Abstract:
:The use of telemedicine brings with it the risk that the human factor--the teleconsultant--will fail to reach the standard of care that the law requires of medical professionals. It also brings the risk that the telemedical equipment or system will fail at a crucial moment. Such risks, of course, are inherent in many aspects of medical care but in telemedicine, at the interface between communications technology and health care, one must consider not only who is liable for failure, but under which country's laws will that liability be determined. This final review article describes the challenges facing manufacturers and their customers in providing safe, properly endorsed telemedicine systems. The problem of which country's laws should apply to a cross-border teleconsultation is also reviewed.
journal_name
J Telemed Telecarejournal_title
Journal of telemedicine and telecareauthors
Stanberry Bdoi
10.1258/1357633981932109subject
Has Abstractpub_date
1998-01-01 00:00:00pages
132-9issue
3eissn
1357-633Xissn
1758-1109journal_volume
4pub_type
杂志文章,评审abstract::To determine the motivation behind patients attending hospital eye services, 30 in-depth interviews were conducted in Accra, Ghana, using a semi-structured format. Patients were interviewed from five different populations. Discomfort in the eye was the main reason for attending the eye clinic. Patients had high expect...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763307783064449
更新日期:2007-01-01 00:00:00
abstract::Information on the health status of the population of a small Greek island was collected. The information consisted of personal data, clinical history, physical examination, blood pressure evaluation, electrocardiography, and ultrasound scans of neck, breast and abdomen. Ninety-six per cent of the entire island popula...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633991932531
更新日期:1999-01-01 00:00:00
abstract::Tele-education has been used for many years to deliver continuing education programmes to rural health-care professionals. The main modes are audio, video and computer. Audio technologies involve the transmission of the spoken word (voice) between learners and instructors, either synchronously or asynchronously. Examp...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763306776084400
更新日期:2006-01-01 00:00:00
abstract::We conducted a systematic review of studies employing telehealth interventions which focused on family caregivers' outcomes. The Embase, CINHAL, Cochrane and PubMed databases were searched using combinations of keywords including "telehealth," "telemedicine," "telecare," "telemonitoring," "caregiver" and "family." The...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1177/1357633X14562734
更新日期:2015-01-01 00:00:00
abstract::To study the value of the Austrian Academic Computer Network (ACOnet) for teleradiology, 1740 test image data-sets and 620 image data-sets were exchanged between the departments of diagnostic radiology of the Universities of Innsbruck and Graz using the ACOnet service. Data transmission was reliable and fast with an a...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633981931380
更新日期:1998-01-01 00:00:00
abstract::We examined the feasibility of using a remotely manoeuverable robot to make home hazard assessments for fall prevention. We employed use-case simulations to compare robot assessments with in-person assessments. We screened the homes of nine elderly patients (aged 65 years or more) for fall risks using the HEROS screen...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X13517350
更新日期:2014-01-01 00:00:00
abstract::In July 1998, a telemedicine link was established between the Venizelio General Hospital in Crete and the Paediatric Cardiology Department of the Aghia Sophia Children's Hospital in Athens. The telemedicine link used ISDN at 384 kbit/s for diagnosis, management and education in congenital heart disease. Over 18 months...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633011936462
更新日期:2001-01-01 00:00:00
abstract::We investigated the accuracy and reliability of observational kinematic gait assessments performed via a low-bandwidth Internet link (18 kbit/s) and a higher-speed Internet link (128 kbit/s). Twenty-four subjects were randomized to either bandwidth group. Gait was assessed with the Gait Assessment Rating Scale (GARS) ...
journal_title:Journal of telemedicine and telecare
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1258/135763303322596255
更新日期:2003-01-01 00:00:00
abstract::We established a telerehabilitation system to link staff at the University of Alberta with clinicians and students located in Two Hills, a rural community approximately 180 km east of Edmonton. From February 1996 to March 1999, the faculty of Rehabilitation Medicine conducted a total of 254 telehealth sessions, most o...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633001935554
更新日期:2000-01-01 00:00:00
abstract::Introduction Pulmonary rehabilitation (PR) is an integral part of the management of chronic obstructive pulmonary disease (COPD). However, many patients do not access or complete PR, and long-term exercise maintenance has been difficult to achieve after PR. This study aimed to investigate feasibility, long-term exerci...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15625545
更新日期:2017-01-01 00:00:00
abstract::Background Ischemic stroke is a time-sensitive disease, with improved outcomes associated with decreased time from onset to treatment. It was hypothesised that ambulance-based assessment of the National Institutes of Health Stroke Scale (NIHSS) using a Health Insurance Portability and Accountability Act (HIPAA)-compli...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X16648490
更新日期:2017-05-01 00:00:00
abstract::Tele-ophthalmology using portable retinal imaging technology, mobile phone and Internet connectivity offers a solution to improve access to diabetic retinopathy (DR) screening services in sub-Saharan African (SSA) countries where the burden of diabetes is increasing and there is limited access to eye care services and...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15604083
更新日期:2016-07-01 00:00:00
abstract::Introduction Following (chemo)radiotherapy (C/RT) for head and neck cancer (HNC), patients return to hospital for regular outpatient reviews with speech pathology (SP) and nutrition and dietetics (ND) for acute symptom monitoring, nutritional management, and swallowing and communication rehabilitation. The aim of the ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X17733020
更新日期:2017-12-01 00:00:00
abstract::Telepsychiatry can be used in two kinds of psychiatric emergencies: one-time clinical events and public health situations associated with mass disaster. Emergency telepsychiatry delivered by videoconferencing has the potential to improve patient care in many settings. Although experience is limited, it has been found ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1258/jtt.2008.080419
