Telemed J E Health - Testing a top-down strategy for establishing a sustainable telemedicine program in a developing country: the Arizona telemedicine program-US Army-Republic of Panama Initiative.

Tópicos

{ patient(1821) servic(1111) care(1106) }
{ implement(1333) system(1263) develop(1122) }
{ inform(2794) health(2639) internet(1427) }
{ method(2212) result(1239) propos(1039) }
{ ehr(2073) health(1662) electron(1139) }
{ health(1844) social(1437) communiti(874) }
{ drug(1928) target(777) effect(648) }
{ model(3480) simul(1196) paramet(876) }
{ use(1733) differ(960) four(931) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ detect(2391) sensit(1101) algorithm(908) }
{ patient(2315) diseas(1263) diabet(1191) }
{ data(1714) softwar(1251) tool(1186) }
{ case(1353) use(1143) diagnosi(1136) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ group(2977) signific(1463) compar(1072) }
{ first(2504) two(1366) second(1323) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ chang(1828) time(1643) increas(1301) }
{ control(1307) perform(991) simul(935) }
{ general(901) number(790) one(736) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ model(2341) predict(2261) use(1141) }
{ perform(1367) use(1326) method(1137) }
{ patient(2837) hospit(1953) medic(668) }
{ medic(1828) order(1363) alert(1069) }
{ time(1939) patient(1703) rate(768) }
{ process(1125) use(805) approach(778) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ risk(3053) factor(974) diseas(938) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ monitor(1329) mobil(1314) devic(1160) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }

Resumo

JECTIVE: Many developing countries have shown interest in embracing telemedicine and incorporating it into their healthcare systems. In 2000, the U.S. Army Yuma Proving Ground (YPG) initiated a program to assist the Republic of Panama in establishing a demonstration Panamanian rural telemedicine program. YPG engaged the Arizona Telemedicine Program (ATP) to participate in the development and implementation of the program.MATERIALS AND METHODS: The ATP recommended adoption of a "top-down" strategy for creating the program. Early buy-in of the Panamanian Ministry of Health and academic leaders was regarded as critical to the achievement of long-term success.RESULTS: High-level meetings with the Minister of Health and the Rectors (i.e., Presidents) of the national universities gained early program support. A telemedicine demonstration project was established on a mountainous Indian reservation 230 miles west of Panama City. Today, three rural telemedicine clinics are linked to a regional Ministry of Health hospital for teleconsultations. Real-time bidirectional videoconferencing utilizes videophones connected over Internet protocol networks at a data rate of 768 kilobits per second to the San Felix Hospital. Telepediatrics, tele-obstetrics, telepulmonology, teledermatology, and tele-emergency medicine services became available. Telemedicine services were provided to the three sites for a total of 1,013 cases, with numbers of cases increasing each year. These three demonstration sites remained in operation after discontinuation of the U.S. involvement in September 2009 and serve as a model program for other telemedicine initiatives in Panama.CONCLUSIONS: Access to the assets of a partner-nation was invaluable in the establishment of the first model telemedicine demonstration program in Panama. After 3 years, the Panamanian Telemedicine and Telehealth Program (PTTP) became self-sufficient. The successful achievement of sustainability of the PTTP after disengagement by the United States fits the Latifi-Weinstein model for establishing telemedicine programs in developing countries.

Resumo Limpo

jectiv mani develop countri shown interest embrac telemedicin incorpor healthcar system us armi yuma prove ground ypg initi program assist republ panama establish demonstr panamanian rural telemedicin program ypg engag arizona telemedicin program atp particip develop implement programmateri method atp recommend adopt topdown strategi creat program earli buyin panamanian ministri health academ leader regard critic achiev longterm successresult highlevel meet minist health rector ie presid nation univers gain earli program support telemedicin demonstr project establish mountain indian reserv mile west panama citi today three rural telemedicin clinic link region ministri health hospit teleconsult realtim bidirect videoconferenc util videophon connect internet protocol network data rate kilobit per second san felix hospit telepediatr teleobstetr telepulmonolog teledermatolog teleemerg medicin servic becam avail telemedicin servic provid three site total case number case increas year three demonstr site remain oper discontinu us involv septemb serv model program telemedicin initi panamaconclus access asset partnern invalu establish first model telemedicin demonstr program panama year panamanian telemedicin telehealth program pttp becam selfsuffici success achiev sustain pttp disengag unit state fit latifiweinstein model establish telemedicin program develop countri

