scholarly journals Barriers and Facilitators That Influence Telemedicine-Based, Real-Time, Online Consultation at Patients’ Homes: Systematic Literature Review

10.2196/16407 ◽  
2020 ◽  
Vol 22 (2) ◽  
pp. e16407 ◽  
Author(s):  
Hassan Khader Y Almathami ◽  
Khin Than Win ◽  
Elena Vlahu-Gjorgievska
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Real Time ◽  
Systematic Literature Review ◽  
Barriers And Facilitators ◽  
Internal Factors ◽  
Health Consultation ◽  
Face To Face ◽  
Online Consultation ◽  
Facilitators And Barriers

Background Health care providers are adopting information and communication technologies (ICTs) to enhance their services. Telemedicine is one of the services that rely heavily on ICTs to enable remote patients to communicate with health care professionals; in this case, the patient communicates with the health care professional for a follow-up or for a consultation about his or her health condition. This communication process is referred to as an e-consultation. In this paper, telemedicine services refer to health care services that use ICTs, which enable patients to share, transfer, and communicate data or information in real time (ie, synchronous) from their home with a care provider—normally a physician—at a clinical site. However, the use of e-consultation services can be positively or negatively influenced by external or internal factors. External factors refer to the environment surrounding the system as well as the system itself, while internal factors refer to user behavior and motivation. Objective This review aims to investigate the barriers and the facilitators that influence the use of home consultation systems in the health care context. This review also aims to identify the effectiveness of Home Online Health Consultation (HOHC) systems in improving patients’ health as well as their satisfaction with the systems. Methods We conducted a systematic literature review to search for articles—empirical studies—about online health consultation in four digital libraries: Scopus, Association for Computing Machinery, PubMed, and Web of Science. The database search yielded 2518 articles; after applying the inclusion and exclusion criteria, the number of included articles for the final review was 45. A qualitative content analysis was performed to identify barriers and facilitators to HOHC systems, their effectiveness, and patients’ satisfaction with them. Results The systematic literature review identified several external and internal facilitators and barriers to HOHC systems that were used in the creation of a HOHC framework. The framework consists of four requirements; the framework also consists of 17 facilitators and eight barriers, which were further categorized as internal and external influencers on HOHC. Conclusions Patients from different age groups and with different health conditions benefited from remote health services. HOHC via video conferencing was effective in delivering online treatment and was well-accepted by patients, as it simulated in-person, face-to-face consultation. Acceptance by patients increased as a result of online consultation facilitators that promoted effective and convenient remote treatment. However, some patients preferred face-to-face consultation and showed resistance to online consultation. Resistance to online consultation was influenced by some of the identified barriers. Overall, the framework identified the facilitators and barriers that positively and negatively influenced the uptake of HOHC systems, respectively.

scholarly journals Barriers and facilitators that influence telemedicine real-time online consultation at patients’ home: A Systematic Literature Review. (Preprint)

2019 ◽  
Author(s):  
Hassan Khader Almathami ◽  
Khin Than Win ◽  
Elena Vlahu-Gjorgievska
Keyword(s):  
Literature Review ◽  
Health Professional ◽  
Systematic Literature Review ◽  
Barriers And Facilitators ◽  
Internal Factors ◽  
Health Consultation ◽  
Face To Face ◽  
Patients Satisfaction ◽  
Online Consultation ◽  
Facilitators And Barriers

BACKGROUND HealthCare providers are adopting information communication technologies (ICT) to enhance their services. Telemedicine is one of the services that rely heavily on ICT technologies to enable remote patients to communicate with their health professional. The patient communicates with the health professional for a follow-up or for a consultation about his/her health condition. This communication process is referred to as an electronic consultation (e-consultation). However, the usage of e-consultation can be influenced positively or negatively by external or internal factors. External factors refer to the environment surrounding the system and the system itself, while internal factors refer to user behaviour and motivation. OBJECTIVE This review aims to (1) investigate the barriers and the facilitators that influence the use of home consultation systems in the healthcare context. Further, it aims to (2) identify the effectiveness of Home Online Health Consultation (HOHC) systems in improving patients’ health and (3) patients’ satisfaction with it. METHODS The researchers conducted a systematic literature review to search for articles (empirical studies) about online health consultation in three digitals libraries: Scopus, Association for Computing Machinery (ACM) and Web of Science. The search on the databases yielded 1016 articles and after following the Inclusion and Exclusion criteria, the number of included articles for the final review was 44. A qualitative content analysis was performed to identify barriers and facilitators to HOHC, its effectiveness and patients’ satisfaction with it. RESULTS The systematic literature review identified several external and internal facilitators and barriers to HOHC systems that were used in the creation of a HOHC framework. The framework consists of four requirements, 17 facilitators and eight barriers, categorized as internal and external influences on HOHC. CONCLUSIONS Patients from different age groups and different health conditions benefited from remote health services. OHC via video conferencing was effective in delivering online treatment and was well accepted by patients as it simulated in-person face-to-face consultation. Acceptance by patients was assisted by online consultation facilitators that promoted effective and convenient remote treatment. However, some patients preferred face-to-face consultation showing resistance to the online consultation. Resistance to online consultations was influenced by a few of the identified barriers. Overall, the framework identified the facilitators and barriers that positively and negatively influence the uptake of HOHC.

