By Topic

eHealth, Telemedicine, and Social Medicine, 2010. ETELEMED '10. Second International Conference on

Date 10-16 Feb. 2010

Filter Results

Displaying Results 1 - 25 of 37
  • [Front cover]

    Publication Year: 2010 , Page(s): C1
    Save to Project icon | Request Permissions | PDF file iconPDF (2375 KB)  
    Freely Available from IEEE
  • [Title page i]

    Publication Year: 2010 , Page(s): i
    Save to Project icon | Request Permissions | PDF file iconPDF (11 KB)  
    Freely Available from IEEE
  • [Title page iii]

    Publication Year: 2010 , Page(s): iii
    Save to Project icon | Request Permissions | PDF file iconPDF (54 KB)  
    Freely Available from IEEE
  • [Copyright notice]

    Publication Year: 2010 , Page(s): iv
    Save to Project icon | Request Permissions | PDF file iconPDF (125 KB)  
    Freely Available from IEEE
  • Table of contents

    Publication Year: 2010 , Page(s): v - vii
    Save to Project icon | Request Permissions | PDF file iconPDF (168 KB)  
    Freely Available from IEEE
  • Preface

    Publication Year: 2010 , Page(s): viii - ix
    Save to Project icon | Request Permissions | PDF file iconPDF (80 KB) |  | HTML iconHTML  
    Freely Available from IEEE
  • Committees

    Publication Year: 2010 , Page(s): x - xiv
    Save to Project icon | Request Permissions | PDF file iconPDF (98 KB)  
    Freely Available from IEEE
  • list-reviewer

    Publication Year: 2010 , Page(s): xv - xviii
    Save to Project icon | Request Permissions | PDF file iconPDF (93 KB)  
    Freely Available from IEEE
  • Towards a Regional Innovation System for Telemedicine in South Africa

    Publication Year: 2010 , Page(s): 1 - 4
    Save to Project icon | Request Permissions | Click to expandQuick Abstract | PDF file iconPDF (224 KB) |  | HTML iconHTML  

    The South African government identified telemedicine as a strategic tool to improve delivery of equitable healthcare and educational services. However, the advancement of telemedicine is hindered by the fact that not many South African medical practitioners dwell in the domain of information and communication technicians and visa versa. Attempts to advance healthcare in South Africa are disparate and parties doing complementary work, often do not know of each other. The purpose of this project is to come up with a framework that can be used as a business model towards the establishing of a regional innovation system (RIS) for the advancement of telemedicine, firstly in South Africa. View full abstract»

    Full text access may be available. Click article title to sign in or learn about subscription options.
  • Business Model Engineering for a Wireless Telerehabilitation Service

    Publication Year: 2010 , Page(s): 5 - 10
    Save to Project icon | Request Permissions | Click to expandQuick Abstract | PDF file iconPDF (1093 KB) |  | HTML iconHTML  

    The research in this paper presents a business model engineering approach for the introduction of telemedicine services. We use cost benefit analysis to allocate activities onto a value network. Traditional approaches use cost benefit analysis to build the business case in a much later phase of development. In the paper the business model engineering approach used to conceptualize the deployment of this telerehabilitation service is described, analyzed and evaluated. We demonstrate that the business model engineering approach leads to critical deployment insights that would otherwise be unknown or learned at a much later phase of the development process. View full abstract»

    Full text access may be available. Click article title to sign in or learn about subscription options.
  • Towards Innovative Business Modeling for Sustainable eHealth Applications

    Publication Year: 2010 , Page(s): 11 - 16
    Cited by:  Papers (1)
    Save to Project icon | Request Permissions | Click to expandQuick Abstract | PDF file iconPDF (371 KB) |  | HTML iconHTML  

    Modern day healthcare is offering more and more treatment alternatives on the Internet, so-called eHealth. In order to reform the business logic of these organizations from the traditional healthcare services towards more eHealth in their services, an implementation strategy is needed to guide this reformation. A currently popular approach to guide these reformations and to come to an eventual implementation is by the use of business models. This paper describes what business models are and what their potential for designing and implementing eHealth applications can be. Also, three recent methods of business modeling that aimed to create sustainable eHealth applications will be described as an example, followed by some potential complications and their corresponding challenges that can appear when working on a business model for innovative eHealth applications. View full abstract»

    Full text access may be available. Click article title to sign in or learn about subscription options.
  • African Telenursing: What is It and What's Special about It?

