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Telehealth and Telemedicine

Through Telehealth and Telemedicine research, advanced communications technologies are enabling both lower cost and greater efficacy, quality, security, and usability for the Nation’s healthcare, health education, wellness, and health research systems.

In this research, the appropriateness, quality, and reliability of advanced communications technologies in different telemedicine and telehealth applications are being investigated. The efficacy of emerging telemedicine applications in clinical settings is being evaluated. Concordance of such applications with in-person clinical services is being assessed, as are diagnostic accuracy, confidence, kind and number of testing and treatment options, and provider and patient satisfaction. For video-intensive telemedicine and telehealth applications, bandwidth, compression, and resultant video quality are being studied. The effectiveness and reliability of different transmission methods are being assessed in both static and mobile environments.

OHPCC’s Collab provides the resources for evaluating current, state-of-the-art, and emerging communications technologies and these telehealth and telemedicine investigations. Clinical applications are assessed through partnerships with medical centers and medical schools.

NLM is an institutional member of the American Telemedicine Association.

NLM telehealth and telemedicine research and development between 1994 and 2007 are at https://www.nlm.nih.gov/research/telemedinit.html.

Publications/Tools: 
Ekong DU, Fontelo P. Prototype telepathology solutions that use the Raspberry Pi and mobile devices. 2017 IEEE Global Humanitarian Technology Conference (GHTC), San Jose CA, 2017: 1-4.
Ghosh A, Brown GT, Fontelo P. Telepathology at the Armed Forces Institute of Pathology: A Retrospective Review of Consultations From 1996 to 1997. Arch Pathol Lab Med. 2018 Feb;142(2):248-252. doi: 10.5858/arpa.2017-0055-OA. Epub 2017 Oct 2.
Marchell R, Locatis CN, Brgess G, Maisiak R, Liu WL, Ackerman M. Patient and Provider Satisfaction with Teledermatology. Telemed J E Health. 2017 Aug;23(8):684-690. doi: 10.1089/tmj.2016.0192. Epub 2017 Apr 4.
Gardner C, Liu F, Fontelo P, Flanagan MC, Hoang A, Burke HB. Assessing the usability by clinicians of VISION: A hierarchical display of patient-collected physiological information to clinicians. BMC Med Inform Decis Mak. 2017 Apr 14;17(1):41. doi: 10.1186/s12911-017-0435-3.
Mayer JE, Fontelo P. Meta-analysis on the effect of text message reminders for HIV-related compliance. AIDS Care. 2017 Apr;29(4):409-417. doi: 10.1080/09540121.2016.1214674. Epub 2016 Aug 1.
Marchell R, Locatis C, Burges G, Maisiak R, Liu WL, Ackerman M. Comparing High Definition Live Interactive and Store-and-Forward Consultations to In-Person Examinations. Telemed J E Health. 2017 Mar;23(3):213-218. doi: 10.1089/tmj.2016.0093. Epub 2016 Oct 5.
Kochmann M, Locatis CN. Telemedicine in the Apple App Store: An exploratory study of teledermatology apps. In Smari, W. & Natarian, J. (Eds.), Proc 2016 Int Conf Collaboration Technologies and Systems, Orlando, Florida, October 31-November 4, Institute for Electrical and Electronic Engineers & Association for Computing Machinery, 534-537.
Marchell R, Locatis CN, Ackerman MA. High definition live interactive and store and forward teledermatology: A comparison of concordance, confidence, and satisfaction with in-person exams. In Smari, W. & Natarian, J. (Eds.), Proceedings of the 2016 International Conference on Collaboration Technologies and Systems, Orlando, Florida, October 31. Institute for Electrical and Electronic Engineers & Association for Computing Machinery, 520-523.
Kochmann M, Locatis C. Direct to Consumer Mobile Teledermatology Apps: An Exploratory Study. Telemed J E Health. 2016 Aug;22(8):689-93. doi: 10.1089/tmj.2015.0189. Epub 2016 Mar 9.
Zhang K, Liu WL, Locatis CN, Ackerman MJ. Mobile Videoconferencing Apps for Telemedicine. Telemed J E Health. 2016 Jan;22(1):56-62. doi: 10.1089/tmj.2015.0027. Epub 2015 Jul 23.

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