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23 - Telemedicine and Telehealth Role in Public Health Emergencies

from PART II - OPERATIONAL ISSUES

Published online by Cambridge University Press:  05 August 2011

Kristi L. Koenig
Affiliation:
University of California, Irvine
Carl H. Schultz
Affiliation:
University of California, Irvine
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Summary

OVERVIEW

Telemedicine and Telehealth

Telemedicine involves the use of electronic information and telecommunications technologies to deliver medical care services in situations in which patients and providers are separated by geographical distance. Telemedicine technologies enable consultations and/or care delivery to take place remotely. Telemedicine has a role in improving access to care, for example in rural and remote areas that are medically underserved. Worldwide, people are becoming increasingly connected by a variety of telecommunications technology platforms. Existing and emerging applications on these telecommunications platforms are rapidly transforming homes and workplaces as well as how services such as healthcare will be provided. Hospitals and clinics have been the main locations for healthcare provision but technology is now taking aspects of these services into the home and local communities.

Telemedicine is a subset of telehealth. Telehealth encompasses a wider use of information and telecommunications technologies to deliver other aspects of healthcare. In addition to clinical consultations and care, telehealth includes the remote monitoring of health status, providing multimedia-based education to staff and offering information to patients to foster informed medical decision making. The role for telehealth in providing healthcare services in public health emergencies should be considered within the context of a changing social environment created by emerging technologies.

Type
Chapter
Information
Koenig and Schultz's Disaster Medicine
Comprehensive Principles and Practices
, pp. 345 - 360
Publisher: Cambridge University Press
Print publication year: 2009

