LEADER 04957nam 2200637Ia 450 001 9910817167903321 005 20230421033227.0 010 $a0-309-17539-9 010 $a1-280-19190-2 010 $a9786610191901 010 $a0-309-55312-1 010 $a0-585-02110-4 035 $a(CKB)110986584751832 035 $a(EBL)3377053 035 $a(SSID)ssj0000256766 035 $a(PQKBManifestationID)11246949 035 $a(PQKBTitleCode)TC0000256766 035 $a(PQKBWorkID)10228452 035 $a(PQKB)10660819 035 $a(MiAaPQ)EBC3377053 035 $a(Au-PeEL)EBL3377053 035 $a(CaPaEBR)ebr10063013 035 $a(CaONFJC)MIL19190 035 $a(OCoLC)923267960 035 $a(EXLCZ)99110986584751832 100 $a19970219d1996 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aTelemedicine$b[electronic resource] $ea guide to assessing telecommunications in health care /$fCommittee on Evaluating Clinical Applications of Telemedicine, Division of Health Care Services, Institute of Medicine ; Marilyn J. Field, editor 210 $aWashington, D.C. $cNational Academy Press$d1996 215 $a1 online resource (288 p.) 300 $aDescription based upon print version of record. 311 $a0-309-05531-8 320 $aIncludes bibliographical references (p. 209-225) and index. 327 $a""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"" 327 $a""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"" 327 $a""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"" 327 $a""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"" 327 $a""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"" 327 $a""REGULATION OF MEDICAL DEVICES"" 606 $aTelecommunication in medicine$xEvaluation 606 $aTelecommunication in medicine$zUnited States$xEvaluation 615 0$aTelecommunication in medicine$xEvaluation. 615 0$aTelecommunication in medicine$xEvaluation. 676 $a610.28546 701 $aField$b Marilyn J$g(Marilyn Jane)$01610163 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910817167903321 996 $aTelemedicine$94026696 997 $aUNINA