Telemed J E Health - Cost-benefit analysis on the use of telemedicine program of Kosova for continuous medical education: a sustainable and efficient model to rebuild medical systems in developing countries.

Tópicos

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

Resumo

CKGROUND: The Ministry of Health of Kosova has recently announced the Telemedicine Program of Kosova (TMPK) as the official institution responsible for managing and coordinating the nation's Long-Distance Continuous Medical Education (CME) program. There are a lack of studies on cost-benefit analysis (CBA) and other economic evaluations of telemedicine programs (TMP), in particular the financial value of CME offered through such a service. In addition, there is lack of prospective studies on Monitoring & Evaluation (M&E) of TMP.OBJECTIVE: The goal of this study was to conduct a retrospective CBA of prospective data collected at TMPK over a 5-year period (2005-2010) in order to determine the cost benefit as opposed to the alternative method of delivery of this model for developing countries whose healthcare systems are in disarray.MATERIALS AND METHODS: We reviewed data on the number of participants in virtual lectures both at the Telemedicine Center of Kosova (TCK) as well as the number of participants at six Regional Telemedicine Centers throughout Kosova, the number of lectures broadcasted, the clinical cases reviewed and transmitted for international consultation, and other quantitative data.RESULTS: Only in 2009, approximately 2,000 CME certificates were awarded to physicians and nurses of Kosova, 18 international teleconsultations were conducted, 138 videoconferences, lectures, and seminars were held, and there were over 9,000 visitors at the TCK e-library. Data analysis shows that the TMPK has been an efficient mechanism for CME and sustainable model for rebuilding the medical system. TMPK has been successful in offering physicians, nurses, and other medical professions access to electronic information.CONCLUSIONS: TMP is an efficient mechanism to ensure CME and rebuilding medical systems in developing countries. There is a need for prospective CBA of any TMP and the establishment of M&E programs in any future telemedicine initiatives in developing countries.

Resumo Limpo

ckground ministri health kosova recent announc telemedicin program kosova tmpk offici institut respons manag coordin nation longdist continu medic educ cme program lack studi costbenefit analysi cba econom evalu telemedicin program tmp particular financi valu cme offer servic addit lack prospect studi monitor evalu tmpobject goal studi conduct retrospect cba prospect data collect tmpk year period order determin cost benefit oppos altern method deliveri model develop countri whose healthcar system disarraymateri method review data number particip virtual lectur telemedicin center kosova tck well number particip six region telemedicin center throughout kosova number lectur broadcast clinic case review transmit intern consult quantit dataresult approxim cme certif award physician nurs kosova intern teleconsult conduct videoconfer lectur seminar held visitor tck elibrari data analysi show tmpk effici mechan cme sustain model rebuild medic system tmpk success offer physician nurs medic profess access electron informationconclus tmp effici mechan ensur cme rebuild medic system develop countri need prospect cba tmp establish program futur telemedicin initi develop countri

