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1.
Artículo en Inglés | PAHO-IRIS | ID: phr-51901

RESUMEN

To the editor: In the United States (US), an estimated 2.4 million persons have chronic infection with hepatitis C virus (HCV). The number of deaths from HCV-related mortality is greater than that of HIV and tuberculosis combined. Treatment with direct-acting antivirals (DAAs), usually 1-3 pills a day for 8 or 12 weeks, can cure over 95% of patients. Successful treatment of HCV has been shown to greatly reduce liver-related as well as all-cause mortality. American Indian and Alaska Native (AI/AN) people have over twice the national rate of HCV-related mortality. The largest health care provider for AI/AN communities is the Indian Health System, a national network of federal (Indian Health Service), tribal, and urban health facilities, comprised mostly of rural primary care clinics. As part of the Indian Health System response to HCV, health facilities have access to tele-mentoring support such as the ECHO (Extension for Community Healthcare Outcomes) model, which has demonstrated excellent outcomes in treating HCV. The program connects rural clinicians (‘spokes’) to a specialist team (‘hub’). These participants meet regularly via low-bandwidth video conference technology. The format of case-based learning, supported by short didactic presentations, aims to scale up clinical capacity across a health network. Patient presentations entail a brief de-identified standardized form with a patient’s clinical history to assess liver disease severity and determine optimal HCV treatment. [...]


Asunto(s)
Hepatitis C , Mortalidad , Enfermedades Transmisibles , Nativos de Alaska , Indios Norteamericanos , Salud Urbana , Servicios Urbanos de Salud , Hepatitis , Telemedicina , Telemedicina para Zonas Rurales y Remotas , Servicios de Salud del Indígena , Salud de Poblaciones Indígenas , Organizaciones Indígenas
2.
Stud Health Technol Inform ; 268: 113-122, 2020 Mar 02.
Artículo en Inglés | MEDLINE | ID: mdl-32141883

RESUMEN

The way health care is delivered changes continuously and is increasingly supported by digital technologies, such as telemedicine. Many terms in that context exist, which are not defined consistently and therefore used ambiguously. This makes it difficult to assess the evidence base. Ontologies bring structure and clarity to the discourse around telemedicine and related terms. We use this tool to provide definitions of relevant terms and show their interrelations. The results provided will be applied to different case studies to show their applicability. We aim to provide a more evidence-based understanding of relevant terms in digital health.


Asunto(s)
Telemedicina , Prestación de Atención de Salud
3.
Stud Health Technol Inform ; 268: 123-138, 2020 Mar 02.
Artículo en Inglés | MEDLINE | ID: mdl-32141884

RESUMEN

Behaviour change can refer to any transformation or modification of human behaviour. Within healthcare it refers to a broad range of activities and approaches that focus on the individual, community, or environmental influences on health-related behaviour. For e-Health (or digital health) it refers to behavioural impacts mediated through a specific e-Health intervention. However, there are also other health-related behaviour changes being quietly imposed upon both the populace and the healthcare professions broadly, by use of information and communications technologies for health. To better understand these deliberate or incidental impacts on the behaviour of healthcare consumers and providers alike, a scoping narrative review was performed using peer-reviewed and grey literature resources. Qualitative information was charted from the selected literature. This created an objective analysis of both contemporary and less commonly appreciated aspects of behaviour change in our 'digital' age. Many contemporary examples exist. The Internet and www brought alternate approaches moving from face-to-face or paper-based to websites, electronic diaries, and now mobile phones (particularly smartphones) to personalize health-related behaviour change in a myriad of diseases and conditions. Segments of the population have also exhibited health-related behaviour change through their growing www-based health-information seeking. More recent examples include 'spontaneous telemedicine' where physicians have changed the behaviour of themselves and colleagues through use of Instant Messaging, e.g., WhatsApp. Patients are also changing their behaviour spontaneously through taking and providing 'medical selfies'. However, the recent and rapid growth in accessibility and popularity of social media has markedly impacted behaviour change through the speed with which information can be spread, by both legitimate users and socialbots. Insidious examples include spread of health-related 'misinformation' (e.g., vaginal cleansing,), and now 'disinformation' (e.g., the 'anti-vaccination' movement, now resulting in recurrence of once eradicated diseases). These, and other examples, represent the broader, sometimes incidental, impact of some current e-health approaches on health-related behaviour change and should be identified and acknowledged as such. Doing so may fundamentally change opinion and efforts to redirect elements of behaviour change and aspects of behaviour change theory in unexpected ways.


