing a single nurse to be approximately $82,000 (Twibell, 2012). As Twibell (2012) reports, job satisfaction is the main reason new nurses leave and the poor sense of job satisfaction is related to too heavy workloads and the lack of their ability to guarantee patient safety. While Twibell goes on to suggest that these issues can be addressed by implementing pre-screening strategies when hiring new nurses, such as "pre-hire job shadowing" and "behavior-based interviews," (Twibell, 2012) this capstone project highlights the growing interest among nurses in the area of eHealth and telenursing, which uses electronic monitoring to assist caregivers and help patients to feel more comfortable (Barret, Wallis, 2013; Mills et al., 2013; Odeh, 2014).

E-Health and Telemedicine can be effective innovations in the industry that enable nurses to achieve job satisfaction, as eHealth can help nurses to feel that they are providing better care, making patients more comfortable, and prevent nurses from experiencing workplace fatigue.

The action steps that would be taken in order to implement this strategy include budgeting for eHealth innovation implementation; training workers on how to effectively use eHealth; reviewing the implementation roll-out; making modifications or adjustments as needed. This capstone project will focus on developing an educational framework to facilitate the implementation of eHealth by providing directives, tips, and guidelines on how to use telenursing in a safe and…… [Read More]

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Change Project Essay

Words: 1870 Length: 7 Pages Document Type: Essay Paper #: 22519710

Nursing Change Project

The organization at focus in this nursing change project and the nursing managers in cohesion implemented an evidence-based nursing practice model in the health care organization. As noted in the work of Keele (nd) there has been several models that have provided contributions on the conceptual level to the implementation of evidence-based nursing. One of these models is the Stetler model (Stetler, 2001), also included is the Iowa model (Titler, et al., 2001), the John Hopkins Evidence-Based Practice Model (Newhouse, et al., 2007), the ACE Star Model (Stevens, 2004), the Caledonian Development Model (Tolson, Booth & Lowendes, 2008), and the Evidence-Based Practice Model for Staff Nurses (Reavy & Tavernier, 2008). (p.75) The model chosen by the organization and reported in this work in writing is most similar to the Evidence-Based Practice Model for Staff Nurses (Reavey & Tavernier, 2008). The process utilized for the Evidence-Based Practice Model for Staff Nurses is one that greatly mirrors the nursing process in terms of the assessment, diagnoses, planning, implementation, as well as the components used in evaluation. Added are analysis and synthesis of evidence, as well as integration and maintenance of practice change to complete this model.

II. Overview of the Model

The model of Reavey & Tavernier (2008) is such that involved staff nurses, a unit nurse manager, and the research staff of the hospital. In the present project, implementation the past research conducted on the procedure of change has served to document the necessity of the change as well as have institutional records on errors in this area. Reavey & Tavernier (2008) is reported by Keele to include ten important strategies as follows: (1) Identification of the practice problem/issue; (2) Collection and appraisal of the empirical evidence; (3) Collection and appraisal of the nonempirical evidence; (4) Summary across all…… [Read More]

Works Cited:
Keele (nd) Implementing Evidence-Based Nursing Practice: An Overview. Jones & Bartlett. Retrieved from:  http://samples.jbpub.com/9780763780586/80586_CH05_Keele.pdf 

Lazarus, W. And Lipper, L. (2009) School-Based Telehealth: An Innovative Approach to Meet the Health Care Needs of California's Children. Digital Opportunity for Youth Issues Brief, No. 6. October 2009. The Children's Partnership. Retrieved from:  http://www.childrenspartnership.org/storage/documents/Publications/SchoolTelehealthBriefSep2009.pdf 
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Improving Diabetes Outcomes in Rural Essay

