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Care
Published in Henry J. Woodford, Essential Geriatrics, 2022
Telecare is a term for systems that connect the user's home to a remote service. This can include alarms (e.g. to warn if gas has been left on) or sensors (e.g. to remotely monitor room temperature to ensure not too cold in the winter). A fall alarm is used to summon help when a person has fallen and is unable to get up. They can be activated by pulling fixed cords or from user-worn devices (e.g. a button attached like a watch around the wrist or a necklace around the neck). Typically, they are linked to a care agency or family member's telephone. Sensors can be used to detect lack of movement (e.g. following a fall) or location (e.g. to check if someone is in bed or to detect if someone has wandered out of their home at night).
Terms, Regulations, and Concepts in Telehealth and Audiology
Published in Stavros Hatzopoulos, Andrea Ciorba, Mark Krumm, Advances in Audiology and Hearing Science, 2020
Telecare: Telecare normally implies the use of remote monitoring and sensors with clients. For example, telecare is used to monitor heart rates of patients in their homes who have heart disease. Once criteria and are exceeded, a physician or other practitioners will be alerted and respond to the client with appropriate intervention. Likely, hearing aids will be used in the future for telecare to measure a variety of healthcare applications as the outer ear is a rich source for measurement of vital signs due to its vascular nature (Artiques, 2016). The reader is also directed to an interesting article by Stabb (2016) which also points to the possible applications of “hearable” devices that are capable of measuring vital signs and which can be used simultaneously for amplification. Consequently, it is likely that hearing aids in the future will measure physiological signs which provide information about the physical and psychological well-being of clients.
Teleneurology: Past, present and future
Published in Richard Wootton, Nivritti G. Patil, Richard E. Scott, Kendall Ho, Telehealth in the Developing World, 2019
Usha K. Misra, Jayantee Kalita
There are concerns that physicians in future may become ‘telecarers’, at least for part of their working time. A telecarer is a health professional who delivers responsive, high-quality information services, and supports remote patients or clients by using the most appropriate communication technology, such as the telephone, email or instant messaging. The advantages of telecare are the possibility of working from home and better continuity of patient care. However, there are concerns about over-investigation, clinical mistakes and confidentiality. There are also worries about commercial pressures.
COVID-19 lessons learned: medical devices at the core of global healthcare. A foreword on new challenges for expert review of medical devices!
Published in Expert Review of Medical Devices, 2023
Telehealth, which can be considered as a cornerstone of digital health, includes all the healthcare facilities carried out through an exchange of health information using mobile smart connected devices and is articulated in a huge range of activities such as tele-expertise, teleconsultation, telecare etc … In a recently published review on this topic from Bouabida and coworkers, three different levels of telehealth were identified on the basis of the employed technologies: 1) technologies that allow communication but don’t allow patients’ self-measurements; 2) technologies that allow, aside exchange of health-related data, simple self-measurements (i.e. body temperature, blood pressure); 3) sophisticated technologies aimed to perform remote monitoring and processing of clinical data [13].
The future has been preponed: building a new digitally-enhanced psychiatry in the aftermath of the pandemic
Published in International Review of Psychiatry, 2021
The COVID-19 pandemic has brought about a sea of change in our understanding of how technologies can be leveraged for mental health care. We have already witnessed the scaled adoption of telemedicine for mental health care worldwide, and as a result, both clinicians, as well as patients, have developed proficiency in incorporating digital tools into psychiatric care (Aref-Adib & Hassiotis, 2021). Early evidence suggests that telecare-based models offer several advantages and efficiencies in care provision that are likely to remain foundational to mental health care long after the pandemic itself subsides. This includes improved access, eliminating redundancy, and facilitating more flexible, patient-centric models of care (Merchant et al., 2020). The pandemic has also shown that the use of technology can be protective against known mental health stressors such as loneliness and isolation (Vahia et al., 2020).
Integrated care innovations for patients with multimorbidity: A scoping review
Published in International Journal of Healthcare Management, 2020
Maider Urtaran Laresgoiti, Roberto Nuño Solinis
According to the majority of the identified innovative care models, it is relevant to highlight the successful model of coordination between the primary care teams and internist of reference. This one acts as a person of reference in the hospital for a geographical area, playing a key role in the coordination of complex patients by guaranteeing a holistic approach – a continuation of care that complex multimorbid chronic patients need. Furthermore, the recognition of the role of nurses was very relevant – acting as case managers in the whole care process, as well as liaison nurses in relevant care transitions. Technology and new knowledge tools were not the main focus of the majority of studies, but were instrumental to the success of organizational innovation; e.g. the availability of an integrated Electronic Medical Records facilitated informational coordination or the stratification of the whole population. Moreover, predictive models for adequate targeting of care programs to patients were put in place [22] in most settings. The case of the negative results in Goierri [15] might be explained by the inadequate selection of the target population. Telemonitoring and telecare strategies were also included in this review. Many studies confirm substantive benefits of a telemonitoring and structured telephone support strategy, such as the decrease in mortality and hospital admissions, as well as improvement of the quality of life [23–29]. The Basque initiative was a primary care-based remote monitoring project (TELBIL) that evolved into an integrated telehealth and telecare service with positive economic results (TELBIL+T).