The DOI matches its Crossref record; 57 of the 57 references it cites were found in a registry or an index; none of the 56 sources its claims cite is checked for support yet.
Recent Directions in Telemedicine: Review of Trends in Research and Practice
Open accessAbstract
OBJECTIVES: Healthcare is now routinely delivered by telecommunications-based services in all developed countries and an increasing number of developing countries. Telemedicine is used in many clinical specialities and across numerous healthcare settings, which range from mobile patient-centric applications to complex interactions amongst clinicians in tertiary referral hospital settings. This paper discusses some recent areas of significant development and progress in the field with the purpose of identifying strong trends in both research and practice activities. METHODS: To establish the breadth of new ideas and directions in the field, a review of literature was made by searching PubMed for recent publications including terms (telemedicine OR telehealth) AND (challenge OR direction OR innovation OR new OR novel OR trend), for all searchable categories. 3,433 publications were identified that have appeared since January 1, 2005 (2,172 of these since January 1, 2010), based on a search conducted on June 1, 2015. RESULTS: The current interest areas in these papers span both synchronous telemedicine, including intensive care, emergency medicine, and mental health, and asynchronous telemedicine, including wound and burns care, dermatology and ophthalmology. CONCLUSIONS: It is concluded that two major drivers of contemporary tele medicine development are a high volume demand for a particular clinical service, and/or a high criticality of need for clinical exper tise to deliver the service. These areas offer promise for further study and enhancement of applicable telemedicine methods and have the potential for large-scale deployments internationally, which would contribute significantly to the advancement of healthcare.
Overview
AI snapshot
Written from the paper’s full text.
TL;DR
This narrative review surveys recent telemedicine research and practice trends, focusing on selected synchronous and asynchronous clinical applications. It concludes that contemporary development is driven mainly by high-volume demand for a service and/or high criticality of need for timely specialist expertise.
Key findings
- A PubMed search identified 3,433 publications since January 1, 2005 (2,172 since January 1, 2010), with current interest spanning synchronous areas such as intensive care, emergency medicine, and mental health, and asynchronous areas such as wound/burns care, dermatology, and ophthalmology.
- Two major drivers of contemporary telemedicine development are identified: high volume demand for a particular clinical service, and/or high criticality of need for clinical expertise to deliver the service.
- In intensive care, the paper notes approximately 4,000 intensivists for 4,000 adult ICUs in the United States; a review of 25 studies found most showed some mortality reduction after eICU introduction, though with high variation across projects.
- In telestroke, the TEMPiS project treated 54,804 strokes and transient ischemic attacks in 15 regional hospitals, performed 31,864 teleconsultations, applied intravenous thrombolysis to 3,331 cases, reduced median onset-to-treatment time from 150 to 120 minutes, and reduced door-to-needle time from 80 to 40 minutes.
Methods
- Narrative literature review searching PubMed for publications containing (telemedicine OR telehealth) AND (challenge OR direction OR innovation OR new OR novel OR trend), across all searchable categories; search conducted June 1, 2015.
- The review selected illustrative applications rather than covering the entire field, grouping them into synchronous telemedicine (intensive care, emergency medicine, mental health) and asynchronous telemedicine (wound care, teledermatology, teleophthalmology).
- The paper states that home/mobile-based applications and educational or administrative services were not further discussed; a simple keyword analysis of the most relevant publications was used to identify clinical areas.
Limitations
- Stated in the paper: a comprehensive review of the entire telemedicine field is beyond its scope, so only a few important applications are highlighted; home/mobile applications and educational or administrative services are excluded.
- Evident from the text: the search is PubMed-only, uses broad keyword terms, and no systematic screening, formal inclusion criteria, quality appraisal, or quantitative synthesis is described.
- Evident from the text: the review is narrative and time-bound to a June 1, 2015 search, so its trends reflect literature available up to that point.