Resumos Similares

J Telemed Telecare - Patients' experiences of telerehabilitation at home after shoulder joint replacement. ( 0,694127034001428 )
J Am Med Inform Assoc - 'Too much, too late': mixed methods multi-channel video recording study of computerized decision support systems and GP prescribing. ( 0,693310965142861 )
J Telemed Telecare - Antimicrobial stewardship through telemedicine in a community hospital in Southern Brazil. ( 0,68099403481371 )
Telemed J E Health - A retrospective evaluation of remote pharmacist interventions in a telepharmacy service model using a conceptual framework. ( 0,679290152298253 )
Int J Med Inform - A nationwide computerized patient medication history: evaluation of the Austrian pilot project e-Medikation. ( 0,663398853794372 )
Telemed J E Health - The design, implementation, and operational management of a comprehensive quality management program to support national telehealth networks. ( 0,661176714523595 )
Int J Med Inform - Junior doctors' prescribing work after-hours and the impact of computerized decision support. ( 0,655759724034433 )
Telemed J E Health - Telemedicine in Alentejo. ( 0,652013565525725 )
J Am Med Inform Assoc - Evaluating the accuracy of electronic pediatric drug dosing rules. ( 0,646290473314763 )
Int J Med Inform - Cost-effectiveness of an electronic medication ordering system (CPOE/CDSS) in hospitalized patients. ( 0,632411642282238 )
BMC Med Inform Decis Mak - Using a computerized provider order entry system to meet the unique prescribing needs of children: description of an advanced dosing model. ( 0,626423397062377 )
BMC Med Inform Decis Mak - A dialogue-based Web application enhances personalized access to healthcare professionals--an intervention study. ( 0,625405227497398 )
Telemed J E Health - Rural inpatient telepharmacy consultation demonstration for after-hours medication review. ( 0,621269988264993 )
Appl Clin Inform - Computerized Physician Order Entry (CPOE) in pediatric and neonatal intensive care: Recommendations how to meet clinical requirements. ( 0,618421418981189 )
Int J Med Inform - Comparing the working time between Bar-Code Medication Administration system and traditional medication administration system: an observational study. ( 0,617344402681767 )
J Telemed Telecare - Effectiveness and safety of telemedical management in uncomplicated urinary tract infections. ( 0,614898534130718 )
AMIA Annu Symp Proc - A real-time screening alert improves patient recruitment efficiency. ( 0,614231318026701 )
J Telemed Telecare - Practical experience of telehealth between an Antarctic station and Japan. ( 0,61412701165885 )
Telemed J E Health - Engaging patients via mobile phone technology to assist follow-up after hospitalization in Quito, Ecuador. ( 0,612190479835086 )
Comput Methods Programs Biomed - Physicians' responses to computerized drug-drug interaction alerts for outpatients. ( 0,611466635141553 )
Methods Inf Med - Attitude of physicians towards automatic alerting in computerized physician order entry systems. A comparative international survey. ( 0,609260001047522 )
Appl Clin Inform - Assessment of readiness for clinical decision support to aid laboratory monitoring of immunosuppressive care at U.S. liver transplant centers. ( 0,609198911666191 )
Perspect Health Inf Manag - Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. ( 0,608273408750035 )
Telemed J E Health - Disruptive innovation: the future of healthcare? ( 0,606305878948029 )
J Am Med Inform Assoc - The influence of computerized decision support on prescribing during ward-rounds: are the decision-makers targeted? ( 0,606146475493341 )
Int J Med Inform - Bridging two translation gaps: a new informatics research agenda for telemonitoring of chronic disease. ( 0,604395663160366 )
Int J Med Inform - Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. ( 0,604270346009032 )
AMIA Annu Symp Proc - Supporting information use and retention of pre-hospital information during trauma resuscitation: a qualitative study of pre-hospital communications and information needs. ( 0,601246477081744 )
Med Biol Eng Comput - Editorial comment on Malkin and Keane (2010). ( 0,601078143539193 )
J Telemed Telecare - Telehealth for nursing homes: the utilization of specialist services for residential care. ( 0,600245047998781 )
Comput Methods Programs Biomed - A smart medication recommendation model for the electronic prescription. ( 0,59780418574105 )
Appl Clin Inform - Medication safety improves after implementation of positive patient identification. ( 0,597303030523618 )
Telemed J E Health - Video medical interpretation over 3G cellular networks: a feasibility study. ( 0,596848440430727 )