Asunto(s)
Teléfono Celular , Medios de Comunicación Sociales , Telemedicina , Comunicación , Femenino , Conductas Relacionadas con la Salud , Humanos
5.
Br J Nurs ; 29(5): 274-278, 2020 Mar 12.
Artículo en Inglés | MEDLINE | ID: mdl-32167814

RESUMEN

BACKGROUND: Type 2 diabetes mellitus is one of the most common diseases worldwide. The demands on health services are rising as more people are diagnosed with the condition. In order to meet this demand, eHealth systems are increasingly being integrated into nursing care. METHODS: Between November 2018 and February 2019, a literature search was carried out in the databases PubMed and CINAHL. RESULTS: Twenty articles were found on nurses' use of eHealth systems, the majority with patients with diabetes. From this research, it would seem that eHealth systems have had a proven positive influence on patients' state of health and understanding of therapy. Subjectively perceived communication with the nursing staff also improved. Problems can arise in the implementation phase. CONCLUSION: In the future, increasingly, nurses will have to integrate eHealth systems into the treatment of patients with type 2 diabetes. It is important that nurses understand such systems in order to guarantee a sustainable and successful implementation.


Asunto(s)
Diabetes Mellitus Tipo 2/enfermería , Diabetes Mellitus Tipo 2/terapia , Telemedicina , Comunicación , Humanos , Personal de Enfermería
6.
Braz Oral Res ; 34: e011, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32130361

RESUMEN

Telehealth has been applied in the Unified Health System (SUS) as a tool for qualifying professionals and improving the healthcare provided to the population served by the system. The aim of the present study was to evaluate the impact of teleconsultations on the qualifications of the clinical approach of the oral health teams involved in primary health care (PHC) in the state of Rio Grande do Sul under the Telehealth Brazil Networks Programme. The sample population of the study was composed of 285 dentists and 132 oral health assistants belonging to the Family Health Teams. A chi-square test was used to investigate possible associations between the absolute number of teleconsultations performed and several independent variables, namely, gender, age, dental specialty, time since graduation, time working in the Family Health Strategy (FHS), employment status, type of training institution, familiarity with information technology, and work satisfaction at the health facility. The level of significance was p < 0.05. Use of the oral health teleconsultation service led to a reduction of more than 45% in the number of referrals to other levels of care. However, no significant association was found between the number of teleconsultations and the independent variables analysed. The use of teleconsultations proved to be a powerful tool for professional training, for increasing the effectiveness of PHC, and for improving the oral healthcare provided.


Asunto(s)
Personal de Odontología/estadística & datos numéricos , Odontólogos/estadística & datos numéricos , Atención Primaria de Salud/estadística & datos numéricos , Evaluación de Programas y Proyectos de Salud/estadística & datos numéricos , Telemedicina/estadística & datos numéricos , Adulto , Brasil , Estudios Transversales , Atención Odontológica/estadística & datos numéricos , Servicios de Salud Dental/normas , Personal de Odontología/educación , Odontólogos/educación , Educación a Distancia/métodos , Educación a Distancia/estadística & datos numéricos , Femenino , Humanos , Masculino , Salud Bucal , Atención Primaria de Salud/métodos , Valores de Referencia , Encuestas y Cuestionarios , Telemedicina/métodos , Factores de Tiempo
7.
Epidemiol Psychiatr Sci ; 29: e105, 2020 Feb 26.
Artículo en Inglés | MEDLINE | ID: mdl-32100662

RESUMEN

There is growing interest in digital mental health as well as accumulating evidence of the potential for technology-based tools to augment traditional mental health services and to potentially overcome barriers to access and use of mental health services. Our research group has examined how people with mental illnesses think about and make use of technology in their everyday lives as a means to provide insight into the emerging paradigm of digital mental health. This research has been guided by anthropological approaches that emphasise lived experience and underscore the complexity of psychiatric recovery. In this commentary I describe how an anthropological approach has motivated us to ask how digital technology can be leveraged to promote meaningful recovery for people with mental illnesses and to develop a new approach to the integration of technology-based tools for people with mental illnesses.