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Claims the paper makes
0 of 56 cited sources checked · 0 supported · 0 flagged
In the paper
“While intensive care units exist in most hospitals, there is a worldwide shortage of intensive care specialists (intensivists).”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [9] Ahn, 2012, ICU Dir source
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIn the paper
“High levels of satisfaction were recorded for the ability of the system to integrate a number of activities closely across the two geographically-separated sites.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [10] Hansen, 2013, J Int Soc Telemed eHealth
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“For example, while the basic mental health consultation is an interview between clinician and patient, the ease of access provided by telemedicine can allow a single 50-minute consultation to be replaced by two or three shorter interviews [20].”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [20] Mohr, 2009, Clin Psychol Sci Pract source
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“Intravenous thrombolysis was applied to 3,331 of these stroke cases.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [17] Muller-Barna, 2014, Stroke source
Strength:plain· not yet calibratedn = 3,331Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“A recent study of 838 ambulance-transported patients in Korea (of whom 188 were subject to in-ambulance monitoring) demonstrated that the choice of the treating hospital could be improved if physicians were made aware of continuous monitoring of vital signs [16].”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [16] Kim, 2011, Telemed J E Health source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIn the paper
“Many implementations demonstrated reduction in stress and 'burnout' experienced by staff members who have to care for ICU patients without peer support.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [11] Kumar, 2013, Perspect Health Inf Manag
Strength:boosted· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“Economic analyses have shown that cost effectiveness of synchronous telemedicine vary widely according to the delivery setting [8].”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [8] Wade, 2010, BMC Health Serv Res source
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“Scheduling difficulties for both patient and clinician can be eased through the use of asynchronous consultations [19].”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [19] Yellowlees, 2011, Telemed J E Health source
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“The system was able to demonstrate improved decision-making for patient-management, especially for those patients in the 'middle' levels of trauma severity, where local management could be enhanced through specialist participation [14].”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [14] Westbrook, 2008, Med J Aust source
Strength:boosted· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“High levels of agreement between experts have been reported [31] for telemedicine, whereas referring physicians tended to make more pessimistic assessments.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 2. Asynchronous Telemedicine
What the sources say
- Not checked yetcites [31] Saffle, 2009, J Trauma source
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- It may state two separate claims as one. 26
- Probably not a substantial claim. 19
- The quote only partly states this claim. 1
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“3,433 publications were identified that have appeared since January 1, 2005 (2,172 of these since January 1, 2010), based on a search conducted on June 1, 2015.”
- Also stated in: § 2. Literature Search · plain
“3,433 publications were identified that have appeared since January 1, 2005 (2,172 of these since January 1, 2010), based on a search conducted on June 1, 2015.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > Abstract > Methods
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
- Also stated in: § 2. Literature Search · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“A simple keyword analysis of those deemed most relevant to telemedicine showed that numerous clinical areas were addressed, but far fewer technologies.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > II. Methods > 2. Literature Search
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“The current interest areas in these papers span both synchronous telemedicine, including intensive care, emergency medicine, and mental health, and asynchronous telemedicine, including wound and burns care, dermatology and ophthalmology.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > Abstract > Results
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“It is concluded that two major drivers of contemporary tele medicine development are a high volume demand for a particular clinical service, and/or a high criticality of need for clinical exper tise to deliver the service.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > Abstract > Conclusions
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“A 2009 survey conducted by the World Health Organization (WHO) [1] focused on four specialities, and found that teleradiology was the most common application, practised in 62% of WHO member states which responded to the survey.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > I. Introduction
What the sources say
- Not checked yetcites [1] World Health Organisation, 2010
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“Telehealth adoption in Europe, the Americas, and South-East Asia was highest, while Africa and the Eastern Mediterranean had the lowest uptake.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > I. Introduction
What the sources say
- Not checked yetcites [1] World Health Organisation, 2010
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“The median onset-to-treatment time was reduced from 150 to 120 minutes, and door-to-needle time was reduced from 80 to 40 minutes [17].”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [17] Muller-Barna, 2014, Stroke source
Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“A similar project in Arizona, USA connected a level 1 trauma centre in Tucson to five rural hospitals with minimal specialist support [15]. Although the sample size was too small for detailed analysis, the authors reported considerable savings in the cost of transporting patients.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [15] Latifi, 2009, Am J Surg source
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“A recent report [5] suggested that the global implementation of telehealth, as measured by either number of patients or revenue from services and technology sales, will increase tenfold between 2012 and 2018.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > I. Introduction
What the sources say
- Not checked yetcites [5] Global telehealth market to expand 10x by 2018 [Internet]. [place unknown]. Modern Health Talk. 2014. cited at 2015 Mar 20. Available from: http://www.mhealthtalk.com/global-telehealth-market-to-expand-10x-by-2018/#more-7937
Strength:hedged· not yet calibratedCausal:direct· not yet calibratedTests✗ Asserted: fails✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The authors may not put it forward as true. The paper’s conclusions may not depend on it.
