Abstract
Telehealth is the use of technology for remote patient monitoring and care. Wearables are small electronic devices that can seamlessly collect data about a patient for prolonged periods of time and support the implementation of telemedicine in the patient’s natural environment. In a reality where patients are becoming older and sicker, medicine is becoming more and more a multidisciplinary team work and healthcare resources are limited, telehealth holds promise as a way to improve patient care while cutting on costs. It may improve coordination between care providers, allow for bringing top notch expertise to remote, rural settings, provide a more complete picture of the patient’s condition and support independent living of the elderly and patients with chronic diseases. In this chapter, we review some of the related technology and application and portrait how they may be integrated in the near future in the healthcare delivery system.
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References
Antoniotti NM, Drude KP, Rowe N. Private payer telehealth reimbursement in the United States. Telemed J E-Health Off J Am Telemed Assoc. 2014;20(6):539–43. doi:10.1089/tmj.2013.0256.
ATA. American Telemedicine Association standards & guidelines. American Telemedicine Association; 2012. Retrieved from http://www.americantelemed.org/resources/standards/ata-standards-guidelines#.VHM4T2P-HGA.
Bagalà F, Becker C, Cappello A, Chiari L, Aminian K, Hausdorff JM, Klenk J. Evaluation of accelerometer-based fall detection algorithms on real-world falls. PLoS One. 2012;7(5):e37062. doi:10.1371/journal.pone.0037062.
Bandodkar AJ, Wang J. Non-invasive wearable electrochemical sensors: a review. Trends Biotechnol. 2014;32(7):363–71. doi:10.1016/j.tibtech.2014.04.005.
Barneveld Binkhuysen FH, Ranschaert ER. Teleradiology: evolution and concepts. Eur J Radiol. 2011;78(2):205–9. doi:10.1016/j.ejrad.2010.08.027.
Bergmo TS. Can economic evaluation in telemedicine be trusted? A systematic review of the literature. Cost Eff Res Allocat C/E. 2009;7:18. doi:10.1186/1478-7547-7-18.
Bianchi F, Redmond SJ, Narayanan MR, Cerutti S, Lovell NH. Barometric pressure and triaxial accelerometry-based falls event detection. IEEE Trans Neural Syst Rehabil Eng Publ IEEE Eng Med Biol Soc. 2010;18(6):619–27. doi:10.1109/TNSRE.2010.2070807.
Bionic contact lens. (n.d.). Retrieved from http://www.digitaljournal.com/article/351212.
Bradley WG. Teleradiology. Neuroimaging Clin N Am. 2012;22(3):511–7. doi:10.1016/j.nic.2012.05.001.
Brebner JA, Brebner EM, Ruddick-Bracken H. Accident and emergency teleconsultation for primary care – a systematic review of technical feasibility, clinical effectiveness, cost effectiveness and level of local management. J Telemed Telecare. 2006;12 Suppl 1:5–8. doi:10.1258/135763306777978542.
Breslow MJ. Remote ICU care programs: current status. J Crit Care. 2007;22(1):66–76. doi:10.1016/j.jcrc.2007.01.006.
CMS. National health expenditure projections 2012–2022. Centers for Medicare and Medicaid Services; 2012. Retrieved from http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/downloads/proj2012.pdf.
CMS. Reimbursement for Telemedicine. Centers for Medicare & Medicaid Services; 2014. Retrieved from http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Delivery-Systems/Telemedicine.html.
Cruz J, Brooks D, Marques A. Home telemonitoring in COPD: a systematic review of methodologies and patients’ adherence. Int J Med Inform. 2014;83(4):249–63. doi:10.1016/j.ijmedinf.2014.01.008.
Cummings J, Krsek C, Vermoch K, Matuszewski K. Intensive care unit telemedicine: review and consensus recommendations. Am J Med Qual Off J Am Coll Med Qual. 2007;22(4):239–50. doi:10.1177/1062860607302777.
Cusack CM, Pan E, Hook JM, Vincent A, Kaelber DC, Middleton B. The value proposition in the widespread use of telehealth. J Telemed Telecare. 2008;14(4):167–8. doi:10.1258/jtt.2007.007043.
