Article
Health Care Sciences & Services
Martine W. J. Huygens, Helene R. Voogdt-Pruis, Myrah Wouters, Maaike M. Meurs, Britt van Lettow, Conchita Kleijweg, Roland D. Friele
Summary: The uptake of telemonitoring in Dutch chronic care remained stable during 2014-2019 but increased among medical specialists. According to both patients and professionals, telemonitoring improves the quality of life and quality of care. Professionals mentioned that monitoring data and tracking alerts can take up significant time.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Clinical Neurology
Imama A. Naqvi, Kevin Strobino, Ying Kuen Cheung, Hanlin Li, Kevin Schmitt, Stephen Ferrara, Sarah E. Tom, Adriana Arcia, Olajide A. Williams, Ian M. Kronish, Mitchell S. Elkind
Summary: This study tested the feasibility of TASC (Telehealth After Stroke Care), a post-acute stroke care model integrating nurse-supported home BP telemonitoring and tailored infographics. The results showed that TASC improved hypertension control and increased adherence to video visits and retention rates.
Review
Computer Science, Interdisciplinary Applications
Lucia M. Yanicelli, Carla B. Goy, Ernesto C. Martinez, Myriam C. Herrera
Summary: Remote monitoring systems for heart failure management are widely used, with this study reviewing and assessing the characteristics of different systems. Most systems did not follow recommendations from HF management specialists, leading to significant differences in functionalities.
COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE
(2021)
Article
Health Care Sciences & Services
Arno Joachim Gingele, Lloyd Brandts, Kjeld Vossen, Christian Knackstedt, Josiane Boyne, Hans-Peter Brunner-La Rocca
Summary: Analyzing questionnaires completed by heart failure patients, it was found that symptoms such as peripheral edema, persistent chest pain, anxiety about heart failure, and extensive struggle to perform daily activities were significantly associated with adverse outcomes, while dyspnea showed no clear association. Therefore, regular assessment of multiple symptoms in heart failure patients may help identify those at risk for clinical deterioration.
JOURNAL OF TELEMEDICINE AND TELECARE
(2021)
Article
Pharmacology & Pharmacy
Christine Chim, Victoria Joseph
Summary: The study showed that home visits conducted by pharmacists and pharmacy students detected more medication-related problems compared to office visits, and enhanced patients' perception of home visit services. Patients in the home visit group identified more MRPs, agreed on the professionalism of student pharmacists, and recognized the necessity of home visit services.
JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION
(2021)
Article
Oncology
Christopher Wendel, Virginia Sun, Nancy Tallman, Christie Simons, Peter Yonsetto, Frank Passero, Deborah Donahue, Dan Fry, Roger Iverson, Pamela Pitcher, Jonathan Friedlaender, Lyn MacDougall, Joshua Henson, Ruth C. McCorkle, Elizabeth Ercolano, Zuleyha Cidav, Michael J. Holcomb, Ronald S. Weinstein, Mark C. Hornbrook, Marcia Grant, Robert S. Krouse
Summary: This study utilized mixed methods analysis to explore stakeholders' perceptions of engagement and participation in a telehealth-delivered curriculum for cancer survivors with ostomies. Results demonstrated high agreement among stakeholders regarding adherence to engagement principles and high levels of engagement throughout the study process. Stakeholders reported high satisfaction with their roles and believed that their involvement benefited both the participants and their own well-being.
SUPPORTIVE CARE IN CANCER
(2022)
Article
Geriatrics & Gerontology
Timothy S. Anderson, Ashley L. O'Donoghue, Tenzin Dechen, Shoshana J. Herzig, Jennifer P. Stevens
Summary: During the COVID-19 pandemic, there was a significant shift towards telehealth delivery of transitional care management (TCM) visits, which provides a convenient method especially for older adults. Additionally, telehealth visits accounted for a higher proportion in TCM visits related to COVID-19.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Review
Biology
Esther Metting, Lizayra Dassen, Jiska Aardoom, Anke Versluis, Niels Chavannes
Summary: A narrative review of recent evidence showed that telemonitoring interventions for asthma and COPD are more effective when they include an educational component on different aspects of self-management, leading to improved disease management for patients.