In the paper
“Other benefits included enhanced training opportunities and reduced stress for staff in the rural ICU.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [10] Hansen, 2013, J Int Soc Telemed eHealth
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“A recent review paper [21] pointed out a number of benefits of HBTMH, including better adherence to appointments and medication, overcoming social isolation, access to contextual information such as the patient's home situation, improved patient and practitioner safety, and removal of the fears of stigma attached to attending a mental health clinic.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [21] Pruitt, 2014, Prof Psychol Res Pr source
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“A recent review [11] showed that among 25 studies, most showed some reduction in mortality following the introduction of the eICU, although the actual reduction exhibited a high variation across different projects.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [11] Kumar, 2013, Perspect Health Inf Manag
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“As an example, in the TeleMedical Project for Integrative Stroke Care (TEMPiS) in Bavaria, Germany, between February 2003 and December 2012, 54,804 strokes and transient ischemic attacks were treated in 15 regional hospitals, and 31,864 teleconsultations were performed.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [17] Muller-Barna, 2014, Stroke source
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“The World Health Organization [18] has estimated that 450 million people are affected by mental or behavioural disorders worldwide, and five of the ten leading causes of disability and premature death are associated with psychiatric conditions.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [18] World Health Organization. Prevention of mental disorders: effective interventions and policy options [Internet]. Geneva, Switzerland. World Health Organization. 2004. cited at 2015 Apr 3. Available from: http://www.who.int/mental_health/evidence/en/prevention_of_mental_disorders_sr.pdf
Strength:hedged· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“For example, in the United States, it is estimated [9] that there are approximately 4,000 intensivists to staff the 4,000 adult intensive care units (ICUs) in the nation.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [9] Ahn, 2012, ICU Dir source
Strength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“The potentially fatal effects of depression and other mental conditions can be prevented or greatly attenuated with timely intervention, but this is difficult to implement, due to such factors as limitations in access to providers [19].”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [19] Yellowlees, 2011, Telemed J E Health source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“This growth is driven largely by the rapid proliferation of mobile and home-based devices, which in turn is driven by the need for the cost-effective management of chronic and aging-related disease.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > I. Introduction
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“Mental health is an increasing challenge for health systems worldwide.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [18] World Health Organization. Prevention of mental disorders: effective interventions and policy options [Internet]. Geneva, Switzerland. World Health Organization. 2004. cited at 2015 Apr 3. Available from: http://www.who.int/mental_health/evidence/en/prevention_of_mental_disorders_sr.pdf
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“A contemporary review [22] lists a number of activities in mental illness management facilitated through mHealth.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 1. Synchronous Telemedicine
What the sources say
- Not checked yetcites [22] Price, 2014, Clin Psychol Psychother source
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The constraints imposed by limited bandwidth availability which prompted the development of asynchronous services have now largely fallen away, so there has been a migration of some of these services to synchronous (or near-synchronous).”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > II. Methods > 1. Scope of Telemedicine
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✗ Based: failsProbably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds. It may state two separate claims as one.