    Publication Year: 2010 , Page(s): 17 - 22
    Save to Project icon | Request Permissions | Click to expandQuick Abstract | PDF file iconPDF (288 KB) |  | HTML iconHTML  

    Telenursing is well established in developed nations. Pilot telenursing schemes have been introduced in South Africa and elsewhere in the continent and, where justified, slowly expanded to allow maximum benefit from this modality of care. However systems, equipment and procedures which may be successful in the developed world are usually inappropriate for direct, unmodified transfer to developing countries. The appropriate changes to telenursing application for African needs and progress already made in African telenursing will be described, but currently there is little quantitiative data available. View full abstract»

    Full text access may be available. Click article title to sign in or learn about subscription options.
  • Enhancing Rural Healthcare in Emerging Countries through an eHealth Solution

    Publication Year: 2010 , Page(s): 23 - 28
    Save to Project icon | Request Permissions | Click to expandQuick Abstract | PDF file iconPDF (590 KB) |  | HTML iconHTML  

    This paper investigates the applicability of an eSolution that improves health care delivery settings in the rural parts of the developing world and discusses about a proposed patient-centric eSolution that suits the Sri Lankan setting. Patients in rural areas incur heavy expenditure in traveling long distances spending lot of time to consult Specialists in cities due to the lack of Specialists in their areas. This issue can be addressed by an eSolution that makes appropriate use of Electronic Medical Records (EMR) and Telemedicine technologies which enables the patient to consult a Specialist through eConsultation. The main benefit of implementing such an eSolution is that, it ensures the availability of the Specialist across a distance at many eClinics within the shortest possible time frame. This paper also provides taxonomy of technology choices for connectivity and communication software for conferencing and discusses the overall solution that was proposed for use, considering its adaptability and appropriateness in a developing country perspective. View full abstract»

    Full text access may be available. Click article title to sign in or learn about subscription options.
  • e-Dietician in General Practice

    Publication Year: 2010 , Page(s): 29 - 32
    Save to Project icon | Request Permissions | Click to expandQuick Abstract | PDF file iconPDF (282 KB) |  | HTML iconHTML  

    Obesity is according to WHO one of the greatest health challenges of our time. The aim of the pilot project was to investigate the weight loss efficacy and the cost of individual dietetic internet-based consultations in a Danish medical centre in combination with an internet community. A total of 46 obese patients in general practice were offered participation in a cohort study during May 15th to December 1st 2008. Patients from three different health centers were included. 32 patients gave informed consent to participate and were given access to weekly e-mail consultations with a dietician and access to an advanced internet community. The weight was objectively decided by inclusion and conclusion of the study. 22 (17 women and 5 men) completed the study. The average age was 41 years, the weight was 103 kg and the BMI was 36.7 kg/m2. After four months (42-168 days) of treatment and averagely 17 consultations the participants accomplished an average weight loss of 6.3 kg, p<0.001. Nine participants accomplished a weight loss of 5-10 kg and four participants accomplished a weight loss of over 10 kg. There was no significant association between weight loss and treatment duration or between weight loss and the amount of consultations (p=0.3). The individual expense to prevention- and e-mail consultations was 1,165 DKK. In comparison the expense of 3 months of conventional treatment with 6-8 visits would be 1,3001,700 DKK. We conclude that weight loss as a result of e-consultations is comparable with conventional weight loss treatments in general practice. The utilization of e-mail consultations can furthermore result in a saving in expenses and premises if the e-mail correspondences are held outside of the health centre. View full abstract»

    Full text access may be available. Click article title to sign in or learn about subscription options.
  • Innovative ICT Platform for Emerging eHealth Services: Towards Overcoming Technical and Social Barriers and Solving Grand Challenges in Medicine

    Publication Year: 2010 , Page(s): 33 - 38
    Save to Project icon | Request Permissions | Click to expandQuick Abstract | PDF file iconPDF (499 KB) |  | HTML iconHTML  

