Covid-19 Self-Isolation Telemedicine Service User Satisfaction in Indonesia

The Covid-19 Self-Isolation Telemedicine Service is established to reduce hospital occupancy rates amid peak Covid-19 cases. To develop better services, user satisfaction should be measured through service quality dimensions. This study aimed to determine the service quality dimensions of Indonesia's Covid-19 self-isolation telemedicine service. A cross-sectional design was utilized for this study. Out of 124,010 service users, data from a sample of 400 respondents were collected through online questionnaires. Service quality dimensions studied were responsiveness, reliability, information quality, empathy, ease of use, and perceived usefulness. Data were analyzed using the Spearman Rank correlation test. 91.7% of respondents were satisfied with the Covid-19 self-isolation telemedicine service. Responsiveness, reliability, information quality, empathy, ease of use, and perceived usefulness were correlated with user satisfaction, with the successive level of correlation (r): 0.474, 0.569, 0.485, 0.478, 0.569, and 0.478. All dimensions studied were correlated with user satisfaction at moderate and positive levels. However, few users were dissatisfied with the Covid-19 Self-Isolation Telemedicine Service. Several efforts are required to improve the service. This study provides new insights into telemedicine satisfaction in Indonesia because it analyzes the Covid-19 self-isolation telemedicine service provided by the Indonesian Ministry of Health for the first time

Analisis Penggunaan Telemedicine Sebagai Pelayanan Kesehatan Pada Masa Pandemi COVID-19 di RS PKU Muhammadiyah Yogyakarta

The COVID-19 pandemic has brought extraordinary changes to healthcare. The government continues to implement policies to prevent the spread of COVID-19, one of which is the recommendation to use telemedicine. Telemedicine is a form of long-distance service using technology as an effort to accelerate increased access and quality of health services. Telemedicine is a new health service innovation at PKU Muhammadiyah Yogyakarta Hospital. Purpose: This study aims to analyze the use of telemedicine as a health service during the COVID-19 pandemic at PKU Muhammadiyah Yogyakarta Hospital. Methods: This research uses a qualitative research method with a case study approach. The research subjects were six informants who were taken through a purposive sampling technique. Data collection was done by means of in-depth interviews. Results: Access to telemedicine starts with socializing the telemedicine program on social media which explains the flow of telemedicine in accordance with the SOP. The quality of telemedicine is considered good with the existence of infrastructure that supports the telemedicine program, although the opportunities for telemedicine development are said to be not maximized because they do not yet have targets to achieve. The purpose of telemedicine is to assist patients in obtaining health services where they cannot visit the hospital directly, the implementation of the telemedicine program has been able to provide quality and satisfying services despite obstacles from staff and patients.Conclusion: The use of telemedicine at PKU Muhammadiyah Yogyakarta Hospital is quite good starting from access to services, quality of telemedicine and user satisfaction. But there are still obstacles, namely the lack of human resources, financial unit officers who do not immediately provide confirmation to patients, to problems with patients. So it is hoped that PKU Muhammadiyah Yogyakarta Hospital can carry out internal monitoring and evaluation of the telemedicine program

EVALUATING TELEMEDICINE IN RURAL SETTINGS: ISSUES AND APPLICATIONS

Changes in health care policies, demographics, and technology have presented new opportunities for the delivery of medical care services and information to rural communities. Telemedicinethe use of electronic information and communications technologies to provide and support health care when distances separates the participantsis one technology that has impacted the efficiency of delivery of rural health care services. This paper presents an overview of the telemedicine technologies, government involvement in support of telemedicine, evaluation efforts to date for these technologies, and issues that need to be addressed in designing an economic-based framework to evaluate the net benefits of telemedicine technologies to rural communities and consumers. An evaluation framework needs to be capable of quantifying the tradeoffs among access to health care services, the costs of delivery of a given level of services, and changes in the quality of the service that is being delivered via electronic communications; and how these tradeoffs shift as the level of telemedicine and the technology changes. The framework that is proposed is based on models of consumer behavior that incorporate discrete choices among quality differentiated sites.rural health care, telemedicine, averted costs, economic benefits, telecommunications technology, R0, Community/Rural/Urban Development, Health Economics and Policy, I1,

802.11s QoS Routing for Telemedicine Service

The merits of 802.11s as the wireless mesh network standard provide a lowcost and high independent scalability telemedicine infrastructure. However,challenges in degradation of performance as hops increase and the absent of Quality of Service (QoS) provision need to be resolved. The reliability and timely manner are the important factor for successful telemedicine service. This research investigates the use of 802.11s for telemedicine services. A new model of 802.11s based telemedicine infrastructure has been developed for this purpose. A non deterministic polynomial path selection is proposed to provide end-to-end QoS provisioning in 802.11s. A multi-metric called QoS Price metric is proposed as measurement of link quality. The QoS Price is derived from multi layers values that reflect telemedicine traffic requirement and the resource availability of the network. The proposed solution has modified the path management of 802.11s and added resource allocation in distributed scheme.DOI:http://dx.doi.org/10.11591/ijece.v4i2.559

The introduction of a fetal ultrasound telemedicine service: quality outcomes and family costs

