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      Prevalence of Telemedicine and Telehealth in Latin American Hospitals

      review-article
      Author(s): , B.Soc.Sci 1 , * ,
      Publication date (Electronic):
      Journal: Telehealth and Medicine Today
      Publisher: Partners in Digital Health
      Keywords: healthcare, hospitals, Latin America, telehealth, telemedicine

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          Abstract

          This article is the first in a series that will discuss the penetration of telemedicine in Latin America in relation to its implementation by hospitals in the region. Key Latin American hospital markets covered include Argentina, Brazil, Chile, Colombia, Mexico, and Peru. An overview of hospitals in these markets, including challenges they face implementing telemedicine and telehealth services are reviewed, with a characterization of the various health systems. The focus is on the role of telemedicine as an aid to the shortage of doctors and specialists in remote or hard-to-reach areas. In addition to published literature, the perspectives of specialists are included in order to provide insight into the success and challenges of major initiatives in the region. In addition, the author offers recommendations based on market intelligence gleaned from Global Health Intelligence data.

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          Challenges of Telemedicine during the COVID-19 pandemic: a systematic review

          Racha Ftouni, Baraa AlJardali, Maya Hamdanieh … (2022)
          Background The COVID-19 pandemic has prompted the decrease of in-person visits to reduce the risk of virus transmission. Telemedicine is an efficient communication tool employed between healthcare providers and patients that prevents the risk of exposure to infected persons. However, telemedicine use is not infallible; its users reported multiple issues that complicated the expansion of this technology. So, this systematic review aimed to explore the barriers and challenges of telemedicine use during the pandemic and to propose solutions for improving future use. Methods A systematic review was conducted following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) statement. PubMed, Scopus, Web of Science, Academic Search Complete, CINAHL, Embase, and Science Direct were used to look for articles addressing barriers and challenges, in addition to articles proposing solutions. Studies were screened by title and abstract, followed by a full-text review. Risk of bias assessment was done using Critical Appraisal Skills Program for qualitative studies, Newcastle–Ottawa Scale for cross-sectional studies, and A MeaSurement Tool to Assess Systematic Reviews for systematic reviews. After the extraction of data, a narrative synthesis and analysis of the outcomes were performed. Results Among 1194 papers identified, only 27 studies were included. Barriers and challenges were assembled under 7 categories: technical aspects, privacy, data confidentiality and reimbursement, physical examination and diagnostics, special populations, training of healthcare providers and patients, doctor-patient relationship, and acceptability. Poor internet connection and lack of universal access to technology were among the technical barriers. Concerns about patient privacy and reimbursement hindered the use of telemedicine too. Physical examination and certain procedures were impossible to perform via telemedicine. Training both healthcare providers and patients was deficient. The doctor-patient relationship was troubled by telemedicine, and both healthcare providers and patients were reluctant to use telemedicine. Conclusion Widespread use of telemedicine is still hampered by various barriers and challenges. Healthcare providers should work with various stakeholders to implement the proposed solutions. More research and policy changes are essential to optimize telemedicine utilization. Supplementary Information The online version contains supplementary material available at 10.1186/s12911-022-01952-0.
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            The Promise of Information and Communication Technology in Healthcare: Extracting Value From the Chaos.

            Burke W Mamlin, William M Tierney (2016)
            Healthcare is an information business with expanding use of information and communication technologies (ICTs). Current ICT tools are immature, but a brighter future looms. We examine 7 areas of ICT in healthcare: electronic health records (EHRs), health information exchange (HIE), patient portals, telemedicine, social media, mobile devices and wearable sensors and monitors, and privacy and security. In each of these areas, we examine the current status and future promise, highlighting how each might reach its promise. Steps to better EHRs include a universal programming interface, universal patient identifiers, improved documentation and improved data analysis. HIEs require federal subsidies for sustainability and support from EHR vendors, targeting seamless sharing of EHR data. Patient portals must bring patients into the EHR with better design and training, greater provider engagement and leveraging HIEs. Telemedicine needs sustainable payment models, clear rules of engagement, quality measures and monitoring. Social media needs consensus on rules of engagement for providers, better data mining tools and approaches to counter disinformation. Mobile and wearable devices benefit from a universal programming interface, improved infrastructure, more rigorous research and integration with EHRs and HIEs. Laws for privacy and security need updating to match current technologies, and data stewards should share information on breaches and standardize best practices. ICT tools are evolving quickly in healthcare and require a rational and well-funded national agenda for development, use and assessment.
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              Marco de Implementación de un Servicio de Telemedicina

              (2016)
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                Author and article information

                Journal
                Journal ID (publisher-id): THMT
                Title: Telehealth and Medicine Today
                Publisher: Partners in Digital Health
                ISSN (Electronic): 2471-6960
                Publication date (Electronic): 03 February 2023
                Publication date Collection: 2023
                Volume: 8
                Electronic Location Identifier: 10.30953/tmt.v8.383
                Affiliations
                [1 ]Global Health Intelligence, Coral Gables, Florida, USA
                Author notes
                [* ]Correspondence: Daniela Chueke, Email: info@ 123456globalhealthintelligence.com
                Author information
                https://orcid.org/0000-0002-9490-8962
                Article
                Publisher ID: 383
                DOI: 10.30953/tmt.v8.383
                SO-VID: 4ec40308-019a-4b82-9553-934a959869e6
                Copyright © © 2023 Daniela Chueke
                License:

                This is an open access article distributed in accordance with the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) license, which permits others to distribute, adapt, enhance this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.

                History
                Date received : 30 November 2022
                Date accepted : 04 January 2023
                Categories
                Subject: REVIEW, DISCUSSION

                ScienceOpen disciplines: Social & Information networks,General medicine,General life sciences,Health & Social care,Public health,Hardware architecture
                Keywords: telemedicine,hospitals,telehealth,healthcare,Latin America
                Data availability:
                ScienceOpen disciplines: Social & Information networks, General medicine, General life sciences, Health & Social care, Public health, Hardware architecture
                Keywords: telemedicine, hospitals, telehealth, healthcare, Latin America

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