Custodio V, Herrera FJ, López G, Moreno JI. A review on architectures and communications technologies for wearable health-monitoring systems. Sensors (Basel, Switzerland). 2012;12(10):13907–46. doi:10.3390/s121013907.
HHS. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy, security and breach notification rules; 1996. Retrieved from http://www.hhs.gov/ocr/privacy/.
Hilty DM, Marks SL, Urness D, Yellowlees PM, Nesbitt TS. Clinical and educational telepsychiatry applications: a review. Can J Psychiatry Rev Can Psychiatr. 2004;49(1):12–23.
HRSA. Telehealth licensure report. Health Resources and Services Administration; 2010. Retrieved from http://www.hrsa.gov/healthit/telehealth/licenserpt10.pdf.
HRSA. Telehealth. Health Resources and Services Administration; 2014. Retrieved from http://www.hrsa.gov/ruralhealth/about/telehealth/.
HRSA. What are the reimbursement issues for telehealth? Health Resources and Services Administration; 2014. Retrieved from http://www.hrsa.gov/healthit/toolbox/RuralHealthITtoolbox/Telehealth/whatarethereimbursement.html.
Javelot H, Spadazzi A, Weiner L, Garcia S, Gentili C, Kosel M, Bertschy G. Telemonitoring with respect to mood disorders and information and communication technologies: overview and presentation of the PSYCHE project. BioMed Res Int. 2014;2014:104658. doi:10.1155/2014/104658.
Jia W, Bandodkar AJ, Valdés-Ramírez G, Windmiller JR, Yang Z, Ramírez J, Chan G, Wang J. Electrochemical tattoo biosensors for real-time noninvasive lactate monitoring in human perspiration. Anal Chem. 2013;85(14):6553–60. doi:10.1021/ac401573r.
Ludwig W, Wolf K-H, Duwenkamp C, Gusew N, Hellrung N, Marschollek M, Wagner M, Haux R. Health-enabling technologies for the elderly – an overview of services based on a literature review. Comput Methods Prog Biomed. 2012;106(2):70–8. doi:10.1016/j.cmpb.2011.11.001.
Lymberis A. The era of micro and nano systems in the biomedical area: bridging the research and innovation gap. In: Conference proceedings: … annual international conference of the IEEE engineering in medicine and biology society. IEEE Engineering in Medicine and Biology Society. Annual Conference, 2011; 2011. p. 1548–51. doi:10.1109/IEMBS.2011.6090451.
Lymberis A. Wearable smart systems: from technologies to integrated systems. Conference proceedings: … annual international conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual conference, 2011; 2011. p. 3503–6. doi:10.1109/IEMBS.2011.6090946.
Maidenbaum S, Hanassy S, Abboud S, Buchs G, Chebat D-R, Levy-Tzedek S, Amedi A. The “EyeCane”, a new electronic travel aid for the blind: technology, behavior & swift learning. Restor Neurol Neurosci. 2014. doi:10.3233/RNN-130351.
Marescaux J, Leroy J, Rubino F, Smith M, Vix M, Simone M, Mutter D. Transcontinental robot-assisted remote telesurgery: feasibility and potential applications. Ann Surg. 2002;235(4):487–92.
Marescaux J, Rubino F. Robot-assisted remote surgery: technological advances, potential complications, and solutions. Surg Technol Int. 2004;12:23–6.
Martínez A, Everss E, Rojo-Alvarez JL, Figal DP, García-Alberola A. A systematic review of the literature on home monitoring for patients with heart failure. J Telemed Telecare. 2006;12(5):234–41. doi:10.1258/135763306777889109.
Mitcheson PD. Energy harvesting for human wearable and implantable bio-sensors. Conference proceedings: annual international conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual conference, 2010; 2010. p. 3432–6. doi:10.1109/IEMBS.2010.5627952.
Mobiguide- guiding patients anytime everywhere. (n.d.). Retrieved from http://mobiguide-project.eu/.
Monnier J, Knapp RG, Frueh BC. Recent advances in telepsychiatry: an updated review. Psychiatr Serv (Wash, DC). 2003;54(12):1604–9.