In the paper
“In Australia, a national online consultation and educational service known as TeleDerm has operated for the past decade, providing asynchronous case advice with a 24-hour turn-around [35].”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 2. Asynchronous Telemedicine
What the sources say
- Not checked yetcites [35] Muir, 2014, Aust Fam Physician
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“it has been claimed that accuracy of 81% is achievable [50], consistent with conventional teledermatology.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 2. Asynchronous Telemedicine
What the sources say
- Not checked yetcites [50] Lamel, 2012, J Am Acad Dermatol source
Strength:hedged· not yet calibratedTests✗ Asserted: fails✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The authors may not put it forward as true. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“While teleophthalmology generally requires specialised imaging equipment, it is non-invasive and not reliant on direct clinical expertise in the image acquisition process, which makes it easier to achieve cost-effectiveness in large-scale population-wide circumstances.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 2. Asynchronous Telemedicine
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“It is accepted by many authors that the performance of teledermatology in this area is below that of direct clinical inspection, with typical reported accuracy of diagnosis rates of around 80%, e.g., [45].”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 2. Asynchronous Telemedicine
What the sources say
- Not checked yetcites [45] Moreno-Ramirez, 2005, J Telemed Telecare source
Strength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Especially in remote areas and developing countries, the loss of productivity and opportunities due to diminished vision could be avoided by the provision of regular, frequent eye care.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 2. Asynchronous Telemedicine
Strength:hedged· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✗ Based: failsProbably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
In the paper
“Cautionary commentary has also appeared suggesting that results obtained with publicly available smartphone dermatology applications may be highly variable and unreliable [51].”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 2. Asynchronous Telemedicine
What the sources say
- Not checked yetcites [51] Wolf, 2013, JAMA Dermatol source
Strength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“Recognition of potential melanoma and carcinoma from transmitted images was shown to have high sensitivity (98%) but low specificity (43%) [46], resulting in excessive referrals.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 2. Asynchronous Telemedicine
What the sources say
- Not checked yetcites [46] Bowns, 2006, Health Technol Assess source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Often, this recent adoption has been due to the development of a new technological solution (e.g., storage and rapid backend processing of large datasets) that makes this practical.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > IV. Conclusion
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✗ Based: failsProbably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“two trends which are immediately apparent are implementations which demonstrate:”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > IV. Conclusion
Load-bearingStrength:boosted· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one. The quote only partly states this claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“This is increasingly based on the utility of the applications rather than response to a technology push, and there is increasing demand for system-wide implementations rather than further unsustainable and unscalable pilots.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > IV. Conclusion
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✗ Based: failsProbably not a substantial claim. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“High criticality applications, where specialist expertise needs to be made available at the point of care within a very strict time frame.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > IV. Conclusion
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
None of the sources cited for this claim have been checked yet.
In the paper
“Other applications reported to be suitable for telemedicine include blurred vision [59] and degenerative eye diseases [60].”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > III. Results > 2. Asynchronous Telemedicine
What the sources say
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“This is increasingly based on the utility of the applications rather than response to a technology push, and there is increasing demand for system-wide implementations rather than further unsustainable and unscalable pilots.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > IV. Conclusion
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The distinction between the telemedicine consultation and the patient record is already blurred in telepsychiatry, but the convergence of telemedicine and medical informatics is likely to make this distinction even less relevant in the future.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > IV. Conclusion
Tests✓ Asserted: passes✗ Checkable: fails✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim. It may be too vague to check against evidence. It may state two separate claims as one.
In the paper
“Many of the barriers to telemedicine expansion lie in this domain rather than technology, which has, if anything, outpaced telemedicine applications [62].”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > IV. Conclusion
What the sources say
- Not checked yetcites [62] Jang-Jaccard, 2014, Telemed J E Health source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Telemedicine has tended to follow fixed models of care, based either on replicating conventional care delivery methods (e.g., videoconferencing replacing face to face live consultations) or introducing new methods (e.g., home-based patient health status monitoring).”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > IV. Conclusion
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“In most developed countries, the increasing availability of reliable broadband communications and user interface devices has effectively removed the cost and availability of this technology as a barrier to the uptake of telemedicine.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > IV. Conclusion
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✗ Based: failsProbably not a substantial claim. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Health informatics has evolved largely independently of telemedicine, but telemedicine systems are already evolving to work in an environment of complex digital information.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > IV. Conclusion
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Such co-location can occur in time as well as in space, which will continue to create demand for asynchronous telemedicine, as discussed in Section III of this paper.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > IV. Conclusion
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Increasing pressure on health systems to deliver high-quality healthcare within strict financial constraints will drive this trend to leverage healthcare resources more effectively.”
§ Recent Directions in Telemedicine: Review of Trends in Research and Practice > IV. Conclusion
Tests✓ Asserted: passes✗ Checkable: fails✓ Load-bearing: passes✗ Based: failsProbably not a substantial claim. It may be too vague to check against evidence. The paper may give no reason why it holds.