The use of social media in US healthcare and its facilitators and barriers: Systematic literature review (Preprint)

2018 ◽  
Author(s):  
Shaneil Tanna ◽  
Susana Luengo Cubillo ◽  
Rosie Bhogal ◽  
Sonika Sethi ◽  
Nishma Gokani ◽  
...  
Keyword(s):  
Social Media ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Healthcare Setting ◽  
The United States ◽  
Face To Face ◽  
Perceptions And Attitudes ◽  
The Us ◽  
Facilitators And Barriers ◽  
Use Of Social Media

BACKGROUND With the advent of internet-based communications, face-to-face interactions are becoming increasingly uncommon and inconvenient, including those between the doctor and the patient. Social media (SM) has been recognized as a tool that could potentially help nourish and expand relationships in healthcare; however, much remains to be explored. OBJECTIVE A systematic literature Review (SLR) was conducted to explore the use of SM in the United States (US) healthcare setting, and the characteristics of its use, including barriers and facilitators. METHODS A SLR was conducted using three peer-reviewed databases; PubMed, MEDLINE and EMBASE. EBSCOhost database was included to gain a deeper understanding of companies’ use of SM and any lessons that can be learnt and applied to the healthcare setting. RESULTS Over the last decade there has been a rapid shift in the US towards the uptake of SM technologies, with many hospitals now using platforms such as Twitter and Facebook for communication, health promotion, education and research. SM can also present a competitive and financial advantage to increase a hospital’s reputation and reduce costs. However, despite its many proven or apparent uses, SM also brings with it many challenges, such as ethical considerations, need for clear guidelines and evaluation, perceptions and attitudes of patients and staff, and the possibility of mismatched offer versus patients’ needs. CONCLUSIONS The future of SM lies first of all in developing sound practices, and in its integration into the hospitals’ overall communication strategies, as well as expanding the number of uses and stakeholders involved.

Mental health care for rural veterans: A systematic literature review, descriptive analysis, and future directions.

2017 ◽  
Vol 41 (3) ◽  
pp. 222-233 ◽  
Author(s):  
David J. Bumgarner ◽  
Elizabeth J. Polinsky ◽  
Katharine G. Herman ◽  
Joanne M. Fordiani ◽  
Carmen P. Lewis ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Literature Review ◽  
Mental Health Care ◽  
Systematic Literature Review ◽  
Descriptive Analysis ◽  
Future Directions

scholarly journals Sustainability of Biosimilars in Europe: A Delphi Panel Consensus with Systematic Literature Review

2020 ◽  
Vol 13 (11) ◽  
pp. 400
Author(s):  
Arnold G. Vulto ◽  
Jackie Vanderpuye-Orgle ◽  
Martin van der Graaff ◽  
Steven R. A. Simoens ◽  
Lorenzo Dagna ◽  
...  
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Health Care Systems ◽  
Delphi Panel ◽  
The European Union ◽  
Modified Delphi ◽  
Care Systems ◽  
Supply Risks ◽  
The Impact

Introduction: Biosimilars have the potential to enhance the sustainability of evolving health care systems. A sustainable biosimilars market requires all stakeholders to balance competition and supply chain security. However, there is significant variation in the policies for pricing, procurement, and use of biosimilars in the European Union. A modified Delphi process was conducted to achieve expert consensus on biosimilar market sustainability in Europe. Methods: The priorities of 11 stakeholders were explored in three stages: a brainstorming stage supported by a systematic literature review (SLR) and key materials identified by the participants; development and review of statements derived during brainstorming; and a facilitated roundtable discussion. Results: Participants argued that a sustainable biosimilar market must deliver tangible and transparent benefits to the health care system, while meeting the needs of all stakeholders. Key drivers of biosimilar market sustainability included: (i) competition is more effective than regulation; (ii) there should be incentives to ensure industry investment in biosimilar development and innovation; (iii) procurement processes must avoid monopolies and minimize market disruption; and (iv) principles for procurement should be defined by all stakeholders. However, findings from the SLR were limited, with significant gaps on the impact of different tender models on supply risks, savings, and sustainability. Conclusions: A sustainable biosimilar market means that all stakeholders benefit from appropriate and reliable access to biological therapies. Failure to care for biosimilar market sustainability may impoverish biosimilar development and offerings, eventually leading to increased cost for health care systems and patients, with fewer resources for innovation.

