telesante_strategique

Challenges and opportunities of telehealth digital equity to manage HIV and comorbidities for older persons living with HIV in New York State.

Thu, 01 Dec 2022 05:00:00 +0000

BMC Health Services Research; 12/01/2022
Background: Older persons living with HIV (PLWH) need routine healthcare to manage HIV and other comorbidities. This mixed methods study investigated digital equity, constituted as access, use and quality, of HIV and specialty telehealth services for PLWH > 50 years during the initial wave of the COVID-19 pandemic when services transitioned to remote care.Methods: A survey of closed and open-ended questions was administered to 80 English (N = 63) and Spanish (N = 17) speaking PLWH receiving HIV care at an Academic Medical Center (N = 50) or a Federally Qualified Health Center (N = 30) in New York State. Quantitative analyses examined characteristics predicting telehealth use and visit quality. Qualitative analyses utilized thematic coding to reveal common experiences. Results were integrated to deepen the interpretation.Results: Telehealth access and use were shaped by multiple related and unstable factors including devices and connectivity, technology literacy, and comfort including privacy concerns. Participants demonstrated their substantial effort to achieve the visit. The majority of patients with a telehealth visit perceived it as worse than an in-person visit by describing it as less interpersonal, and resulting in poorer outcomes, particularly participants with less formal education. Technology was not only a barrier to access, but also influenced perceptions of quality.Conclusions: In the COVID-19 pandemic initial wave, barriers to using telehealth were unequally distributed to those with more significant access and use challenges. Beyond these barriers, examining the components of equity indicate further challenges replicating in-person care using telehealth formats for older PLWH. Work remains to establish telehealth as both equitable and desirable for this population.
(AN 156754102); ISSN: 14726963
CINAHL Complete

The relationship between COVID-19-related prevention cognition and healthy lifestyle behaviors among university students: Mediated by e-health literacy and self-efficacy.

Fri, 15 Jul 2022 04:00:00 +0000

Journal of Affective Disorders; 07/15/2022
(AN 156911328); ISSN: 01650327
CINAHL Complete

Personalized Exercise Programs Based upon Remote Assessment of Motor Fitness: A Pilot Study among Healthy People Aged 65 Years and Older.

Fri, 01 Jul 2022 04:00:00 +0000

Gerontology; 07/01/2022
(AN 156701643); ISSN: 0304324X
CINAHL Complete

An empirical study on factors influencing consumers' motivation towards teleconsultation system use. A preliminary report about the Sehha application from Saudi Arabia.

Fri, 01 Jul 2022 04:00:00 +0000

International Journal of Medical Informatics; 07/01/2022
Background: The use of the teleconsultation system has increased in recent years, which enabled healthcare providers and patients to share, communicate and transfer information in real-time via different types of telemedicine services and applications. However, there is a lack of studies that underpin factors that motivate patients to use teleconsultation systems.Aim and Objective: This study aimed to identify factors that influence consumers' motivation to use teleconsultation systems by developing a theoretical framework and empirically testing the developed framework with a real-world teleconsultation system.Methods: A cross-sectional study was used for this research to empirically validate the proposed model. The online survey consisted of 51 items, which were developed by the researchers. Partial least squares structural equation modelling (PLS-SEM) was used to analyze the measurement model and structural model.Results: 485 participants completed the online survey, 471 of which were included in the model analysis. The measurement analysis indicated that convergent validity was achieved as all items' outer lording were well above the threshold of 0.70, all indicators reliability and AVEs were well above the threshold of 0.50. Also, the measurement analysis indicated that discriminate validity was achieved as the Heterotrait-Monotrait ratio of correlations for all constructs were below the threshold of 0.90. In the structural model analysis, the inner constructs of the model, autonomy, competence and relatedness explained 60.1% of the variance in users' motivation toward the use of the teleconsultation system. The outer constructs of the model, subjective norm, external and internal facilitating conditions, explained 67.3% of the variance in users' autonomy, whereas attitude, performance expectancy, external and internal facilitating conditions explained 51.9% of the variance in the users' competence, and subjective norm explained 25.6% of the variance in the users' relatedness.Conclusions: The developed framework can explain why consumers are motivated to use teleconsultation systems for online medical consultations. The model indicated that a variety of internal and external factors can positively or negatively influence consumers' perceived autonomy, competence and relatedness, which can impact their motivation toward the use of teleconsultation systems.
(AN 156901189); ISSN: 13865056
CINAHL Complete

Measuring the cost-effectiveness of using telehealth for diabetes management: A narrative review of methods and findings.