Words: 2716 Length: 9 Pages Document Type: Essay Paper #: 40685101

Because patients have an active role in their care plan and are in
more frequent contact with their healthcare provider, they gain a better
understanding of their condition and become more compliant in their care."
(Moore, 1) This speaks directly to the challenges in healthcare relating
to diabetes, which is a condition that can best be controlled through
effective personal lifestyle habits and a sound treatment of one's body.
Being able to take proper routine measures to monitor, medicate and treat
one's self can be facilitated through telehealth consultation, reducing the
need for travel and doctor visits for those who might be less mobile due to
age and infirmity.
The importance of reducing hospital visits for both cost to
healthcare and strain on the patient can be especially appealed to where
diabetes is concerned. The chronic nature of the condition and the related
ability of the patient to control certain aspects of the condition through
proper behavior and lifestyle habits make this a prime context for
telehealth implementation. So is this suggested by a study from 2005
where, "in phase 1, over 1,650 patients with diabetes were randomized to
telehealth or normal care. Telehealth solutions as described above were
placed in patients' homes. Participants received Internet service, training
in equipment use, and maintenance support. Patients check their blood
sugar, blood pressure, and other factors that affect diabetes. Through
interaction with their clinical teams, the patients learn more about
diabetes and receive recommendations and instructions on how to manage
their disease." (Moore, 1) This bevy of methods would underscore the
suitable nature of diabetes to improvement of outreach through such
technologies.
Where the rural communities impacted by the condition are concerned,
this can be especially critical in lengthening and improving the lives of
diabetes patients. The difficulty or impossibility to traveling to proper
healthcare facilities for treatment can have a significant impact on
mortality rates in these areas. The correlation between conditions such as
obesity or advanced age and the presence of diabetes suggests that the
strain of excessive healthcare travel should be reduced as much as
possible. The above noted experiment and its results suggests telehealth
to be well-suited to addressing this matter.
This is further supported by Versweyveld's (2005) findings, which
would engage in an…… [Read More]

Sources:
B2B Media. (2002). General Telemedicine. Telemedicine Today. Online at
http://www2.telemedtoday.com/articles/generaltelemedecine.shtml.

Bull, C.N. (1993). Growing old in rural America: New approach needed in
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Technology and Healthcare Demographics of the Global Essay

Words: 1063 Length: 3 Pages Document Type: Essay Paper #: 48110564

Technology and Healthcare

Demographics of the global community are rapidly changing so that each year there are more and more seniors within the population base. This has a profound implication on the healthcare system of many regions since a large number of elderly citizens will be spending their lives in the confines of their home, and some may have chronic illness that require continuous monitoring. Clinical telemedicine is one way to offer greater services to rural or homebound populations. Indeed, a variety of technological advances have made it possible to change the paradigm of healthcare. Clinical information systems, for instance, have expanded in scope and depth. Increased processor speeds and data storage devices have made it possible to collect more data than ever on the detailed encounters that make up the provider-patient care delivery process, and present it more effectively to a wider range of users. Healthcare monitoring is part of the technical relationship of telemedicine, which is the use of electronic information and communication technology to provide and support distance-based healthcare. The physician or monitoring organization can perform interventions, diagnostic, and treatment decisions from the data they receive, and is particularly useful in populations of aging individuals or those in areas not necessarily near a healthcare facility. In telemedicine, two participants are involved, the caregivers and patients with four common uses: 1) Teleassistance -- Physician assists a patient who is geographically isolated; 2) Telemonitoring -- Transmission of medical information for monitoring purposes; 3) Teleconsultation (patient -- caregiver) -- Patients seeking medical advice; 4) Teleconsultation (caregiver -- caregiver) -- One caregiver consulting with another or one GP with specialist (What is Telemedicine? 2013; Choi, et al., 2009).

Part 2 - Some critics point out that there are problems with telemedicine and remote management of illness. They believe that the initial costs are higher (but in…… [Read More]

References:
Luppicini, R. And R. Adell, eds., (2008). Handbook of Research on Technoethics. New York: Information Science Publishing Company.