Asunto(s)
Servicios Comunitarios de Salud Mental/organización & administración , Trastornos Mentales/rehabilitación , Telemedicina/organización & administración , Humanos , Trastornos Mentales/psicología , Salud Mental
8.
Invest. educ. enferm ; 38(1): [E08], febrero 15 2020. Tab 1, Tab 2, Tab 3
Artículo en Inglés | LILACS, COLNAL | ID: biblio-1052003

RESUMEN

Objective. This study aimed to assess web-based health information seeking and eHealth literacy among Iranian college students. Methods. The study was conducted in five colleges of the Shiraz University of Medical Sciences in Iran during 2018. The data were collected by a researcher-made questionnaire consisting of seven questions on a 4-point Likert-type scale, with scores ranging from 7 to 28. These questions were: 'I know how to use the Internet to answer my questions about health', 'I think there is enough information about health-related issues on the Internet', 'I know the vocabulary used in health issues on the Internet', 'I can tell high-quality health resources from low-quality health resources on the Internet', 'I know how to use the health information I find on the Internet to help me', 'I feel confident in using information from the Internet to make health decisions', and 'Searching for health-related information on the Internet will increase my knowledge in this field'. High eHealth literacy level is defined as above the total mean score and low eHealth literacy level is defined as lower than the total mean score. Results. In all, 386 college students participated in the study. The results showed that the mean score of eHealth literacy was 19.11 out of 28; 205 participants (54.4%) had low eHealth literacy. In addition, the students used the Internet to search for information regarding diseases symptoms (70%), physical illnesses (67.1%), existing treatments (65%), and diagnosis (63.1%). Conclusion. The results showed that participants in this study usually searched for illnesses, symptoms, and treatments after they got sick and paid little attention to other aspects related to integral health.


Objetivo. Evaluar la búsqueda de información de salud en línea y el nivel de alfabetización en eSalud entre los estudiantes universitarios iraníes. Métodos. El estudio se realizó en cinco colegios de la Universidad de Ciencias Médicas de Shiraz, Irán, durante 2018. Los datos se recopilaron con la ayuda de un cuestionario realizado por los investigadores que consta de 7 afirmaciones con opciones de respuesta tipo Likert de 4 puntos, con un rango de puntaje de 7-28 puntos: 1. "Sé cómo usar Internet para responder mis preguntas sobre salud"; 2. "Creo que hay suficiente información sobre problemas relacionados con la salud en Internet"; 3. "Conozco el vocabulario utilizado en temas de salud en Internet"; 4. "Puedo distinguir en Internet los recursos de salud de alta calidad de los que son de baja calidad"; 5. "Sé cómo usar la información de salud que encuentro en Internet para ayudarme"; 6. "Me siento seguro al usar la información de Internet para decisiones de salud", y 7. "Buscar en Internet información relacionada con la salud aumentará mi conocimiento en este campo". Se estableció que se tenía alfabetización en eSalud alta si el puntaje estaba por encima de la media total y alfabetización en eSalud baja si este puntaje era inferior a la puntuación media. Resultados. 386 estudiantes universitarios participaron en el estudio. La puntuación media de alfabetización en eSalud fue de 19,11 de los 28 puntos máximos posibles. 205 participantes (54.4%) tenían baja alfabetización en eSalud. Además, los estudiantes utilizaron Internet para buscar información sobre síntomas de enfermedades (70%), enfermedades físicas (67.1%), tratamientos existentes (65%) y diagnóstico (63.1%). Conclusión. Los resultados mostraron que los participantes de este estudio buscaban generalmente información en Internet acerca de enfermedades, síntomas y tratamientos después de enfermarse y prestaban poca atención a otros aspectos relacionados con la salud integral.


Objetivo. Este estudo teve como objetivo avaliar a busca de informações sobre saúde on-line e o nível de alfabetização em eSaúde entre estudantes universitários iranianos. Métodos. O estudo foi realizado em cinco faculdades da Universidade de Ciências Médicas de Shiraz, Irã, durante 2018. Os dados foram coletados com a ajuda de um questionário conduzido pelos pesquisadores, composto por 7 declarações com opções de resposta tipo Likert de 4 pontos, com uma faixa de pontuação de 7-28 pontos. Essas perguntas foram: 'Eu sei como usar a Internet para responder às minhas perguntas sobre saúde', 'Eu acho que há informações suficientes sobre problemas relacionados à saúde na Internet', 'Eu conheço o vocabulário usado nas questões de saúde na Internet', 'Eu posso distinguir em Recursos de saúde de alta qualidade na Internet que são de baixa qualidade ',' Eu sei como usar as informações de saúde encontradas na Internet para me ajudar ',' Sinto-me seguro ao usar informações da Internet para decisões de saúde 'e' A busca de informações relacionadas à saúde na Internet aumentará meu conhecimento neste campo '. Foi estabelecido que havia alta alfabetização em eSaúde se a pontuação estivesse acima da média total e baixa literacia em eSaúde se essa pontuação fosse menor que a média. Resultados 386 universitários participaram do estudo. A pontuação média em alfabetização em eSaúde foi 19,11 dos 28 pontos máximos possíveis. 205 participantes (54,4%) tinham baixa alfabetização em eSaúde. Além disso, os estudantes usaram a Internet para buscar informações sobre sintomas da doença (70%), doenças físicas (67,1%), tratamentos existentes (65%) e diagnóstico (63,1%). Conclusão. Os resultados mostraram que os participantes deste estudo geralmente buscavam informações na Internet sobre doenças, sintomas e tratamentos após adoecer e prestavam pouca atenção a outros aspectos relacionados à saúde integral.


