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      Implementing Telemedicine in Clinical Practice in the First Digital Hematology Unit: Feasibility Study

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          Abstract

          Background

          Currently, there are no telemedicine models that fully integrate all areas of hematology into daily practice.

          Objective

          The objectives of this feasibility study were to assess the practicality of implementing telemedicine into our clinical practice in the first Digital Hematology Unit and propose an innovative integrative design for clinical practice.

          Methods

          We designed the Digital Hematology Unit, which is a specific physical space dedicated to carrying out telemedicine and monitoring patients in a holistic way. Also, a satisfaction questionnaire was performed and health care indicators were measured.

          Results

          In 2021, there were 1331 first visits and 7534 follow-up visits. Of the first visits, 12.2% (n=163) were face-to-face and 87.8% (n=1168) were telematic. For follow-up visits, 29.9% (n=2251) were face-to-face and 70.1% (n=5283) were telematic. The health care management indicators showed that we had a waiting time of less than 4 days and took less than 4 hours to answer interconsultations among specialists. Moreover, patients reported a high level of satisfaction with the services provided.

          Conclusions

          Our Digital Hematology Unit, as a case of success, serves as an example of how innovative digital solutions can contribute to the quality of care and excellence in health care achieved through a digital transformation process led by hematologists.

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          Most cited references34

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          What is telemedicine? A collection of 104 peer-reviewed perspectives and theoretical underpinnings.

          Nearly half a century ago, telemedicine was disregarded for being an unwieldy, unreliable, and unaffordable technology. Rapidly evolving telecommunications and information technologies have provided a solid foundation for telemedicine as a feasible, dependable, and useful technology. Practitioners from a variety of medical specialties have claimed success in their telemedicine pursuits. Gradually, this new modality of healthcare delivery is finding its way into the mainstream medicine. As a multidisciplinary, dynamic, and continually evolving tool in medicine, researchers and users have developed various definitions for telemedicine. The meaning of telemedicine encapsulated in these definitions varies with the context in which the term was applied. An analysis of these definitions can play an important role in improving understanding about telemedicine. In this paper we present an extensive literature review that produced 104 peer-reviewed definitions of telemedicine. These definitions have been analyzed to highlight the context in which the term has been defined. The paper also suggests a definition of modern telemedicine. The authors suggest that telemedicine is a branch of e-health that uses communications networks for delivery of healthcare services and medical education from one geographical location to another. It is deployed to overcome issues like uneven distribution and shortage of infrastructural and human resources. We expect that this study will enhance the level of understanding and meaning of telemedicine among stakeholders, new entrants, and researchers, eventually enabling a better quality of life.
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            Telehealth in Oncology: ASCO Standards and Practice Recommendations

            PURPOSE To provide standards and practice recommendations specific to telehealth in oncology. METHODS A systematic review of the literature on telehealth in oncology was performed, including the use of technologies and telecommunications systems, and other electronic methods of care delivery and sharing of information with patients. The evidence base was combined with the opinion of the ASCO Telehealth Expert Panel to develop telehealth standards and guidance. Public comments were solicited and considered in preparation of the final manuscript. RESULTS The Expert Panel determined that general guidance on implementing telehealth across general and specialty settings has been published previously and these resources are endorsed. A systematic search for studies on topics specific to oncology resulted in the inclusion of two clinical practice guidelines, 12 systematic reviews, and six primary studies. STANDARDS AND GUIDANCE Standards and guidance are provided for which patients in oncology can be seen via telehealth, establishment of the doctor-physician relationship, role of allied health professionals, role of advanced practice providers, multidisciplinary cancer conferences, and teletrials in oncology. Additional information is available at www.asco.org/standards .
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              Patient-centered communication in the era of electronic health records: What does the evidence say?

              Patient-physician communication is essential for patient-centered health care. Physicians are concerned that electronic health records (EHRs) negatively affect communication with patients. This study identified a framework for understanding communication functions that influence patient outcomes. We then conducted a systematic review of the literature and organized it within the framework to better understand what is known.
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                Author and article information

                Contributors
                Journal
                JMIR Form Res
                JMIR Form Res
                JFR
                JMIR Formative Research
                JMIR Publications (Toronto, Canada )
                2561-326X
                2023
                4 December 2023
                : 7
                : e48987
                Affiliations
                [1 ] Hematology Department University Hospital Vinalopó Alicante Spain
                [2 ] Palliative Care Unit University Hospital Vinalopó Alicante Spain
                [3 ] University Hospital Vinalopó Alicante Spain
                Author notes
                Corresponding Author: Amparo Santamaria masantamaria@ 123456vinaloposalud.com
                Author information
                https://orcid.org/0000-0001-7727-880X
                https://orcid.org/0009-0000-0859-7081
                https://orcid.org/0009-0009-5330-3738
                https://orcid.org/0009-0001-2422-2092
                https://orcid.org/0009-0002-1123-8009
                https://orcid.org/0009-0004-7877-1881
                https://orcid.org/0009-0006-0896-018X
                Article
                v7i1e48987
                10.2196/48987
                10728787
                38048143
                b25b98ac-4884-4b2f-8497-26a8e020aa66
                ©Amparo Santamaria, Cristina Antón Maldonado, Beatriz Sánchez-Quiñones, Nataly Ibarra Vega, Maikel Ayo González, Pedro Gonzalez Cabezas, Rafael Carrasco Moreno. Originally published in JMIR Formative Research (https://formative.jmir.org), 04.12.2023.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on https://formative.jmir.org, as well as this copyright and license information must be included.

                History
                : 14 May 2023
                : 15 September 2023
                : 17 September 2023
                : 25 October 2023
                Categories
                Short Paper
                Short Paper

                telemedicine,digital unit,hybrid hematology department,hematology,hybrid,implementation,telehealth,monitor,monitoring,remote care,virtual care,hematological,hematologist,hematologists,service,services,delivery,holistic,digital health intervention,digital transformation

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