    The progress in solving grand challenges in eHealth is not as dynamic as the development of advanced Information and Communication Technologies (ICT). Despite many accomplished achievements in research, systems and solutions available on the market are not comprehensive. There are two main reasons for this: the progress in overcoming existing barriers is insufficient and we will face a social revolution corresponding to the expected development of Future Internet and the transformation into ubiquitous society. The paper presents a possible solution for this situation and is relevant for two important topics: telemedicine/eHealth services and integration between classical medicine and eHealth. We introduce the concept of innovative ICT platform for eHealth services which arose within an advanced Polish eInfrastructure. Accordingly, the paper is focused on well characterized components of this infrastructure, which are already used by different eHealth projects and activities. The set of components include PIONIER Optical Network, GRID computing infrastructure, virtual laboratories, video content distribution system, digital libraries and high definition videoconferencing. These components allow to create an integrated eHealth living laboratory platform which lets users to participate in a new model of interaction where doctors, nurses, patients interact with virtual space and at the same time they use real facilities available in hospitals, which are to be parts of the lab infrastructure. The pilot realization of this concept has begun to enable applications for disease research and treatment organization, virtual laboratory for medical imaging, clinical decision support system, medical teleeducation and teleconsultations. This is the way we propose to break down technical and social barriers and possibly accelerate solving grand challenges in medicine. View full abstract»

    Full text access may be available. Click article title to sign in or learn about subscription options.
  • User-Centered Development of Effective Web-Based Patient Education: A Case Study about Methicillin-Resistant Staphylococcus aureus

    Publication Year: 2010 , Page(s): 39 - 44
    Save to Project icon | Request Permissions | Click to expandQuick Abstract | PDF file iconPDF (458 KB) |  | HTML iconHTML  

    This paper describes the user-centered design process of online patient education, focusing on Methicillin-resistant Staphylococcus aureus (MRSA). A user-centered design approach comprising four different methods (semi-structured interviews; Card Sort Task; prototyping; scenario testing) was used to develop an educational website. The approach provided insight in MRSA-carriers' experiences and information needs which helped to fully adapt the website's content, structure, and lay-out to the users' needs. The website enabled MRSA-carriers to efficiently and effectively search for practically relevant information in order to empower them to take decisions for daily practice. Moreover, we found that involving patients is important to create ownership and to foster website's applicability. View full abstract»

    Full text access may be available. Click article title to sign in or learn about subscription options.
  • Operational Wellness Model: A Wellness Model Designed for an Agent-Based Wellness Visualization System

    Publication Year: 2010 , Page(s): 45 - 50
    Cited by:  Papers (2)
    Save to Project icon | Request Permissions | Click to expandQuick Abstract | PDF file iconPDF (609 KB) |  | HTML iconHTML  

    This paper introduces an operational wellness model that forms the basis of a wellness visualization system. The operational wellness model is needed to determine a common reference enabling the evaluation of the visualization system. Existing definitions of wellness and wellness evaluation models have limitations and cannot be realized in software. The proposed model comprises the operational definition of wellness and the operational wellness evaluation model. The results generated by the operational wellness model will be used in the wellness visualization system. The model presents numerous advantages: it is extensible, computable, and can be rendered by a computer program. View full abstract»

    Full text access may be available. Click article title to sign in or learn about subscription options.
  • Evaluation of the User Experience of a Standard Telecare Product - The Personal Trigger

    Publication Year: 2010 , Page(s): 51 - 56
    Save to Project icon | Request Permissions | Click to expandQuick Abstract | PDF file iconPDF (462 KB) |  | HTML iconHTML  

    Telecare is a term that covers a range of products and services that use new technology to enable people to live with greater independence and safety in their own homes. In this paper, we present an evaluation of the user experience of a familiar telecare product called a `personal trigger' that provides a means of summoning assistance when help is needed. It is supplied as part of a community alarm service and should be worn at all times for continuous protection. Our evaluation is based on a survey distributed to over 1,300 clients in Moray, North East Scotland with a 60% response rate. The main findings are: clients view the service extremely positively, but almost two-thirds have never used their personal trigger to summon help and less than 8% wear it at all times; over two-thirds of clients wear their personal trigger most or all of the time, predominantly because it makes them feel safer; almost one-third of clients wear their personal trigger only some of the time to not at all, mostly because it is too sensitive or they forget to put it on. The appearance of the personal trigger was found to be less significant, despite the large majority of respondents being women. However, there is a need for better design to make it more comfortable and enjoyable to wear. Over the coming years, many older people will have higher expectations of public services. Designers can make things that are attractive and work well, and should be included in teams that develop telecare technology. View full abstract»