Article
Public, Environmental & Occupational Health
Arturo Vargas Bustamante, Laura E. Martinez, Siavash Jalal, Nayelie Benitez Santos, Lucia Felix Beltran, Jeremy Rich, Yohualli Balderas-Medina Anaya
Summary: This study examines the association between health coverage, patient race/ethnicity, and the number of in-person vs. telehealth visits among patients with chronic conditions before and after the COVID-19 pandemic. The results show that uninsured patients and those with Medicaid or Medicare coverage had a lower likelihood of telehealth visits compared to patients with private insurance. Additionally, Latino and Asian patients had a lower probability of telehealth use compared with white patients.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Clinical Neurology
Carly Olszewski, Sharon Thomson, Kelly Pring, Siobhan Cox, Rebecca Merrill, Emily Fishman, Alexander Ambrosini, Kevin Alexander Soltany, Gabby Bognet, Lauren Strauss, Rachel Graham, Amy Guzik, Roy E. Strowd
Summary: Patients consider factors such as the pros and cons of different visit types, barriers to telemedicine, situational context, inherent beliefs, and extrinsic variables when choosing between in-person, video, or telephone visits. They perceive convenience and monitoring of stable conditions as advantages of telemedicine, while improved quality of care and physical examination are associated with in-person visits. Accessibility, user familiarity, and system limitations are identified as barriers to telemedicine. Patients with in-person visits need to be more aware of telemedicine. Implementing hybrid models that incorporate telemedicine as an adjunct to in-person visits in ambulatory neurology is recommended.
JOURNAL OF NEUROLOGY
(2022)
Article
Multidisciplinary Sciences
Florian Hofer, Jonas Schreyogg, Tom Stargardt
Summary: This study evaluated the effects of a structured home telemonitoring program implemented by a statutory health insurer in Germany on COPD patients. The results showed that the telemonitoring program was associated with higher healthcare expenditures, particularly in the first year. However, participants in the program had significantly improved survival rates compared to non-participants.
Article
Health Care Sciences & Services
Andrew D. Bryant, Tommy J. Robinson, Jeydith T. Gutierrez-Perez, Bradley L. Manning, Kevin Glenn, Katherine L. Imborek, Ethan F. Kuperman
Summary: Telemedicine is an effective and sustainable method for ambulatory management of COVID-19 patients during the pandemic.
JOURNAL OF TELEMEDICINE AND TELECARE
(2022)
Review
Health Care Sciences & Services
Sunny R. Shah, Christopher C. Munhall, Shaun A. Nguyen, Ashli K. O'Rourke, Kate Miccichi, Ted A. Meyer
Summary: COVID-19 has caused delays in healthcare, especially in surgical specialties like otorhinolaryngology. Telemedicine has helped bridge the gap and this review examines its accuracy in patient diagnosis and management. Results show that virtual visits have an accuracy of 86.2% in diagnosis and 91.5% in management compared to in-person visits. In uncomplicated cases, telehealth is reliable, but for complex pathologies, in-person consultations may still be necessary.
JOURNAL OF TELEMEDICINE AND TELECARE
(2023)
Review
Health Care Sciences & Services
Na-Kyoung Hwang, Ji-Su Park, Moon-Young Chang
Summary: Telehealth intervention is an effective method for optimizing self-management support in stroke survivors. It focuses on areas such as post-stroke depression, obesity management, participation, functional mobility, and activities of daily living, with messaging as the most commonly used delivery type. Education, psychological support, and lifestyle advice were commonly employed as self-management support components. While the intervention had positive effects on goal achievement, emotional state, and mobility, the effects were not consistently found in all outcomes. Various options in terms of delivery types and support components suggest the potential for personalized interventions.