Telemed J E Health - Interactive internet-based clinical education: an efficient and cost-savings approach to point-of-care test training. ( 0,596817799335149 )
J Telemed Telecare - Implementation of an education and skills programme in a teledermatology project for rural veterans. ( 0,59613567191624 )
Telemed J E Health - A novel tele-eye protocol for ocular disease detection and access to eye care services. ( 0,595906187693126 )
Telemed J E Health - International telemedicine consultations for neurodevelopmental disabilities. ( 0,595429397500778 )
J Am Med Inform Assoc - Ambulatory prescribing errors among community-based providers in two states. ( 0,593655042674083 )
J Am Med Inform Assoc - Overrides of medication-related clinical decision support alerts in outpatients. ( 0,593088641222377 )
Int J Med Inform - Scale-up of networked HIV treatment in Nigeria: creation of an integrated electronic medical records system. ( 0,592606350951714 )
J Am Med Inform Assoc - Factors contributing to an increase in duplicate medication order errors after CPOE implementation. ( 0,592119945689441 )
Int J Med Inform - Validity of a clinical decision rule-based alert system for drug dose adjustment in patients with renal failure intended to improve pharmacists' analysis of medication orders in hospitals. ( 0,591789488147275 )
J Am Med Inform Assoc - Integrating pharmacogenetic information and clinical decision support into the electronic health record. ( 0,587340949084193 )
AMIA Annu Symp Proc - Improving patient safety by modifying provider ordering behavior using alerts (CDSS) in CPOE system. ( 0,587222660524826 )
AMIA Annu Symp Proc - I meant that med for Baylee not Bailey!: a mixed method study to identify incidence and risk factors for CPOE patient misidentification. ( 0,586166990995138 )
Appl Clin Inform - Impact of clinical reminder redesign on physicians' priority decisions. ( 0,585393868418423 )
J Telemed Telecare - Integrating telemedicine instruction into the curriculum: expanding student perspectives of the scope of clinical practice. ( 0,584959514637868 )
AMIA Annu Symp Proc - Improving Patient Safety through Medical Alert Management: An Automated Decision Tool to Reduce Alert Fatigue. ( 0,584828017047584 )
AMIA Annu Symp Proc - Effectiveness of bar coded medication alerts for elevated potassium. ( 0,583488566269333 )
Telemed J E Health - Telemedicine as an innovative model for rebuilding medical systems in developing countries through multipartnership collaboration: the case of Albania. ( 0,581595638705961 )
Telemed J E Health - Feasibility and acceptability of mobile epilepsy educational system (MEES) for people with epilepsy in Malaysia. ( 0,581477080438464 )
AMIA Annu Symp Proc - Using a service oriented architecture approach to clinical decision support: performance results from two CDS Consortium demonstrations. ( 0,58017523202609 )
J Am Med Inform Assoc - Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts. ( 0,579595388217857 )
Med Decis Making - Electronic notifications about drug substitutes can change physician prescription habits: a cross-sectional observational study. ( 0,578850378739918 )
Perspect Health Inf Manag - Can utilizing a computerized provider order entry (CPOE) system prevent hospital medical errors and adverse drug events? ( 0,578446308820193 )
J Am Med Inform Assoc - Immediate financial impact of computerized clinical decision support for long-term care residents with renal insufficiency: a case study. ( 0,578281141573866 )
Int J Med Inform - Technology-related medication errors in a tertiary hospital: a 5-year analysis of reported medication incidents. ( 0,577574925352236 )
J Am Med Inform Assoc - Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. ( 0,577493488764311 )
J Telemed Telecare - Cost savings and safety of ICD remote control by telephone: a prospective, observational study. ( 0,575028110257409 )
J Am Med Inform Assoc - Prescribers' expectations and barriers to electronic prescribing of controlled substances. ( 0,574368457472407 )
Methods Inf Med - From adverse drug event detection to prevention. A novel clinical decision support framework for medication safety. ( 0,5733277525734 )
J Am Med Inform Assoc - Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. ( 0,573295945816944 )
Int J Med Inform - Evaluation of the pilot program on the real-time drug utilization review system in South Korea. ( 0,57323717188936 )
Int J Med Inform - Evaluating the medication process in the context of CPOE use: the significance of working around the system. ( 0,572526685255689 )
J Am Med Inform Assoc - Development and use of active clinical decision support for preemptive pharmacogenomics. ( 0,571240734315817 )
