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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: 
Rossi E, Fontelo P, Ackerman M, Pozzi G, Marceglia S. A Prototype of Mobile app/EHR Communication through Standards for Home Treatment of Transcranial Direct Current Stimulation. International Conference on Healthcare Informatics (ICHI), Dallas TX, 2015. 310-315.
Fontelo P, Liu F, Yagi Y. Evaluation of a smartphone for telepathology: Lessons learned. J Pathol Inform. 2015 Jun 23;6:35. doi: 10.4103/2153-3539.158912. eCollection 2015.
Marchell R, Locatis CN, Ackerman MJ. High definition live interactive and store and forward teledermatology: initial qualitative observations. In W. Smari, W. McQuay, and M. Nygard (Eds.), Proc. IEEE 2015 International Conference on Collaboration Technologies and Systems, Atlanta, Georgia, June 1-5, 446-449.
Zhang K, Liu WL, Locatis C, Ackerman M. Uncompressed high-definition videoconferencing tools for telemedicine and distance learning. Telemed J E Health. 2013 Aug;19(8):579-84. doi: 10.1089/tmj.2012.0219. Epub 2013 Jun 29.
Locatis CN, Ackerman MJ. Three principles for determining the relevancy of store-and-forward and live interactive telemedicine: reinterpreting two telemedicine research reviews and other research. Telemed J E Health. 2013 Jan;19(1):19-23. doi: 10.1089/tmj.2012.0063. Epub 2012 Nov 27.
Locatis CN, Williamson D, Sterrett J, Detzler I, Ackerman MJ. Video medical interpretation over 3G cellular networks: a feasibility study. Telemed J E Health. 2011 Dec;17(10):809-13. doi: 10.1089/tmj.2011.0084. Epub 2011 Oct 19.
Ackerman MJ, Locatis CN. Advanced networks and computing in healthcare. J Am Med Inform Assoc. 2011 Jul-Aug;18(4):523-8. doi: 10.1136/amiajnl-2010-000054. Epub 2011 Apr 12.
Locatis CN, Williamson D, Gould-Kabler C, Zone-Smith L, Detzler I, Roberson J, Maisiak R, Ackerman MJ. In-Person, Video, and Telephonic Medical Interpretation. American Telemedicine Association 16th Annual International Meeting; 2011 May 1-3; Tampa, Florida.
Locatis C, Williamson D, Gould-Kabler C, Zone-Smith L, Detzler I, Roberson J, Maisiak R, Ackerman MJ. Comparing in-person, video, and telephonic medical interpretation. J Gen Intern Med. 2010 Apr;25(4):345-50. doi: 10.1007/s11606-009-1236-x. Epub 2010 Jan 27.
Ackerman MJ, Filart R, Burgess LP, Lee I, Poropatich RK. Developing next-generation telehealth tools and technologies: patients, systems, and data perspectives. Telemed J E Health. 2010 Jan-Feb;16(1):93-5. doi: 10.1089/tmj.2009.0153.

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