Resumos Similares

J Telemed Telecare - Eleven years of experience with low-bandwidth telemedicine in a nurse-led rural clinic in Scotland. ( 0,881011083781227 )
J Telemed Telecare - A mobile telemedicine-enabled ear screening service for Indigenous children in Queensland: activity and outcomes in the first three years. ( 0,871033596837138 )
J Telemed Telecare - Use of a mental health emergency care-rural access programme in emergency departments. ( 0,857813670109101 )
Telemed J E Health - Acceptability of the consumer-centric u-health services for patients with chronic obstructive pulmonary disease. ( 0,8517419196212 )
J Telemed Telecare - Telehealth opportunities in regional Queensland: a scoping study. ( 0,850482452030142 )
Telemed J E Health - Telemedicine in an academic center--the Arizona Telemedicine Program. ( 0,840873949287996 )
Telemed J E Health - Comparison of parent satisfaction with care for childhood obesity delivered face-to-face and by telemedicine. ( 0,837265284330106 )
Telemed J E Health - International telemedicine consultations for neurodevelopmental disabilities. ( 0,836169851303631 )
J Telemed Telecare - A feasibility study of a telephone-based screening service for mild cognitive impairment and its uptake by elderly people. ( 0,833321049286529 )
J Telemed Telecare - A pharmacist-managed telemedicine clinic for hepatitis C care: a descriptive analysis. ( 0,831063778704548 )
Telemed J E Health - Teleneurology: successful delivery of chronic neurologic care to 354 patients living remotely in a rural state. ( 0,829924429341476 )
J Telemed Telecare - Telehealth for nursing homes: the utilization of specialist services for residential care. ( 0,825426149759752 )
J Telemed Telecare - A qualitative study of ethical, medico-legal and clinical governance matters in Australian telehealth services. ( 0,825317992098883 )
Telemed J E Health - Can an office practice telephonic response meet the needs of a pandemic? ( 0,824456703853169 )
J Telemed Telecare - A tele-oncology model replacing face-to-face specialist cancer care: perspectives of patients in North Queensland. ( 0,822194547428817 )
Telemed J E Health - TeleFIT: adapting a multidisciplinary, tertiary-care pediatric obesity clinic to rural populations. ( 0,821877055470374 )
Telemed J E Health - Using telehealth to provide diabetes care to patients in rural Montana: findings from the promoting realistic individual self-management program. ( 0,821824595471492 )
Telemed J E Health - The design, implementation, and operational management of a comprehensive quality management program to support national telehealth networks. ( 0,82066649070762 )
J Telemed Telecare - Feasibility of providing nephrology services to remote communities with videoconferencing. ( 0,820170309327291 )
Telemed J E Health - Primary care provider and imaging technician satisfaction with a teledermatology project in rural Veterans Health Administration clinics. ( 0,81914211788947 )
Telemed J E Health - Teledermatology patient satisfaction in the Pacific Northwest. ( 0,812082361996401 )
J. Med. Internet Res. - Video consultation use by Australian general practitioners: video vignette study. ( 0,809964024102586 )
Int J Med Inform - Virtualized healthcare delivery: understanding users and their usage patterns of online medical consultations. ( 0,809696691392068 )
Telemed J E Health - Utilization, benefits, and impact of an e-consultation service across diverse specialties and primary care providers. ( 0,808558029023433 )
J Telemed Telecare - Experience with telehealth for sleep monitoring and sleep laboratory management. ( 0,804547927480224 )
Telemed J E Health - Telemedicine in acute-phase injury management: a review of practice and advancements. ( 0,801837767596255 )
J Telemed Telecare - Use of home telehealth in palliative cancer care: a case study. ( 0,799662437098549 )
Telemed J E Health - Humour sans frontieres: the feasibility of providing clown care at a distance. ( 0,797659331281987 )
J Telemed Telecare - Effectiveness and safety of telemedical management in uncomplicated urinary tract infections. ( 0,796984173687932 )
Telemed J E Health - Online medical care: the current state of eVisits in acute primary care delivery. ( 0,796793537414032 )
Telemed J E Health - The feasibility of a community-based mobile telehealth screening service for Aboriginal and Torres Strait Islander children in Australia. ( 0,79538614156093 )
Telemed J E Health - Potential role of telemedical service centers in managing remote monitoring data transmitted daily by cardiac implantable electronic devices: results of the early detection of cardiovascular events in device patients with heart failure (detecT-Pilot) study. ( 0,795210445047093 )
Med Decis Making - Providing Informal Care in Terminal Illness: An Analysis of Preferences for Support Using a Discrete Choice Experiment. ( 0,79286572256588 )
