Advertisement

Telemedicine Technology: a Review of Services, Equipment, and Other Aspects

  • John Baker
  • Anthony Stanley
Telemedicine and Technology (J Portnoy and M Hernandez, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Telemedicine and Technology

Abstract

Purpose of Review

Telemedicine uses technology to connect patients with providers at a distance. While the clinical aspects of this have been reviewed extensively, the technical aspects are not as well understood by allergists when they consider adding telemedicine to their practice. This review focuses on the technical aspects of setting up a telemedicine program.

Recent Findings

With the advent of new technologies including high-speed Internet, video conferencing solutions, and digital examination equipment, facilitated virtual visits as replacements for in-person visits are now possible. The technical requirements for a successful telemedicine program include secure, high-speed Internet connection, a clinical telemedicine cart to serve as the hub for the interaction, patient access software, and access to IT professionals to set up the program and to be available when the system malfunctions.

Summary

A carefully designed telemedicine program is more likely to be successful if the technical aspects are included in the planning process.

Keywords

Telemedicine New technologies Medical technology Medical informatics 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. 1.
    Barrett M, Combs V, Su JG, Henderson K, Tuffli M, Collaborative AIRL, et al. AIR Louisville: addressing asthma with technology, crowdsourcing, cross-sector collaboration, and policy. Health Aff (Millwood). 2018;37(4):525–34.  https://doi.org/10.1377/hlthaff.2017.1315.CrossRefGoogle Scholar
  2. 2.
    Merchant RK, Inamdar R, Quade RC. Effectiveness of population health management using the propeller health asthma platform: a randomized clinical trial. J Allergy Clin Immunol Pract. 2016;4(3):455–63.  https://doi.org/10.1016/j.jaip.2015.11.022.CrossRefPubMedGoogle Scholar
  3. 3.
    Chan DS, Callahan CW, Sheets SJ, Moreno CN, Malone FJ. An Internet-based store-and-forward video home telehealth system for improving asthma outcomes in children. Am J Health Syst Pharm. 2003;60(19):1976–81.PubMedGoogle Scholar
  4. 4.
    Kim MY, Lee SY, Jo EJ, Lee SE, Kang MG, Song WJ, et al. Feasibility of a smartphone application based action plan and monitoring in asthma. Asia Pac Allergy. 2016;6(3):174–80.  https://doi.org/10.5415/apallergy.2016.6.3.174.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Lai F. Robotic telepresence for collaborative clinical outreach. Stud Health Technol Inform. 2008;132:233–5.PubMedGoogle Scholar
  6. 6.
    •• Waller M, Stotler C. Telemedicine: a primer. Curr Allergy Asthma Rep. 2018;18(In Press).  https://doi.org/10.1007/s11882-018-0807-5. A review of the regulatory issues surrounding the practice of telemedicine.
  7. 7.
    •• Shih J, Portnoy J. Tips for seeing patients via telemedicine. Curr Allergy Asthma Rep. 2018;18(10):50.  https://doi.org/10.1007/s11882-018-0807-5 An overview of how to see patients using facilitated telemedicine. CrossRefPubMedGoogle Scholar
  8. 8.
    Matimba A, Woodward R, Tambo E, Ramsay M, Gwanzura L, Guramatunhu S. Tele-ophthalmology: opportunities for improving diabetes eye care in resource- and specialist-limited sub-Saharan African countries. J Telemed Telecare. 2016;22(5):311–6.  https://doi.org/10.1177/1357633X15604083.CrossRefPubMedGoogle Scholar
  9. 9.
    • Taylor L, Capling H, Portnoy J. Administering a telemedicine program. Curr Allergy Asthma Rep. 2018;18(In Press).  https://doi.org/10.1007/s11882-018-0807-5. A discussion of issues regarding the administration of a telemedicine program.
  10. 10.
    Tanjga N, Baranyi R, Grechenig T, Gossy C, Welte S, Kastner P, et al. Challenges of a HL7 CDA guideline for Telehealth based DMP systems. Stud Health Technol Inform. 2018;248:330–7.PubMedGoogle Scholar
  11. 11.
    Goeg KR, Rasmussen RK, Jensen L, Wollesen CM, Larsen S, Pape-Haugaard LB. A future-proof architecture for telemedicine using loose-coupled modules and HL7 FHIR. Comput Methods Prog Biomed. 2018;160:95–101.  https://doi.org/10.1016/j.cmpb.2018.03.010.CrossRefGoogle Scholar
  12. 12.
    Or C, Tong E, Tan J, Chan S. Exploring factors affecting voluntary adoption of electronic medical records among physicians and clinical assistants of small or solo private general practice clinics. J Med Syst. 2018;42(7):121.  https://doi.org/10.1007/s10916-018-0971-0.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Medical Informatics and TelemedicineChildren’s Mercy – Kansas CityKansas CityUSA
  2. 2.Visio Health and Technical Solutions, Inc.OmahaUSA

Personalised recommendations