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References

Darkins, A. Cary, M. Telemedicine and Telehealth: Principles, Policies, Performance and Pitfalls New York: Springer; 2000.
U.S. Department of Health and Human Services. Health Resources and Services Administration. Available at: http://www.hrsa.gov/telehealth. Accessed December 15, 2008.
Kulling, P. The Terrorist Attack with Sarin in Tokyo on 20th March 1995. Kamedo Report 71. Stockholm; 1995.
Kawana, N, Ishimatsu, S, Kanda, K. Psycho-physiological effects of the terrorist Sarin attack on the Tokyo subway system. Mil Med. 2001;116:23–26.CrossRefGoogle Scholar
Boaz, T, McManus, J, Koenig, K. The art and science of surge: experience from Israel and the U.S. Military. Acad Emerg Med. 2006;13:1130–1134.Google Scholar
Adams, BJ, Arn Womble, J, Ghosh, S, Friedland, C. Deployment of remote sensing technology for multi-hazard post-Katrina damage assessment within a spatially-tiered reconnaissance framework. Available at: http://www.arct.cam.ac.uk/curbe/bja_paper.pdf. Accessed December 15, 2008.
Garshnek, V, Burkle, FJ. Applications of telemedicine and telecommunications to disaster medicine. J Am Med Inform Assoc. 1999;6:26–37.CrossRefGoogle Scholar
Disasters – How Can Telemedicine Help? Editorial. Telemed e-Health J. 11(2):511–512.
U.S.-U.S.S.R. Telemedicine Consultation Spacebridge to Armenia and Ufa. Presented at the Third U.S.-U.S.S.R. Joint Working Group on Space Biology and Medicine December 1–9,1989 Moscow and Kislovodsk, U.S.S.R. Available at: http://www.quasar.org/21698/nasa/spacebridgeq.htm. Accessed December 15, 2008.
Siegel, E. Psychological factors affecting the adoption of PACS. Appl Radiol. 2002;31:00–00, 19.Google Scholar
Simmons, SC, Murphy, TA, Blanarovich, A, Workman, FT, Rosenthal, DA, Carbone, M. Telehealth technologies and applications for terrorism response: a report of the 2002 coastal North Carolina domestic preparedness training exercise. J Am Med Inform Assoc. 2003;10(2):166–176.CrossRefGoogle Scholar
Garshnek, V, Burkle, F. Applications of telemedicine and telecommunications to disaster medicine – Historical and future perspectives. J Am Med Inform Assoc. 1999;6:125–127.Google Scholar
Moore, G. Crossing the Chasm and Inside the Tornado. New York: HarperBusiness; 1991.
Natis, Y, Schulte, R. Introduction to Service-Oriented Architecture. Stamford, CT: Gartner Research; 2003.
RAND Center for Domestic and International Health Security. Available at: http://www.rand.org/health/centers/healthsecurity. Accessed December 15, 2008.
Nelson, C, Lurie, N, Wasserman, J, Zakowski, S. Conceptualizing and defining public health emergency preparedness. Am J Public Health. 2006;8:449–471.Google Scholar
Federal Telemedicine Update. September 19, 2005. Available at: http://www.federaltelemedicine.com/n091905.htm. Accessed December 15, 2008.
Raymond, C. Offenheister, President, OXFAM America. Testimony Before the U.S. Senate Foreign Relations Committee, February 10, 2005.
The Sphere Project. Disaster Response. Available at: http://www.sphereproject.org/handbook/pages/navbook.htm?param1=0. Accessed December 15, 2008.
Homeland Security Presidential Directive/HSPD-21. Available at: http://www.whitehouse.gov/news/releases/2007/10/20071018-10.html. Accessed December 15, 2008.
Nelson, N, Lurie, N, Wasserman, J, Zakouski, S. Conceptualizing and Defining Public Health Emergency Preparedness. American Journal of Public Health Supplement 1, 2007, Vol 97, No. S1.Google Scholar
Pandemic and All-Hazards Preparedness Act (S.3678). July 18, 2006.
Telemedicine & Health IT. American Telemedicine Association. http://www.americantelemed.org/news/policy_issues/HIT_Paper.pdf. Accessed December 7th 2007.
,Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century Washington, DC: National Academies Press; 2001.
Hurricane Katrina's Veteran Victims in the Nation's Capital. Available at: http://www.washingtondc.va.gov/news/katrina.asp. Accessed December 15, 2008.
Ceesay, I. Public Financial Accountability in Pakistan. The Impact of PIFRA on Capacity. World Bank. 2003. Pakistan Country Financial Accountability Assessment. Report Number 27551-PAK (December).
http://xml.coverpages.org/CAPv11-12649.pdf. Accessed 23rd July 2007.
Lessons From KatrinaHealth. Available at: http://www.markle.org/downloadable_assets/katrinahealth.final.pdf. Accessed December 30, 2008.
http://www.sphereproject.org/handbook/pages/navbook.htm?param1=0. Accessed July 6th 2007.
