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415:. It allows long-distance patient and clinician contact, care, advice, reminders, education, intervention, monitoring, and remote admissions. Telemedicine is sometimes used as a synonym, or is used in a more limited sense to describe remote clinical services, such as diagnosis and monitoring. When rural settings, lack of transport, a lack of mobility, conditions due to outbreaks, epidemics or pandemics, decreased funding, or a lack of staff restrict access to care, telehealth may bridge the gap
35:
93:
429:; a robotic surgery occurring through remote access; physical therapy done via digital monitoring instruments, live feed and application combinations; tests being forwarded between facilities for interpretation by a higher specialist; home monitoring through continuous sending of patient health data; client to practitioner online conference; or even videophone interpretation during a consult.
196:(mind and behavior). In addition, the physician should consider the patient in their 'well' context rather than simply as a walking medical condition. This means the socio-political context of the patient (family, work, stress, beliefs) should be assessed as it often offers vital clues to the patient's condition and further management.
245:
The next task is to enlist the patient's agreement to a management plan, which will include treatment as well as plans for follow-up. Importantly, during this process the healthcare provider educates the patient about the causes, progression, outcomes, and possible treatments of his ailments, as well
297:
For the patient, the time spent at the hospital can be substantially longer due to various waiting times, administrative steps or additional care from other health personnel. Regarding wait time, patients that are well informed of the necessary procedures in a clinical encounter, and the time it is
1743:
Desai, Rishi J.; Matheny, Michael E.; Johnson, Kevin; Marsolo, Keith; Curtis, Lesley H.; Nelson, Jennifer C.; Heagerty, Patrick J.; Maro, Judith; Brown, Jeffery; Toh, Sengwee; Nguyen, Michael; Ball, Robert; Dal Pan, Gerald; Wang, Shirley V.; Gagne, Joshua J.; Schneeweiss, Sebastian (20 December
453:
may include reduced infection risks, increased control of disease during epidemic conditions, improved access to care, reduced stress and exposure to other pathogens during illness for better recovery, reduced time and labor costs, efficient more accessible matching of patients with particular
316:
instead of going to a professional health care provider. Doctors may be fearful of misleading information and being inundated by emails from patients which take time to read and respond to (time for which they are not paid). About three-quarters of the U.S. population reports having a
454:
symptoms and clinicians who are experts for such, and reduced travel while disadvantages may include privacy breaches (e.g. due to software backdoors and vulnerabilities or sale of data), dependability on
Internet access and, depending on various factors, increased health care use.
1850:
Paul, Margaret M.; Greene, Carolyn M.; Newton-Dame, Remle; Thorpe, Lorna E.; Perlman, Sharon E.; McVeigh, Katherine H.; Gourevitch, Marc N. (1 June 2015). "The state of population health surveillance using electronic health records: A narrative review".
377:, DVDs, CDs, cassettes, or videotapes about your health conditions or treatments" – for example if a patient's blood pressure was found to be high, the patient could get "brochures explaining what causes high blood pressure and what can do about it".
249:
The physician's expertise comes from his knowledge of what is healthy and normal contrasted with knowledge and experience of other people who have had similar symptoms (unhealthy and abnormal), and the proven ability to relieve it with medicines
1591:
Spiranovic, Caroline; Matthews, Allison; Scanlan, Joel; Kirkby, Kenneth C. (2 January 2016). "Increasing knowledge of mental illness through secondary research of electronic health records: opportunities and challenges".
1383:
Levine, Kristin S.; Leonard, Hampton L.; Blauwendraat, Cornelis; Iwaki, Hirotaka; Johnson, Nicholas; Bandres-Ciga, Sara; Ferrucci, Luigi; Faghri, Faraz; Singleton, Andrew B.; Nalls, Mike A. (19 January 2023).
321:, but the Primary Care Assessment Survey found "a significant erosion" in the quality of primary care from 1996 to 2000, most notably in the interpersonal treatment and thoroughness of physical examinations.
954:
Albritton J, Ortiz A, Wines R, Booth G, DiBello M, Brown S, Gartlehner G, Crotty K (February 2022). "Video
Teleconferencing for Disease Prevention, Diagnosis, and Treatment : A Rapid Review".
207:, which generally includes obtaining further information about the patient's symptoms, previous state of health, living conditions, and so forth. The physician then makes a
1509:"Effects of colchicine on risk of cardiovascular events and mortality among patients with gout: a cohort study using electronic medical records linked with Medicare claims"
215:, which is a set of ordered questions about each major body system in order: general (such as weight loss), endocrine, cardio-respiratory, etc. Next comes the actual
1556:
Newschaffer CJ, Bush TL, Penberthy LT (June 1997). "Comorbidity measurement in elderly female breast cancer patients with administrative and medical records data".
1894:
Moloney, Max; Digby, Geneviève; MacKinnon, Madison; Morra, Alison; Barber, David; Queenan, John; Gupta, Samir; To, Teresa; Lougheed, M. Diane (17 January 2023).
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spend the least time, with a median of 9 to 12 minutes per patient. Overall, female physicians spend more time with each patient than do male physicians.