更新日期:2008-01-01 00:00:00
abstract:INTRODUCTION:Sepsis is a life-threatening emergency. Together, early recognition and intervention decreases mortality. Protocol-based resuscitation in the emergency department (ED) has improved survival in sepsis patients, but guideline-adherent care is less common in low-volume EDs. This study examined the association...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X19896667
更新日期:2020-01-05 00:00:00
abstract:INTRODUCTION:Cardiac rehabilitation improves physical capacity, health-related quality of life, and reduces morbidity and mortality among cardiac patients. Telemonitored exercise-based cardiac rehabilitation may innovate existing programmes and increase participation rates. OBJECTIVE:The purpose of this study was to i...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X18792808
更新日期:2020-01-01 00:00:00
abstract:INTRODUCTION:Access to telehealth services for children living in rural and remote areas of Australia is very limited. The delivery of allied health therapies to children in school via telehealth may help reduce inequality and improve academic outcomes over time. METHODS:A service delivering speech and language therap...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X19875848
更新日期:2019-10-01 00:00:00
abstract::We compared the costs and cost-effectiveness of telemonitoring vs usual care for patients with chronic obstructive pulmonary disease (COPD). A total of 256 patients were randomised to either telemonitoring or usual care. In the telemonitoring arm, the touch-screen telemonitoring equipment transmitted data to clinical ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1177/1357633X14566574
更新日期:2015-03-01 00:00:00
abstract::We assessed the clinical effectiveness and patient satisfaction with nurse-led telephone follow-up of women with lower urinary tract symptoms. Participants were offered telephone follow-up with a nurse instead of a conventional outpatient appointment. Suitability was decided by the doctor who saw the women at her last...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763307782215424
更新日期:2007-01-01 00:00:00
abstract::Protocols are essential in a nurse-led minor injuries unit. They allow the identification of agreed steps that need to occur in a sequential and timely fashion for a given process. Protocols fall into four categories: (1) for the management of specific clinical conditions; (2) for ordering and interpreting radiographs...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633991933693
更新日期:1999-01-01 00:00:00
abstract::We investigated why hospice nurses were slow to adopt videophones to care for their patients. We used the unified theory of acceptance and use of technology (UTAUT) model and the organizational readiness for change (ORC) assessment via interviews and focus groups with hospice staff. Twenty-five hospice employees parti...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2009.080911
更新日期:2009-01-01 00:00:00
abstract:INTRODUCTION:Decentralised services through outreach clinics or modern technology reduce patient travel time and cost to society. Telemedicine consultation through videoconference is one such modality. Here, we compared patient-reported health outcomes and satisfaction between video-assisted remote and standard face-to...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1177/1357633X18783921
更新日期:2019-09-01 00:00:00
abstract::We evaluated an accident and emergency teleconsultation service provided to 14 community hospitals in north-east Scotland. Each community hospital was equipped with a videoconferencing system and a document camera to allow transmission of radiographs. The network used 384 kbit/s ISDN connections. A total of 1392 telec...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763304322764130
更新日期:2004-01-01 00:00:00
abstract::A portable nuclear medicine (NM) processing system was established in Kalgoorlie and an acute myocardial perfusion scintigraphy (MPS) service was provided for the local regional hospital. After scanning the patient, the data were processed on a laptop computer and JPEG images were transmitted to a secure Web server. A...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763303322196411
更新日期:2003-01-01 00:00:00
abstract::A non-supervised call centre was used to allow oncology patients to contact their personal doctors 24 hours a day. Incoming patient calls to the centre were automatically routed to the doctor's mobile phone or office telephone. Over four years, an average of 407 calls were made each year, by an average of 274 oncology...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763302320939211
更新日期:2002-01-01 00:00:00
abstract::The Royal Children's Hospital (RCH) in Melbourne has been providing web-based video-consultations for a range of paediatric sub-specialties since 2011. There were 346 video-consultations in the first 16 months, from a total of 65 clinicians. Most teleconsultations were with the family at home. Generally, video-consult...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X13506530
更新日期:2013-10-01 00:00:00
abstract::Videoconferencing at a bandwidth of 384 kbit/s was used in open sessions for subjects with alcohol use disorders (AUD). Study participants received eight sessions of group therapy over a four-week period from an accredited addictions counsellor. Outcome assessment included self-report measures, a qualitative interview...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763305774472060
更新日期:2005-01-01 00:00:00
abstract::Telemedicine has the potential substantially to improve the delivery of health care. However, cost-effectiveness studies are needed to help define the appropriate scope and application of telemedicine in different settings. Reports on the evaluation of telemedicine are dominated by technical and feasibility studies. S...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X0501100801
更新日期:2005-01-01 00:00:00
abstract:INTRODUCTION:Bladder cancer is the most costly malignancy to manage per capita due to the technical nature and intensity of follow-up. There are few urologists in rural areas, often necessitating that patients travel hours to receive follow-up care multiple times per year. We plan to train registered nurses and allied ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15610040
更新日期:2016-10-01 00:00:00
abstract::Introduction Despite the increased interest in telerehabilitation (TR), virtual reality (VR) and outcome measures for stroke rehabilitation, surprisingly little research has been done to map and identify the most common outcome measures used in TR. For this review, we conducted a systematic search of the literature th...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1177/1357633X16656235
更新日期:2017-07-01 00:00:00