Video Conferencing-based Telehealth

2005 ◽  
Vol 44 (02) ◽  
pp. 334-341 ◽  
Author(s):  
C. R. Anglin ◽  
J. P. Schaafsma ◽  
S. V. Pantazi ◽  
S. Anglin ◽  
N. A. Grimm ◽  
...  

Summary Purpose: To review the experience with a province-wide telehealth system in Canada, and its implications for health care and health promotion. To explore whether group support systems (GSS) based on networked computers can substitute for video conferencing technology. Methods: Key results of the evaluation of the BC Tele-health Program are summarized. The potential of extending the successful principles through use of GSS is explored based on literature review, demonstrations, and trial use for educational applications. Results: The BC Telehealth Program was designed to support health professionals at secondary care facilities, such as regional and district hospitals in two application domains: children’s and women’s health (C&W) and emergency room and trauma care (ER-Trauma). Successful applications extended beyond health professionals and focused on chronic conditions, the management of which is contingent on visual information, and involves established teams in regular scheduled visits or in sessions scheduled well in advance. Ad hoc applications, in particular applications under emergency conditions proved problematic.Administrative applications in support of telehealth implementation, e.g., through facilitation of management and provider education, are essential for clinical success. Savings from support of administrative applications exceeded the substantial capital investment and made educational and clinical applications available at variable cost. Educational applications were shown to have significant clinical benefits.Exploration of GSS technology showed that it may not be mature enough to substitute for video conferencing technology in support of sophisticated training and education aiming at clinical impact. Conclusion: The substantial clinical and efficiency gains provided by video conferencing-based telehealth may for now continue to depend on mature videoconferencing technology.

2019 ◽  
Vol 23 (4) ◽  
pp. 626-638 ◽  
Author(s):  
Lucy Bray ◽  
Victoria Appleton ◽  
Ashley Sharpe

Children undergoing procedures such as blood tests and X-rays experience less anxiety and upset if they are well prepared and informed. Currently the provision of information about procedures can be ad hoc and there are barriers to children understanding this information. This study explored the perspectives of 32 children undergoing procedures (aged between 8 and 12 years), 27 parents and 19 health professionals on the provision of preparatory information to children. Qualitative interviews, prompted by visual images, were thematically analysed. The three themes, ‘accessing information’, ‘understanding information’ and ‘using information’, resonated with the central tenets of health literacy. Children reported mainly accessing information second-hand through their parents and demonstrated misconceptions about their procedure. Children identified that procedural information would help them to know what was going to happen and enable them to feel less worried and scared about their procedure. This study highlights that children can have low levels of health literacy in relation to a planned procedure. Their health literacy in this context is heavily influenced by the adults (parents and health professionals) around them. There needs to be further work conducted, informed directly by children, to improve the health literacy of children attending hospital for planned procedures.


1994 ◽  
Vol 18 (9) ◽  
pp. 544-547 ◽  
Author(s):  
Richard Tillett

The Royal College of Psychiatrists (1991) has recommended that all local mental health services should include specialist psychotherapy departments. At present these are uncommon outside major teaching centres, although a considerable amount of simple psychotherapy is provided on an ad hoc basis by mental health professionals of various disciplines. This paper describes the structure, functioning and costs of a specialist department in a non-teaching district in the south west of England.


2015 ◽  
Vol 41 (2) ◽  
pp. 217-228 ◽  
Author(s):  
Mahbuba Akter ◽  
Tahmina Afroz ◽  
Md Ghulam Mustafa

A comparative technical and economic analysis of two communitybased seasonal floodplains (Khirai and Angrail) of Daudkandi Upazila, Comilla during 2008 to 2010, are represented in this paper. The two floodplains differed mainly in management and fish production which were related to capital investment, variable cost, share of profits and proportional reimbursement to the fishers. Local management committees have been developed in each floodplain with significant differences. Average 142 kg/ha of fish fingerlings (carps such as Catla catla, Labeo rohita, Cirrhinus cirrhosus, Labeo calbasu, Labeo bata and exotic species such as Hypopthalmicthys molitrix, Aristichthys nobilis, Cyprinus carpio, Ctenopharyngodon idella, Pungasius hypophthalmus, Barbonymus gonionotus, Oreochromis niloticus) were stocked at the varying proportions. Fish production obtained were 2.8 to 4.4 mt/ha and 1.1 to 1.3 mt/ha in Khirai and Angrail floodplain, respectively. The average cost of fish production, total income and the net income have been estimated as Tk. 209650 ± 54167.12/ha, Tk. 281306 ± 88263.42/ha and Tk. 71656 ± 35152.51/ha in Khirai floodplain and Tk. 62349 ± 5768.90/ha, Tk. 111930 ± 12711.02/ha and Tk. 49580 ± 6948.26/ha in Angrail floodplain, respectively. The benefit cost ratio (BCR) has been recorded as 1.33 and 1.79 in Khirai and Angrail floodplain, respectively. The results reveal that the fish production and economic benefit was higher in Khirai floodplain.Bangladesh J. Zool. 41(2): 217-228, 2013