Fri, 01 Jul 2022 04:00:00 +0000

International Journal of Medical Informatics; 07/01/2022
Introduction: Diabetes is a chronic metabolic disease characterized by high levels of blood glucose, which can lead over time to severe impairment to the heart, blood vessels, eyes, kidneys, nerves and premature death. Diabetes is prone to complications such as kidney failure, vision loss and nerve damage. The total assessed cost of diagnosed diabetes is growing rapidly; hence, harnessing telehealth for diabetes management may be cost-effective. A few previous publications have pointed to the effectiveness of telehealth but more numerous articles indicate that the results are inconsistent and economic models are lacking. This narrative review surveys the recent literature on the implementation of telehealth for diabetes management that incorporates cost-effectiveness analyses.Materials and Methods: This paper follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) [25].Results: The vast majority of articles dealing with managing Type 2 diabetes have primarily used the telephone for telehealth monitoring (followed by teleophalmology and telemonitoring). Most publications report that the telehealth solution was cost effective. The leading cost-effectiveness method was the Markov model; however, only a small number of papers extend the Markov model to critical sensitivity analyses of their outcomes. The main goal of telehealth in general is diabetes management or monitoring, followed by ophthalmology, depression management, weight loss and other goals.Conclusion: This work summarizes the literature on recent trends in telehealth options, and analyzes successes and failures in relation to both effectiveness and costs, which may be valuable to both scholars and practitioners.
(AN 156901187); ISSN: 13865056
CINAHL Complete

Telemedicine in orthopaedics during COVID-19 and beyond: A systematic review.

Fri, 01 Jul 2022 04:00:00 +0000

Journal of Telemedicine & Telecare; 07/01/2022
(AN 156993705); ISSN: 1357633X
CINAHL Complete

Telehealth in trauma: A scoping review.

Fri, 01 Jul 2022 04:00:00 +0000

Journal of Telemedicine & Telecare; 07/01/2022
(AN 156993707); ISSN: 1357633X
CINAHL Complete

An examination of suicidal behaviour among veterans receiving mental-health appointments in person versus clinical video telehealth.

Fri, 01 Jul 2022 04:00:00 +0000

Journal of Telemedicine & Telecare; 07/01/2022
(AN 156993709); ISSN: 1357633X
CINAHL Complete

Telehealth during the coronavirus disease 2019 pandemic: Rapid expansion of telehealth outpatient use during a pandemic is possible if the programme is previously established.

Fri, 01 Jul 2022 04:00:00 +0000

Journal of Telemedicine & Telecare; 07/01/2022
(AN 156993711); ISSN: 1357633X
CINAHL Complete

The Waiting Room Assessment to Virtual Emergency Department pathway: Initiating video-based telemedicine in the pediatric emergency department.

Fri, 01 Jul 2022 04:00:00 +0000

Journal of Telemedicine & Telecare; 07/01/2022
(AN 156993712); ISSN: 1357633X
CINAHL Complete

Telemedicine-enabled ambulances and mobile stroke units for prehospital stroke management.

Fri, 01 Jul 2022 04:00:00 +0000

Journal of Telemedicine & Telecare; 07/01/2022
(AN 156993713); ISSN: 1357633X
CINAHL Complete

Expansion of telehealth curriculum: National survey of clinical education leaders.

Fri, 01 Jul 2022 04:00:00 +0000

Journal of Telemedicine & Telecare; 07/01/2022
(AN 156993714); ISSN: 1357633X
CINAHL Complete

Design and delivery of home-based telehealth pulmonary rehabilitation programs in COPD: A systematic review and meta-analysis.