The paper relies on this without support.
Thrombolytic drugs, if delivered within a strict post-stroke time window, have a high rate of reversal of many of the long-term effects of stroke.
“Thrombolytic drugs, if delivered within a strict post-stroke time window, have demonstrated a high rate of reversal of many of the long-term effects of stroke.”
The paper relies on this without support.
There is risk to the patient if thrombolytic drugs are administered when stroke is not indicated.
“However, there is risk to the patient if these drugs are administered when stroke is not indicated, and the assessment involves CT scans, blood tests, and an assessment of the patient's neurological function.”
The paper relies on this without support.
Neurological specialists qualified to make the decision on drug administration are sparsely distributed outside major cities in most countries with advanced healthcare systems.
“The neurological specialists qualified to make the decision on drug administration are sparsely distributed outside major cities in most countries with advanced healthcare systems, but recently their expertise has been increasingly exploited using telemedicine.”
The paper relies on this without support.
The delay limit for drug administration in acute stroke is about four hours from stroke onset.
“This application is highly time-critical (the delay limit for drug administration as about four hours from stroke onset) and requires the transmission of a variety of information types (including CT scans) as well as an interactive examination of the patient.”
The paper relies on this without support.
There is a stigma attached to seeking treatment for mental conditions, which creates barriers between patients and those who can offer treatment.
“There is a stigma attached to seeking treatment for mental conditions, which creates further barriers between patients and those who can offer treatment.”
The paper relies on this without support.
Mobile devices are especially well received by adolescents.
“Furthermore, such devices can support a high degree of self-management, and are especially well received by such groups as adolescents.”
The paper relies on this without support.
The need to inspect a patient's wound condition approximately daily leads to significant workload and expense.
“The need to inspect the patient's condition approximately daily leads to significant workload and expense, while the benefits of personalizing the treatment of the patient and achieving faster or better recovery can be substantial.”
The paper relies on this without support.
Telemedicine and medical informatics have evolved independently, with telemedicine focusing on synchronous activity and informatics focusing on patient data.
“Telemedicine and medical informatics have, to a large extent, evolved independently of one another, with telemedicine having a focus on synchronous activity, while informatics has a focus on patient data.”
The paper relies on this without support.
Clinical management of wounds makes up a substantial fraction of day care and outpatient clinic activities in the acute sector, and imposes a burden on home or aged care and outreach nursing activities.
“Clinical management of wounds makes up a substantial fraction of day care and outpatient clinic activities in the acute sector, and it imposes a burden on home or aged care and outreach nursing activities.”
The paper relies on this without support.
The reviewed literature is representative of telemedicine research and practice trends.
“In this paper, we have reviewed a number of clinical application areas, and two trends which are immediately apparent are implementations which demonstrate:”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Research indicates it is an efficient and appropriate health service, with two of the most recently published studies citing the accuracy of diagnosis rates at 80% (Wilson and Maeder, 2015).”
From Patient and practitioner satisfaction with tele-dermatology including Australia’s indigenous population: A systematic review of the literature (2016) · cites this paper as Wilson and Maeder, 2015
In the citing paper
“Other dermatologists reported that due to the high sensitivity and low specificity of tele-dermatology, there were excess referrals to the service (Wilson and Maeder, 2015).”
From Patient and practitioner satisfaction with tele-dermatology including Australia’s indigenous population: A systematic review of the literature (2016) · cites this paper as Wilson and Maeder, 2015
In the citing paper
“Research indicates it is an efficient and appropriate health service, with two of the most recently published studies citing the accuracy of diagnosis rates at 80% (Wilson and Maeder, 2015). However, some studies have reported the diagnostic accuracy of tele-dermatology as low as 43% (Lasierra et al., 2012).”
From Patient and practitioner satisfaction with tele-dermatology including Australia’s indigenous population: A systematic review of the literature (2016) · cites this paper as Wilson and Maeder, 2015
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Home and mobile applications are discussed despite stated exclusion
MinorThe Methods section says home and mobile-based applications will not be discussed further, but the Results section discusses home-based telemental health and its use of mobile devices.
“As mentioned earlier, the extremely rapid growth in home and mobile-based applications will not be further discussed here.”