Introduction: The complexity of fetal medicine (FM) referrals that can be managed in a district general hospital (DGH) is dependent on the availability of specialist ultrasound expertise. Telemedicine can effectively transfer real-time ultrasound images via video-conferencing. We report the successful introduction of a fetal ultrasound telemedicine service. Methods: All women referred for FM consultation from the linked DGH were seen via a weekly telemedicine service, excluding cases where invasive testing was anticipated. Image and audio quality were rated (using a 5 point scale) following each consultation. Women referred for their first appointment were asked to complete a questionnaire following the consultation. Figures presented are median [range]. Results: 80 women had a telemedicine consultation between October 2015 and September 2016. 37 cases were new referrals because of fetal anomaly (n = 17), exclusion of abnormal placental invasion (n = 11), small-for-gestational-age (n = 7) and prior history of fetal anomaly (n = 2) and 43 cases were follow-up consultations. Median gestation was 29 [13–36] weeks. Image quality was of sufficient quality to achieve the aims of the consultation in 79 cases with an image score of 4 [3–5] and audio score of 5 [3–5]. Journey to the telemedicine consultation was 20 [4–150] minutes in comparison to an estimated journey time of 238 [120–450] minutes to the FM centre. Estimated family costs for attendance at the FM centre were £95 [20–555]. Conclusion: We have demonstrated that a fetal ultrasound telemedicine service can be successfully introduced and used to provide high quality consultations

The Impact of Digital Service Quality Toward Customer Engagement: A Case Study of Telemedicine in Thailand

Purpose: The aims of this study are to examine the effect of digital service quality on customer engagement with telemedicine systems and to investigate how such effects change depending on a variety of socioeconomic characteristics.   Design/methodology/approach:  The survey research with online questionnaire was conducted with 405 telemedicine experienced samples. The proposed hypotheses were tested using the Structural Equation Modeling (SEM) method.   Findings:  The results revealed that digital service quality significantly influences customer engagement. A second-order confirmatory factor analysis of the digital service quality (DSQ) construct revealed that the efficiency dimension best explained DSQ, followed by the responsiveness and interaction dimensions. The study of moderation revealed that the effect of DSQ on CE was greater in younger age groups than in older age groups. In addition, those with a higher level of formal education appear to have higher levels of CE than those with a lesser level of formal education.   Research, Practical & Social implications: The study will help practitioners create telemedicine services that are more efficient and effective so that patients are more engaged and loyal to the telemedicine service providers.   Originality/value: The value of the study is that it is one of the rare attempts to clarify the consequences of digital service quality from the perspective of the consumer, and it proposes several implications and recommendations

THE TECHNICAL MANAGEMENT OF HEALTH INFORMATION SYSTEMS

The technical management of ICT/Telemedicine Services is one Hospital Manager's crucial problem. The Biomedical Technologies Market has clearly shown that technical support to the user is one of the most critical issues that contribute to guarantee the quality of service in High-Tech applications. Therefore the ICT/Telemedicine Services, which belong to the high innovation area as well, require adequate competencies and human resources in order to provide users with a proper technical support. All these technologies require on the one hand a specialist who normally works remotely (II level support) and on the other hand an ordinary management activity (I level technical support) in order to avoid that medical staff stop their work in the operative env

TELEMEDICINE AND ELECTRONIC HEALTH RECORD IMPLEMENTATION IN RURAL AREA: A LITERATURE REVIEW

The Indonesian Minister of Health 2019 issued regulations regarding the implementation of telemedicine services between health service facilities. Telemedicine is aimed primarily at rural areas. This research aims to look at the quality of telemedicine-based services, which are documented in an electronic health record (EHR) with complete information. This research uses the narrative literature review method:  Garuda journal channels, Google Scholar, IEEE Explorer, ProQuest, PubMed, Science Direct, and Scopus. With the input-output process approach, eight scientific articles were published on countries with telemedicine/telehealth policies in rural areas. The implementation of telemedicine has advantages and disadvantages depending on the things supported and the target users. It must have policies, infrastructure, financial resources, and human resources to use, maintain and develop telemedicine. Telemedicine will help the health service process by increasing the degree of public health in rural areas if it is used on a large scale. The completeness of the EHR seems to be lacking in terms of informed consent. Still, a quality EHR can make it easier for health workers to enforce the history, establish the diagnosis, and provide patient healthcare

Use of video technology to enhance telemedicine applications

Telemedicine uses information and communication technologies (ICT) to deliver healthcare services remotely, thus removing geographical barriers. Video technology can effectively facilitate the growth of telemedicine. This paper discusses the applications of video technology to enhance telemedicine services. The general functions of telemedicine videoconferencing systems are reviewed. The display technology is also discussed. It is expected that advanced monitors with 8K resolution can be used in future telemedicine videoconferencing systems to significantly improve the image quality and service performance

Electronic Report Generation Web Service evaluated within a Telemedicine System

This work presents a generic tool based on a client-server architecture that generates electronic reports helping the evaluation process of any information system. For the specific evaluation of telemedicine systems the defined reports cover four dimensions: auditory of the system; evolution of clinical protocols; results from the questionnaires for user acceptance and quality of life; and surveillance of clinical variables. The use of a Web Service approach allows multiplatform use of the developed electronic report service and the modularity followed in the implementation enables easy system evolution and scalability