The organisational aspects of telehealth - Research and telehealth A Canadian Australian epidemiologist's view Thurs April 27, 2017 Melbourne, Australia Presented by Associate Professor Alexandra Martiniuk Faculty of Medicine, School of Public Health Senior Research Fellow George Institute for Global Health Associate Professor University of Toronto NHMRC TRIP Fellow (2016-2018) Alexandra.Martiniuk@sydney.edu.au The University of Sydney Page 1
Outline • About the speaker • Epidemiologist's view > telehealth research in Australia and globally • Current NHMRC TRIP research into telehealth The University of Sydney Page 2
About the speaker The University of Sydney Page 3
About the speaker The University of Sydney Page 4
Epidemiologist’s view > telehealth research in Australia and globally The University of Sydney Page 5
In general there is evidence for telehealth efficacy The University of Sydney Page 6
Evidence that telehealth is cost- effective The University of Sydney Page 7
Social, organisational and human aspects The University of Sydney Page 8
Payment and Coordination The University of Sydney Page 9
Telehealth coordinators The University of Sydney Page 10
Research methods for telehealth The University of Sydney Page 11
Future for telehealth research The University of Sydney Page 12
Telehealth research insights based on NHMRC TRIP Fellowship research The University of Sydney Page 13
The health alth of rural al childr ldren en and fami milies lies in Austr tralia alia
The tyrann anny y of distan tance ce – and d need d for r integrated ted services vices
About out Royal l Far r West st Children’s Health Service vice
How Royal al Far r West t is s innovating ting – role le of NGOs in integration tion
In the comm mmunity unity
And with th techno hnology logy
TRIP IP Fellow lowshi ship p resear search h on Telehe ehealth lth at RFW Topics: ics: Or Organ anisa sation onal al Staffing ing (coor oordina dinator tor) Cost Metho thods: ds: Reali alist st evalua luation tion CRCT Cost t revie view
References – 1.Adams, GI, Gulliford MC, Ukoumunne OC et al. (2004). ICC. J Clin Epi. 57(8): 785-794. – 2.Agency for Healthcare Research and Quality. National Healthcare Disparities. 2002. – 3.Allen M, Aylott M, Loyola M, et al. Telehealth. Stud Health Technol. 2015;208:35-9. – 4.Bailey MA, Smith AC, Fitzgerald A, et al. Queensland. J Telemed Telecare 2005;11S2:3. – 5.Brown M, Shaw N. Evaluation Cdn telehealth. Telemed J E Health. 2008 Oct;14(8):769-74. – 6.Cady R et al. Telehealth reduces hosp children. J Telemed Telecare. 2009;15(6):317-20. – 7.Dávalos ME et al. Economic eval telemed. Telemed J E Health. 2009 Dec;15(10):933-48. – 8.Deshpande A, Khoja S, Lorca et al. Telehealth. Health Tech Assess 2015 Issue 1. – 9.Dillon E, Loermans J, Davis D. Eval WA telehealth. J Telemed Telecare 2005. S2:19 – 21. – 10.Elbert NJ, et al. Cost-effectiveness ehealth: review. J Med Internet Res. 2014 Apr 16;16(4). – 11.Hailey D, Crowe B. Success and failure in telehealth. J Telemed Telecare 2003; S2:22 – 24. – 12.Hersh WR et al. Review telemedicine. J Telemed Telecare 2006; 12 (Suppl. 2): S2: 3 – 31. – 13.Hogenbirk JC, et al. Canadian telehealth guidelines. J Telemed Telecare. 2006;12(2):64-70. – 14.Kidholm K, et al. Assessment Telemedicine MAST. Int J Tech Health, 28:1(2012)44 – 51. – 15.Langkamp D, et al. Telemedicine dev disabilities. Telemed J. 2015 Feb;21(2):110-4. – 16.Le Goff-Pronost M, et al. Economic eval telemedicine. EJ Health Econ. 2010.11(1):45-55. – 17.Lowery CL, et al. Telemedicine in Arkansas. Health Aff 2014;33(2):235-43. – 18.Mahnke CB, et al. TeleHealth (PATH) system. Telemed J E Health. 2011 Jan-Feb;17(1):35-9. – 19.Martiniuk A, Negin J. Telemedicine Solomons. J Telemed Telecare. 2011;17(5):251-6. – 20.McConnochie KM, et al. Acute illness care telemedicine. Pediatrics. 2009 Jun;123(6):e989-95. – 21.Moffatt JJ, Eley DS. Barriers telemedicine in Australia. Rural Remote Health. 2011:1581. – 22.Nelson EL, et al. Telemedicine and ADHD. Psychol Serv. 2012 Aug;9(3):293-7. – 23.Pawson, R. and Tilley, N. (1997) Realistic Evaluation. Sage. – 24.Pignatiello A, et al. Child telepsychiatry. Child Adolesc Psyc Clin N Am. 2011 Jan;20(1):13-28. – 25.Smith AC, et al. Costs telepaediatrics Queensland. BMC Health Serv. 2007; 2;7:35. – 26.Spaulding R et al. Cost telemed child psychiatry. Telemed J E Health. 2010;16(8):867-71. – 27.Wacker DP, et al. Telehealth with Autism. J Dev Phys Disabil. 2013. 1;25(1):35-48. – 28.Witmans MB, Dick B. Pediatric sleep services via telehealth. Sleep Med.2008;6(4):7-19. – 29.Yellowlees P. Telehealth Australia. J Telemed Telecare 2001; 7 (Suppl. 2): S2:29 – 31. The University of Sydney Page 24
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