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Telemedicine: The Use of Information Technology to Support Rural Caregiving

  • Peter Yellowlees
  • Thomas Nesbitt
  • Stacey Cole
Chapter
Part of the Caregiving: Research, Practice, Policy book series (CARE)

Abstract

Nowhere is information technology potentially more critical in the redesign of the health-care delivery system than in rural and frontier areas (Institute of Medicine, 2004), where it has the potential to dramatically change the way caregiving occurs. We are moving from health-care systems aimed at providing episodic institutional care for the treatment of illnesses to information-based systems seeking to promote increased consumer and caregiver involvement in the prevention of illness across the life span. Rural and frontier providers and caregivers are often faced with the need to provide a broad scope of practice with regard to medical condition, age, socioeconomic level, culture, and gender (Rosenthal & Fox, 2000). This occurs in an environment with far fewer specialty consultants and ancillary resources, and where a higher threshold for referral to larger centers may exist because of distance and economics (Rosenblatt & Hart, 1999).

Keywords

Federal Communication Commission Electronic Medical Record System Electronic Health Record System Boston Consult Group Broadband Adoption 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. American College of Physicians. (2003). The changing face of ambulatory medicine  −  Reimbursing physicians for telephone care (public policy paper). Philadelphia: Author.Google Scholar
  2. Anand, S. G., Feldman, M. J., Geller, D. S., Bisbee, A., & Bauchner, H. (2005). A content analysis of e-mail communication between primary care providers and parents. Pediatrics, 115(5), 1283–1288.PubMedCrossRefGoogle Scholar
  3. Baker, L., Wagner, T. H., Singer, S., & Bundorf, M. K. (2003). Use of the Internet and e-mail for health care information: Results from a national survey. Journal of the American Medical Association, 289(18), 2400–2406.PubMedCrossRefGoogle Scholar
  4. Bashshur, R. L., Homan, R. K., & Smith, D. G. (1994). Beyond the uninsured: Problems in access to care. Medical Care, 32(5), 409–419.PubMedCrossRefGoogle Scholar
  5. Boston Consulting Group. (2003, February). E-health’s influence continues to grow as use of the Internet by physicians and patients increases. Retrieved April 17, 2008, from http://www.bcg.com/publications/publication_view.jsp?pubID=913&language=English
  6. California HealthCare Foundation. (2008, February). Improving decision support tools for the long term care consumer. Retrieved August 4, 2008, from California HealthCare Foundation. http://www.chcf.org/documents/hospitals/CalNHSSiteAnalysis.pdf
  7. Celler, B. G., Lovell, N. H., & Chan, D. K. (1999). The potential impact of home telecare on clinical practice. The Medical Journal of Australia, 171(10), 518–521.PubMedGoogle Scholar
  8. Chetney, R. (2002). Interactive home telehealth: Moving from cost savings to reimbursement. Creative, proactive strategies help agencies turn telehealth into a revenue generator. Telemedicine Today, 9(3), 19–20.PubMedGoogle Scholar
  9. Dart, J., Gallois, C., & Yellowlees, P. (2008, February). Community health information systems – a survey in three disparate communities. Australian Health Review, 32(1), 186–96.Google Scholar
  10. Dart, J., & Yellowlees, P. (in production). Telecenters and community portals – Making e-health relevant to low socioeconomic communities. Manuscript submitted for publication.Google Scholar
  11. Dimmick, S. L., Burgiss, S. G., Robbins, S., Black, D., Jarnagin, B., & Anders, M. (2003). Outcomes of an integrated telehealth network demonstration project. Telemedicine Journal and e-Health, 9(1), 13–23.PubMedCrossRefGoogle Scholar
  12. Earnest, M. A., Ross, S. E., Wittevrongel, L., Moore, L. A., & Lin, C. T. (2004). Use of a patient-accessible electronic medical record in a practice for congestive heart failure: Patient and physician experiences. Journal of the American Medical Informatic Association, 11(5), 410–417.CrossRefGoogle Scholar