    Full text access may be available. Click article title to sign in or learn about subscription options.
  • Implementation a Holistic Model, Interactive and Persuasive to Facilitate Self-Care of Patients with Diabetes (hIPAPD)

    Publication Year: 2010 , Page(s): 57 - 63
    Save to Project icon | Request Permissions | Click to expandQuick Abstract | PDF file iconPDF (570 KB) |  | HTML iconHTML  

    Health indicators express remarkable gaps in health systems at a world-wide level. Countries of all over the world are implementing new strategies, methodologies and technologies to better serve the millions of patients, who demand better medical attention. The current system, which is archaic and not very systematic, widens the gap even more than the quality of medical services that should be provided to the millions of diabetic patients. Diabetic patients go through several difficulties with their medical treatment such as lack of motivation, difficulty of understanding, real or functional analphabetism, serious economic problems, high levels of depression, and self-care of diabetes. In the same manner, the medical relationship among patient, sanitary personnel, relatives and society is extremely affected by the little or no intention to establish follow-up parameters, prevention and self-care among the aforementioned actors. The Holistic, Interactive and Persuasive model to facilitate self-care of patients with diabetes (hiPAPD) is a model of Information and Communications Technologies centered on the diabetic patient. Its main goal is to facilitate the self-care of the patient and to stimulate bonds of prevention, attendance and support among the Family Contexts of the Patient, Friends of the Patient, Doctors, Sanitary Personnel and Society, as is shown in the rest of this article. View full abstract»

    Full text access may be available. Click article title to sign in or learn about subscription options.
  • Experiences and Preferences of Patients with Rheumatic Diseases Regarding an Interactive Health Communication Application

    Publication Year: 2010 , Page(s): 64 - 71
    Save to Project icon | Request Permissions | Click to expandQuick Abstract | PDF file iconPDF (350 KB) |  | HTML iconHTML  

    Objective Interactive Health Communication Applications (IHCAs) can make a valuable contribution to rheumatological care. The development of online health applications is moving quickly, and positive results have been shown. Yet solid research on use and acceptance of different information, communication and participation tools by patients is still lacking. In this qualitative study, we examined the health-related internet use of patients with rheumatic diseases, their motives for using or not using certain applications, and their needs and preferences with regard to a rheumatology IHCA. Method Semi-structured individual interviews were conducted with eighteen patients, who were selected from a hospital's patient panel. Participants were diagnosed with eight different forms of rheumatism and their mean age was 50.7 years. The interviews were coded by two independent researchers. Results The applications most preferred by participants were: information provision on both medical and support topics, online communication with their doctor and insight in their personal health records. Patient support groups were less valued as were participation tools such as symptom monitoring and online exercise programs. Furthermore, a large discrepancy was shown between patients' current use and their future preferences with respect to information about care and support, access to personal health records and having online contact with their doctor. Conclusion Patients see great value in an IHCA provided by their own hospital, since it could increase reliability, and would give them the confidence to use the application. The current study shows a significant discrepancy between current use and future preferences rheumatism patients have regarding online communication with their doctor, online symptom monitoring and insight in their personal health record. Overall a rheumatology IHCA should contain communication and participation tools, both linked to the hospital, and information ab- out disease, care and practical support. Since this study focused on the communication with patients regarding a technological ehealth system which will include information, communication and participation, this paper is relevant on the conference topics eHealth systems and communcations, eHealth technology and devices and Telemedicine/ehealth applications. View full abstract»

    Full text access may be available. Click article title to sign in or learn about subscription options.
  • Evaluation of the Use of an Ask-the-Expert e-Consultation Service for Support on Health-Related Requests

    Publication Year: 2010 , Page(s): 72 - 76
    Save to Project icon | Request Permissions | Click to expandQuick Abstract | PDF file iconPDF (310 KB) |  | HTML iconHTML  

    E-consultation in health care can be used to respond to an increasing demand for care by offering support on health-related requests. In this study we evaluated the use of an Ask-the-expert e-consultation service in order to assess whether the service is efficient and useful. A content analysis of e-mail exchange between clients and online health professionals was performed to gain insight in the purposes of use of the service. Our findings show that the service was used for e-mails requests on not urgent, minor ailments. Clients asked for health information to increase knowledge on the cause of their injury or disease, its consequences, self-care solutions and treatment options. Decision support on assessing the necessity to visit a doctor for a certain health problem was another important reason to use the service. We believe that web-based triage systems could be used to more easily assess whether certain symptoms need to be investigated. View full abstract»