Asunto(s)
Humanos , Estudiantes del Área de la Salud , Telemedicina , Internet , Información de Salud al Consumidor , Alfabetización en Salud
9.
Herzschrittmacherther Elektrophysiol ; 31(1): 73-76, 2020 Mar.
Artículo en Alemán | MEDLINE | ID: mdl-32020271

RESUMEN

BACKGROUND: The use of remote monitoring has increased due to recently published randomised studies. However, its benefit during acute rhythm disorders still remains controversial. OBJECTIVES: The current review describes the current status and highlights possible application of telemedicine during acute rhythm disorders. MATERIALS AND METHODS: The prerequisites, structural properties of the sender/patient and the receiver of the data/physician are examined and the results of the current literature are presented. RESULTS: Telemedicine during emergency rhythm disorders are normally reserved for specific scenarios. The lack of 24/7 staff of the receiver/hospital represents the main barrier. CONCLUSIONS: Remote medicine in the current form is not yet ready to be implemented for acute rhythm disorders. Expansion of currently existing chest pain units (CPUs) might enable this 24/7 service in the near future.


Asunto(s)
Arritmias Cardíacas/tratamiento farmacológico , Urgencias Médicas , Telemedicina , Dolor en el Pecho , Servicio de Urgencia en Hospital , Humanos
10.
Community Dent Health ; 37(1): 51-58, 2020 Feb 27.
Artículo en Inglés | MEDLINE | ID: mdl-32031341

RESUMEN

OBJECTIVE: To overview current developments in e-health and digitalisation in dentistry and identify gaps in the dental literature on this topic; Basic research design: a critical narrative review of published articles and relevant online materials; Results: Four themes are identified as characterising the current dental literature on e-health and digitalisation: 1) the impact of digitalisation on dental surgeries, 2) digital technology and practice management, 3) digitalisation beyond the dental surgery and in dentist-patient communication, and 4) digital technology and education. However, gaps remain in our understanding of the impact of digital technology on dental practice, particularly in relation to its ethical considerations. Following the example of the wider medical literature, the review introduces the field of critical digital health studies and identifies areas for future investigation and exploration based on its four characteristics: devices and software, data materialisation, data practices and data mobilities; Conclusion and Clinical significance: Digital technology is changing clinical practice and patient care. Dentistry needs to expand its understanding of how dental apps, digital workflow models and digital health information are transforming and disrupting dental practice in order to anticipate how this digital shift will impact on dentistry. The emerging field of critical digital health studies can signpost ways to improve research and practice on the topic in the future.


Asunto(s)
Odontología , Telemedicina , Odontólogos , Humanos
11.
Epidemiol Psychiatr Sci ; 29: e100, 2020 Jan 31.
Artículo en Inglés | MEDLINE | ID: mdl-32000876

RESUMEN

There are tens of thousands of mental health-related apps available today - representing extreme duplication in this digital age. Instead of a plethora of apps, there is a need for a few that meet the needs of many. Focusing on transparency and free sharing of software, we argue that a collaborative approach towards apps can advance care through creating customisable and future proofed digital tools that allow all stakeholders to engage in their design and use.


Asunto(s)
Servicios de Salud Mental/organización & administración , Salud Mental , Aplicaciones Móviles , Telemedicina/métodos , Tecnología Biomédica , Humanos , Trastornos Mentales/terapia , Programas Informáticos
15.
Nurse Pract ; 45(3): 44-49, 2020 03.
Artículo en Inglés | MEDLINE | ID: mdl-32068657

RESUMEN

NP educators are challenged to ensure their students have opportunities to learn how to apply skills within a telehealth context. This article presents an integration of telehealth into clinical learning, depicting the connectedness possible when a healthcare professional and patient are challenged by geographic distance.