Teo, T., et.al. (2008). "Wireless Healthcare Monitoring Systems. World Academy Of Science, Engineering, and Technology. 42 (1: Retrieved from:

http://www.waset.org/journals/waset/v42/v42-98.pdf
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Rural Healthcare Facilities Context of Essay

Words: 5552 Length: 20 Pages Document Type: Essay Paper #: 48009947



Provide sustained technical assistance (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003)

Evaluation of the process in rural and small communities includes: (1) scope of the project; (2) goals; (3) critical success factors; and (4) technical assistance." (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003) Community grants have been focused on the provision of 'personal digital assistant (PDA) systems in assisting with the decision support role. The initiative is stated to include: (1) development of toolkits; (2) leveraging known tools; (3) developing capacity; and (4) disseminating best practices. (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003)

Ormond, Wallin, and Goldenson report in the work entitled: "Supporting the Rural Health Care Safety Net" (2000) state: "The policy - and market-driven changes in the health care sector taking place across country are not confined to metropolitan areas. Rural communities are experiencing changes impelled by many of the same forces that are affecting urban areas." However, due to the demographical differences and other facts existent only in rural life the health care system can be differentiated from those in urban areas in various ways. According to Ormond, Wallin, and Goldenson, it is that difference that highlights the importance of giving consideration "explicitly" to the "impact of competitive forces and public policy developments on rural health care systems and the patients and communities they serve." (2000) the changes that are occurring in the health care sectors are resulting in many providers being threatened in both rural and urban areas however, health care provider failures in a rural area is likely to a much greater impact as compared to health care provider failure in urban areas. "Because alternative sources of care in the community or within reasonable proximity are scarce, each provider likely plays a critical part in maintaining access to health care in the community. For this reason, in most rural communities all providers should be considered part of the health care safety net - if not directly through their care for vulnerable populations, then indirectly through their contribution to the stability of the community's health care infrastructure." (Ormond, Wallin, and Goldenson, 2000) the study reported by Ormond, Wallin and Goldenson is based on…… [Read More]

Bibliography:
Healthcare and Healthcare Insurance Country Report: India (2004) Tata Consultancy Services and Microsoft. WebHealthCentre.com. 2004 August. Online available at http://download.microsoft.com/documents/customerevidence/7144_WebHealth_CS.doc

Expert Panel Meeting: Health Information Technology (2003) Agency for Healthcare Research and Quality (AHRQ) 23-24 July 2003. Online available at http://www.ahrq.gov/data/hitmeet.htm
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Future Trends in Health Care Essay

Words: 1964 Length: 6 Pages Document Type: Essay Paper #: 7870122

Future Trends in Health Care

Direct communication with patients remains to be an obstacle in the quest of achieving effective patient-physician relationship. Nevertheless, e-communication with clients by use of websites, telephone, and e-mail has forced physicians to re-engineer their strategies of caring for patients. Access of online wellness and health information, home-based monitoring systems, online medical services, and web-based support teams have enabled patients to embrace added responsibilities for their health care. This study diagnoses how the Internet and other forms of electronic communication may be used as an external delivery source in communicating patient-specific information. This study also elucidates how distance delivery affects the delivery of health care coupled with the use of e-mails, telemedicine, and the electronic transfer of records in service delivery (Latifi, 2008).

The use of e-mail, telemedicine, and the electronic transfer of records

For many years, physicians have used telephone services to pass messages to patients. In administrative terms, they have used the telephone when scheduling appointments, reminding patients about appointments, relaying lab results and handling requests to renew prescriptions. Additionally, healthcare providers make a host of administrative phone calls pharmacies, hospitals and insurance companies (Fleisher & Dechene, 2010).

Physicians can also use the telephone as a clinical tool. When dealing with established clients such as patients with chronic diseases, the use of the telephone can save both patient's money and time. This reduces the heavy office schedules. Care providers can engage the telephone to offer clinical advice, monitor the impact of treatment, and discuss patient results. Determining the level at which clinical services can be offered via the telephone in the absence of tactile and visual information that patients provide is cumbersome. For physicians to make such decisions, they must carefully study the legal and clinical factors underlying the competence and scope of the basic guidelines. In any decision the physicians may make regarding the issue, they must always document the health record of the patient (Latifi, Poropatich & Hadeed,…… [Read More]

References:
Demiris, G., (2008). E-Health: Current Status and Future Trends in the EU and the U.S. Columbia, Missouri]. Amsterdam [u.a.: IOS Press.

Fleisher, L.D., & Dechene, J.C. (2010). Telemedicine and e-health law. New York: Law Journal Press.