Telemedicine : 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

• Pubblicazione: Washington, D.C., : National Academy Press, 1996
• Edizione: 1st ed.
• Descrizione fisica: 1 online resource (288 p.)
• Disciplina: 610.28546
• Soggetto topico: Telecommunication in medicine - Evaluation; Telecommunication in medicine - United States - Evaluation
• Altri autori: FieldMarilyn J (Marilyn Jane)
• 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""
• Sommario/riassunto: Telemedicine--the use of information and telecommunications technologies to provide and support health care when distance separates the participants--is receiving increasing attention not only in remote areas where health care access is troublesome but also in urban and suburban locations. Yet the benefits and costs of this blend of medicine and digital technologies must be better demonstrated before today's cautious decisionmakers invest significant funds in its development. Telemedicine presents a framework for evaluating patient care applications of telemedicine. The book identifies managerial, technical, policy, legal, and human factors that must be taken into account in evaluating a telemedicine program. The committee reviews previous efforts to establish evaluation frameworks and reports on results from several completed studies of image transmission, consulting from remote locations, and other telemedicine programs. The committee also examines basic elements of an evaluation and considers relevant issues of quality, accessibility, and cost of health care. Telemedicine will be of immediate interest to anyone with interest in the clinical application of telemedicine.
• Titolo autorizzato: Telemedicine
• ISBN: 9786610191901; 9780309175395; 0309175399; 9781280191909; 1280191902; 9780309553124; 0309553121; 9780585021102; 0585021104
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910965903903321
• Lo trovi qui: Univ. Federico II