Asunto(s)
Educación de Postgrado en Enfermería/organización & administración , Enfermeras Practicantes/educación , Entrenamiento Simulado/organización & administración , Telemedicina/organización & administración , Australia , Humanos , Investigación en Educación de Enfermería
16.
Medicine (Baltimore) ; 99(6): e18774, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32028389

RESUMEN

BACKGROUND/OBJECTIVE: The study's objective was to determine the efficacy of guided internet-assisted intervention (GIAI) on depression reduction among educational technology students of Nigerian universities. METHODS: The design of the study was a 10-weeks group-randomized trial (GRT) which involved a pre-test, post-test, and follow-up assessment. A total of 192 educational technology students who were identified as having depression formed the sample of the study. Beck's Depression Inventory-II (BDI-II) was the measure used for data collection in the study. Data collected were analyzed using ANOVA with repeated measures. RESULTS: The initial assessment results showed that the participants in both treatment and usual-care control groups had depression. After 10-weeks participation in GIAI, the assessment results showed a significant reduction in depression among students in the treatment group when compared to those in the usual-care control group. The follow-up assessment indicated a further significant reduction in the depression among participants in the treatment group when compared to those in the usual-care control group. CONCLUSION: The authors concluded that GIAI was significantly effective in reducing depression among university students in the treatment group compared to those in the usual-care control group. Therefore, educational technologists, counselors, psychologists, health workers, and other social workers should adopt educational intervention using GIAI in helping university students undergo depression reduction.


Asunto(s)
Trastorno Depresivo/terapia , Estudiantes/psicología , Telemedicina , Adolescente , Adulto , Terapia Cognitivo-Conductual , Tecnología Educacional , Femenino , Humanos , Internet , Masculino , Nigeria , Psicometría , Resultado del Tratamiento , Universidades , Adulto Joven
17.
Medicine (Baltimore) ; 99(6): e19021, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32028412

RESUMEN

BACKGROUND: Chronic obstructive pulmonary disease (COPD) has a significant impact on quality of life and is costly to the health care system. It has been demonstrated that a self-management program improves quality of life, but programs are not universally available and telehealth interventions can provide home-based support, but have mixed results. AIM: The aims of this study are to (1) assess the feasibility and acceptability of a 6 weeks' educational program related to self-management with remote monitoring for Lebanese COPD patients; (2) pre-test its impact on quality of life, emergency visits, and rate of rehospitalization, and (3) to make recommendations for a future randomized trial. METHODS: Validated questionnaires will be adapted to meet the context of our study in terms of acceptability, adoption, adequacy, fidelity, cost, and coverage. The impact of this program on quality of life will be measured with the COPD assessment test (CAT) and the COPD clinical questionnaire (CCQ), and the Hospital Anxiety and Depression (HAD) scale will be used to measure anxiety. All measures will be delivered pre- and post-intervention. To evaluate the impact of our program on the rate of hospitalization and emergency visits, the number of hospitalizations and emergency room visits during the year preceding the intervention will be collected from the hospital register of each participant. DISCUSSION: This study is the first to evaluate the application of telehealth to optimize COPD management in Lebanon. The results of this study will provide evidence regarding the efficacy and feasibility of this approach for Lebanese patients with moderate to severe COPD.


Asunto(s)
Enfermedad Pulmonar Obstructiva Crónica/terapia , Automanejo , Telemedicina/métodos , Adulto , Protocolos Clínicos , Estudios de Factibilidad , Femenino , Humanos , Líbano , Masculino , Satisfacción del Paciente , Calidad de Vida , Automanejo/métodos , Encuestas y Cuestionarios
18.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-LISBR1.1-46942

RESUMEN

O telecondutas é um material produzido pela equipe de Teleconsultores do canal 0800 644 6543 do TelessaúdeRS-UFRGS, pretende, de um modo rápido e dinâmico, orientar os médicos da Atenção Primária a realizar o diagnóstico e manejo dos pacientes com essa condição.


Asunto(s)
Telemedicina , Atención Primaria de Salud , Promoción de la Salud , Educación a Distancia
19.
Artículo en Alemán | MEDLINE | ID: mdl-31965193

RESUMEN

Digital technologies in public health have the potential to improve health promotion and disease prevention by the efficient registration, storage, and processing of large amounts of health data. Digital public health also raises - like other technological developments - several ethical issues, which are discussed in this article.A fundamental question in the ethical evaluation of digital public health interventions concerns the goal of the intervention: An intervention should serve the established goals of public health and not financial interests, to realize potential health benefits for the population. In addition, equity issues are especially relevant, because digital public health may reduce or increase health inequalities in the population. Furthermore, the protection of privacy and potentially sensitive health data are relevant. As digital public health applications vary considerably, each application has to be assessed individually regarding its ethical implications. This article therefore presents a normative framework and a methodological approach for the ethical evaluation of digital public health applications. By developing ethically justified recommendations for the design and use of digital public health applications, the ethical evaluation can contribute to an ethically justified practice of digital public health.


Asunto(s)
Prestación de Atención de Salud/métodos , Salud Pública/ética , Alemania , Promoción de la Salud , Humanos , Principios Morales , Telemedicina/ética
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