Strategic issues of big data analytics applications for managing health-care sector: a systematic literature review and future research agenda

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rajesh Kumar Singh ◽  
Saurabh Agrawal ◽  
Abhishek Sahu ◽  
Yigit Kazancoglu
Keyword(s):  
Health Care ◽  
Big Data ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Data Analytics ◽  
Big Data Analytics ◽  
Health Care Sector ◽  
Future Research ◽  
Research Gaps ◽  
Content Type

PurposeThe proposed article is aimed at exploring the opportunities, challenges and possible outcomes of incorporating big data analytics (BDA) into health-care sector. The purpose of this study is to find the research gaps in the literature and to investigate the scope of incorporating new strategies in the health-care sector for increasing the efficiency of the system.Design/methodology/approachFora state-of-the-art literature review, a systematic literature review has been carried out to find out research gaps in the field of healthcare using big data (BD) applications. A detailed research methodology including material collection, descriptive analysis and categorization is utilized to carry out the literature review.FindingsBD analysis is rapidly being adopted in health-care sector for utilizing precious information available in terms of BD. However, it puts forth certain challenges that need to be focused upon. The article identifies and explains the challenges thoroughly.Research limitations/implicationsThe proposed study will provide useful guidance to the health-care sector professionals for managing health-care system. It will help academicians and physicians for evaluating, improving and benchmarking the health-care strategies through BDA in the health-care sector. One of the limitations of the study is that it is based on literature review and more in-depth studies may be carried out for the generalization of results.Originality/valueThere are certain effective tools available in the market today that are currently being used by both small and large businesses and corporations. One of them is BD, which may be very useful for health-care sector. A comprehensive literature review is carried out for research papers published between 1974 and 2021.

scholarly journals Prevalence of Fistulizing Crohn’s Disease in the United States: Estimate From a Systematic Literature Review Attempt and Population-Based Database Analysis

2019 ◽  
Vol 25 (11) ◽  
pp. 1773-1779 ◽  
Author(s):  
David A Schwartz ◽  
Ignacio Tagarro ◽  
Mary Carmen Díez ◽  
William J Sandborn
Keyword(s):  
United States ◽  
Health Care ◽  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Literature Review ◽  
Systematic Literature Review ◽  
The United States ◽  
Population Based ◽  
Number Of Patients ◽  
Reported Data

Abstract Background Fistulas may arise as a relevant complication of Crohn’s disease (CD). Despite their clinical significance and the substantial burden imposed on patients, limited data are available on the epidemiology of fistulizing CD in the United States. Methods A systematic literature review was conducted to identify data published between 1970 and 2017 on the epidemiology of fistulas in patients with CD, with the aim to estimate the number of prevalent cases in the United States. Retrieved titles and abstracts were screened by 2 independent researchers for inclusion criteria (US population-based studies reporting data on the epidemiology of fistulizing CD). To validate the literature-based estimate, data from a US claims database (Truven Health MarketScan database) were analyzed. This database has broad geographic coverage, with health care data for >60 million patients during the period of the analysis. Results The literature search retrieved 7 articles for full-text review, and only 1 met the criteria for inclusion. This study described the cumulative incidence of fistulas in a CD population from Minnesota over 20 years. From the reported data, the estimated number of prevalent cases with fistulizing CD in the United States was ~76,600 in 2017 (~52,900 anal, ~7400 rectovaginal, ~2300 enterocutaneous, and ~14,100 internal). Analysis from the US health care database resulted in an estimated number of ~75,700 patients, confirming the robustness of the original estimate from the literature. Conclusions Based on 2 separate analyses, the estimated number of patients with fistulizing CD in the United States is ~77,000 patients.

Debunking the myth of industry 4.0 in health care: insights from a systematic literature review

2020 ◽  
Vol 32 (4) ◽  
pp. 849-868 ◽  
Author(s):  
Mauro Cavallone ◽  
Rocco Palumbo
Keyword(s):  
Artificial Intelligence ◽  
Health Care ◽  
Health Services ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Industry 4.0 ◽  
Services Quality ◽  
State Of The Art ◽  
The State ◽  
Content Type

PurposeIndustry 4.0, artificial intelligence and digitalization have got a momentum in health care. However, scholars and practitioners do not agree on their implications on health services' quality and effectiveness. The article aims at shedding light on the applications, aftermaths and drawbacks of industry 4.0 in health care, summarizing the state of the art.Design/methodology/approachA systematic literature review was undertaken. We arranged an ad hoc research design, which was tailored to the study purposes. Three citation databases were queried. We collected 1,194 scientific papers which were carefully considered for inclusion in this systematic literature review. After three rounds of analysis, 40 papers were taken into consideration.FindingsIndustry 4.0, artificial intelligence and digitalization are revolutionizing the design and the delivery of care. They are expected to enhance health services' quality and effectiveness, paving the way for more direct patient–provider relationships. In addition, they have been argued to allow a more appropriate use of available resources. There is a dark side of health care 4.0 involving both management and ethical issues.Research limitations/implicationsIndustry 4.0 in health care should not be conceived as a self-nourishing innovation; rather, it needs to be carefully steered at both the policy and management levels. On the one hand, comprehensive governance models are required to realize the full potential of health 4.0. On the other hand, the drawbacks of industry 4.0 should be timely recognized and thoroughly addressed.Originality/valueThe article contextualizes the state of the art of industry 4.0 in the health care context, providing some insights for further conceptual and empirical developments.

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