The Tampere Convention – A Life-Saving Treaty. Available at: http://www.itu.int/ITU-D/emergencytelecoms/tampere.html. Accessed December 30, 2008.
Written Testimony of Vincent D. Kelly President and Chief Executive Officer, USA Mobility Before the FCC's Independent Panel Reviewing the Impact of Hurricane Katrina March 6, 2006 http://www.fcc.gov/eb/hkip/GSpeakers060306/ACT1010.pdf. Accessed July 6th 2007.
http://www.fcc.gov/pshs/spectrum/700mhz/. Accessed July 7th 2007.
Cisco. Gateway Software Release. Available at: http://www.cisco.com/en/US/docs/voice_ip_comm/pgw/9/dial_plan/guide/DP_Pref.html. Accessed December 30, 2008.
H.323 Protocol Definition. Available at: http://www.pcmag.com/encyclopedia_term/0,2542,t=H320&i=44036,00.asp. Accessed December 30, 2008.
H323 Forum. Available at: http://www.h323forum.org. Accessed December 30, 2008.
Cisco Systems. Internet Protocols. http://www.cisco.com/en/US/docs/internetworking/technology/handbook/Internet-Protocols.html. Accessed December 30, 2008.
Telehealth Information Exchange. Available at: http://tie.telemed.org/links/international.asp#116. Accessed December 30, 2008.
Humanitarian Emergency Logistics & Preparedness. Available at: http://www.disasterlogistics.org. Accessed December 30, 2008.
http://www.disasterlogistics.org/ viewed December 7th 2007.
,Conference Report. Satellite applications for telehealth in the developing world. J Telemed Telecare. 2006;12:31–324.Google Scholar
United Nations Scientific and Technical Subcommittee of the Committee on the Peaceful Uses of Outer Space. Available at: http://www.unoosa.org/oosa/COPUOS/copuos.html. Accessed December 30, 2008.
Meade, KM, Lam, D. A deployable telemedicine capability in support of humanitarian operations. Telemed e-Health. 2007;13:331–340.CrossRefGoogle Scholar
PROACT – Preparedness & Response On Advanced Communications Technology. Available at: http://www.mc.uky.edu/kytelecare/proact.asp. Accessed December 30, 2008.
Southern Governors Homeland Security/Telemedicine Project. Available at: http://www.stateline.org/live/ViewPage.action?siteNodeId=136&languageId=1&contentId=15759. Accessed December 30, 2008.
Balch, D, West, V. Telemedicine used in a simulated disaster response. Stud Health Technol Inform. 2001;81:41–45.Google Scholar
Rim of the Pacific Exercise (RIMPAC). Available at: http://www.globalsecurity.org/military/ops/rimpac.htm. Accessed December 30, 2008.
Simmons, SC, Murphy, TA, Blanarovich, A, Workman, FT, Rosenthal, DA, Carbone, M. Telehealth technologies and applications for terrorism response: a report of the 2002 coastal North Carolina domestic preparedness training exercise. J Am Med Inform Assoc. 2003;10(2):166–176.CrossRefGoogle Scholar
Balch, D, Taylor, C, Rosenthal, D, Bausch, C, Warner, D, Morris, R. Shadow Bowl 2003: a collaborative exercise in community readiness, agency cooperation, and medical response. Telemed J E Health. 2004;10(3):330–342.CrossRefGoogle Scholar
Swinfen Charitable Trust. Available at: http://www.uq.edu.au/swinfen. Accessed December 30, 2008.
Rolland, E, Moore, K, Robinson, V, McGuinness, D. Using Ontario's “Telehealth” health telephone helpline as an early-warning system: a study protocol. BMC Health Serv Res. 2006;6:10. Available at: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1431529. Accessed December 30, 2008.
The Amateur Radio Emergency Service (ARES). Available at: http://www.arrl.org/FandES/field/pscm/sec1-ch1.html. Accessed December 30, 2008.
The US Armed Forces Institute of Pathology Anthrax Education Site. Available at: http://anthrax.radpath.org/. Accessed December 30, 2008.
Center for Disaster and Humanitarian Assistance Medicine (CDHAM). http://www.usuhs.mil/cbw/new_page_1.htm. Accessed July 29th 2007.
Kovacs, G. Spens, S. Humanitarian logistics in disaster relief operations. Intl J Phys Distrib Logist Manage. 2007;37(2):99.CrossRefGoogle Scholar
Agency for Healthcare Research and Quality (AHRQ)- Telemedicine for the Medicare Population – Update http://www.ahrq.gov/clinic/tp/telemeduptp.htm. Accessed August 6th 2007.
Grigsby, J, Bennett, RE. Alternatives to randomized controlled trials in telemedicine. J Telemed Telecare. 2006;12(Suppl 2):S77–84.Google Scholar
Comfort, K. Risk, security, and disaster management. Ann Rev Politic Sci. 2005;8:335–356.CrossRefGoogle Scholar
Kovacs, G. Spens, S. Humanitarian logistics in disaster relief operations. International Journal of Physical Distribution & Logistics Management. Bradford: 2007. Vol. 37, Iss. 2; pg. 99.

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