  13. Edefonti, A., Boccola, S., Picca, M., Paglialonga, F., Ardissino, G., Marra, G., et al. (2003). Treatment data during pediatric home peritoneal teledialysis. Pediatric Nephrology, 18(6), 560–564.PubMedGoogle Scholar
  14. Ertmer, A., & Uckert, F. (2005). User acceptance of and satisfaction with a personal electronic health record. Student Health Technology Informatics, 116, 861–866.Google Scholar
  15. Field, M. J., & Grigsby, J. (2002). Telemedicine and remote patient monitoring. Journal of the American Medical Association, 288(4), 423–425.PubMedCrossRefGoogle Scholar
  16. Fox, S. (2006, October). Online health search 2006. Retrieved August 17, 2008, from Pew Internet & American Life Project. http://www.pewinternet.org/pdfs/PIP_Online_Health_2006.pdf
  17. Fox, S. (2007, October). E-patients with a disability or chronic disease. Retrieved August 4, 2008, from Pew Internet & American Life Project. http://www.pewinternet.org/pdfs/EPatients_Chronic_Conditions_2007.pdf
  18. Gamm, L. D., Barsukiewicz, C. K., Dansky, K. H., & Vasey, J. J. (1998, Winter). Investigating changes in end-user satisfaction with installation of an electronic medical record in ambulatory care settings. Journal of Healthcare Information Management, 12(4), 53–65.PubMedGoogle Scholar
  19. Harris Interactive. (2006, August). Number of “cyberchondriacs” – adults who have ever gone online for health information – increases to an estimated 136 million nationwide. The Harris Poll® #59. Retrieved August 4, 2008, from Harris Interactive. http://www.harrisinteractive.com/harris_poll/index.asp?PID=686
  20. Hassol, A., Walker, J. M., Kidder, D., Rokita, K., Young, D., Pierdon, S., et al. (2004). Patient experiences and attitudes about access to a patient electronic health care record and linked web messaging. Journal of the American Medical Informatics Association, 11(6), 505–513.PubMedCrossRefGoogle Scholar
  21. Hersh, W. R., Helfand, M., Wallace, J., Kraemer, D., Patterson, P., Shapiro, S., et al. (2001). Clinical outcomes resulting from telemedicine interventions: A systematic review. BMC Medical Informatics and Decision Making, 1(1), 5.PubMedCrossRefGoogle Scholar
  22. Hill, W., Schillo, L., & Weinert, C. (2004). Effect of a computer-based intervention on social support for chronically ill rural women. Rehabilitation Nursing, 29(5), 169–173.PubMedGoogle Scholar
  23. Hilty, D. M., Bourgeois, J. A., Nesbitt, T. S., & Hales, R. E. (2004, January). Cost issues with telepsychiatry in the United States. Bulletin of the Board of International Affairs of the Royal College of Psychiatrists, (3), 6–8.Google Scholar
  24. Hilty, D. M., Luo, J. S., Morache, C., Marcelo, D. A., & Nesbitt, T. S. (2002). Telepsychiatry: An overview for psychiatrists. CNS Drugs, 16(8), 527–548.PubMedCrossRefGoogle Scholar
  25. Horrigan, J. B. (2008, July). Home broadband adoption 2008. Retrieved August 4, 2008, from Pew internet & American life project. http://www.pewinternet.org/pdfs/PIP_Broadband_2008.pdf
  26. Houston, T. K., Sands, D. Z., Jenckes, M. W., & Ford, D. E. (2004). Experiences of patients who were early adopters of electronic communication with their physician: Satisfaction, benefits, and concerns. The American Journal of Managed Care, 10(9), 601–608.PubMedGoogle Scholar
  27. Hsiung, R. C. (2002). E-therapy: Case studies, guiding principles, and the clinical potential of the internet. New York: Norton.Google Scholar
  28. Institute of Medicine. (2004). Quality through collaboration: The future of rural health. Washington, DC: National Academies Press.Google Scholar
  29. Johansson, K., Salantera, S., Katajisto, J., & Leino-Kilpi, H. (2004). Written orthopedic patient education materials from the point of view of empowerment by education. Patient Education and Counseling, 52(2), 175–181.PubMedCrossRefGoogle Scholar
  30. Johnston, B., Wheeler, L., Deuser, J., & Sousa, K. H. (2000). Outcomes of the Kaiser permanent tele-home health research project. Archives of Family Medicine, 9(1), 40–45.PubMedCrossRefGoogle Scholar
  31. Jones, T. M. (2003). Patient participation in EHR benefits. Health Management Technology, 24(10), 64. 63.PubMedGoogle Scholar
