The Experts below are selected from a list of 58212 Experts worldwide ranked by ideXlab platform
Charles R Doarn - One of the best experts on this subject based on the ideXlab platform.
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Evolution of Telemedicine in Russia: the influence of the space program on modern Telemedicine programs.
Telemedicine Journal and E-health, 2020Co-Authors: Charles R Doarn, Vladimir Lavrentyev, Oleg I. Orlov, Arnauld Nicogossian, Anatoly I. Grigoriev, Earl W. Ferguson, Ronald C MerrellAbstract:Telemedicine education and application throughout Russia has its roots in Russia's space program. The concepts of Telemedicine have evolved during the course of 40 years of space exploration. This paper reviews the evolution of Telemedicine and the achievements of the Soviet/Russian Space Program.
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state policies influence medicare Telemedicine utilization
Telemedicine Journal and E-health, 2016Co-Authors: Jonathan D Neufeld, Charles R DoarnAbstract:Background Medicare policy regarding Telemedicine reimbursement has changed little since 2000. Many individual states, however, have added Telemedicine reimbursement for either Medicaid and/or commercial payers over the same period. Because Telemedicine programs must serve patients from all or most payers, it is likely that these state-level policy changes have significant impacts on Telemedicine program viability and utilization of services from all payers, not just those services and payers affected directly by state policy. This report explores the impact of two significant state-level policy changes-one expanding Medicaid Telemedicine coverage and the other introducing Telemedicine parity for commercial payers-on Medicare utilization in the affected states. Materials and methods Medicare claims data from 2011-2013 were examined for states in the Great Lakes region. All valid claims for live interactive Telemedicine professional fees were extracted and linked to their states of origin. Allowed encounters and expenditures were calculated in total and on a per 1,000 members per year basis to standardize against changes in the Medicare population by state and year. Results Medicare Telemedicine encounters and professional fee expenditures grew sharply following changes in state Medicaid and commercial payer policy in the examined states. Medicare utilization in Illinois grew by 173% in 2012 (over 2011) following Medicaid coverage expansion, and Medicare utilization in Michigan grew by 118% in 2013 (over 2012) following adoption of Telemedicine parity for commercial payers. By contrast, annual Medicare Telemedicine utilization growth in surrounding states (in which there were no significant policy changes during these years) varied somewhat but showed no discernible pattern. Conclusions Although Medicare Telemedicine policy has changed little since its inception, changes in state policies with regard to Telemedicine reimbursement appear to have significant impacts on the practical viability of Telemedicine programs that bill Medicare for Telemedicine services.
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what is Telemedicine a collection of 104 peer reviewed perspectives and theoretical underpinnings
Telemedicine Journal and E-health, 2007Co-Authors: Sanjay P Sood, Charles R Doarn, Victor Mbarika, Shakhina Jugoo, Reena Dookhy, Nupur Prakash, Ronald C MerrellAbstract:Nearly half a century ago, Telemedicine was disregarded for being an unwieldy, unreliable, and unaffordable technology. Rapidly evolving telecommunications and information technologies have provided a solid foundation for Telemedicine as a feasible, dependable, and useful technology. Practitioners from a variety of medical specialties have claimed success in their Telemedicine pursuits. Gradually, this new modality of healthcare delivery is finding its way into the mainstream medicine. As a multidisciplinary, dynamic, and continually evolving tool in medicine, researchers and users have developed various definitions for Telemedicine. The meaning of Telemedicine encapsulated in these definitions varies with the context in which the term was applied. An analysis of these definitions can play an important role in improving understanding about Telemedicine. In this paper we present an extensive literature review that produced 104 peer-reviewed definitions of Telemedicine. These definitions have been analyzed to highlight the context in which the term has been defined. The paper also suggests a definition of modern Telemedicine. The authors suggest that Telemedicine is a branch of e-health that uses communications networks for delivery of healthcare services and medical education from one geographical location to another. It is deployed to overcome issues like uneven distribution and shortage of infrastructural and human resources. We expect that this study will enhance the level of understanding and meaning of Telemedicine among stakeholders, new entrants, and researchers, eventually enabling a better quality of life.
