Browsing by Author "Knarvik, Undine"
Now showing 1 - 4 of 4
Results Per Page
Sort Options
- ItemAdoption of routine telemedicine in Norway: the current picture.(2014-01-17) Zanaboni, Paolo; Knarvik, Undine; Wootton, RichardTelemedicine appears to be ready for wider adoption Although existing research evidence is useful the adoption of routine telemedicine in healthcare systems has been slow
- ItemImplementing transnational telemedicine solutions: a connected health project in rural and remote areas of six Northern Periphery countries Series on European collaborative projects.(2013-02-25) Casey, Monica; Hayes, Patrick S; Heaney, David; Dowie, Lee; Olaighin, Gearóid; Matero, Matti; Hun, Soo; Knarvik, Undine; Alrutz, Käte; Eadie, Leila; Glynn, Liam GThis is the first article in a Series on collaborative projects between European countries relevant for general practice family medicine and primary healthcare Telemedicine in particular the use of the Internet videoconferencing and handheld devices such as smartphones holds the potential for further strides in the application of technology for the delivery of healthcare particularly to communities in rural and remote areas within and without the European Union where this study is taking place The Northern Periphery Programme has funded the Implementing Transnational Telemedicine Solutions ITTS project from September 2011 to December 2013 led by the Centre for Rural Health in Inverness Scotland Ten sustainable projects based on videoconsultation speech therapy renal services emergency psychiatry diabetes mobile patient self management physical activity diabetes inflammatory bowel disease and home based health services medical and social care emergencies rehabilitation multi morbidity are being implemented by the six partner countries Scotland Finland Ireland Northern Ireland Norway and Sweden In addition an International Telemedicine Advisory Service created for the project provides business expertise and advice Community panels contribute feedback on the design and implementation of services and ensure user friendliness The project goals are to improve accessibility of healthcare in rural and remote communities reducing unnecessary hospital visits and travel in a sustainable way Opportunities will be provided for comparative research studies This article provides an introduction to the ITTS project and how it aims to fulfil these needs The ITTS team encourage all healthcare providers to at least explore possible technological solutions within their own context
- ItemThe potential of digital monochrome images versus colour slides in telescreening for diabetic retinopathy.(2008-03-05) Johansen, Monika Alise; Fossen, Kristian; Norum, Jan; Christoffersen, Terje; Oritsland, Håkon; Haga, Daniel; Hasvold, Per; Bellika, Johan Gustav; Knarvik, Undine; Pedersen, SteinarWe explored the potential of digital monochrome images as an alternative to colour slides in screening for diabetic retinopathy Twenty eight patients with diabetes were recruited for the study and 20 actually participated Using a fundus camera Nikon 505AF one set of three digital images and one set of three colour slides were taken per eye Two independent ophthalmologists graded the colour slides and the digital images for diabetic retinopathy The ophthalmologists spent about two minutes grading each set of images suggesting that specialists could potentially screen a large number of patients The agreement between the two screening methods was 0 95 and 0 89 with respect to disease or no disease The agreement kappa between the two ophthalmologists for grade of retinopathy was 0 47 when colour slides were employed and 0 61 when digital monochrome images were employed The results indicate that digital red free monochrome images represent a superior screening tool for diabetic retinopathy Tele screening may be beneficial when patients have to travel substantial distances to visit an ophthalmologist
- ItemTelemedicine screening for diabetic retinopathy: staff and patient satisfaction.(2003-04-17) Rotvold, Gunn-Hilde; Knarvik, Undine; Johansen, Monika Alise; Fossen, KristianIn a pilot project telemedicine was used to conduct retinal examinations of diabetic patients in the Alta municipality of Norway All health care workers who were involved in the project were interviewed The ophthalmologists found that the grading of the level of retinopathy was quicker with digital images than with slit lamp examinations Fifty patients with type II diabetes were invited to attend a telemedicine check up and 42 did so Patients were asked to complete a questionnaire after the telemedicine examination and we received 32 replies a 76 response rate of which 12 were from men and 20 from women The patients expressed a high degree of satisfaction with the telemedicine examination The results of the evaluation also clearly showed that trust between health personnel was of major importance in engendering positive attitudes Confidence is the basis of good collaboration between the various professions in the health care sector between health care levels and between patients and treatment providers in terms not only of individuals confidence but also of routines procedures and the system as a whole