Article
Health Care Sciences & Services
Chi Yan Hui, Brian McKinstry, Olivia Fulton, Mark Buchner, Hilary Pinnock
Summary: This study used the McKnight model to explore the trust of patients and clinicians in IoT systems for providing self-management support. Most patients believed that IoT systems had broad functionality to support various self-management tasks and wanted the system to provide customized advice involving AI. While they trusted the system to reliably log their condition and provide action plan advice, they were less confident in the system's continuous operation and error-free advice provision. Clinicians preferred clinical evidence before trusting the system and were hesitant to trust AI to generate new advice.
JMIR MHEALTH AND UHEALTH
(2021)
Article
Health Care Sciences & Services
Elizabeth O. Aremu, James L. Heffernan, Joseph C. Kvedar
Summary: This study used the Resource-Based Relative Value Scale structure as a guideline to compare the practice expenses of in-person practice and scaled virtual practice, providing a basis for discussing the differential reimbursement for virtual visits.
TELEMEDICINE AND E-HEALTH
(2022)
Editorial Material
Health Care Sciences & Services
James A. Diao, Jayson S. Marwaha, Joseph C. Kvedar
Summary: Vital sign monitoring is crucial in clinical decision-making, but traditional contact-based devices can be inconvenient. Video-based, non-contact monitoring offers a flexible and information-dense alternative that can improve patient care. The study by Jorge et al. demonstrates the reliability of video-based monitoring in capturing heart rate and respiratory rate and overcoming bias in post-operative settings.
NPJ DIGITAL MEDICINE
(2022)
Editorial Material
Health Care Sciences & Services
Jayson S. Marwaha, Joseph C. Kvedar
NPJ DIGITAL MEDICINE
(2022)
Editorial Material
Health Care Sciences & Services
James A. Diao, Kaushik P. Venkatesh, Marium M. Raza, Joseph C. Kvedar
Summary: The rise of mobile health applications challenges the role of centralized gatekeepers in the highly regulated health care industry. National regulatory bodies are now focusing on strategies to protect consumers from unsafe apps, and to ensure the transparency and effectiveness of the growing market of health apps. Cross-border collaboration is also needed to address these challenges and maximize the potential of digital health tools.
NPJ DIGITAL MEDICINE
(2022)
Editorial Material
Health Care Sciences & Services
James A. Diao, Marium M. Raza, Kaushik P. Venkatesh, Joseph C. Kvedar
Summary: This study introduces a network model of viral-host interactions to predict treatment effects. The model is consistent with experimental data and validates the efficacy of one drug combination. The findings demonstrate the utility of computational strategies for drug repurposing using the literature on COVID-19.
NPJ DIGITAL MEDICINE
(2022)
Editorial Material
Health Care Sciences & Services
James A. Diao, Joseph C. Kvedar
Summary: Artificial intelligence tools for endoscopy have shown significant improvements in polyp detection, and are now expanding to enable video-based diagnostic characterization beyond their initial FDA-cleared function.
NPJ DIGITAL MEDICINE
(2022)
Editorial Material
Health Care Sciences & Services
Marium M. Raza, Kaushik P. Venkatesh, Joseph C. Kvedar
Summary: The article discusses a recent study that utilizes machine learning to develop an algorithm that predicts the risk of COVID-19 infection by combining biometric data from wearable devices with electronic symptom surveys. The implications of this technology extend beyond infection monitoring into healthcare delivery and research.
NPJ DIGITAL MEDICINE
(2022)
Editorial Material
Health Care Sciences & Services
Marium M. Raza, Kaushik P. Venkatesh, Joseph C. Kvedar
Summary: While digital medicine continues to innovate, the issue of equity and racial health disparities persist. Golden et al. examine structural racism in their recent study on reproductive health and propose a framework of Remove, Repair, Restructure, and Remediate. We suggest applying this framework to artificial intelligence (AI) applications, wearable devices, and telehealth in digital medicine. This approach helps advance towards a more equitable future in digital medicine.
