Societal Drivers in the Applications of Telehealth
Doarn CR, Yellowlees P, Jeffries DA, Lordan D, Davis S, Hammack G, McClosky-Armstrong T, Kvedar J. Societal drivers in the applications of telehealth. Telemed J E Health. 2008 Nov;14(9):998-1002. doi: 10.1089/tmj.2008.0111. PubMed PMID: 19035816.Read More...
The application of telemedicine and e-health tools and the integration of these tools in healthcare is no longer a demonstration, pilot project, or idea. The changing landscape of humanity dictates that new solutions be implemented to address old problems. The landscape is changing with diminishing resources of fossil fuels, aging population, a shortage of skilled labor in healthcare (doctors, nurses, and allied health professionals), and emerging technologies for the personal space, culture, and consumer demand. All are key drivers in altering healthcare delivery, access, and education. The very foundation of medicine needs to change to meet these demands. Access using telehealth will widen and enable our ability to respond to public health issues. This paper addresses the many societal issues facing healthcare delivery and demonstrates how telehealth solutions are key components of the future of healthcare delivery across the globe.
Brave New Worlds: How Virtual Environments Can Augment Traditional Care in the Management of Diabetes
Watson AJ, Grant RW, Bello H, Hoch DB. Brave new worlds: how virtual environments can augment traditional care in the management of diabetes. J Diabetes Sci Technol. 2008 Jul;2(4):697-702. PubMed PMID: 19885247.Read More...
New technologies, such as online networking tools, offer innovative ways to engage patients in their diabetes care. Second Life (SL) is one such virtual world that allows patients to interact in a 3D environment with peers and healthcare providers. This article presents a framework that demonstrates how applications within SL can be constructed to meet the needs of patients with diabetes, allowing them to attend group visits, learn more about lifestyle changes, and foster a sense of support and emotional well-being. This experiential approach to education may prove more engaging, and therefore successful, than existing strategies. Addressing concerns relating to privacy and liability is a necessary first step to engage providers in this new approach to patient care.
American Telemedicine Association's Practice Guidelines for Teledermatology
Krupinski E, Burdick A, Pak H, Bocachica J, Earles L, Edison K, Goldyne M, Hirota T, Kvedar J, McKoy K, Oh D, Siegel D, Antoniotti N, Camacho I, Carnahan L, Boynton P, Bakalar R, Evans R, Kinel A, Kuzmak P, Madden BC, Peters S, Rosenthal L, Simmons S, Bernard J, Linkous J. American Telemedicine Association's Practice Guidelines for Teledermatology. Telemed J E Health. 2008 Apr;14(3):289-302. doi: 10.1089/tmj.2007.0129. PubMed PMID: 18570555.Read More...
Staying on Top in Dermatology: Why We Must Act Now to Address the Capacity Challenge
Watson AJ, Kvedar JC. Staying on top in dermatology: why we must act now to address the capacity challenge. Arch Dermatol. 2008 Apr;144(4):541-4. doi: 10.1001/archderm.144.4.541. PubMed PMID: 18427052.Read More...
The dermatology profession is currently facing an intriguing problem: business is booming. Dermatologists are in great demand, and although this might not sound like cause for complaint, our capacity to provide care for dermatology patients is now being critically stretched. The surge in demand is no matter of chance but rather the result of changing epidemiology, ethnographic trends, and skilled advertising. Despite recent advances in care, our core clinical conditions remain without curative treatments. Furthermore, old enemies are fighting back; both melanoma and nonmelanoma skin cancer incidences are on the rise. The World Health Organization estimates that half of all cancers in the United States are skin related.1 At the same time, the demographic shift in the US population means that we are caring for an aging population with multiple medical dermatology needs. In addition, a sustained, high-profile advertising campaign by organized dermatology over the past 15 years has fueled demand by educating, or reminding, the public that “there are thousands of reasons to see a dermatologist.”
Beyond EHRs: How Technology Can Help You Treat Chronic Illness
Heinzelmann PJ, Kvedar JC, Kibbe DC. Beyond EHRs: how technology can help you treat chronic illness. Fam Pract Manag. 2008 Mar;15(3):29-32. PubMed PMID: 18422264.Read More...
More than 133 million Americans currently live with a chronic condition. The incidence of chronic illness is accelerating as the baby boom generation ages and young Americans become increasingly sedentary. Case in point: The number of individuals with diabetes in the United States is expected to double to more than 48 million by the year 2050.
The numbers are staggering and perhaps overwhelming for primary care physicians. That's understandable because, in its present form, the U.S. health care system is largely ineffective in the management of chronic illness. Several medical schools have responded by developing curricula emphasizing chronic disease management, but shortages of family physicians and other primary care specialists are expected to continue as fewer medical students enter these fields. This greater demand and diminished supply further support the need for new models of care delivery. Seven to 10 minutes is the norm for a typical follow-up office visit, but even if we could cut that time in half and double patient volume, we would not begin to address the growing supply and demand problem. Simply put, we are losing the capacity battle.
All hope is not lost, however. This article discusses how technology can help family physicians not only keep up with the needs of their chronically ill patients but also increase the quality of their care.Less
Reevaluating the Digital Divide: Current Lack of Internet Use Is Not a Barrier to Adoption of Novel Health Information Technology
Watson AJ, Bell AG, Kvedar JC, Grant RW. Reevaluating the digital divide: current lack of internet use is not a barrier to adoption of novel health information technology. Diabetes Care. 2008 Mar;31(3):433-5. Epub 2007 Dec 4. PubMed PMID: 18056885.Read More...
Improving care for a growing population of complex patients with type 2 diabetes requires developing innovative strategies for clinical management (1,2). Currently, roughly 70% of the U.S. population uses the Internet (3,4). Disparities in Internet use across social and ethnic strata, however, have resulted in the well-publicized "digital divide" (5,6). Population segments less likely to be online, such as the elderly, nonwhite race/ethnic groups, and the poor, are also disproportionately affected by diabetes (7). It is unknown whether barriers to Internet use extend to the use of other health information technology (HIT) tools being developed to support diabetes care. We hypothesized that patients not currently online might nonetheless be receptive to adopting future technologies designed to support their diabetes care.