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Special Issue "Telemedicine - Technical Developments and Clinical Practice"

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Epidemiology & Public Health".

Deadline for manuscript submissions: closed (31 October 2016)

Special Issue Editors

Guest Editor
Dr. Yolanda Blanco

Center of Neuroimmunology, Hospital Clinic and Institut d'Investigació Biomèdica August Pi i Sunyer (IDIBAPS), Barcelona, Spain
Website | E-Mail
Phone: + 34 93 227 57 85
Interests: clinical assessment; disease activity; disease progression; electronic devices; multiple sclerosis; physical intervention; registries and databases; remote monitoring; telemedicine; teleneurology
Guest Editor
Dr. Núria Solà-Valls

Center of Neuroimmunology, Hospital Clinic and Institut d'Investigació Biomèdica August Pi i Sunyer (IDIBAPS), Barcelona, Spain
Website | E-Mail
Phone: + 34 93 227 57 85
Interests: clinical assessment; disease activity; disease progression; electronic devices; multiple sclerosis; physical intervention; registries and databases; remote monitoring; telemedicine; teleneurology
Guest Editor
Assist. Prof. Rajender Gattu

Department of Pediatrics, Division of Pediatric Emergency Medicine, University of Maryland School of Medicine, USA
Website | E-Mail
Interests: telemedicine in pediatric emergency medicine; school tele-health; simulation in pediatric/ emergency medicine education
Guest Editor
Prof. Richard Lichenstein

Department of Pediatrics, Division of Pediatric Emergency Medicine, University of Maryland School of Medicine, USA
Website | E-Mail
Interests: telemedicine in pediatric sexual abuse; technology and injury prevention

Special Issue Information

Dear Colleagues,

Telemedicine (TM) is an emerging field in the 21st century and has recently gained widespread acceptance among diverse clinical specialties across the globe thanks to the rapid proliferation of mobile and home-based devices. Advancement in video-conferencing technology, such as digital compression, enhanced display resolution, improved video streaming with real-time interaction and high bandwidth, results in cost effective, high quality audio-video communication, ideal for a number of clinical applications.

The main reason for the great development of TM is because it probably covers an unmet need in the healthcare system (access to remote areas, improvement differential diagnosis, continuous disease monitoring, access to interventions and treatments, improvement of support and information, etc.) with a clear impact in a patient’s life.

More recently, telemedicine has expanded from store and forward technology (tele-radiology and tele-pathology) to real-time video communication with patients/providers and is now commonly used in hospitals, ambulatory settings, clinics, and schools. It has also proved to be a useful tool in the management of different populations, including children, adults, and psychiatric subjects. Despite several challenges (technical, clinical, regulatory, cost, etc.), telemedicine has been increasingly recognized by health systems (hospitals, patients, and payers), state medical boards, and government agencies in the US and Europe.

Clinicians are increasingly using telemedicine solutions as clinical standardized protocols and improved equipment is developed.  Several studies confirm the feasibility, reliability, and cost effectiveness of telemedicine.

There is a great number of published TM studies; they show important methodological differences, including the use of different approaches and devices, which makes the interpretation of the results difficult and limit the focus on patient outcomes.

Please join us in presenting this Special Issue on the state-of-the-art of technical developments in TM research currently performed worldwide in order to broaden the scope of its benefits and frontiers and to bring it to clinical practice.

Dr. Yolanda Blanco
Dr. Núria Solà-Valls
Assist. Prof. Rajender Gattu
Prof. Richard Lichenstein
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All papers will be peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Remote consultation
  • Remote devices
  • Remote intervention
  • Tele-health
  • Tele-monitoring
  • Telemetry
  • Video-audio-conferencing
  • Tele-monitoring
  • Telemedicine
  • Patient-reported outcomes

Published Papers (5 papers)