  32. Kane, B., & Sands, D. Z. (1998, January–February). AMIA internet working group, task force on guidelines for the use of clinic–patient electronic mail. Journal of the American Medical Informatics Association, 5(1), 104–111.PubMedCrossRefGoogle Scholar
  33. Kisak, A. Z., & Conrad, K. J. (2004). Using technology to develop and distribute patient education storyboards across a health system. Oncology Nursing Forum, 31(1), 131–135.PubMedCrossRefGoogle Scholar
  34. Knight, V. E. (2008, February). Health records may lack certain privacy protection. Wall Street Journal (Eastern edition), p. D3. Retrieved August 4, 2008, ProQuest database.Google Scholar
  35. Komives, E. M. (2005). Clinician-patient e-mail communication: Challenges for reimbursement. North Carolina Medical Journal, 66(3), 238–240.PubMedGoogle Scholar
  36. Krouse, H. J. (2001). Video modeling to educate patients. Journal of Advanced Nursing, 33(6), 748–757.PubMedCrossRefGoogle Scholar
  37. Lawton, C. (2008, June). Microsoft, Kaiser try sharing patient data. Wall Street Journal (Eastern edition), p. D2. Retrieved August 4, 2008, from ProQuest database.Google Scholar
  38. Lawton, C., & Worthen, T. (2008, February). Google to offer health records on the web tech giant joins effort to prod consumers to keep their data in portable electronic profiles. Wall Street Journal (Eastern edition), p. D1. Retrieved August 4, 2008, from Proquest database.Google Scholar
  39. Lieberman, M. A., Golant, M., Giese-Davis, J., Winzlenberg, A., Benjamin, H., Humphreys, K., et al. (2003). Electronic support groups for breast carcinoma: A clinical trial of effectiveness. Cancer, 97(4), 920–925.PubMedCrossRefGoogle Scholar
  40. Liederman, E. M., Lee, J. C., Baquero, V. H., & Seites, P. G. (2005). Patient–physician web messaging. The impact on message volume and satisfaction. Journal of General Internal Medicine, 20(1), 52–57.PubMedCrossRefGoogle Scholar
  41. Liederman, E. M., & Morefield, C. S. (2003). Web messaging: A new tool for patient–physician communication. Journal of the American Medical Informatics Association, 10(3), 260–270.PubMedCrossRefGoogle Scholar
  42. Mandl, K. D., Kohane, I. S., & Brandt, A. M. (1998). Electronic patient–physician communication: Problems and promise. Annals of Internal Medicine, 129(6), 495–500.PubMedGoogle Scholar
  43. McDonald, C. J. (1997, May–June). The barriers to electronic medical record systems and how to overcome them. Journal of the American Medical Information Association, 4(3), 213–221.CrossRefGoogle Scholar
  44. Nesbitt, T. S., Cole, S. L., Pellegrino, L., & Keast, P. (2006, April). Rural Outreach in Home telehealth: Assessing Challenges and Reviewing Successes. Telemedicine Journal and e-Health, 12(2), 107–113.PubMedCrossRefGoogle Scholar
  45. Nesbitt, T. S., Hilty, D. M., Kuenneth, C. A., & Siefkin, A. (2000). Development of a telemedicine program: A review of 1,000 videoconferencing consultations. The Western Journal of Medicine, 173(3), 169–174.PubMedCrossRefGoogle Scholar
  46. Nesbitt, T. S., Jerant, A., & Balsbaugh, T. (2002). Equipping primary care physicians for the digital age. The Internet, online education, handheld computers, and telemedicine. The Western Journal of Medicine, 176(2), 116–120.PubMedGoogle Scholar
  47. Nesbitt, T. S., Marcin, J. P., Daschbach, M. M., & Cole, S. L. (2005). Perceptions of local health care quality in 7 rural communities with telemedicine. The Journal of Rural Health, 21(1), 79–85.PubMedCrossRefGoogle Scholar
  48. O’Connor, A. M., Stacey, D., Entwistle, V., Llewellyn-Thomas, H., Rovner, D., Holmes-Rovner, M. et al. (2006). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, 4(2), CD001431.Google Scholar
  49. Parker-Pope, T. (2003, August). Virtual second opinions: When the web can be better than seeing a local doc. The Wall Street Journal, p. 1.Google Scholar
  50. Perednia, D. A., & Allen, A. (1995). Telemedicine technology and clinical applications. Journal of the American Medical Association, 273(6), 483–488.PubMedCrossRefGoogle Scholar
