Telemedicine For Diabetes Mellitus Management in Community

Background, the increasing of diabetes mellitus (DM) in the community requires more effective and efficient treatment. Telemedicine is an application of electronic, computer and telecommunication technology used to exchange health information over long distances. This application aims to assist the implementation of health care procedures and improve health services to the society, both at the community health center and related health offices. Objective, to determine the effectiveness of the implementation of telemedicine systems in managing diabetes self management in the community. The method used in this writing is study of literature. The literature used is related journals that have been published by the institution Local and international journals. The stage done is collecting related journals, review of journals and discussions. Results, Telemedicine system at the Community Health Center basically only requires a set of computers connected to the internet, and a person in charge of operating it. The person is in charge of linking the telemedicine system in the Community Health Center with the Telemedicine system from the Regional Health Office. The person has a password to be able to access the PTM Portal owned by the Regional Health Office, and enter the latest findings of patients who go to the Community Health Center and diagnose diabetes mellitus. The data can be reported weekly / monthly.  Telemedicine system has the potential to be applied to the management of diabetes mellitus because it is considered effective and acceptability. The system that has been used in the Community Health Center includes: 1) Telemedicine System for management of TB control, 2) Telemedicine system for monitoring disease status & handling outbreaks 3) Telemedicine systems for electronic prescription (e-Prescription System), 4) Telemedicine System for Emergency Room (ER), Facility Management 5) Mobile Telemedicine System with multi communication link. Keywords: Telemedicine, diabetes self management, communit

Utilization of Telehealth in India

Health care technology is in use for a decade or more in India. The use of technology in healthcare especially in public health is very common due to the recent development in Information Communication Technology. The costs of equipments in ICT are generally falling. The present paper is looking at various studies on Telehealth technology. Based on the data available on the utilization it also tries to explain the utilization pattern. The utilization of such systems depends on various factors. They include, costs of setting up and maintaining such systems, the availability of man power, e-readiness, availability of equipments, cost of access, enabling regulatory environment, sustainability of such systems and so on. The Telemedicine user meet held in May 2007 at Ahmedabad, India, there were 30612 super specialty consultations since the inception. As per the data available, there are 563 super-specialty consultations per month in 10 centres in India.Telehealth, Telemedicine, Ehealth, IT in Healthcare, Healthcare, India, Utilization

Reporting an Experience on Design and Implementation of e-Health Systems on Azure Cloud

Electronic Health (e-Health) technology has brought the world with significant transformation from traditional paper-based medical practice to Information and Communication Technologies (ICT)-based systems for automatic management (storage, processing, and archiving) of information. Traditionally e-Health systems have been designed to operate within stovepipes on dedicated networks, physical computers, and locally managed software platforms that make it susceptible to many serious limitations including: 1) lack of on-demand scalability during critical situations; 2) high administrative overheads and costs; and 3) in-efficient resource utilization and energy consumption due to lack of automation. In this paper, we present an approach to migrate the ICT systems in the e-Health sector from traditional in-house Client/Server (C/S) architecture to the virtualised cloud computing environment. To this end, we developed two cloud-based e-Health applications (Medical Practice Management System and Telemedicine Practice System) for demonstrating how cloud services can be leveraged for developing and deploying such applications. The Windows Azure cloud computing platform is selected as an example public cloud platform for our study. We conducted several performance evaluation experiments to understand the Quality Service (QoS) tradeoffs of our applications under variable workload on Azure.Comment: Submitted to third IEEE International Conference on Cloud and Green Computing (CGC 2013

Business Models for e-Health: Evidence from Ten Case Studies

An increasingly aging population and spiraling healthcare costs have made the search for financially viable healthcare models an imperative of this century. The careful and creative application of information technology can play a significant role in meeting that challenge. Valuable lessons can be learned from an analysis of ten innovative telemedicine and e-health initiatives. Having proven their effectiveness in addressing a variety of medical needs, they have progressed beyond small-scale implementations to become an established part of healthcare delivery systems around the world

Automation and Easy Accessibility of Medical Services in Nigeria (ICT and Medicine)

The Internet and Information Communication Technology (ICT) infrastructures are transforming the future of healthcare management. The cost of healthcare delivery systems, products, and services continue to rise unabated, especially in Nigeria – a developing nation that needs technology transfer. Knowledge is one of the crucial resource and precondition to strengthen health systems. Access to knowledge has large impact on health system management and up to date patient care. The great challenges lie in the optimal utilization of rapid spreading information and communication systems (ICTs) and innovative applications such as telemedicine and e-health. Telemedicine is the practice of diagnosis, consultation and treatment between physicians and distant patients through the use of telephone and computers that transmit data for remote television viewing and treatment from a distance. The concept of telemedicine is a dream to come through in Nigeria, but if developed and taken right to the community hospitals, it can prove to be very beneficial, especially in giving timely treatment to wounded soldiers or plague patients, as a majority of the specialists prefer being stationed at big urban centers, with the rural populace being the real sufferer. Modern health information systems are a requisite for efficient and equitable resource allocation. Moreover, the Internet has pushed networking technology into the mainstream and it is without doubt the most important network, both in terms of technology advances and social impact, in the world. However, telemedicine provides a cost effective means of technological transfer both machine and expatriate advice through ICT connectivity.

