How to Use Technology and Telehealth to Enhance the Interprofessional Community of Practice

Author(s):  
Steven D. Waldman ◽  
Corey W. Waldman ◽  
Reid A. Waldman ◽  
Judith Ovalle Abuabara

The widespread availability and use of digital technology including the internet, cell phones, remote electrocardiogram, PACS (picture archiving and communication) systems, and video chat platforms such as Facetime and Zoom have fueled the growth of telehealth. In 2013, only about 350,000 Americans utilized telehealth technology as part of their care plan, and most of these patient interactions involved the use of telephone consults. By the end of 2018, that number had jumped to over 7,000,000. Coupled with the exponential increase in the use of telehealth technology has been a rapid decrease in the cost of telehealth technology and HIPAA compliant telehealth platforms. The ease of use and relative affordability of these technologic advances make telehealth technology an ideal tool to enhance the interprofessional community of practice.

2017 ◽  
Vol 23 (10) ◽  
pp. 835-841 ◽  
Author(s):  
Liam J Caffery ◽  
Monica Taylor ◽  
John B North ◽  
Anthony C Smith

Health services in the United States and Europe have reported that tele-orthopaedics saves significant patient travel time, reduces time off work, increases satisfaction with care and in some scenarios reduces the cost of care. Less is known about the role of tele-orthopaedics in Australia. The aim of this study was to explore Australian-based tele-orthopaedic services, and to identify the barriers and enablers associated with these services. We used a qualitative case study methodology where specific services were identified from multiple sources and invited to participate in a structured interview. Nine tele-orthopaedic services contributed to the study. Telehealth activity in each service ranged from one to 75 patients per week, and service maturity ranged from three months to 10 years. Services were used predominantly for fracture clinics and peri-operative consultations. The majority (78%) of services used videoconferencing. Two services used asynchronous methods to review radiographs without direct patient involvement. Tele-orthopaedics was found to be disruptive as it required the redesign of many care processes. However, all services found the redesign feasible. Staff resistance was a commonly cited barrier. Further, imaging repositories from multiple imaging providers complicated access to information. Key enablers included clinical champions, picture archiving and communication systems, and the perceived benefit to patients who would avoid the need for travel. Whilst it appears that tele-orthopaedics is not widely utilised in Australia, recognition of the barriers and enablers is important for the development of similar services.


2011 ◽  
Vol 4 (4) ◽  
pp. 385-394 ◽  
Author(s):  
J. Meneely ◽  
F. Ricci ◽  
S. Vesco ◽  
M. Abouzied ◽  
M. Sulyok ◽  
...  

Many different immunochemical platforms exist for the screening of naturally occurring contaminants in food from the low cost enzyme linked immunosorbent assays (ELISA) to the expensive instruments such as optical biosensors based on the phenomenon of surface plasmon resonance (SPR). The primary aim of this study was to evaluate and compare a number of these platforms to assess their accuracy and precision when applied to naturally contaminated samples containing HT-2/T-2 mycotoxins. Other important factors considered were the speed of analysis, ease of use (sample preparation techniques and use of the equipment) and ultimately the cost implications. The three screening procedures compared included an SPR biosensor assay, a commercially available ELISA and an enzymelinked immunomagnetic electrochemical array (ELIME array). The qualitative data for all methods demonstrated very good overall agreements with each other, however on comparison with mass spectrometry confirmatory results, the ELISA and SPR assay performed slightly better than the ELIME array, exhibiting an overall agreement of 95.8% compared to 91.7%. Currently, SPR is more costly than the other two platforms and can only be used in the laboratory whereas in theory both the ELISA and ELIME array are portable and can be used in the field, but ultimately this is dependent on the sample preparation techniques employed. Sample preparative techniques varied for all methods evaluated, the ELISA was the most simple to perform followed by that of the SPR method. The ELIME array involved an additional clean-up step thereby increasing both the time and cost of analysis. Therefore in the current format, field use would not be an option for the ELIME array. In relation to speed of analysis, the ELISA outperformed the other methods.


Author(s):  
O. Gertsiy

The main characteristics of graphic information compression methods with losses and without losses (RLE, LZW, Huffman's method, DEFLATE, JBIG, JPEG, JPEG 2000, Lossless JPEG, fractal and Wawelet) are analyzed in the article. Effective transmission and storage of images in railway communication systems is an important task now. Because large images require large storage resources. This task has become very important in recent years, as the problems of information transmission by telecommunication channels of the transport infrastructure have become urgent. There is also a great need for video conferencing, where the task is to effectively compress video data - because the greater the amount of data, the greater the cost of transmitting information, respectively. Therefore, the use of image compression methods that reduce the file size is the solution to this task. The study highlights the advantages and disadvantages of compression methods. The comparative analysis the basic possibilities of compression methods of graphic information is carried out. The relevance lies in the efficient transfer and storage of graphical information, as big data requires large resources for storage. The practical significance lies in solving the problem of effectively reducing the data size by applying known compression methods.


Sign in / Sign up

Export Citation Format

Share Document