“The relative immediacy of HBTMH is further enhanced through the use of mobile devices. The ability to interact with a patient at virtually any time or place makes mobile devices especially useful in delivering mental health care.”
Citations
Cites
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BackgroundA systematic review of economic analyses of telehealth services using real time video communication
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“telemedicine vary widely according to the delivery setting [8].”
BackgroundTeledermatology for diagnosis and management of skin conditions: A systematic review
Warshaw, E. M., Hillman, Y. J., Greer, N. L., Hagel, E. M., MacDonald, R., Rutks, I. R., & Wilt, T. J. (2011) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2010.08.026 · Cited by 310 · cited 1×
“A strong body of literature exists describing numerous aspects of teledermatology [43].”
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Teledermatology research review
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Flagged first, then by citations
Research works printed but not linked: 9
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- Hansen, 2013, J Int Soc Telemed eHealth, 1, 19
- Kumar, 2013, Perspect Health Inf Manag, 10, 1f
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- Cuadros, 2004, Stud Health Technol Inform, 107, 207
Cited by
Sorted by citations
Items 101–200 of 203
Hoti, K., & Weidmann, A. E. (2024) · International Journal of Clinical Pharmacy · doi:10.1007/s11096-024-01777-z · Cited by 7
A Phased Approach for the Adaptation of Telemedicine in Diabetes Management
Mishra, V. (2020) · Health Policy and Technology · doi:10.1016/j.hlpt.2020.01.007 · Cited by 6
Medical Education – From Traditional Learning Methods to E-Learning Methods
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Ohannessian, R., Fortune, N., Rodrigues, J.-M., Moulin, T., Derex, L., Madden, R., & Schott, A. (2017) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2017.09.011 · Cited by 6
Lee, H., Kim, J., Kim, S., Kong, H., Joo, H.-J., Lee, D., & Ryu, H. (2020) · Methods of Information in Medicine · doi:10.1055/s-0040-1715579 · Cited by 6
Cabas-Hoyos, K. (2020) · Revista Iberoamericana de Psicología · doi:10.33881/2027-1786.rip.13306 · Cited by 8
Enam, A., Dreyer, H. C., & de Boer, L. (2022) · JMIR Formative Research · doi:10.2196/35950 · Cited by 6
Data Exchange Standards in Teleophthalmology: Current and Future Developments
Schweitzer, M., Steger, B., Hoerbst, A., Augustin, M., Pfeifer, B. E., Hausmann, U., & Baumgarten, D. (2022) · Studies in health technology and informatics · doi:10.3233/shti220380 · Cited by 6
Muñoz−Sánchez, J., Álvarez, C. D., Sánchez-Prada, A., Parra−Vidales, E., Leo, D. D., & Franco, M. (2018) · JMIR Mental Health · doi:10.2196/mental.7784 · Cited by 6
Osborne, J. M., & Blunden, S. L. (2018) · Clinical Medicine Insights Pediatrics · doi:10.1177/1179556518815168 · Cited by 6
Wu, T.-C., & Ho, C. B. (2024) · Journal of Medical Internet Research · doi:10.2196/53306 · Cited by 9
Braga, C., Rêgo, S., & Nunes, F. (2020) · IEEE International Conference on Healthcare Informatics (ICHI) · doi:10.1109/ichi48887.2020.9374324 · Cited by 5
Health Information Technology During during the COVID-19 Epidemic
Dastani, M., & Atarodi, A. (2022) · Online Journal of Public Health Informatics · doi:10.5210/ojphi.v14i1.11090 · Cited by 5
Auditing the Audits: A Systematic Review on Different Procedures in Telemedicine
Cardile, D., Corallo, F., Cappadona, I., Ielo, A., Bramanti, P., Buono, V. L., Ciurleo, R., & Cola, M. C. D. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20054484 · Cited by 5
How satisfactory are empathetic care and robotic assistance in telemedicine services?
Saxena, S., & Prashar, A. (2023) · Service Industries Journal · doi:10.1080/02642069.2023.2199990 · Cited by 4
Clinical informatics solutions in COVID-19 pandemic: Scoping literature review
Ganjali, R., Eslami, S., Samimi, T., Sargolzaei, M., Firouraghi, N., MohammadEbrahimi, S., Khoshrounejad, F., & Kheirdoust, A. (2022) · Informatics in Medicine Unlocked · doi:10.1016/j.imu.2022.100929 · Cited by 5
State of the art of the telemedicine. Where are we and what is pending to be done?
