Guest Editorial: Compelling Issues in Telemedicine

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140280/1/tmj.2013.9998.pd

Commentary on “Critical Appraisal of Published Systematic Reviews Assessing the Cost-Effectiveness of Telemedicine Studies”

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140283/1/tmj.2014.9980.pd

The Origins of Telemedicine and e-Health

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140285/1/tmj.2014.9996.pd

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

Introduction: Radiology was founded on a technological discovery by Wilhelm Roentgen in 1895. Teleradiology also had its roots in technology dating back to 1947 with the successful transmission of radiographic images through telephone lines. Diagnostic radiology has become the eye of medicine in terms of diagnosing and treating injury and disease. This article documents the empirical foundations of teleradiology. Methods: A selective review of the credible literature during the past decade (2005?2015) was conducted, using robust research design and adequate sample size as criteria for inclusion. Findings: The evidence regarding feasibility of teleradiology and related information technology applications has been well documented for several decades. The majority of studies focused on intermediate outcomes, as indicated by comparability between teleradiology and conventional radiology. A consistent trend of concordance between the two modalities was observed in terms of diagnostic accuracy and reliability. Additional benefits include reductions in patient transfer, rehospitalization, and length of stay.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140295/1/tmj.2016.0149.pd

The Empirical Evidence for Telemedicine Interventions in Mental Disorders

Problem and Objective: This research derives from the confluence of several factors, namely, the prevalence of a complex array of mental health issues across age, social, ethnic, and economic groups, an increasingly critical shortage of mental health professionals and the associated disability and productivity loss in the population, and the potential of telemental health (TMH) to ameliorate these problems. Definitive information regarding the true merit of telemedicine applications and intervention is now of paramount importance among policymakers, providers of care, researchers, payers, program developers, and the public at large. This is necessary for rational policymaking, prudent resource allocation decisions, and informed strategic planning. This article is aimed at assessing the state of scientific knowledge regarding the merit of telemedicine interventions in the treatment of mental disorders (TMH) in terms of feasibility/acceptance, effects on medication compliance, health outcomes, and cost. Materials and Methods: We started by casting a wide net to identify the relevant studies and to examine in detail the content of studies that met the eligibility criteria for inclusion. Only studies that met rigorous methodological criteria were included. Necessary details include the specific nature and content of the intervention, the research methodology, clinical focus, technological configuration, and the modality of the intervention. Results: The published scientific literature on TMH reveals strong and consistent evidence of the feasibility of this modality of care and its acceptance by its intended users, as well as uniform indication of improvement in symptomology and quality of life among patients across a broad range of demographic and diagnostic groups. Similarly, positive trends are shown in terms of cost savings. Conclusion: There is substantial empirical evidence for supporting the use of telemedicine interventions in patients with mental disorders.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140291/1/tmj.2015.0206.pd

Telemedicine Evaluation

This paper examines the context and status of evaluation research in telemedicine, and it proposes a two-pronged strategy for addressing the critical policy and programmatic concerns in this field. It explains the evolution of evaluation research in the United States, and it describes a comprehensive typology and requirements for valid evaluation. Major impediments for definitive evaluation are discussed, together with a summary of major trends in empirical studies. Two concurrent strategies are proposed for producing definitive findings and for assessing the available empirical evidence. These consist of large-scale experimental studies and theoretical and empirical triangulation for assessing the available empirical evidence.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/63176/1/tmj.2005.11.296.pd

Career preferences and perceptions of the medical labor market among Mexican interns

This paper examines the relationship between choice of career and perception of the medical labor market, as well as the effects of social origin, type of medical school, and place of internship. The data are derived from a survey of interns which was conducted in Mexico during 1978, when a substantial proportion of physicians was unemployed or underemployed.Career preferences were operationalized in terms of type of activity (general practice or specialty), site (ambulatory or hospital) and institution (public assistance, social security or private). Perceptions of the medical labor market were measured as an `objective' feasibility perception and a `subjective' opportunity assessment. Additionally, composite indices of career preferences and perceptions were constructed in order to take account of two integrated career patterns: dominant (or majority preference) vs alternative (or minority preference).Analysis of the data consistently revealed that perception of the medical labor market had a much stronger impact on preference for alternative than for dominant career patterns. Whereas social origin had no effect on career preference, type of medical school and place of internship exhibited a statistical ineraction with career preference, suggesting that certain structural conditions of the medical school and the teaching hospitals lead to preference for alternative rather than dominant careers.The implications of the findings are discussed with regard to health manpower policy, to conceptions of rational career choice and to the professional status of medicine in Mexico.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/25437/1/0000887.pd

Chapter 8: Executive Summary

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/63118/1/15305620252933437.pd

Telemedicine in the USA : An overview

The authors examine the development and use of telecommunications technology in the provision of health services and in that context discuss policy formulation relating to technological innovation in health care. In the course of their examination, they consider the nature of the major challenges facing health care delivery that are amenable to responses in telecommunications technology, present selected findings from telemedicine studies in the light of these challenges, and offer a set of policy recommendations.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/23613/1/0000575.pd

Sustaining and Realizing the Promise of Telemedicine

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140277/1/tmj.2012.0282.pd