By focusing on a diagnosis that is readily recognizable as high-volume, Russell shows how a telemedicine approach has immense potential.
Russell offers a convincing case that via use of this technology to leverage skilled expertise, healthcare systems can effectively serve populations that might be traditionally underserved, and deliver care more safely and economically to individuals who are increasingly likely to be aging and less mobile in the community. This book mentions but does not explore in detail the use of telehealth systems for delivery of non-traditional PT care. There is substantial potential for using this modality for motivational interviews to initiate new behaviors; to check, encourage, and reinforce long-term compliance with specific rehabilitation protocols; and to prevent disability by promoting general physical exercise programs.
Several target audiences would find this manuscript well worth reading.
Chief among them are clinician-scientists. Policymakers and healthcare enterprise administrators with less scientific backgrounds, however, would also find this text to be useful in learning the true potential of what telemedicine systems can accomplish. Finally, the document includes so much specific detail that clinicians, information managers, and logisticians planning the rollout of a telehealth system could streamline that process by referring to this important guide.
Recent research projects
Computer and video conferencing hardware have certainly changed to some degree in the years since the author conducted his work, but the principles of data capture and analysis, and patient assessment and education from a distance, remain the same. National Center for Biotechnology Information , U. Importantly, while not superior to usual care in terms of health service use, telemedicine did not compromise the quality and safety of care in terms of foetal and maternal outcomes.
Uptake of the intervention, as reflected by the volume of GDM self-monitoring data entered into the telemedicine system by patients, showed that patients using this approach shared less data with clinicians, when compared to the usual care method of handwritten data. There was greater usage of the telemedicine system to share data in first four weeks of the intervention. Statistically, there was no difference between the intervention and control on health service provider costs.
However, limitations of scaling up the intervention notwithstanding, there was potentially for a significant cost saving from a health service perspective. Themes from patient interviews showed that telemedicine as a concept, may be acceptable among patients, facilitated proactive self-management, and enabled personalised feedback. Some patients suggested telemedicine could potentially reduce face-to-face clinic attendances, thus, saving them travel time or allow them to balance work and ongoing GDM care.
These views were possibly from a self-selected group of patients who engaged more with using the telemedicine system element of the intervention. Patients who engaged less with using the system were reluctant to participate in interviews.
For instance, some expressed views that telemedicine may be a supplement usual care, rather than an alternative substitute. In conclusion, while my study was exploratory, telemedicine support for GDM showed no impact on service utilisation and provider costs. Telemedicine produced similar maternal and foetal clinical outcomes as usual care, suggesting no added risk to clinical quality of care, but with the possibility of a shorter time to insulin dose stabilisation. Further research in telemedicine using, user-friendly technological platforms that are fit for purpose, and including robust health economic evaluation in GDM is still needed.
Keywords telemedicine; gestational diabetes; health service utilisation; maternal and foetal outcomes. Collections General Practice - Theses .
Clinical Informatics Domain: At least 6 quarter credits. Practical Experience: All required. The Application Process Applications for the class entering in will be accepted starting in September, Curriculum vitae Three letters of recommendation Official transcript of school record Certification of terminal degree Statement of Purpose You may also submit a portfolio of published research, or samples of website or system development to support your application if you wish.
Important Transcript Information It is the policy of the School of Medicine Registrar that new students have a complete set of original transcripts on file prior to matriculation showing the degree awarded and date. In addition, doctoral candidates are expected to take at least two more advanced courses. In the first year, two or three research rotations are strongly encouraged.
Doctoral students routinely will not be receiving a Masters degree on their way to the PhD; particular exceptions will be decided on a case-by-case basis. Doctoral students are generally advanced to PhD candidacy after passing the Oral Examination. The student must have a minimum of two consecutive semesters four quarters of full time enrollment and resident on campus as a graduate student To remain in the PhD program, each student must receive no less than an B in core courses, must attain a grade point average GPA as outlined above, and must pass a comprehensive exam covering introductory level graduate material in any curriculum category in which he or she fails to attain a GPA of 3.
The student must fulfill these requirements and apply for admission to candidacy for the PhD by the end of six quarters of study excluding summers. During the third year of training, generally in the Winter Quarter, each doctoral student is required to present a preproposal seminar that describes evolving research plans and allows program faculty to assure that the student is making good progress toward the definition of a doctoral dissertation topic.
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By the end of nine quarters excluding summers , each student must orally present a thesis proposal to a dissertation committee that generally includes at least one member of the Graduate Study Committee of the Health Sciences Informatics program. As part of the training for the PhD, each student is required to be a teaching assistant for two courses approved by the DHSI Executive Committee; one should be completed in the first two years of study.
An Integrated and distributed framework for a Malaysian telemedicine system (MYtel) | EQUELLA
The most important requirement for the PhD degree is the dissertation. Prior to the oral dissertation proposal and defense, each student must secure the agreement of a member of the program faculty to act as dissertation advisor. The University Preliminary Oral Exam UPO committee must consist of five faculty members, two of whom to be from outside the program, with the chair of the UPO committee coming from outside the program.
The Thesis Committee comprises the principal advisor, who must be an active member of the HSI program faculty, and other, approved non HSI faculty members. Thesis committees must meet formally at least annually. Upon completion of the thesis research, each student must then prepare a formal written thesis, based on guidelines provide by the Doctor of Philosophy Board of the University.