Telemed J E Health - The impact of telemedicine intensivist support and a pediatric hospitalist program on a community hospital. ( 0,789728476936254 )
J Telemed Telecare - Cost savings and safety of ICD remote control by telephone: a prospective, observational study. ( 0,789365381493268 )
J Telemed Telecare - Patient adherence to recommendations after teleconsultation: survey of patients from a telemedicine centre in Switzerland. ( 0,786687278696733 )
J Telemed Telecare - Trial of telemedicine for patients on home ventilator support: feasibility, confidence in clinical management and use in medical decision-making. ( 0,784295838116215 )
Int J Med Inform - Setting up a telemedicine service for remote real-time video-EEG consultation in La Rioja (Spain). ( 0,783483120559689 )
Telemed J E Health - Telemedicine--a complement to traditional referrals in oral medicine. ( 0,783055295844815 )
J Telemed Telecare - Integrating telemedicine instruction into the curriculum: expanding student perspectives of the scope of clinical practice. ( 0,782349379050638 )
J Telemed Telecare - Integration of e-consultations into the outpatient care process at a tertiary medical centre. ( 0,779356480924614 )
BMC Med Inform Decis Mak - Questionnaire survey about use of an online appointment booking system in one large tertiary public hospital outpatient service center in China. ( 0,778258941202052 )
Telemed J E Health - Teledermatology operational considerations, challenges, and benefits: the referring providers' perspective. ( 0,776783018971625 )
Telemed J E Health - Evaluating the uptake, acceptability, and effectiveness of Uliza! clinicians' HIV hotline: a telephone consultation service in Kenya. ( 0,776556210942127 )
Telemed J E Health - Feasibility and acceptability of clinic-based telepsychiatry for low-income Hispanic primary care patients. ( 0,773799981362618 )
Int J Health Geogr - A brief report on Primary Care Service Area catchment geographies in New South Wales Australia. ( 0,773258593117253 )
Telemed J E Health - A survey on electronic communication in pediatric clinics. ( 0,769969572485934 )
J Telemed Telecare - A telephone survey of patient satisfaction with realtime telemedicine in a rural community in Colombia. ( 0,769070320396676 )
Telemed J E Health - Smartphone surgery: how technology can transform practice. ( 0,768050202904445 )
J Telemed Telecare - Use of videoconferencing for consultation in dental prosthetics and oral rehabilitation. ( 0,766322547364506 )
BMC Med Inform Decis Mak - Design of a randomized, non-inferiority trial to evaluate the reliability of videoconferencing for remote consultation of diabetes. ( 0,766201143170854 )
J Telemed Telecare - A telemedicine network to support paediatric care in small hospitals in rural Tanzania. ( 0,764483965499094 )
Comput Methods Programs Biomed - Development of online diary and self-management system on e-Healthcare for asthmatic children in Taiwan. ( 0,76108418961901 )
BMC Med Inform Decis Mak - Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part I: utility, technical performance and service provider perspective. ( 0,757131210175495 )
J Am Med Inform Assoc - Evaluation of computer-based medical histories taken by patients at home. ( 0,756538216607093 )
Telemed J E Health - Patients' satisfaction of healthcare services and perception with in-home telerehabilitation and physiotherapists' satisfaction toward technology for post-knee arthroplasty: an embedded study in a randomized trial. ( 0,756052937116281 )
Telemed J E Health - Online remote monitoring of patients with differentiated thyroid carcinomas and neuroendocrine tumors treated with high doses of radionuclides. ( 0,754698569660761 )
Telemed J E Health - Impact of patient portal secure messages and electronic visits on adult primary care office visits. ( 0,749958616067432 )
J Telemed Telecare - Child and adolescent telepsychiatry: variations in utilization, referral patterns and practice trends. ( 0,749700529648993 )
J Telemed Telecare - Transcultural telepsychiatry and its impact on patient satisfaction. ( 0,746950779089773 )
J Telemed Telecare - Telephone management of severe wasp stings in rural Nepal: a case report. ( 0,746841847617107 )
J. Med. Internet Res. - Primary care providers' perspectives on online weight-loss programs: a big wish list. ( 0,746254709077461 )
Telemed J E Health - Assessing swallowing disorders online: a pilot telerehabilitation study. ( 0,74486597183057 )
Perspect Health Inf Manag - A peach of a telehealth program: Georgia connects rural communities to better healthcare. ( 0,740776684088052 )
Telemed J E Health - Ten steps to establishing an e-consultation service to improve access to specialist care. ( 0,740072698891493 )
