Browsing by Author "Pak, Hon S"
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- ItemGlobal forum on telemedicine: connecting the world through partnerships.(2008-06-23) Pak, Hon S; Brown-Connolly, Nancy E; Bloch, Carolyn; Clarke, Malcolm; Clyburn, Conrad; Doarn, Charles R; Llewellyn, Craig; Merrell, Ronald C; Montgomery, Kevin; Rasche, Jeanette; Sullivan, BradleyThe American Telemedicine Association ATA held the Global Forum on Telemedicine Connecting the World Through Partnerships in September 2007 with sponsorship by the Telemedicine and Advanced Technology Research Center TATRC U S Army Medical Research and Materiel Command USAMRMC The goal was to bring together key stakeholders in global healthcare outreach to explore a flexible framework and sustainable business model that can leverage telemedicine and information technology IT to expand healthcare services internationally Dr Hon S Pak President of the ATA opened the forum with a call for collaboration and partnership and encouraged continued international dialogue to create a framework that leverages the telemedicine community to improve global disparity in healthcare Keynote addresses included speakers from the World Health Organization UN and United Nations UN Global Alliance for Information and Communities Technologies and Development GAID Presentations from 15 government and nongovernment aid organizations NGOs and 12 international programs covered 5 key areas 1 NGO perspective 2 governmental military programs 3 financial sustainability 4 disaster response and 5 emerging opportunities The forum resulted in an International Roadmap for Action that was developed by the authors based on the presentations and interactions from the 335 attendees and establishing a set of priorities and actions to improve healthcare using telemedicine and IT Recommendations include 1 continued dialogue in creating a telemedicine framework 2 identification and leverage of resources 3 provision of education to funding organization and expand training programs to build competency in the healthcare workforce 4 alignment of international policy to support integration of telemedicine into country plans and support cross country partnerships 5 development of communications infrastructure and 6 integration of telemedicine into disaster relief programs
- ItemImplementing a teledermatology programme.(2005-09-19) Pak, Hon SAlthough teledermatology has been beneficial and cost effective in some settings many programmes have failed not because of the technology but because teledermatology was implemented in isolation A thorough understanding of an organization s business process and business model is crucial before teledermatology is begun Unless teledermatology is integrated into the current business process and model the likelihood of success is greatly reduced Important steps therefore include 1 understanding how the organization delivers care 2 analysing the alternatives including cost benefit analysis 3 obtaining organizational support 4 formulating an execution plan 5 training staff and monitoring the process If implemented correctly in the appropriate setting teledermatology can significantly improve access and quality of care while reducing or containing costs
- ItemTeledermatology and teledermatopathology.(2002-09-26) Pak, Hon STeledermatology is in essence an application of clinical telemedicine that deals with the practice of dermatology via the latest communication and information technology As with other telemedicine applications the goal is to provide the highest quality of dermatologic care more efficiently by moving patient information rather than the patient Teledermatopathology on the other hand is a nonclinical telemedicine application specifically relating to diagnosis of cutaneous histologic specimens There are numerous articles evaluating diagnostic concordance of teledermatology However because of a lack of a true gold standard most published studies have compared diagnostic capabilities of teledermatology to our traditional face to face evaluations Although the diagnostic correlation varies from study to study most experts agree that Store and Forward and real time video teleconferencing teledermatology is as clinically effective as a face to face consultation which is less than 100 accurate Teledermatopathology is showing similar potential but because of the limitations on sampling error and the high cost of the alternative robotic remote telepathology units its acceptance into our daily practice has been delayed This article focuses mainly on Store and Forward Teledermatology given its significant advantage and reviews the literature on teledermatology and teledermatopathology s diagnostic concordance and acceptance
- ItemTeledermatology: an intraobserver diagnostic correlation study, part I.(2003-05-28) Pak, Hon S; Harden, David; Cruess, David; Welch, Mark L; Poropatich, Ronald; ,Many studies have been published recently on the effectiveness of teledermatology as a diagnostic tool however much of the data comes from live 2 way video teleconferencing consultations and very little comes from more readily available store and forward consultations Moreover most published studies compare the diagnoses of 2 different dermatologists interobserver comparison Given the lack of data on baseline interdermatologist diagnostic variability the interpretation of currently available diagnostic correlation data is somewhat difficult The objective of this study is to measure the degree of diagnostic concordance between a dermatologist seeing a patient via a teledermatology consult system and the same dermatologist seeing the same patient face to face in a dermatology clinic at a tertiary medical center A random sample of 404 patients was selected from patients who had routine appointments at our dermatology clinic
- ItemTeledermatology: an intraobserver diagnostic correlation study, Part II.(2003-07-03) Pak, Hon S; Harden, David; Cruess, David; Welch, Mark L; Poropatich, Ronald; ,This is part II of an intraobserver diagnostic correlation study comparing teledermatology with traditional face to face evaluation Part I discussed the methodology and diagnostic correlation results between teledermatology and in person consultation Cutis 2003 71 399 403 This second part reports the diagnostic certainty level between the 2 groups which are shown to be significantly different teledermatology 7 10 in person 9 10 This difference held true in every category of skin condition evaluated P Under or 0065 Unlike other studies we found that teledermatologists recommended biopsies 10 more frequently than clinic based evaluators We discuss the reasons for the lower diagnostic certainty level of teledermatologists as well as the limitations of this study Despite the limitations we conclude that teledermatology appears to be an effective method of delivering dermatologic care in the appropriate setting
- ItemTeledermoscopy: a specific application of teledermotology.(2003-12-15) Pak, Hon S