Cuyàs, F. G., Vázquez, N., Pedro, M. D. S., & Hospedales, M. (2018) · Medicina Clínica (English Edition) · doi:10.1016/j.medcle.2017.12.017 · Cited by 4
Cecagno, P. O. M., Polesello, N. D., Duque-Cartagena, T., Luz, P. M., Mundstock, E., Dalla, M. D. B., Sato, D. K., & Mattiello, R. (2024) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2024.0297 · Cited by 6
Rañó, A. C., Moldes, M. M., & Bustabad, B. C. (2020) · Revista de la Sociedad Española del Dolor · doi:10.20986/resed.2020.3756/2019 · Cited by 4
Staying on the digitalized trail
Hannukkala, M. S., Mikkonen, K., Laitinen, E., & Tuononen, T. (2020) · Health and Technology · doi:10.1007/s12553-020-00425-6 · Cited by 5
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High Time to Discuss Future-Oriented Telemedicine
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Telemedicine and remote monitoring in burn care: A review of current applications
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Tele-rehabilitation service delivery: Journey from prototype to robust in-home use
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O’Sullivan, S., & Schneider, H. (2023) · Scientific Reports · doi:10.1038/s41598-023-40501-1 · Cited by 3
The Role of Telemedicine in Strabismus Assessment: A Narrative Review and Meta-Analysis
Wong, D., Alsaif, A., & Bender, L. (2024) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2024.0115 · Cited by 3
Telemedicine for Healthier Community Development in Pakistan
Hamid, B., Jhanjhi, N. Z., Humayun, M., Qamar, F., & Ponnusamy, V. (2021) · Advances in human and social aspects of technology book series · doi:10.4018/978-1-7998-7114-9.ch015 · Cited by 3
Increasing Dermatology Access Via Teledermatology
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Sharma, S. K., Kumar, M., Datla, P. K. V., Jahan, K., Sarkar, A., Panda, S., & Tiwari, R. (2025) · Journal of Pharmacy And Bioallied Sciences · doi:10.4103/jpbs.jpbs_1471_24 · Cited by 2
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A scoping review on remote patient monitoring technologies
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Indian Paradigm of Orthopedic Care in Post-COVID-19 Era
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Visualization Analysis of Online Health Care Research Based on Citespace
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THE ROLE OF TELEMEDICINE IN TRAINING OF SCIENTIFIC-PEDAGOGICAL AND PROFESSIONAL MEDICAL STAFF
Gulov, M., Mukhabbatov, J. K., KOBILOV, K. K., & ALI-ZADE, S. G. (2020) · Avicenna Bulletin · doi:10.25005/2074-0581-2020-22-3-398-402 · Cited by 2
RDW as a Surrogate Marker for Active Crohn's Disease: Potential Utility
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Clinical Outcomes of Home Telemonitoring in Severe COPD
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Thorup, C. B., Bundgaard, K., & Pedersen, P. U. (2018) · The JBI Database of Systematic Reviews and Implementation Reports · doi:10.11124/jbisrir-2017-003661 · Cited by 2
Nolan, S. J., Hendricks, J. M., Williamson, M. J., & Ferguson, S. L. (2020) · International Journal of Nursing Practice · doi:10.1111/ijn.12895 · Cited by 2
Spaan, N., Verzaal, M., & Kaal, H. (2020) · Journal of Intellectual Disabilities and Offending Behaviour · doi:10.1108/jidob-05-2020-0011 · Cited by 2
Is India heading towards a dramatic shift in care away from the hospital?