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362:
patients. They found it rarely included effective methods, was mostly generic, and was rarely tailored to patients' existing knowledge and behaviours.
1328:"Identifying and visualising multimorbidity and comorbidity patterns in patients in the English National Health Service: a population-based study"
685:"What advice do general practitioners give to people living with obesity to lose weight? A qualitative content analysis of recorded interactions"
45:
1277:
Murray CJ, Ikuta KS, Sharara F, Swetschinski L, Aguilar GR, Gray A, et al. (Antimicrobial
Resistance Collaborators) (February 2022).
1746:"Broadening the reach of the FDA Sentinel system: A roadmap for integrating electronic health record data in a causal analysis framework"
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734:
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465:
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indicates that, in general, outcomes of telemedicine are or can be as good as in-person care with health care use staying similar.
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effectiveness), increased quality of care (via guidelines and improved medical history sharing), and novel life-saving treatments.
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as well as provide distance-learning; meetings, supervision, and presentations between practitioners; online information and
312:
With increasing access to computers and published online medical articles, the internet has increased the ability to perform
17:
1961:
Shah, Shahid Munir; Khan, Rizwan Ahmed (2020). "Secondary Use of
Electronic Health Record: Opportunities and Challenges".
919:
Miller EA (July 2007). "Solving the disjuncture between research and practice: telehealth trends in the 21st century".
307:
79:
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A survey in the United States came to the result that, overall, a physician sees each patient for 13 to 16 minutes.
998:
330:
1896:"Primary care asthma surveillance: a review of knowledge translation tools and strategies for quality improvement"
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Electronic medical records could also be studied to quantify disease burdens – such as the number of deaths from
97:
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558:
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1028:"COVID-19 Reducing the Risks: Telemedicine is the New Norm for Surgical Consultations and Communications"
518:
513:
449:
Advantages of the nonexclusive adoption of already existing telemedicine technologies such as smartphone
366:
881:
Mashima PA, Doarn CR (December 2008). "Overview of telehealth activities in speech-language pathology".
369:
has produced a list of "Tips for
Talking With Your Doctor" that includes asking "if your doctor has any
491:
2117:
1126:
615:
Safran DG (February 2003). "Defining the future of primary care: what can we learn from patients?".
473:
61:
1635:
Byun J, Schwartz AG, Lusk C, Wenzlaff AS, de
Andrade M, Mandal D, et al. (September 2018).
1077:"The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence"
582:
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318:
283:
262:
57:
683:
Tremblett, Madeleine; Poon, Annabel Y X; Aveyard, Paul; Albury, Charlotte (13 December 2022).
1819:
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1686:"Anonymization of electronic medical records for validating genome-wide association studies"
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168:, a physician typically sees between 50 and 100 patients per week, but it may vary with
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expected to take, are generally more satisfied even if there is a longer waiting time.
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659:"People may not always get helpful weight loss advice from their doctors, study finds"
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Kuan, Valerie; Denaxas, Spiros; Patalay, Praveetha; et al. (29 November 2022).
1279:"Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis"
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254:) or other therapies about which the patient may initially have little knowledge.
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1992:
793:"Overview of telehealth and its application to cardiopulmonary physical therapy"
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Proceedings of the
National Academy of Sciences of the United States of America
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spend more time with each patient, with 25 minutes or more. On the other hand,
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1386:"Virus exposure and neurodegenerative disease risk across national biobanks"
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By
Michael Pulia. American Academy of Emergency Medicine. 2011;18(1):18-19.
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management and healthcare system integration. Telehealth could include two
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1803:"Surveillance Systems to Track and Evaluate Obesity Prevention Efforts"
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185:
1801:
Hoelscher, Deanna M.; Ranjit, Nalini; PĂ©rez, Adriana (20 March 2017).
2039:
1440:"Massive health-record review links viral illnesses to brain disease"
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Special
Article: Internet Influence on Doctor/Patient Relationship
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769:. The Health Resources and Services Administration. March 2022
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in order to build trust and better diagnose and treat disease.
2024:"Uplifting Primary Care Through the Electronic Health Record"
44:
deal primarily with the United States and do not represent a
1507:
Solomon DH, Liu CC, Kuo IH, Zak A, Kim SC (September 2016).
1127:"Telehealth Key to Maintaining Access to Addiction Recovery"
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480:
and contributors to diseases, especially when combined with
1954:
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The
Journal of Allergy and Clinical Immunology. In Practice
223:; the findings are recorded, leading to a list of possible
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1742:
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Gillman-Wells CC, Sankar TK, Vadodaria S (February 2021).
682:
466:
Electronic health record § Use in research and development
354:, typically in the form of verbal-only consultation, for
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spend a median of 13 to 16 minutes per patient, whereas
1684:
Loukides G, Gkoulalas-Divanis A, Malin B (April 2010).
1677:
1637:"Genome-wide association study of familial lung cancer"
192:(what goes wrong with the anatomy and physiology), and
180:
The four great cornerstones of diagnostic medicine are
1226:
Molfenter T, Boyle M, Holloway D, Zwick J (May 2015).