Mota NB, Vasconcelos NAP, Lemos N, Pieretti AC, Kinouchi O, Cecchi GA, Copelli M, Ribeiro S. Speech graphs provide a quantitative measure of thought disorder in psychosis. PLoS One. 2012;7(4):e34928. doi:10.1371/journal.pone.0034928.
NCSL. State coverage for Telehealth services. National Conference of State Legislatures; 2014. Retrieved from http://www.ncsl.org/research/health/state-coverage-for-telehealth-services.aspx.
Norman S. The use of telemedicine in psychiatry. J Psychiatr Ment Health Nurs. 2006;13(6):771–7. doi:10.1111/j.1365-2850.2006.01033.x.
ONC. Nationwide Health Information Network. Office of the National Coordinator for Health Information Technology (US); 2011. Retrieved from http://www.healthit.gov/policy-researchers-implementers/nationwide-health-information-network-nwhin.
Pannurat N, Thiemjarus S, Nantajeewarawat E. Automatic fall monitoring: a review. Sensors (Basel, Switzerland). 2014;14(7):12900–36. doi:10.3390/s140712900.
Paré G, Jaana M, Sicotte C. Systematic review of home telemonitoring for chronic diseases: the evidence base. J Am Med Inf Assoc JAMIA. 2007;14(3):269–77. doi:10.1197/jamia.M2270.
Pradeep V, Medioni G, Weiland J. A wearable system for the visually impaired. Conference proceedings: … annual international conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual conference, 2010; 2010. p. 6233–6. doi:10.1109/IEMBS.2010.5627715.
Redmond SJ, Lovell NH, Yang GZ, Horsch A, Lukowicz P, Murrugarra L, Marschollek M. What does big data mean for wearable sensor systems? Contribution of the IMIA wearable sensors in healthcare WG. Yearb Med Inform. 2014;9(1):135–42. doi:10.15265/IY-2014-0019.
Ricci RP, Morichelli L, Santini M. Remote control of implanted devices through home monitoring technology improves detection and clinical management of atrial fibrillation. Europace Eur Pacing Arrhythmias Card Electrophysiol J Work Group Card Pacing, Arrhythmias Card Cell Electrophysiol Eur Soc Cardiol. 2009;11(1):54–61. doi:10.1093/europace/eun303.
Russell SJ, El-Khatib FH, Sinha M, Magyar KL, McKeon K, Goergen LG, Balliro C, Hillard MA, Nathan DM, Damiano ER. Outpatient glycemic control with a bionic pancreas in type 1 diabetes. N Engl J Med. 2014;371(4):313–25. doi:10.1056/NEJMoa1314474.
RWJ. Chronic care: making the case for ongoing care. Princeton: Robert Wood Johnson Foundation; 2010. Retrieved from http://www.rwjf.org/content/dam/farm/reports/reports/2010/rwjf54583.
Santomauro M, Reina GA, Stroup SP, L’Esperance JO. Telementoring in robotic surgery. Curr Opin Urol. 2013;23(2):141–5. doi:10.1097/MOU.0b013e32835d4cc2.
Seto E. Cost comparison between telemonitoring and usual care of heart failure: a systematic review. Telemed J E-Health Off J Am Telemed Assoc. 2008;14(7):679–86. doi:10.1089/tmj.2007.0114.
Vashist SK. Non-invasive glucose monitoring technology in diabetes management: a review. Anal Chim Acta. 2012;750:16–27. doi:10.1016/j.aca.2012.03.043.
Wade VA, Karnon J, Elshaug AG, Hiller JE. A systematic review of economic analyses of telehealth services using real time video communication. BMC Health Serv Res. 2010;10:233. doi:10.1186/1472-6963-10-233.
WGR. Telemedicine and M-Health Convergence: market shares, strategies, and forecasts, worldwide, 2013 to 2019. Winter Green Research; 2013. Retrieved from http://www.researchmoz.us/telemedicine-and-m-health-convergence-market-shares-strategies-and-forecasts-worldwide-2013-to-2019-report.html.
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Zhu, X., Cahan, A. (2016). Wearable Technologies and Telehealth in Care Management for Chronic Illness. In: Weaver, C., Ball, M., Kim, G., Kiel, J. (eds) Healthcare Information Management Systems. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-319-20765-0_22
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DOI: https://doi.org/10.1007/978-3-319-20765-0_22
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