NPJ DIGITAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Joseph C. C. Kvedar, Mirja Mittermaier, Jordan Pritzker
Summary: Digital medicine interventions are transforming healthcare and the introduction of CPT codes for remote physiologic monitoring, remote therapeutic monitoring, artificial intelligence, and other digital innovations has significantly impacted the adoption of digital medicine.
NPJ DIGITAL MEDICINE
(2022)
Editorial Material
Health Care Sciences & Services
Kaushik P. P. Venkatesh, Marium M. M. Raza, Joseph Kvedar
Summary: Since the onset of the COVID-19 pandemic, the use of telehealth in primary care has increased significantly. However, there are contradictory views on whether telehealth will lead to an increase in primary care utilization and spending. Some evidence suggests that telehealth may be used as an addition to in-person visits, while other studies indicate that telehealth can actually substitute for in-person care.
NPJ DIGITAL MEDICINE
(2022)
Editorial Material
Health Care Sciences & Services
Kaushik P. Venkatesh, Marium M. Raza, Joseph C. Kvedar
Summary: Artificial intelligence and natural language processing have a promising application in automated clinical coding, which will have significant impacts on the clinical coding industry, billing and revenue management, and potentially clinical care. However, there are challenges at the technological and implementation levels, including redundant and complex clinical documents, rapidly evolving code sets, incomplete training sets, and the need to capture coding decision logic and rules. Next steps include interdisciplinary collaboration with clinical coders, accessible and transparent datasets, and tailoring models to specific use cases.
NPJ DIGITAL MEDICINE
(2023)
Editorial Material
Health Care Sciences & Services
Mirja Mittermaier, Marium M. Raza, Joseph C. Kvedar
Summary: Artificial intelligence is increasingly used in healthcare, particularly in surgery. While it holds promise in predicting outcomes and guiding surgeons, AI systems can also be biased, exacerbating existing inequalities. This impacts disadvantaged populations, who may receive less accurate algorithmic predictions or underestimate their need for care. Detecting and mitigating bias is crucial for creating fair and generalizable AI technology. This article discusses a recent study that developed a new strategy to address bias in surgical AI systems.
NPJ DIGITAL MEDICINE
(2023)
Editorial Material
Health Care Sciences & Services
Mirja Mittermaier, Kaushik P. Venkatesh, Joseph C. Kvedar
Summary: Digital health technologies (DHTs) have revolutionized clinical trials by allowing real-world data collection and more patient-centered approaches. However, DHTs also pose challenges in terms of endpoint harmonization and the digital divide. A recent study examined the growth and implications of DHT usage in neurology trials, highlighting the benefits and potential future challenges.
NPJ DIGITAL MEDICINE
(2023)
Editorial Material
Health Care Sciences & Services
Jayson S. Marwaha, Marium M. Raza, Joseph C. Kvedar
Summary: Rapid advances in digital technology and artificial intelligence are transforming many industries, including healthcare. This article highlights the use of machine learning, computer vision, wearable devices, remote patient monitoring, and virtual and augmented reality to advance surgical care. The potential to improve surgical practice is discussed, along with challenges to widespread adoption in operating rooms and at the bedside.
NPJ DIGITAL MEDICINE
(2023)
Editorial Material
Health Care Sciences & Services
Mirja Mittermaier, Kaushik P. Venkatesh, Joseph C. Kvedar
Summary: The use of digital devices has significantly increased in clinical and research settings, but low adherence remains a challenge. A recent study explored the factors associated with long-term use of digital health components, including a smartphone app, a digital blood pressure cuff, and a smartwatch. Depressive symptoms and lower self-rated health were linked to lower smartwatch usage, while female sex and higher education levels were associated with higher app-based survey completion. Personalized strategies to enhance adherence to digital tools are discussed.
NPJ DIGITAL MEDICINE
(2023)