E-Health

e-Health describes the application of information and communications technologies across the whole range of functions that affect the health sector. e-Health tools or solutions include products, systems and services that go beyond simply internet-based applications. They include tools for health authorities and professionals as well as personalised health systems for patients and citizens. It can improve access to healthcare and boost the quality and effectiveness of the services offered. Examples include health information networks, electronic health records, telemedicine services, personal wearable and portable communicable systems, health portals, and many other information and communication technology-based tools assisting prevention, diagnosis, treatment, health monitoring, and lifestyle management. When combined with organisational changes and the development of new skills, e-Health can help to deliver better care for less money within citizen-centred health delivery systems

Innowacyjne aplikacje telemedyczne i usługi e-zdrowia w opiece nad pacjentami w starszym wieku

Innovative telemedicine applications and e-health services in the care of older patients Telemedicine, using modern information and communications technology, combines the needs of patients and technological progress, crossing the barriers of traditional health care systems. At the same time, as indicated by demographic forecasts around the world, especially in Europe, there is the phenomenon of fast aging population. Although older people certainly do not belong to the biggest and most active supporters of Internet users and telemedicine services, it is the elderly because of their special multimorbidity, the need for taking multiple medications and regular check-ups, are the most common and most demanding beneficiaries of medical services. Modern information and communication tools can become essential support for them, by which elderly, remaining under constant supervision and care, may stay in a friendly home environment. The paper defines the concept of telemedicine, e- health and e – health services and extensively presents the latest telemedicine applications, e-health services and medical information management systems, dedicated in particular older people

Burden of Diabetes Mellitus and Role of Telemedicine in its Management: Narrative Review

Objective: The purpose of this review is to summarize the findings regarding the prevalence and risk factors of Diabetes Mellitusin developed and developing world and to review the management options for Diabetes Mellitus especially the role of telemedicine. Methodology: Extensive literature review was carried by retrieving articles from various databases like Pub med, Google scholar, Science direct, Scopus and Archives of Medicine. Relevant articles were retrieved from different databases by using text words and phrases like ‘Diabetes Mellitus’, ‘Management’, ‘risk factors’, ‘prevalence of Diabetes’, ‘telemedicine’, ‘e- health’. Types of studies were descriptive studies, systematic reviews and various reports. Findings: Various supporting systems have been made to upgrade the management of type 2 Diabetes Mellitus including mobile phones and internet. Mobile phones and internet are mechanical support tools for the patients with type 2 DM to improve their health by facilitating good communication between the patients and their respective health care providers. Conclusion: There are multiple ways of managing Diabetes Mellitus ranging from oral medicines to insulin. These can be done either through the visits to the patients or the patients can be reminded to take the medicines through telemedicine. Telemedicine can play an important role in managing the patients with chronic diseases including Diabetes Mellitus

Eye Care Providers' Attitudes Towards Tele-ophthalmology

Background: The rapid rise of e-health and remote care systems will likely change the practice patterns of ophthalmologists. Although telemedicine practices are thriving in many specialties of medicine, telemedicine for ophthalmology has been limited primarily to asynchronous care for diabetic retinopathy. The goal of this research was to evaluate perspectives on and familiarity with telemedicine among eye care providers at a large tertiary-care medical center via an anonymous, descriptive survey. Results: In total, 58 eye care physicians completed surveys (response rates of 86% for physicians-in-training and 49% for faculty physicians, respectively). Although a majority of both faculty and physicians-in-training were willing to participate in telemedicine services, trainees were more likely to be willing to interpret photographs than faculty (p=0.04). Most respondents (71%) indicated that they did not use telemedicine. Over half had received photographs (via phone or e-mail) for interpretation from referring physicians (54%) or patients (56%) within the past 3 months. A majority of providers (82%) would be willing to participate in telemedicine for consultations and for interpreting photographs, but a majority (59%) had low confidence in remote care for providing an opinion on patient care. Conclusions: Most eye care providers viewed telemedicine as part of the future of eye care but were concerned about the use of telemedicine. Although most providers did not practice telemedicine, over half of them were comfortable managing eye care consultations (including patients' photographs) via the Internet.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140282/1/tmj.2014.0115.pd

The role of digital literacy in achieving health equity in the third millennium society: A literature review

Healthcare in the third millennium is largely delivered through systems involving the use of the technological devices and services, foremost among them telemedicine. For the adequate delivery of digital medicine services, however, it is necessary for users to be digitally literate, that is, able to consciously make use of technology. In order to understand how relevant digital literacy is in determining the effectiveness of e-Health services, we performed a traditional literature review on 3 major databases by combining the terms “Digital Literacy” and “Computer Literacy” with the terms “Telemedicine” and “Telehealth”. Starting from an initial library of 1,077 papers, we selected 38 articles. At the outcome of the search, we found that digital literacy is a pivotal element in conditioning the effectiveness of telemedicine and digital medicine services in general, however, with some limitations