Westwood, A. R. (2020) · British Journal of Healthcare Management · doi:10.12968/bjhc.2020.0161 · Cited by 2
Covid-19 as an Incubator Leading to Telemedicine Usage: KM Success Factors in Healthcare
Neft, F., Kappler, K. E., & Smolnik, S. (2023) · Hawaii International Conference on System Sciences (HICSS) · doi:10.24251/hicss.2023.607 · Cited by 2
Future of Telemedicine with ML: Building a Telemedicine Framework for Lung Sound Detection
Patra, S. S., Goje, N. S., Singh, K. N., Khan, K. Q., Kumar, D., Madhavi, & Sharma, K. A. (2021) · doi:10.1002/9781119792611.ch21 · Cited by 2
Tele‐Health Monitoring Using Artificial Intelligence Deep Learning Framework
Verma, S., Malviya, R., Alam, A., & Tripathi, B. D. (2022) · Wiley eBooks · doi:10.1002/9781119857983.ch7 · Cited by 3
Comparison between High- and Low-Cost Transmission of Tele-Anesthesia in Japan
Sugawara, Y., Miyashita, T., Mizuno, Y., Nagamine, Y., Miyazaki, T., Kobayashi, A., Tojo, K., Iketani, Y., Takaki, S., & Goto, T. (2018) · Journal of Healthcare Engineering · doi:10.1155/2018/9615264 · Cited by 1
Light-fidelity based biosignal transmission
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Tafuro, A., & Dammacco, G. (2022) · Advances in healthcare information systems and administration book series · doi:10.4018/978-1-7998-8868-0.ch006 · Cited by 1
Effectiveness of Tele-therapy from the Perspectives of Training Therapists and High School Students
Son, B. (2022) · International journal of high school research · doi:10.36838/v4i3.1 · Cited by 1
Impact of Telemedicine on Home Healthcare: An Empirical Analysis
Melina, A. M., Reina, R., & Vesperi, W. (2024) · MECOSAN · doi:10.3280/mesa2023-125oa16856 · Cited by 1
Watson, J. D., Silverman, A. L., Xia, B., Pillai, R., Balkrishnan, R., Pierce, B. S., & Perrin, P. B. (2025) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x251333534 · Cited by 1
Enhancing Telemedicine Services Through AI, Blockchain, and Cloud Computing Integration
Gogineni, A., Malaraju, S. K., Madishetty, S. K., & Narang, S. (2025) · Learning and analytics in intelligent systems · doi:10.1007/978-3-032-05373-2_37 · Cited by 1
Taherkhani, S., Shahrezaei, A., Gholampour, G., Dashti, L., & Nasirinezhad, F. (2026) · Discover Education · doi:10.1007/s44217-026-01135-3 · Cited by 1
Telemedicine: Transforming healthcare in India
Pandve, H. T., Gaikwad, S., Bhure, B. S., & Kadam, V. M. (2022) · Bharati Vidyapeeth Medical Journal · doi:10.56136/bvmj/2022_00095 · Cited by 1
Mobile-enabled telemedicine system: A new approach to rural healthcare
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Approach Towards Development of Portable Multi-Model Tele-Healthcare System
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Telemedicine vs. In-Person Healthcare in Pakistan: A literature Review
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Patient Surveillance in Total Joint Arthroplasty
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Development and Application of Mobile Technology and the Internet of Things to Aid Primary Care
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Metadata
- Authors
- Wilson, L. S., & Maeder, A. J.
- Affiliations
- Western Sydney University (AU)
- Corresponding author
- Maeder, Anthony J.
- ORCID
- Maeder, Anthony J.
- Venue
- Healthcare Informatics Research
- Published
- 2015
- Volume
- 21
- Issue
- 4
- Pages
- 213
- ISSN
- 2093-3681 (ISSN-L)
- 2093-369X
- PMC
- PMC4659877
- OpenAlex
- W2183234860
- Semantic Scholar
- b85c428452f623640d4be8d3c4d882bdc5729013
- Cited by
- 203
- References
- 57
- Citations by year
- 2026: 8 · 2025: 13 · 2024: 24 · 2023: 24 · 2022: 26 · 2021: 22 · 2020: 27 · 2019: 15 · 2018: 17 · 2017: 12 · 2016: 13 · 2015: 2
- FWCI
- 2.13
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Healthcare Informatics Research (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Flinders Academic Commons (Flinders University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Technology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Technology and Human Factors in Education and Health
- Keywords
- telemedicine, synchronous telemedicine, asynchronous telemedicine, intensive care, emergency medicine, mental health, dermatology, ophthalmology, research trends
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