Enablers and barriers in upscaling telemonitoring across geographic boundaries: a scoping review.

Introduction And Objective: Telemonitoring is a method to monitor a person's vital functions via their physiological data at distance, using technology. While pilot studies on the proposed benefits of telemonitoring show promising results, it appears challenging to implement telemonitoring on a larger scale. The aim of this scoping review is to identify the enablers and barriers for upscaling of telemonitoring across different settings and geographical boundaries in healthcare.

A cost minimisation analysis in teledermatology: model-based approach.

Background: Although store-and-forward teledermatology is increasingly becoming popular, evidence on its effects on efficiency and costs is lacking. The aim of this study, performed in addition to a clustered randomised trial, was to investigate to what extent and under which conditions store-and-forward teledermatology can reduce costs from a societal perspective.

Methods: A cost minimisation study design (a model based approach) was applied to compare teledermatology and conventional process costs per dermatology patient care episode.

Teledermatologic consultation and reduction in referrals to dermatologists: a cluster randomized controlled trial.

Objective: To determine whether teledermatologic consultations can reduce referrals to a dermatologist by general practitioners (GPs).

Design: Multicenter cluster randomized controlled trial.

Setting And Participants: We recruited 85 GPs from 35 general practices in 2 regions in the Netherlands (Almere and Zeist); 5 dermatologists from 2 nonacademic hospitals were also included in the study.

Evaluation of general practitioner's time investment during a store-and-forward teledermatology consultation.

Background/objective: Introduction of teledermatology in general practice changes responsibilities and workloads of general practitioners (GPs) and dermatologists. We investigated the time investment of GPs as well as the relative share of the separate teledermatology activities during a store-and-forward teledermatology consultation.

Methods: Sixty-four teledermatology consultations (eight GPs x eight patients) were conducted in a laboratory setting.

Ten years of teledermatology.

Using telemedicine health professionals can communicate with each other and with their patients over a distance. Teledermatology, dermatology application of telemedicine, is one of the most often applied telemedicine applications worldwide. Various studies have been performed to evaluate the effectiveness and efficiency of and satisfaction with teledermatology.

First evaluation of the NHS direct online clinical enquiry service: a nurse-led web chat triage service for the public.

Background: NHS Direct is a telephone triage service used by the UK public to contact a nurse for any kind of health problem. NHS Direct Online (NHSDO) extends NHS Direct, allowing the telephone to be replaced by the Internet, and introducing new opportunities for informing patients about their health. One NHSDO service under development is the Clinical Enquiry Service (CES), which uses Web chat as the communication medium.