Huigang Liang - One of the best experts on this subject based on the ideXlab platform.
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Analysis of Telemedicine Diffusion: The Case of China
IEEE Transactions on Information Technology in Biomedicine, 2007Co-Authors: Huigang LiangAbstract:Telemedicine helps developing countries deliver medical services to underdeveloped rural areas where health resources are deficient. Yet Telemedicine diffusion in the largest developing country, China, remains a secret to the world. This paper examines the evolution of Telemedicine in China, analyzes factors influencing the diffusion of Telemedicine, and provides recommendations to overcome obstacles to Telemedicine
D. R Masys - One of the best experts on this subject based on the ideXlab platform.
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Telemedicine: A Guide to Assessing Telecommunications in Health Care
Journal of the American Medical Informatics Association, 1997Co-Authors: D. R MasysAbstract: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.
Anthony C Smith - One of the best experts on this subject based on the ideXlab platform.
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Telemedicine - Is the cart being put before the horse?
Medical Journal of Australia, 2014Co-Authors: Nigel R Armfield, Sisira K. Edirippulige, Natalie Bradford, Anthony C SmithAbstract:A large literature base on Telemedicine exists, but the evidence base for Telemedicine is very limited. There is little practical or useful information to guide clinicians and health policymakers. Telemedicine is often implemented based on limited or no prior formal analysis of its appropriateness to the circumstances, and adoption of Telemedicine by clinicians has been slow and patchy. Formal analysis should be conducted before implementation of Telemedicine to identify the patients, conditions and settings that it is likely to benefit. Primary studies of Telemedicine tend to be of insufficient quality to enable synthesis of formal evidence. Methods typically used to assess effectiveness in medicine are often difficult, expensive or impractical to apply to Telemedicine. Formal studies of Telemedicine should examine efficacy, effectiveness, economics and clinician preferences. Successful adoption and sustainable integration of Telemedicine into routine care could be improved by evidence-based implementation.
Ronald C Merrell - One of the best experts on this subject based on the ideXlab platform.
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Evolution of Telemedicine in Russia: the influence of the space program on modern Telemedicine programs.
Telemedicine Journal and E-health, 2020Co-Authors: Charles R Doarn, Vladimir Lavrentyev, Oleg I. Orlov, Arnauld Nicogossian, Anatoly I. Grigoriev, Earl W. Ferguson, Ronald C MerrellAbstract:Telemedicine education and application throughout Russia has its roots in Russia's space program. The concepts of Telemedicine have evolved during the course of 40 years of space exploration. This paper reviews the evolution of Telemedicine and the achievements of the Soviet/Russian Space Program.
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what is Telemedicine a collection of 104 peer reviewed perspectives and theoretical underpinnings
Telemedicine Journal and E-health, 2007Co-Authors: Sanjay P Sood, Charles R Doarn, Victor Mbarika, Shakhina Jugoo, Reena Dookhy, Nupur Prakash, Ronald C MerrellAbstract:Nearly half a century ago, Telemedicine was disregarded for being an unwieldy, unreliable, and unaffordable technology. Rapidly evolving telecommunications and information technologies have provided a solid foundation for Telemedicine as a feasible, dependable, and useful technology. Practitioners from a variety of medical specialties have claimed success in their Telemedicine pursuits. Gradually, this new modality of healthcare delivery is finding its way into the mainstream medicine. As a multidisciplinary, dynamic, and continually evolving tool in medicine, researchers and users have developed various definitions for Telemedicine. The meaning of Telemedicine encapsulated in these definitions varies with the context in which the term was applied. An analysis of these definitions can play an important role in improving understanding about Telemedicine. In this paper we present an extensive literature review that produced 104 peer-reviewed definitions of Telemedicine. These definitions have been analyzed to highlight the context in which the term has been defined. The paper also suggests a definition of modern Telemedicine. The authors suggest that Telemedicine is a branch of e-health that uses communications networks for delivery of healthcare services and medical education from one geographical location to another. It is deployed to overcome issues like uneven distribution and shortage of infrastructural and human resources. We expect that this study will enhance the level of understanding and meaning of Telemedicine among stakeholders, new entrants, and researchers, eventually enabling a better quality of life.