Telemed J E Health - The Pacific Asynchronous TeleHealth (PATH) system: review of 1,000 pediatric teleconsultations. ( 0,739688068956989 )
J Telemed Telecare - Telemedicine in paediatric patients with poorly controlled type 1 diabetes. ( 0,734832340052921 )
Telemed J E Health - A mobile phone-based, community health worker program for referral, follow-up, and service outreach in rural Zambia: outcomes and overview. ( 0,731667935854427 )
Telemed J E Health - Teleconsultation for clinicians who provide human immunodeficiency virus care: experience of the national HIV telephone consultation service. ( 0,731542558609984 )
J. Med. Internet Res. - The Computer-Assisted Brief Intervention for Tobacco (CABIT) program: a pilot study. ( 0,727861746198802 )
Telemed J E Health - Nonmydriatic fundus photography for teleophthalmology diabetic retinopathy screening in rural and urban clinics. ( 0,727629459843212 )
J Telemed Telecare - Clinical course outcomes for store and forward teledermatology versus conventional consultation: a randomized trial. ( 0,727028555835143 )
J Telemed Telecare - The use of teleglaucoma at the University of Alberta. ( 0,726548771659505 )
Telemed J E Health - Telemedicine as an innovative model for rebuilding medical systems in developing countries through multipartnership collaboration: the case of Albania. ( 0,725861654483943 )
Telemed J E Health - The impact of modern telecommunication in palliative care--the views of the professionals. ( 0,724604269405797 )
Telemed J E Health - Feasibility and acceptability of mobile epilepsy educational system (MEES) for people with epilepsy in Malaysia. ( 0,723296834624358 )
J Telemed Telecare - Validation of remote mapping of cochlear implants. ( 0,723267285651461 )
J. Med. Internet Res. - Replacing ambulatory surgical follow-up visits with mobile app home monitoring: modeling cost-effective scenarios. ( 0,721092335401367 )
J Telemed Telecare - Third generation cellular multimedia teleconsultations in plastic surgery. ( 0,720344887970236 )
J Telemed Telecare - Safety for home care: the use of internet video calls to double-check interventions. ( 0,719639924693198 )
J Telemed Telecare - Evaluation of a home telemonitoring service for adult patients with cystic fibrosis: a pilot study. ( 0,716146737258134 )
Telemed J E Health - Economic evaluations of the effects of longevity on telemedicine and conventional healthcare provision. ( 0,7154743003672 )
Spat Spatiotemporal Epidemiol - The influence of rurality on the volume of non-urgent emergency department visits. ( 0,715355530628376 )
J Telemed Telecare - Pharmaceutical review using telemedicine--a before and after feasibility study. ( 0,712307766968062 )
Telemed J E Health - Video medical interpretation over 3G cellular networks: a feasibility study. ( 0,711360268289576 )
Telemed J E Health - Giving voice: Evaluation of an integrated telehealth community care model by parents/guardians of children diagnosed with fetal alcohol spectrum disorder in Manitoba. ( 0,711209175466196 )
Telemed J E Health - Efficacy of telemedicine for stroke: pooled analysis of the Stroke Team Remote Evaluation Using a Digital Observation Camera (STRokE DOC) and STRokE DOC Arizona telestroke trials. ( 0,708848356312168 )
J Telemed Telecare - Telephone follow-up for the management of thyrotoxicosis: a patient satisfaction survey. ( 0,708325232418709 )
Telemed J E Health - Consumer preferences for telemedicine devices and services in South Korea. ( 0,707049376654435 )
Telemed J E Health - An independent investigation into the deployment of the federal communications commissions' rural health care pilot program. ( 0,706788256411906 )
BMC Med Inform Decis Mak - Comparing virtual consults to traditional consults using an electronic health record: an observational case-control study. ( 0,706313212489231 )
Telemed J E Health - Telemedicine in Alentejo. ( 0,705820710970785 )
Telemed J E Health - Measuring adjusted quality of life in telemedicine. ( 0,704623017433638 )
J Telemed Telecare - A pilot trial of a speech pathology telehealth service for head and neck cancer patients. ( 0,701471350362018 )
Telemed J E Health - The use of deployable telehealth centers by military beneficiaries to access behavioral healthcare: an exploratory evaluation in American Samoa. ( 0,698230131102267 )
Telemed J E Health - Diabetes population management by telephone visits. ( 0,698042060421339 )
J Telemed Telecare - Use of the mobile phone multimedia messaging service for teledermatology. ( 0,694417187442816 )
J Telemed Telecare - Telemedicine can help to ensure that patients receive timely medical care. ( 0,693744393353008 )
Telemed J E Health - Content and style comparison of physician communication in teledermatology and in-person visits. ( 0,69350041449443 )
Telemed J E Health - Telehealth stroke education for rural elderly Virginians. ( 0,692317693733452 )