    Full text access may be available. Click article title to sign in or learn about subscription options.
  • WSN Applications in Personal Healthcare Monitoring Systems: A Heterogeneous Framework

    Publication Year: 2010 , Page(s): 77 - 83
    Cited by:  Papers (4)
    Save to Project icon | Request Permissions | Click to expandQuick Abstract | PDF file iconPDF (441 KB) |  | HTML iconHTML  

    The authors discuss and map the main findings resulting from the development of a series of four Wireless Sensor Network (WSN) health monitoring prototypes, under the generic name of MoteCare. A devised a generic framework that can be adapted for healthcare monitoring, both at a patient's home or in a care facility is proposed. View full abstract»

    Full text access may be available. Click article title to sign in or learn about subscription options.
  • Mobile Technologies for Enhancing eHealth Solutions in Developing Countries

    Publication Year: 2010 , Page(s): 84 - 89
    Cited by:  Papers (2)
    Save to Project icon | Request Permissions | Click to expandQuick Abstract | PDF file iconPDF (570 KB) |  | HTML iconHTML  

    The high penetration of mobile devices and networks globally implies that mobile technologies can be used very effectively in the field of Healthcare in order to compensate the scarcity of resources problem, particularly in developing countries. With the proliferation of mobile technologies, mobile health (mHealth) will play a vital role in the rapidly growing electronic health (eHealth) area. The form of transparency between the healthcare domains and patients is a need to compensate the lack of medical resources (e.g. Consultants, Specialists), especially in developing countries. This paper investigates the applicability of available mobile infrastructure and technologies in the health sector and proposes an effective m-Health model to suit the Sri Lankan setting. View full abstract»

    Full text access may be available. Click article title to sign in or learn about subscription options.
  • A Pilot Study of Home Automated Telemanagement (HAT) System in African Americans with Congestive Heart Failure

    Publication Year: 2010 , Page(s): 90 - 94
    Cited by:  Papers (1)
    Save to Project icon | Request Permissions | Click to expandQuick Abstract | PDF file iconPDF (497 KB) |  | HTML iconHTML  

    Existing telemonitoring systems provide limited support in implementing personalized treatment plans. We developed a Home Automated Telemanagement (HAT) system for patients with congestive heart failure (CHF) to provide support in following individualized treatment plans as well as to monitor symptoms, weight changes, and quality of life, while educating the patient on their disease. The system is designed to be placed in the patient's home and to communicate all patient data to a central server implementing real-time clinical decision support. The system questions the patient daily on their condition, monitors their weight, and provides the patient with instant feedback on their condition in the form of a 3-zone CHF action plan. Their medication regimen and suggested actions are determined by their care management team and integrated into the system, keeping a personalized approach to disease management while taking advantage of the technology available. The system is designed to be as simple as possible, making it usable by patients with no prior computer experience. This telemanagement system has been successfully designed and implemented to optimize the care of patients with congestive heart failure. View full abstract»

    Full text access may be available. Click article title to sign in or learn about subscription options.
  • A Cloud Computing Solution for Patient's Data Collection in Health Care Institutions

    Publication Year: 2010 , Page(s): 95 - 99
    Cited by:  Papers (23)  |  Patents (1)
    Save to Project icon | Request Permissions | Click to expandQuick Abstract | PDF file iconPDF (463 KB) |  | HTML iconHTML  

    Existing processes for patients' vital data collection require a great deal of labor work to collect, input and analyze the information. These processes are usually slow and error-prone, introducing a latency that prevents real-time data accessibility. This scenario restrains the clinical diagnostics and monitoring capabilities. We propose a solution to automate this process by using ¿sensors¿ attached to existing medical equipments that are inter-connected to exchange service. The proposal is based on the concepts of utility computing and wireless sensor networks. The information becomes available in the ¿cloud¿ from where it can be processed by expert systems and/or distributed to medical staff. The proof-of-concept design applies commodity computing integrated to legacy medical devices, ensuring cost-effectiveness and simple integration. View full abstract»

    Full text access may be available. Click article title to sign in or learn about subscription options.