Browsing by Author "Edison, Karen"
Now showing 1 - 7 of 7
Results Per Page
Sort Options
- ItemAmerican Telemedicine Association's Practice Guidelines for Teledermatology.(2008-06-23) Krupinski, Elizabeth; Burdick, Anne; Pak, Hon; Bocachica, John; Earles, Lucius; Edison, Karen; Goldyne, Marc; Hirota, Tom; Kvedar, Joseph; McKoy, Karen; Oh, Dennis; Siegel, Dan; Antoniotti, Nina; Camacho, Ivan; Carnahan, Lisa; Boynton, Paul; Bakalar, Richard; Evans, Richard; Kinel, Al; Kuzmak, Peter; Madden, Brian C; Peters, Sandra; Rosenthal, Lynne; Simmons, Scott; Bernard, Jordana; Linkous, Jonathan
- ItemA comparison of communication models of traditional and video-mediated health care delivery.(2005-09-26) Demiris, George; Edison, Karen; Vijaykumar, SantoshWhile there may be benefits that accrue to the use of telemedicine technology in patient care such as decreased costs and improved access it has yet to be determined how telemedicine impacts patients ability to express themselves and accordingly how it impacts health care providers communication of instructions or expressions of empathy
- ItemDermatology ECHO: A case presentation demonstrating benefits of specialty telementoring in primary care.(0000-00-00) Ladd, Ryan; Becevic, Mirna; Misterovich, Hope; Edison, KarenAllergic contact dermatitis ACD is a common dermatologic disorder that is estimated to affect 15 20 of the general population Because of its prevalence it may be expected that ACD should be easily recognized However it can present with many clinical variations that may complicate diagnosis Although ACD is a treatable condition patients from rural and underserved areas suffer if timely access to specialty care is limited Dermatology Extension for Community Healthcare Outcomes Dermatology ECHO telemedicine sessions were created to mentor rural primary care providers PCPs To illustrate their benefit we present the case of a 19 year old female patient who suffered from worsening undiagnosed ACD for over nine months following a laparoscopic appendectomy During that time the surgeon and multiple PCPs treated her with antibiotics antivirals and Scabicide without improvement in her condition The de identified patient case was presented by her PCP during the Dermatology ECHO session The Dermatology ECHO specialty team mentored and educated the PCP in the diagnosis and treatment of ACD After making the diagnosis the patient received new treatment and her condition improved significantly Dermatology ECHO provides a knowledge sharing network for participating PCPs that may improve patient outcomes and reduce patient suffering
- ItemHospice staff attitudes towards telehospice.(2004-10-29) Demiris, George; Oliver, Debra R Parker; Fleming, David A; Edison, KarenTelemedicine defined as the use of advanced telecommunication technologies to bridge geographic distance and improve delivery of care is perceived by many as a way to eliminate barriers to quality care at the end of life The use of telemedicine in hospice known as telehospice is a novel approach to such care and few pilot studies have investigated its feasibility The purpose of this study was to assess hospice providers perceptions of telehospice A focus group session was conducted with 10 staff members from five hospice agencies in Missouri Participants included administrators nurses and social workers Overall providers had a positive perception of telehospice and found that the use of videophone technology enhanced care by enabling providers patients and family members a means to communicate However they emphasized that it was an additional tool and not a substitute for actual visits Issues of privacy and usability were also raised
- ItemA needs assessment study for the Missouri Tele-hospice Project.(2004-01-19) Oliver, Debra R; Demiris, George; Fleming, David A; Edison, KarenHospice care focuses on palliation and the relief of suffering aiming to improve the quality of patients last days Telemedicine is considered to be a tool that can address challenges such as staff shortage funding limitations and limited access to services in rural areas Hospice services via telemedicine can be delivered directly into a patient s home by utilizing videoconferencing technology The Missouri Telehospice Project aims to investigate the impact of a telehospice model on satisfaction with delivered care caregiver burden crisis prevention rates and overall cost of delivered care Five urban and rural hospice agencies in Missouri are participating A needs assessment study was conducted where hospice staff members responded to a set of questions within focus group and interview sessions providing feedback about the design type of technology frequency of usage and perceived impact on quality of hospice care
- ItemPediatric teledermatology--a survey of current use.(2008-04-23) Fieleke, David R; Edison, Karen; Dyer, Jon ADemand for pediatric dermatologic care far exceeds the supply of pediatric dermatologists Teledermatology has been proposed as a solution to improve access to care however data regarding teledermatology use for pediatric patients are lacking Surveys assessing use and experience with teledermatology were administered to pediatric dermatologists attending the 2006 Society for Pediatric Dermatology Annual Meeting and to programs offering teledermatology identified in the American Telemedicine Association s 2003 Teledermatology Survey Over half of the 76 pediatric dermatologists responding to the survey had previous experience with teledermatology and nearly half currently use some form of teledermatology For most this represents nonreimbursed store and forward consultations Respondents noted that teledermatology allows more accurate triage of dermatology patients decreases travel and outpatient clinic visits and provides an avenue for ongoing support and education for primary care physicians While difficulties exist overcoming obstacles to the use of pediatric teledermatology and reimbursement for such services could improve access to expert pediatric dermatologic care
- ItemShaping the future: needs and expectations of telehealth professionals.(2013-04-10) Demiris, George; Edison, Karen; Schopp, Laura HThe purpose of this study was to determine telehealth professionals current experience with technology expectations of future technical improvements and how the technology might impact the delivery of care including communication with patients and patient safety We developed a semi structured interview protocol with eight open ended questions A sample of telehealth professionals of the Missouri Telehealth Network MTN was selected to represent all major clinical specialties Interviews were conducted during face to face encounters or over the phone A content analysis was performed using the interview transcripts A total of 32 telehealth professionals were interviewed representing 80 of all professionals who were registered MTN users at the time of the study Twenty six of them are care providers physicians nurses etc and the remaining six are administrators or educators Self reported experience with telemedicine ranged from 1 to 7 years mean 3 72 years Telehealth professionals find the technology acceptable and easy to integrate in the care delivery process However many professionals believe there is room for improvement and would like it to reach a more consistent reliable but yet flexible state They recommended that emphasis be placed on improvement of the audio features establishment of connections and avoidance of interruptions Thirty two percent of the respondents did not know whether practicing telemedicine over the telehealth network would increase the risk of security and privacy violations The study findings suggest that telehealth professionals need to be educated about the security features of a telehealth network In addition continuous quality improvement including internal and external benchmarking is applicable to telemedicine settings and can both improve the quality of teleconsultations and minimize errors