J Am Med Inform Assoc - A framework for evaluating the appropriateness of clinical decision support alerts and responses. ( 0,570551763799171 )
J Telemed Telecare - Implementation of m-health applications in Botswana: telemedicine and education on mobile devices in a low resource setting. ( 0,57001703467767 )
J. Med. Internet Res. - Development of an interactive, Web-delivered system to increase provider-patient engagement in smoking cessation. ( 0,569843701417222 )
J Am Med Inform Assoc - Applying human factors principles to alert design increases efficiency and reduces prescribing errors in a scenario-based simulation. ( 0,569682425324239 )
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. ( 0,568699570194981 )
Appl Clin Inform - Effect of EHR user interface changes on internal prescription discrepancies. ( 0,568677475756942 )
J Am Med Inform Assoc - Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system. ( 0,568111862565078 )
Telemed J E Health - Telemedicine in acute-phase injury management: a review of practice and advancements. ( 0,567772873123821 )
J Med Syst - Deployment of RFID in healthcare facilities-experimental design in MRI department. ( 0,567657230389131 )
AMIA Annu Symp Proc - Interpreting nurses' responses to clinical documentation alerts. ( 0,567238859283801 )
J Telemed Telecare - Use of home telehealth in palliative cancer care: a case study. ( 0,567153326647743 )
J Am Med Inform Assoc - Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. ( 0,566504286714656 )
Int J Med Inform - Online detection of potential duplicate medications and changes of physician behavior for outpatients visiting multiple hospitals using national health insurance smart cards in Taiwan. ( 0,564997204361771 )
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. ( 0,564977043106224 )
Int J Med Inform - Medication errors in residential aged care facilities: a distributed cognition analysis of the information exchange process. ( 0,563601861976635 )
Telemed J E Health - Smartphone surgery: how technology can transform practice. ( 0,562714223400083 )
Artif Intell Med - Physicians' responses to clinical decision support on an intensive care unit--comparison of four different alerting methods. ( 0,562388838051568 )
J Telemed Telecare - A telephone survey of patient satisfaction with realtime telemedicine in a rural community in Colombia. ( 0,562344219319368 )
Artif Intell Med - A pilot study of distributed knowledge management and clinical decision support in the cloud. ( 0,561999620400976 )
Telemed J E Health - Teleconsultation for clinicians who provide human immunodeficiency virus care: experience of the national HIV telephone consultation service. ( 0,561694639678871 )
J Med Syst - Two RFID-based solutions for secure inpatient medication administration. ( 0,560760963896136 )
BMC Med Inform Decis Mak - The evidence for the effectiveness of safety alerts in electronic patient medication record systems at the point of pharmacy order entry: a systematic review. ( 0,560465965771264 )
Perspect Health Inf Manag - Student participation and interactivity using asynchronous computer-mediated communication for resolution of an undergraduate capstone management case study. ( 0,560278708822038 )
J Am Med Inform Assoc - How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study. ( 0,559918229652704 )
Healthc (Amst) - Using a mentoring approach to implement an inpatient glycemic control program in United States hospitals. ( 0,559769382910663 )
Telemed J E Health - Can an office practice telephonic response meet the needs of a pandemic? ( 0,559224025337479 )
J Am Med Inform Assoc - Classification of medication incidents associated with information technology. ( 0,559207793731886 )
BMC Med Inform Decis Mak - Assessing the accuracy of an inter-institutional automated patient-specific health problem list. ( 0,558456437438515 )
Telemed J E Health - The Pacific Asynchronous TeleHealth (PATH) system: review of 1,000 pediatric teleconsultations. ( 0,558294878346583 )
J Am Med Inform Assoc - Errors associated with outpatient computerized prescribing systems. ( 0,558203698542969 )
J Telemed Telecare - Eleven years of experience with low-bandwidth telemedicine in a nurse-led rural clinic in Scotland. ( 0,557747153836907 )
Telemed J E Health - The use of deployable telehealth centers by military beneficiaries to access behavioral healthcare: an exploratory evaluation in American Samoa. ( 0,557227064891736 )
Telemed J E Health - Cost savings of telemedicine utilization for child psychiatry in a rural Kansas community. ( 0,557066805662142 )
AMIA Annu Symp Proc - Ontological approach for safe and effective polypharmacy prescription. ( 0,556743200963644 )
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. ( 0,556298535556013 )