Introduction: Tele-Health or eHealth are defined as diversified health services provided remotely by a team of professionals using ICT (Information and Communication Technology) to improve the health of a user or population.
Development: The development of ICT during the 2000 and 2010 decades allowed for a wider applicability of these services. Techniques like teleradiology and telepathology appeared. Tele-nursing began to be practiced through teleconsultations. Tele-nursing emerged from consulting telephone nurses in the United Kingdom and Canada. In 2005, the WHO established the Global eHealth Observatory to review the benefits of ICT. Currently in Spain, 061 Cat Salut Respon, managed by nurses, gives coverage to Catalonia through its website, telephone, email or chat. In Andalusia, Salud Responde is a service and information center providing citizens with remote healthcare.
Conclusions: Health systems offer services through multichannel schemes and specific applications (apps) improving accessibility anytime, anywhere, provided with internet connection. The involvement of nurses in eHealth programs, such as telenurses, is increasingly spreading in Spain, mirroring the trend at an international level.
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J Cardiovasc Magn Reson
January 2025
Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Augustenburger Platz 1, 13353 Berlin, Germany; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Background And Aims: Heart failure (HF) is an imminent global health problem. Yet established screening algorithms for asymptomatic pre-HF, allowing for early and effective preventive interventions, are largely lacking. The HERZCHECK trial, conducted in structurally underserved rural regions of North-Eastern Germany, aims to close this gap by evaluating the feasibility, diagnostic efficacy, and cost-effectiveness of a fully mobile, telemedically-supervised screening approach, combining cardiac magnetic resonance imaging (CMR) and laboratory testing as central elements.
View Article and Find Full Text PDFDigit Health
January 2025
National Dental Centre Singapore, Singapore, Singapore.
Objective: This study aimed to identify barriers and facilitators surrounding the implementation of TDOCS from Community Health Workers (CHW)'s perspective before TDOCS implementation.
Methods: A descriptive qualitative study was conducted through semistructured interviews with a purposive sampling of CHWs from partner nursing homes and home care teams. A French framework outlining barriers to asynchronous oral teleconsultation adoption was used to develop the topic guide for this study.
Age Ageing
January 2025
The Healthcare Improvement Studies Institute (THIS Institute), Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Background: There is relatively low uptake of remote monitoring on frailty virtual wards (Hospital at Home) compared to virtual wards caring for people with other medical conditions. However, reasons for low uptake are poorly understood.
Objectives: To explore the views and experiences of frailty virtual wards stakeholders involved in implementing remote monitoring.
Lancet Reg Health Eur
March 2025
Faculty of Pharmacy and Medicine, Sapienza University, Rome, Italy.
Digital technologies can help support the health of migrants and refugees and facilitate research on their health issues. However, ethical concerns include security and confidentiality of information; informed consent; how to engage migrants in designing, implementing and researching digital tools; inequitable access to mobile devices and the internet; and access to health services for early intervention and follow-up. Digital technical solutions do not necessarily overcome problems that are political, social, or economic.
View Article and Find Full Text PDFTrop Med Int Health
January 2025
Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville, Florida, USA.
Background: The ADAPT guidance proposes a process model for adapting evidence-informed interventions to novel contexts. Herein, we leveraged this guidance to adapt a paediatric nighttime telemedicine and medication delivery service from Haiti, a setting with low malaria prevalence, to Ghana, where malaria is a leading cause of paediatric mortality.
Methods: Core components of the intervention were defined and conserved.
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