199:
A patient typically presents a set of complaints (the
490:, better medical product safety surveillance, better
227:. These will be investigated in order of probability.
1800:
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96:
A doctor meeting with her patient in Egypt. Doctors
1228:"Trends in telemedicine use in addiction treatment"
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246:as often providing advice for maintaining health.
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2015:
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486:This may enable increased flexibility, improved
98:develop a close relationship with their patients
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411:and information via electronic information and
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42:The examples and perspective in this article
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547:Medscape Physician Compensation Report: 2011
1151:Portnoy J, Waller M, Elliott T (May 2020).
583:Simple Tips to Improve Patient Satisfaction
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476:– or help identify causes of, factors of,
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1900:Allergy, Asthma & Clinical Immunology
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1232:Addiction Science & Clinical Practice
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80:Learn how and when to remove this message
1960:
1820:10.1146/annurev-publhealth-031816-044537
1075:Monaghesh E, Hajizadeh A (August 2020).
797:Cardiopulmonary Physical Therapy Journal
767:Office for the Advancement of Telehealth
559:"Time that doctors spend with a patient"
441:
395:
301:
261:
229:
203:) to the physician, who then performs a
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2021:
740:. National Institute on Aging. May 2014
629:10.7326/0003-4819-138-3-200302040-00033
605:. Health Technology Trends. June, 2006.
266:Time that doctors spend with a patient.
14:
2100:
2022:Sunjaya, Anthony Paulo (1 July 2022).
1437:
918:
839:
1153:"Telemedicine in the Era of COVID-19"
1486:from the original on 6 February 2023
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28:
2084:"Tips for Talking With Your Doctor"
735:"Tips for Talking With Your Doctor"
24:
308:Health information on the Internet
25:
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883:Telemedicine Journal and e-Health
446:Telemedicine as predicted in 1925
1558:Journal of Clinical Epidemiology
1513:Annals of the Rheumatic Diseases
999:"Telemedicine Predicted in 1925"
809:10.1097/01823246-200920020-00003
464:This section is an excerpt from
386:This section is an excerpt from
346:A study systematically assessed
331:Clinical decision support system
124:context, is a meeting between a
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1438:Kozlov, Max (23 January 2023).
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482:genome-wide association studies
164:. According to a survey in the
148:, most often at a professional
1807:Annual Review of Public Health
1436:News article about the study:
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413:telecommunication technologies
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2028:The Annals of Family Medicine
1606:10.1080/18387357.2015.1063635
1570:10.1016/S0895-4356(97)00050-4
1345:10.1016/S2589-7500(22)00187-X
1295:10.1016/S0140-6736(21)02724-0
524:
1853:Population Health Management
1403:10.1016/j.neuron.2022.12.029
188:(how the structure/s work),
184:(structure: what is there),
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7:
2091:National Institute on Aging
1993:10.1109/ACCESS.2020.3011099
956:Annals of Internal Medicine
519:General medical examination
514:Doctor-patient relationship
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494:(such as for evaluation of
459:Software and health records
367:National Institute on Aging
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56:, discuss the issue on the
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1913:10.1186/s13223-022-00755-2
1762:10.1038/s41746-021-00542-0
1464:10.1038/d41586-023-00181-3
1201:"Benefits of Telemedicine"
1169:10.1016/j.jaip.2020.03.008
1094:10.1186/s12889-020-09301-4
1044:10.1007/s00266-020-01907-8
840:Masson M (December 2014).
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1594:Advances in Mental Health
1332:The Lancet Digital Health
1245:10.1186/s13722-015-0035-4
1032:Aesthetic Plastic Surgery
846:Canadian Family Physician
601:February 6, 2007, at the
492:public health monitoring
474:antimicrobial resistance
325:Research and development
1711:10.1073/pnas.0911686107
1205:www.hopkinsmedicine.org
842:"Benefits of TED Talks"
425:discussing a case over
409:health-related services
407:is the distribution of
284:primary care physicians
702:10.1093/fampra/cmac137
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381:Virtual doctor's visit
350:given by professional
319:primary care physician
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110:physician office visit
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2113:General practitioners
1865:10.1089/pop.2014.0093
1653:10.1093/carcin/bgy080
895:10.1089/tmj.2008.0080
791:Shaw DK (June 2009).
763:"What is TeleHealth?"
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352:general practitioners
306:Further information:
302:Web-based health care
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18:Consultation (doctor)
2108:Practice of medicine
1750:npj Digital Medicine
1003:Smithsonian Magazine
488:disease surveillance
217:physical examination
205:diagnostic procedure
62:create a new article
54:improve this article
1985:2020IEEEA...8m6947S
1702:2010PNAS..107.7898L
1456:2023Natur.614...18K
1396:(7): 1086–1093.e2.
1289:(10325): 629–655.
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239:The Doctor's Visit
108:, also known as a
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1969:: 136947–136965.
1696:(17): 7898–7903.
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1081:BMC Public Health
563:Our World in Data
437:scientific review
272:Anesthesiologists
209:review of systems
170:medical specialty
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