Telemedicine and telehealth: an Italian and UK perspective
DOI:
https://doi.org/10.52340/mid.2021.637Keywords:
Telemedicine, Telehealth, COVID-19, Cardiovascular DiseaseAbstract
Background
On January 30, 2020, the Director-General of the World Health Organization (WHO) declared the international outbreak of new coronavirus 2019-nCoV (Public Health Emergency of International Concern -PHEIC), as enshrined in the International Health Regulations (IHR, 2005).The current pandemic has uncovered our vulnerability and fears turning our lives upside down.We have been forced to a more resourceful approach with a view to contain and limit potential damage.The current events have put significant strain on hospital organisations all over the world.
Objective
At a time when, in the absence of specific therapy to treatcardio patients and a vaccine only recently approved, social distancing is one of the main measures used to combat the COVID-19 pandemic, telemedicine is gaining ground as a key technology for safe and efficient communication between doctors and patients.The aim is to highlight the major role played by telemedicine and telehealth during the pandemic with reference to the potential implications for the foreseeable future.
Methods
We have attempted to give a survey on telemedicine and telehealth applications in Italy and UK before and during the management of the pandemic.
Results
Some examples of the application of telemedicine and telehealth with reference to their impact and relationship with end users have been highlighted.
Conclusion
Telemedicine and telehealth are likely to become more established in the future. We may have to reconsider our current working patterns towards a more beneficial and cost-effective way of living and working.
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References
World Health Organization, Regional Office for Europe. Strengthening the Health Systems Response to COVID-19. Technical guidance #1 “Maintaining continuity of essential health care services while mobilizing the health workforce for COVID-19 response” (1 April 2020).
Sarhan F. Telemedicine in healthcare 1: exploring its uses, benefits and disadvantages. Nursing Times 2009; 105(42): 10-13.
McLean S, Protti D, Sheikh A. Telehealthcare for long term conditions. BMJ 2011; 342: 374-378.
Segrelles-Calvo G, Chiner E, Fernández-Fabrellas E. Acceptance of Telemedicine Among Healthcare Professionals. Arch Bronconeumol 2015; 51(12): 611-612.
Williams OE, Elghenzai S, Subbe C, Wyatt JC, Williams J. The use of telemedicine to enhance secondary care: some lessons from the front line. Future Healthcare J 2017; 4(2): 109-114.
Wang X, Zhang Z, Zhao J, Shi Y. Impact of Telemedicine on Healthcare Service System Considering Patients’ Choice. Discrete Dyn Nature Soc 2019; https://doi.org/10.1155/2019/7642176.
Hashiguchi O, Bringing T. Health care to the patient: An overview of the use of telemedicine in OECD countries. OECD Health Working Papers, No. 116, OECD Publishing, Paris (2020).
Mueller B. Telemedicine Arrives in the U.K.: “10Years of Change in One Week”. The New York Times 4th April 2020, updated 7th April 2020.
Taylor P. Free telemedicine service in UK will connect patients to at-home doctors. Pharma Phorum 1st April 2020.
Telemedicine Forum, Royal Soc. Med., London, U.K. Available HTTP: http://www.qub.ac.uk/telemed/tmed
Hex N, Tuggey J, Wright D, Malin R. Telemedicine in care homes in Airedale, Wharfedale and Craven. Clinical Governance: An International Journal 2015; 20: 146-154.
Pisanelli DM, Ricci FL, Maceratini R. A Survey of Telemedicine in Italy. Journal of Telemedicine and Telecare. 1995; 1, 125-30.
Siwicki B. Telemedicine during COVID-19: Benefits, limitations, burdens, adaptation. Healthcare IT News 19th March 2020.
Sommer JT. Telemedicine: A useful and necessary tool to improve quality of health care in the European Union. Comput Methods Programs Biomed 1995; 48: 73-74.
Laxminarayan SN, Coatrieux JL, Roux JC, Finklestein SM, Shakian AV, Blanchard SM. Biomedical information technology: Medicine and health care in the digital future. IEEE Trans Inform Technol Biomed 1997; 1: 1-7.
Istepanian RH. Telemedicine in the United Kingdom: Current Status and Future Prospects. IEEE Trans Inform Technol Biomed 1999; 3(2): 158-159.
Snell M. 5 Ways Telehealth Is Taking Modern Healthcare to the Next Level. Health Tech Magazine 1st April 2019.
Alotaibi S, Hernandez-Montfort J, Ali OE, El-Chilali K, Perez BA. Remote monitoring
Alotaibi S, Hernandez-Montfort J, Ali OE, El-Chilali K, Perez BA. Remote monitoring of implantable cardiac devices in heart failure patients: a systematic review and meta-analysis of randomized controlled trials. Heart Fail Rev 2020; 25: 469-479.
Ozanne EM, Noseworthy PA, Cameron KA, Schmidt M, Cavanaugh K, Pershing ML, Guzman A, Sivly A, Fagerlin A. Shared Decision Making in the Era of Telehealth: Implications for Practice and Research. MDM Policy Pract 2020; 5(2): 2381468320976364.
