Telemedicine [[electronic resource] ] : a guide to assessing telecommunications in health care / / Committee on Evaluating Clinical Applications of Telemedicine, Division of Health Care Services, Institute of Medicine ; Marilyn J. Field, editor

• Record Nr.: UNINA9910778664503321
• Pubbl/distr/stampa: Washington, D.C., : National Academy Press, 1996
• ISBN: 0-309-17539-9; 1-280-19190-2; 9786610191901; 0-309-55312-1; 0-585-02110-4
• Descrizione fisica: 1 online resource (288 p.)
• Altri autori (Persone): FieldMarilyn J (Marilyn Jane)
• Disciplina: 610.28546
• Soggetti: Telecommunication in medicine - Evaluation; Telecommunication in medicine - United States - Evaluation
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Note generali: Description based upon print version of record.
• Nota di bibliografia: Includes bibliographical references (p. 209-225) and index.
• Nota di contenuto: ""Telemedicine""; ""Copyright""; ""Acknowledgments""; ""Contents""; ""Telemedicine""; ""Summary""; ""TELEMEDICINE PAST AND PRESENT""; ""CHALLENGES IN EVALUATING CLINICAL TELEMEDICINE""; ""A FRAMEWORK FOR EVALUATION""; ""BASIC EVALUATION QUESTIONS""; ""CONCLUSION""; ""APPENDIX: QUESTIONS ABOUT THE QUALITY, ACCESSIBILITY, COST, AND ACCEPTABILITY OF TELEMEDICINE""; ""Evaluating Quality of Care and Health Outcomes""; ""Evaluating Access to Care""; ""Evaluating Health Care Costs and Cost-Effectiveness""; ""Evaluating Patient Perceptions""; ""Evaluating Clinician Perceptions""; ""1 Introduction and Background """"TELEMEDICINE IN CONTEXT""; ""THE DEMAND FOR EVIDENCE OF EFFECTIVENESS""; ""STUDY ORIGINS AND APPROACH""; ""TERMS AND DEFINITIONS""; ""Telemedicine""; ""Classifying Clinical Applications of Telemedicine""; ""Evaluation""; ""STRUCTURE OF THE REPORT""; ""2 Evolution and Current Applications of Telemedicine""; ""EVOLUTION OF DISTANCE COMMUNICATION""; ""DEVELOPMENT OF TELEMEDICINE""; ""CURRENT APPLICATIONS OF ; TELEMEDICINE""; ""Growth and Diversity""; ""Teleradiology""; ""Care in the Home and Other Nonclinical Sites""; ""Telemedicine for Prison Populations""; ""Rural Telepsychiatry""""Postsurgical Monitoring in an Urban Nursing Home""; ""Telemedicine in a Managed Care System""; ""CONCLUSION""; ""3 The Technical and Human Context of Telemedicine""; ""THE TECHNICAL INFRASTRUCTURE""; ""Variation in User Needs and Circumstances""; ""Variety and Complexity of Technologies""; ""Information Carrying Capacity""; ""Information Transmission Media""; ""Information Restructuring and Digital Technologies""; ""Making the Pieces Work Together""; ""Standards for Hardware and Software""; ""Managing the Old and the New""; ""HUMAN FACTORS AND THE ACCEPTANCE OF TELEMEDICINE""""Growing Recognition of Human Factors""; ""Practical Human Factors""; ""Problems Related to Equipment""; ""Difficulty of Incorporating Telemedicine into Existing Practice""; ""Inadequate Assessment of Needs and Preferences""; ""Cultural and Socioeconomic Factors""; ""Professional Culture and Image""; ""Lack of Documented Benefit""; ""Lack of Payment for Telemedicine Services""; ""Health Care Restructuring""; ""CONCLUSION""; ""4 The Policy Context of Telemedicine""; ""NATIONAL COMMUNICATIONS AND INFORMATION INFRASTRUCTURE POLICY""; ""STATE PROGRAMS AND INITIATIVES""""PROFESSIONAL LICENSURE AND DISTANCE MEDICINE""; ""Current Policies""; ""Issues""; ""Policy Options""; ""A Note on Credentialing""; ""MALPRACTICE LIABILITY""; ""Current Policies""; ""Issues""; ""Policy Options""; ""PRIVACY, CONFIDENTIALITY, AND SECURITY""; ""Current Policies""; ""Issues""; ""Policy Options""; ""Technical and Administrative Options""; ""PAYMENT POLICIES FOR TELEMEDICINE""; ""Fee-for-Service Payment and Telemedicine""; ""Per Case or Other Bundled Payment Methods""; ""Capitation Payment/Fixed Budget""; ""Other Financing Mechanisms""; ""REGULATION OF MEDICAL DEVICES""