Navegando por Palavras-chave "telemedicine"
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- ItemSomente MetadadadosBrazilian telemedicine networks(Insticc-inst Syst Technologies Information Control & Communication, 2008-01-01) Neira, Ricardo Alfredo Quintano [UNIFESP]; Zavitoski, Leandro Galassi [UNIFESP]; Lopes, Paulo Roberto de Lima [UNIFESP]; Lederman, Henrique Manuel [UNIFESP]; Schor, Paulo [UNIFESP]; Pisa, Ivan Torres [UNIFESP]; Sigulem, Daniel [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)One of the outcomes of the telemedicine evolution was the emergence of telemedicine networks which can be characterized as the interconnection of centres or healthcare professionals to provide telemedicine services. This paper aims to present a study of the characteristics of the Brazilian telemedicine networks. For the implementation of this study and the selection of the projects, the authors proceeded a search and revision of articles and sites obtained in the Google and PubMed repositories. As conclusion, the existence of two types of networks was verified: infra-structure and telemedicine service; all of the networks are based on asynchronous telemedicine, most of them acting in inter-cities, nevertheless there are not telemedicine cases inside the own municipal district to eliminate socioeconomic barriers; there were not find inside these networks projects or initiatives to regulate the remuneration of the professionals involved in the processes as well as, the payment for the services that were used.
- ItemSomente MetadadadosInvestigar a contribuição da rede universitária de telemedicina no desenvolvimento de uma nova prática de saúde digital(Universidade Federal de São Paulo (UNIFESP), 2013-11-27) Lopes, Paulo Roberto de Lima [UNIFESP]; Sigulem, Daniel Sigulem [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Background: The practice of digital health is the set of techniques, practices, attitudes, ways of thinking and new values that develop as result of the digital space growing. The project: Brazilian Telemedicine University Network (RUTE) seeks to promote changes in digital health practice, providing a telecommunications network and telemedicine equipment to school hospitals in Brazil, focused research activities, teaching and health assistance. Objective: To investigate the contribution of RUTE project on the development of a new digital health practice in the axes of education, healthcare and research. Method: This is qualitative and quantitative exploratory study, based on electronic survey with 55 semi-structured questions, applied to the coordinators of 72 operational telemedicine units on the RUTE. The analysis clarifies the status of units and establish a measure of performance on digital health practice within the project RUTE. Results: With a membership of 75 % of the units of RUTE, 204 insights was collected from units and were classified by qualitative analysis on 14 categories. Five analysis axes were measured comparatively in the quantitative performance of the RUTE: (i) health education, (ii) remote collaborative healthcare practices, (iii) in the multicenter study and research, development and innovation of telemedicine, (iv) school hospitals management and (v) the social impact. Operating units have primary focus on the use of education, followed by remote assistance and then to research. Conclusion: Based on the assumptions set out in the project proposed by the RNP – National Education and Research Network, the results of operating units RUTE indicate that the network has led to the development of a new digital health practice in university hospitals, mainly through teaching and research.
- ItemSomente MetadadadosThe Status of Telestroke in the United States A Survey of Currently Active Stroke Telemedicine Programs(Lippincott Williams & Wilkins, 2012-08-01) Silva, Gisele Sampaio [UNIFESP]; Farrell, Shawn; Shandra, Emma; Viswanathan, Anand; Schwamm, Lee H.; Universidade Federal de São Paulo (UNIFESP); Albert Einstein Hosp; Childrens Hosp; Massachusetts Gen HospBackground and Purpose-Little is known about adoption or success of telestroke networks outside of published or federally funded programs. Under contract to the Health Resource Services Administration, we conducted an environmental scan of telestroke programs in the United States.Methods-An analyst contacted all potential programs identified in comprehensive online searches, interviewed respondents, and collected response data about structural and functional components of currently operating telestroke programs.Results-Among 97 potential programs contacted, 56 programs had confirmed telestroke activity, and 38 programs (68%) from 27 states participated. Hospital and community characteristics of nonparticipating programs were similar to those of participating ones. the top 3 clinical needs met by the telestroke were emergency department consultation (100%), patient triage (83.8%), and inpatient teleconsultation (46.0%). Telestroke programs were in operation a median of 2.44 years (interquartile range, 1.36-3.44 years); 94.6% used 2-way, real-time interactive video plus imaging, but only 44% used dedicated telemedicine consultation software. the mean number of spokes per hub increased significantly from 2007 to 2008 to 2009 (3.78 versus 7.60; P < 0.05), and >80% of spoke sites were rural or small hospitals. Reimbursement was absent for >40% of sites. Sites rated inability to obtain physician licensure (27.77%), lack of program funds (27.77%), and lack of reimbursement (19.44%) as the most important barriers to program growth.Conclusions-Telestroke is a widespread and growing practice model. Important barriers to expansion amenable to change relate to organizational, technical, and educational domains and external economic and regulatory forces. (Stroke. 2012;43:2078-2085.)
- ItemAcesso aberto (Open Access)WhatsApp Messenger as an Adjunctive Tool for Telemedicine: An Overview(Jmir Publications, Inc, 2017) Giordano, Vincenzo; Koch, Hilton; Godoy-Santos, Alexandre [UNIFESP]; Belangero, William Dias; Santos Pires, Robinson Esteves; Labronici, PedroBackground: The advent of telemedicine has allowed physicians to deliver medical treatment to patients from a distance. Mobile apps such as WhatsApp Messenger, an instant messaging service, came as a novel concept in all fields of social life, including medicine. The use of instant messaging services has been shown to improve communication within medical teams by providing means for quick teleconsultation, information sharing, and starting treatment as soon as possible. Objective: The aim of this study was to perform a comprehensive systematic review of present literature on the use of the WhatsApp Messenger app as an adjunctive health care tool for medical doctors. Methods: Searches were performed in PubMed, EMBASE, and the Cochrane Library using the term "whatsapp*" in articles published before January 2016. A bibliography of all relevant original articles that used the WhatsApp Messenger app was created. The level of evidence of each study was determined according to the Oxford Levels of Evidence ranking system produced by the Oxford Centre for Evidence-Based Medicine. The impact and the indications of WhatsApp Messenger are discussed in order to understand the extent to which this app currently functions as an adjunctive tool for telemedicine. Results: The database search identified a total of 30 studies in which the term "whatsapp*" was used. Each article's list of references was evaluated item-by-item. After literature reviews, letters to the editor, and low-quality studies were excluded, a total of 10 studies were found to be eligible for inclusion. Of these studies, 9 had been published in the English language and 1 had been published in Spanish. Five were published by medical doctors. Conclusions: The pooled data presents compelling evidence that the WhatsApp Messenger app is a promising system, whether used as a communication tool between health care professionals, as a means of communication between health care professionals and the general public, or as a learning tool for providing health care information to professionals or to the general population. However, high-quality and properly evaluated research is needed, as are improvements in descriptions of the methodology and the study processes. These improvements will allow WhatsApp Messenger to be categorically defined as an effective telemedicine tool in many different fields of health care.