Recent Directions in Telemedicine: Review of Trends in Research and Practice

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.”

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.”

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.”

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.”

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.”

What the sources say

• Not checked yetcites [1] World Health Organisation, 2010

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.”

What the sources say

• Not checked yetcites [1] World Health Organisation, 2010

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].”

What the sources say

• Not checked yetcites [17] Muller-Barna, 2014, Stroke source

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.”

What the sources say

• Not checked yetcites [15] Latifi, 2009, Am J Surg source

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.”

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

In the paper

“Other benefits included enhanced training opportunities and reduced stress for staff in the rural ICU.”

What the sources say

• Not checked yetcites [10] Hansen, 2013, J Int Soc Telemed eHealth

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.”

What the sources say

• Not checked yetcites [21] Pruitt, 2014, Prof Psychol Res Pr source

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.”

What the sources say

• Not checked yetcites [11] Kumar, 2013, Perspect Health Inf Manag

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.”

What the sources say

• Not checked yetcites [17] Muller-Barna, 2014, Stroke source

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.”

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

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.”

What the sources say

• Not checked yetcites [9] Ahn, 2012, ICU Dir source

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].”

What the sources say

• Not checked yetcites [19] Yellowlees, 2011, Telemed J E Health source

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.”

In the paper

“Mental health is an increasing challenge for health systems worldwide.”

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

In the paper

“A contemporary review [22] lists a number of activities in mental illness management facilitated through mHealth.”

What the sources say

• Not checked yetcites [22] Price, 2014, Clin Psychol Psychother source

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).”

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].”

What the sources say

• Not checked yetcites [35] Muir, 2014, Aust Fam Physician

In the paper

“it has been claimed that accuracy of 81% is achievable [50], consistent with conventional teledermatology.”

What the sources say

• Not checked yetcites [50] Lamel, 2012, J Am Acad Dermatol source

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.”

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].”

What the sources say

• Not checked yetcites [45] Moreno-Ramirez, 2005, J Telemed Telecare source

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.”

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].”

What the sources say

• Not checked yetcites [51] Wolf, 2013, JAMA Dermatol source

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.”

What the sources say

• Not checked yetcites [46] Bowns, 2006, Health Technol Assess source

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.”

In the paper

“two trends which are immediately apparent are implementations which demonstrate:”

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.”

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.”

In the paper

“Other applications reported to be suitable for telemedicine include blurred vision [59] and degenerative eye diseases [60].”

What the sources say

• Not checked yetcites [59] Tan, 2013, J Telemed Telecare source
• Not checked yetcites [60] Maa, 2014, Telemed J E Health source

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.”

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.”

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].”

What the sources say

• Not checked yetcites [62] Jang-Jaccard, 2014, Telemed J E Health source

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).”

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.”

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.”

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.”

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.”