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Research

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Open AccessFeature PaperArticle
A Shared Decision-Making Approach to Telemedicine: Engaging Rural Patients in Glycemic Management
J. Clin. Med. 2016, 5(11), 103; https://doi.org/10.3390/jcm5110103
Received: 25 October 2016 / Revised: 13 November 2016 / Accepted: 13 November 2016 / Published: 17 November 2016
Cited by 6 | PDF Full-text (1194 KB) | HTML Full-text | XML Full-text
Abstract
Telemedicine can connect specialist health care providers with patients in remote and underserved areas. It is especially relevant in diabetes care, where a proliferation of treatment options has added further complexity to the care of an already complex, highly prevalent disease. Recent developments [...] Read more.
Telemedicine can connect specialist health care providers with patients in remote and underserved areas. It is especially relevant in diabetes care, where a proliferation of treatment options has added further complexity to the care of an already complex, highly prevalent disease. Recent developments in health reform encourage delivery systems to use team-based models and engage patients in shared decision-making (SDM), where patients and providers together make health care decisions that are tailored to the specific characteristics and values of the patient. The goal of this project was to design, integrate, and evaluate a team-based, SDM approach delivered to patients with diabetes in a rural community, building upon the previously established telemedicine for reach, education, access, and treatment (TREAT) model. Patients in this feasibility study demonstrated improvement in hemoglobin A1c values, and reported better understanding of diabetes. Providers reported the SDM aids increased cohesion among team members (including patients) and facilitated patient education and behavioral goal setting. This project demonstrated that SDM could be integrated into the workflow of a telemedicine team visit with good provider and patient satisfaction. Full article
(This article belongs to the Special Issue Telemedicine - Technical Developments and Clinical Practice)
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Open AccessArticle
Tele-Operated Echography and Remote Guidance for Performing Tele-Echography on Geographically Isolated Patients
J. Clin. Med. 2016, 5(6), 58; https://doi.org/10.3390/jcm5060058
Received: 23 April 2016 / Revised: 3 June 2016 / Accepted: 8 June 2016 / Published: 13 June 2016
Cited by 1 | PDF Full-text (4442 KB) | HTML Full-text | XML Full-text
Abstract
Objective: To evaluate the performance of three tele-echography systems for routine use in isolated medical centers. Methods: Three systems were used for deep (abdomen, pelvis, fetal) and superficial (muscle, thyroid, carotid artery) examinations: (a) a robotic arm (RA) holding an echographic probe; (b) [...] Read more.
Objective: To evaluate the performance of three tele-echography systems for routine use in isolated medical centers. Methods: Three systems were used for deep (abdomen, pelvis, fetal) and superficial (muscle, thyroid, carotid artery) examinations: (a) a robotic arm (RA) holding an echographic probe; (b) an echograph with a motorized probe (MP); and (c) remote guidance (RG) where the patient site operator performed the examination assisted by an expert via videoconference. All systems were tested in the same medical center located 60 km away from the university hospital. Results: A total of 340 remote echography examinations were performed (41% RA and MP, 59% RG). MP and RA allowed full control of the probe orientation by the expert, and provided diagnoses in 97% of cases. The use of RG was sufficient for superficial vessel examinations and provided diagnoses in 98% of cases but was not suited for deep or superficial organs. Assessment of superficial organs was best accomplished using the MP. Discussion: Both teleoperated systems provided control of the probe orientation by the expert necessary for obtaining appropriate views of deep organs but the MP was much more ergonomic and easier to use than the RA. RG was appropriate for superficial vessels while the MP was better for superficial volumic organs. Full article
(This article belongs to the Special Issue Telemedicine - Technical Developments and Clinical Practice)
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Review

Jump to: Research

Open AccessReview
Telemedicine Applications in Pediatric Retinal Disease
J. Clin. Med. 2017, 6(4), 36; https://doi.org/10.3390/jcm6040036
Received: 17 November 2016 / Revised: 13 March 2017 / Accepted: 20 March 2017 / Published: 23 March 2017
Cited by 2 | PDF Full-text (190 KB) | HTML Full-text | XML Full-text
Abstract
Teleophthalmology is a developing field that presents diverse opportunities. One of its most successful applications to date has been in pediatric retinal disease, particularly in screening for retinopathy of prematurity (ROP). Many studies have shown that using telemedicine for ROP screening allows a [...] Read more.
Teleophthalmology is a developing field that presents diverse opportunities. One of its most successful applications to date has been in pediatric retinal disease, particularly in screening for retinopathy of prematurity (ROP). Many studies have shown that using telemedicine for ROP screening allows a remote ophthalmologist to identify abnormal findings and implement early interventions. Here, we review the literature on uses of telemedicine in pediatric retinal disease and consider future applications. Full article
(This article belongs to the Special Issue Telemedicine - Technical Developments and Clinical Practice)
Open AccessFeature PaperReview
Telehealth: Increasing Access to High Quality Care by Expanding the Role of Technology in Correctional Medicine
J. Clin. Med. 2017, 6(2), 20; https://doi.org/10.3390/jcm6020020
Received: 18 November 2016 / Revised: 20 January 2017 / Accepted: 8 February 2017 / Published: 13 February 2017
Cited by 4 | PDF Full-text (169 KB) | HTML Full-text | XML Full-text
Abstract
The United States (US) has a large correctional population. However, many incarcerated persons lack access to evidence-based, up-to-date medical care, particularly by subspecialty providers, due to limitations of geography, travel, cost and other resources. The use of telehealth technologies can remove these barriers, [...] Read more.
The United States (US) has a large correctional population. However, many incarcerated persons lack access to evidence-based, up-to-date medical care, particularly by subspecialty providers, due to limitations of geography, travel, cost and other resources. The use of telehealth technologies can remove these barriers, increasing access to high quality, multidisciplinary care. Studies have shown that, with telemedicine, timely triage and medical management can be provided across many disciplines, which may lead to improved clinical outcomes and significant cost savings. Full article
(This article belongs to the Special Issue Telemedicine - Technical Developments and Clinical Practice)
Open AccessReview
Technical Developments and Clinical Use of Telemedicine in Sleep Medicine
J. Clin. Med. 2016, 5(12), 116; https://doi.org/10.3390/jcm5120116
Received: 23 October 2016 / Revised: 2 December 2016 / Accepted: 6 December 2016 / Published: 13 December 2016
Cited by 2 | PDF Full-text (509 KB) | HTML Full-text | XML Full-text
Abstract
The use of assistive technology and telemedicine is likely to continue to shape our medical practice in the future, notably in the field of sleep medicine, especially within developed countries. Currently, the number of people suffering from obstructive sleep apnea syndrome (OSAS) is [...] Read more.
The use of assistive technology and telemedicine is likely to continue to shape our medical practice in the future, notably in the field of sleep medicine, especially within developed countries. Currently, the number of people suffering from obstructive sleep apnea syndrome (OSAS) is increasing. Telemedicine (TM) can be used in a variety of ways in sleep medicine: telediagnostics, teleconsultation, teletherapy and telemonitoring of patients being treated with positive pressure devices. In this review, we aim to summarize the recent scientific progresses of these techniques and their potential clinical applications and give consideration to the remaining problems related to TM application. Full article
(This article belongs to the Special Issue Telemedicine - Technical Developments and Clinical Practice)
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J. Clin. Med. EISSN 2077-0383 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
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