  51. Pierce, L. L., Steiner, V., Govoni, A. L., Hicks, B., Cervantez Thompson, T. L., & Friedemann, M. L. (2004). Internet-based support for rural caregivers of persons with stroke shows promise. Rehabilitational Nursing, 29(3), 95–99. 103.Google Scholar
  52. Rogers, M. A., Small, D., Buchan, D. A., Butch, C. A., Stewart, C. M., Krenzer, B. E., et al. (2001). Home monitoring service improves mean arterial pressure in patients with essential hypertension. A randomized, controlled trial. Annals of Internal Medicine, 134(11), 1024–1032.PubMedGoogle Scholar
  53. Rosenblatt, R. A., & Hart, G. L. (1999). Physicians and rural America. In T. C. Ricketts (Ed.), Rural health in the United States (pp. 38–51). New York: Oxford University Press.Google Scholar
  54. Rosenthal, T. C., & Fox, C. (2000). Access to health care for the rural elderly. Journal of the American Medical Association, 284(16), 2034–2036.PubMedCrossRefGoogle Scholar
  55. Ross, S. E., Moore, L. A., Earnest, M. A., Wittevrongel, L., & Lin, C. T. (2004). Providing a web-based online medical record with electronic communication capabilities to patients with congestive heart failure: Randomized trial. Journal of Medical Internet Research, 6(2), e12.PubMedCrossRefGoogle Scholar
  56. Rundle, R. L. (2002, June). Healthcare providers let patients view records online. Wall Street Journal, p. 1.Google Scholar
  57. Sands, D. (2002). New information technology can help keep patients safer. Retrieved April 18, 2008, from http://www.ihi.org/IHI/Topics/PatientSafety/MedicationSystems/ImprovementStories/NewInformationTechnologyCanHelpKeepPatientsSafer.htm
  58. Shaikh, U., & Scott, B. J. (2005). Extent, accuracy, and credibility of breastfeeding information on the Internet. Journal of Human Lactation, 21(2), 175–183.PubMedCrossRefGoogle Scholar
  59. Smith, L., & Weinert, C. (2000). Telecommunication support for rural women with diabetes. Diabetes Education, 26(4), 645–655.CrossRefGoogle Scholar
  60. The Wall Street Journal Online. (2006, May). Poll shows more U.S. adults are going online at home. The Wall Street Journal. Retrieved August 4, 2008, from The Wall Street Journal Online. http://online.wsj.com/public/article/SB114840389678260791-IREjYVgN_rGLeE3_6Djin1jeJZc_20070523.html?mod=rss_free
  61. United States. Federal Communications Commission. (2007, November). FCC launches initiative to increase access to health care in rural America through broadband telehealth services. Retrieved November 20, 2008, from Federal Communications Commission. http://hraunfoss.fcc.gov/edocs_public/attachmatch/DOC-278260A1.pdf
  62. Vascellaro, J. E. (2008, May). Google helps organize medical records. Wall Street Journal (Eastern edition), p. D2. Retrieved August 4, 2008, from ProQuest database.Google Scholar
  63. Versweyveld, L. (2001). High plains rural health network starts using e-ceptionist scheduling service. Retrieved April 18, 2008, from http://www.hoise.com/vmw/02/articles/vmw/LV-VM-01-02-3.html
  64. Weinert, C., Cudney, S., & Winters, C. (2005). Social support in cyberspace: The next generation. Computers, Informatics, Nursing, 23(1), 7–15.PubMedCrossRefGoogle Scholar
  65. White, M., & Dorman, S. M. (2001). Receiving social support online: Implications for health education. Health Education Research, 16(6), 693–707.PubMedCrossRefGoogle Scholar
  66. Wootton, R., Bloomer, S. E., Corbett, R., Eedy, D. J., Hicks, N., Lotery, H. E., et al. (2000). Multicentre randomised control trial comparing real time teledermatology with conventional outpatient dermatological care: Societal cost-benefit analysis. British Medical Journal, 320(7244), 1252–1256.PubMedCrossRefGoogle Scholar
  67. Yellowlees, P. (1997). Successful development of telemedicine systems − Seven core principles. Journal of Telemedicine and Telecare, 3(4), 215–222; discussion 222–213.PubMedCrossRefGoogle Scholar
  68. Yellowlees, P. (2001). Your guide to e-health: Third millennium medicine on the internet. St. Lucia, Queensland: University of Queensland Press.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.University of California, DavisSacramentoUSA
  2. 2.Administration and Clinical OutreachSacramentoUSA

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