Bashshur RL, Reardon TG, Shannon GW. Telemedicine: A New Health Care Delivery System. Annu Rev Public Health 2000; 21: 613-637.
McNicholas J. TeleHealth in the Modern Era of Military Medical Consultation. MILITARY MEDICINE 2018; 183(5/6): 110-112.
Bhaskar S, Bradley S, Chattu VK, Adisesh A, Nurtazina A, Kyrykbayeva S, Sakhamuri S, Yaya S, Sunil T, Thomas P, Mucci V, Moguilner S, Israel-Korn S, Alacapa J, Mishra A, Pandya S, Schroeder S, Atreja A, Banach M, Ray D. Telemedicine Across the Globe-Position Paper from the COVID-19 Pandemic Health System Resilience PROGRAM (REPROGRAM) International Consortium (Part 1). Front Public Health 2020; 8: 556720.
Monaghesh E, Hajizadeh A. The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence. BMC Public Health 2020; 20: 1193.
Kichloo A, Albosta M, Dettloff K, Wani F, El-Amir Z, Singh J, Aljadah M, Chakinala RC, Kanugula AK, Solanki S, Chugh S. Telemedicine, the current COVID-19 pandemic and the future: a narrative review and perspectives moving forward in the USA. Fam Med Com Health 2020; 8: e000530.
Shachar C, Engel J, Elwyn G. Implications for Telehealth in a Postpandemic Future. Regulatory and Privacy Issues. JAMA 2020; 323(23): 2375-2376.
Capoccia M, De Lazzari C. Concepts, Mathematical Modelling and applications in heart failure. Capoccia M and De Lazzari C Eds. New York: Nova Science Publisher. (ISBN: 978-1-53614-771-1).
De Lazzari C, Stalteri D. CARDIOSIM Software Simulator Website 2011. https://cardiosim.dsb.cnr.it/
De Lazzari C, Pirckhalava M. Cardiovascular and Pulmonary Artificial Organs: Educational Training Simulators. 2017, De Lazzari C, Pirckhalava M Eds. Published by Consiglio Nazionale delle Ricerche (CNR) Roma (ISBN 978-88-8080-240-2), 161-181.
De Lazzari C, De Lazzari B, Genuini I, Pirckhalava M. The Use of e-Learning for Healthcare Professionals: an Interactive in Silico Simulator. In Cardiovascular and
Pulmonary Artificial Organs: Educational Training Simulators. 2017, De Lazzari C, Pirckhalava M Eds. Published by Consiglio Nazionale delle Ricerche (CNR) Roma (ISBN 978-88-8080-240-2), 161-181.
De Lazzari C, Pirckhalava M. Simulation in Medicine: Clinical Teaching and Learning. Cardiology and Internal Medicine XXI 2015; 14: 28-30.
De Lazzari C, Genuini I, Pisanelli DM, D'Ambrosi A, Fedele F. Interactive simulator for e-Learning environments: a teaching software for health care professionals. BioMedical Engineering OnLine 2014; 13(1); 1-18.
De Lazzari B, Iacovoni A, Mottaghy K, Capoccia M, Badagliacca R, Vizza CD, De Lazzari C. ECMO Assistance During Mechanical Ventilation: Effects Induced on Energetic and Haemodynamic Variables. Computer Methods and Programs in Biomedicine 2021; 202: 1-13. https://doi.org/10.1016/j.cmpb.202.106003
De Lazzari C, De Lazzari B, Iacovoni A, Marconi S, Papa S, Capoccia M, Badagliacca R, Vizza CD. Intra-Aortic Balloon Counterpulsation Timing: A New Numerical Model for Programming and Training in the Clinical Environment. Computer Methods and Programs in Biomedicine 2020; 194: 1-9. https://doi.org/10.1016/j.cmpb.2020.105537
De Lazzari C, Darowski M, Ferrari G, Clemente F, Guaragno M. Ventricular energetics during mechanical ventilation and intraaortic balloon pumping – Computer simulation. Journal of Medical Engineering & Technology, 2001; 25-(3): 103-111.
De Lazzari C, Darowski M, Ferrari G, Pisanelli DM, Tosti G. The impact of rotary blood pump in conjunction with mechanical ventilation on ventricular energetic parameters: Numerical Simulation. Methods of Information in Medicine 2006; 45-(5): 574-583.
De Lazzari C, Capoccia M, Marconi S. How can LVAD support influence ventricular energetics parameters in advanced heart failure patients? A retrospective study .Computer Methods and Programs in Biomedicine 2019; 172: 117-126.
https://doi.org/10.1016%2Fj.cmpb.2019.02.012
Capoccia M, Marconi S and De Lazzari C. Decision-making in advanced heart failure patients requiring LVAD insertion: Can preoperative simulation become the way forward? A case study. Journal of Biomedical Engineering and Informatics 2018; 4(2): 8-20.
https://doi.org/10.5430/jbei.v4n2p8
Capoccia M, Marconi S, Singh SA, Pisanelli DM and De Lazzari C. Simulation as a preoperative planning approach in advanced heart failure patients. A retrospective clinical analysis. BioMedical Engineering OnLine 2018; 17 (1): 52.