scholarly journals Telemedicine: The Next Generation of Healthcare?

10.28945/4075 ◽  
2018 ◽  
Vol 3 ◽  
pp. 001-021

Telemedicine technology had advanced rapidly with the growth of the internet in the 2000’s. The technology, also known as telehealth, allowed patients to receive medical care remotely rather than traditional in-person doctor visits at a facility. Consumer demand exploded throughout the 2010’s, and some of the best hospitals in the world started implementing some forms of telehealth technology; some were subtle, some overt. However, for many hospitals like Lakeland Regional Health (LRH), telehealth was yet to be offered as a wide-scale option for patients to use. Elizabeth, LRH’s Chief Information Officer (CIO), had just come from a committee meeting where she and other executives discussed how telemedicine could be best implemented at LRH, if at all. The technology had only just begun to be technologically reliable, and the price tag for offering such services was heavy. Their immediate objective was to properly align LRH’s entry into telemedicine services without sacrificing their high commitment to quality patient care. As Elizabeth began to unwind from work, she pondered questions regarding costs, government regulations, and how the telehealth adoption would affect LRH’s financial position. After jotting down a few notes, she suddenly received a call; it was her sister Cindy. Cindy explained that she was concerned about her daughter because she had displayed flu-like symptoms throughout the day and, unfortunately, she was not able to take her daughter to the emergency room (ER). Cindy remembered Elizabeth talking about telehealth, and how some of the local hospitals were offering telemedicine prescription services over the internet or phone app as an option instead of having to go to the ER for some medicine. Elizabeth referred her to the hospital offering the telemedicine services, but she wanted to be able to refer Cindy directly to LRH considering they were known for providing outstanding patient care. Elizabeth wished Cindy’s daughter well, and they said their goodbyes. Elizabeth knew that telemedicine could have been helpful for her sister that night. Now, even more, she was motivated to advocate for the project. She reflected on how LRH could offer telehealth services without compromising the quality of patient care and without negatively impacting the hospital’s financial standing. Was this even possible?

2020 ◽  
Vol 37 (2) ◽  
pp. 249-264
Author(s):  
Jane R. Bambauer ◽  
Saura Masconale ◽  
Simone M. Sepe

AbstractA person’s epistemic goals sometimes clash with pragmatic ones. At times, rational agents will degrade the quality of their epistemic process in order to satisfy a goal that is knowledge-independent (for example, to gain status or at least keep the peace with friends.) This is particularly so when the epistemic quest concerns an abstract political or economic theory, where evidence is likely to be softer and open to interpretation. Before wide-scale adoption of the Internet, people sought out or stumbled upon evidence related to a proposition in a more random way. And it was difficult to aggregate the evidence of friends and other similar people to the exclusion of others, even if one had wanted to. Today, by contrast, the searchable Internet allows people to simultaneously pursue social and epistemic goals.This essay shows that the selection effect caused by a merging of social and epistemic activities will cause both polarization in beliefs and devaluation of expert testimony. This will occur even if agents are rational Bayesians and have moderate credences before talking to their peers. What appears to be rampant dogmatism could be just as well explained by the nonrandom walk in evidence-gathering. This explanation better matches the empirical evidence on how people behave on social media platforms. It also helps clarify why media outlets (not just the Internet platforms) might have their own pragmatic reasons to compromise their epistemic goals in today’s competitive and polarized information market. Yet, it also makes policy intervention much more difficult, since we are unlikely to neatly separate individuals’ epistemic goals from their social ones.


2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
T Schrire ◽  
C Estela

Abstract Introduction Plastic Surgery Minor Operations is a fast paced, rapid turnover operative environment. It is reliant on effective communication, accurate surgery, and time efficiency. It was noticed in our department that there was confusion regarding booking and operative intentions leading to delays in surgery and over-running lists. This was worsening patient experience and leading to delays in patient care. Method In response to the delays and confusion in booking, a new booking form was created, so all patients have a standardised booking containing the necessary information. This form was disseminated across all the booking clinics and formed a vital part of the pre-operative check in process. Results The audit was carried out at the time of introduction, and then re-audited a year later to see if the form has improved care for patients. Results showed that with the new booking form, people were not having to cancel or rearrange patients. Patient booking forms were sufficient, and a copy of the clinic letter no longer required for the operation to proceed or for clarity. It was noted that more senior advice was sought. Conclusions The new form has improved patient flow and quality of patient care, whilst streamlining the booking process.


2020 ◽  
Vol 93 (6) ◽  
pp. 343-350
Author(s):  
Molly O. Regelmann ◽  
Rushika Conroy ◽  
Evgenia Gourgari ◽  
Anshu Gupta ◽  
Ines Guttmann-Bauman ◽  
...  

<b><i>Background:</i></b> Pediatric endocrine practices had to rapidly transition to telemedicine care at the onset of the novel coronavirus disease 2019 (COVID-19) pandemic. For many, it was an abrupt introduction to providing virtual healthcare, with concerns related to quality of patient care, patient privacy, productivity, and compensation, as workflows had to change. <b><i>Summary:</i></b> The review summarizes the common adaptations for telemedicine during the pandemic with respect to the practice of pediatric endocrinology and discusses the benefits and potential barriers to telemedicine. <b><i>Key Messages:</i></b> With adjustments to practice, telemedicine has allowed providers to deliver care to their patients during the COVID-19 pandemic. The broader implementation of telemedicine in pediatric endocrinology practice has the potential for expanding patient access. Research assessing the impact of telemedicine on patient care outcomes in those with pediatric endocrinology conditions will be necessary to justify its continued use beyond the COVID-19 pandemic.


2021 ◽  
Vol 31 (4) ◽  
pp. 497-508
Author(s):  
Farid M. Shamji ◽  
Joel Cooper ◽  
Gilles Beauchamp

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