10.2196/17971 ◽  
2021 ◽  
Vol 5 (8) ◽  
pp. e17971
Author(s):  
Christina Oxholm ◽  
Anne-Marie Soendergaard Christensen ◽  
Regina Christiansen ◽  
Uffe Kock Wiil ◽  
Anette Søgaard Nielsen

Background As a preamble to an attempt to develop a tool that can aid health professionals at hospitals in identifying whether the patient may have an alcohol abuse problem, this study investigates opinions and attitudes among both health professionals and patients about using patient data from electronic health records (EHRs) in an algorithm screening for alcohol problems. Objective The aim of this study was to investigate the attitudes and opinions of patients and health professionals at hospitals regarding the use of previously collected data in developing and implementing an algorithmic helping tool in EHR for screening inexpedient alcohol habits; in addition, the study aims to analyze how patients would feel about asking and being asked about alcohol by staff, based on a notification in the EHR from such a tool. Methods Using semistructured interviews, we interviewed 9 health professionals and 5 patients to explore their opinions and attitudes about an algorithm-based helping tool and about asking and being asked about alcohol usage when being given a reminder from this type of tool. The data were analyzed using an ad hoc method consistent with a close reading and meaning condensing. Results The health professionals were both positive and negative about a helping tool grounded in algorithms. They were optimistic about the potential of such a tool to save some time by providing a quick overview if it was easy to use but, on the negative side, noted that this type of helping tool might take away the professionals’ instinct. The patients were overall positive about the helping tool, stating that they would find this tool beneficial for preventive care. Some of the patients expressed concerns that the information provided by the tool could be misused. Conclusions When developing and implementing an algorithmic helping tool, the following aspects should be considered: (1) making the helping tool as transparent in its recommendations as possible, avoiding black boxing, and ensuring room for professional discretion in clinical decision making; and (2) including and taking into account the attitudes and opinions of patients and health professionals in the design and development process of such an algorithmic helping tool.


2019 ◽  
pp. 24-41
Author(s):  
Ernesto Colomo Magaña ◽  
Vicente Gabarda Méndez ◽  
Nuria Cuevas Monzonís ◽  
Andrea Cívico Ariza

Communication between actors involved in the internship is one of the key elements in the mentoring process and the student’s experience. In this perspective, the present study analyses the students’ and school tutors’ perception on the usefulness of some technological tools for online tutoring processes. The sample was composed by 123 students of the subjects of Prácticas Escolares I y IV of the Universidad Internacional de Valencia’s Primary Education Degree, during the course 2018/2019, and their respective 123 tutors of the internship centres. For the study, two ad hoc instruments have been designed to collect the data of variables such as the students’ and tutors’ sex and age, the internship period and the type of centre where the internship was carried out, as well as scale to measure the email, video conferencing and forum utility. The results show that email is perceived as the most useful resource for both agents and that the age, the internship period and the type of centre condition the perception of the participants.


Author(s):  
Deepa Hiremath ◽  
Shreeshail Rudrapur ◽  
L. R. Dubey ◽  
Bhanupriya Choyal

The study of economic performance of Tur dal processing units in terms of cost is very essential for accelerating the growth of agriculture processing industries. The present study was undertaken to work out the unit fixed costs, variable costs, production costs and returns of processing of Tur dal and different constraints faced by Tur dal processors of Bharuch District of Gujarat. The primary data pertained to consecutive three years i.e., 2017-18, 2018-2019, and 2019-20 were collected from the sample of three Tur dal mills from Bharuch, Ankleshwar and Vaghra talukas of Bharuch district. The results indicated that the average capital investment for a dal mill per unit was Rs. 7, 10, 00,000. The average fixed cost and average variable cost per quintal was of INR 46.10 and 245.46 respectively. Hence, average processing cost per quintal was worked out to be Rs. 291.56. The gross return per quintal of processed tur dal was Rs. 5754.50. The average content of tur dal and by- products was in the proportion of 72 per cent and 28 per cent respectively, by weight. The recovery in one quintal of tur was 65 kg of tur dal, 7 kg of broken dal and 28 kg of chala/chuni/ dead seed. The net returns per quintal after processing was found to be Rs. 579.61. It was found that, inadequate supply of raw material for processing especially during off season was the major constraint faced by the dal mill owners followed by units not running on full capacity utilization during offseason and irregular electricity supply to run the unit, etc.


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