Telemedicine: Potential applications in epidemic situations
Identifieur interne : 000760 ( Pmc/Checkpoint ); précédent : 000759; suivant : 000761Telemedicine: Potential applications in epidemic situations
Auteurs : R. OhannessianSource :
- European Research in Telemedicine / La Recherche Européenne en Télémédecine [ 2212-764X ] ; 2015.
Abstract
Telemedicine has several applications regarding different medical specialties or clinical situations. However, telemedicine as a potential tool during epidemics is not as well considered.
In this paper, the application of telemedicine is conceptualised using five possible evidence-based epidemic situations.
The first situation corresponds to asymptomatic individuals, mainly home-based, living in an epidemic-affected location. The application of telemedicine would be through the use of teleconsultation for emergency medical dispatching and would occur when suspicious symptoms are detected by an individual. The second situation for the application of telemedicine is principally home-based and corresponds to the follow-up telemonitoring of asymptomatic individuals identified as case contacts. Concrete applications of these concepts were used during the Ebola virus disease outbreak in Africa since 2014. The third situation links to symptomatic cases in need of isolation. Examples include patients isolated in Taiwan during SARS epidemic in 2003 and H1N1 pandemic influenza in 2009, as well as H7N9 influenza infected patients in 2013 in China. The fourth situation involves tele-expertise when local medical resources do not have the technical expertise for the diagnosis or treatment of a patient and support is required from reference centres. The fifth situation corresponds to a healthcare facility under quarantine that would use telemedicine to keep taking care of patients that cannot access the facility, as it was the case in June 2015 in Seoul during the Middle East Respiratory Syndrome Coronavirus epidemic.
The use of telemedicine in epidemic situations has a high potential in improving epidemiological investigations, disease control, and clinical case management. However, since it is a recent application, further research would be needed to gain an improved understanding of how telemedicine could be applied in epidemic situations.
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DOI: 10.1016/j.eurtel.2015.08.002
PubMed: NONE
PubMed Central: 7148594
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Telemedicine: Potential applications in epidemic situations</title><author><name sortKey="Ohannessian, R" sort="Ohannessian, R" uniqKey="Ohannessian R" first="R." last="Ohannessian">R. Ohannessian</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmc">7148594</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7148594</idno><idno type="RBID">PMC:7148594</idno><idno type="doi">10.1016/j.eurtel.2015.08.002</idno><idno type="pmid">NONE</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000937</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000937</idno><idno type="wicri:Area/Pmc/Curation">000937</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000937</idno><idno type="wicri:Area/Pmc/Checkpoint">000760</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000760</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Telemedicine: Potential applications in epidemic situations</title><author><name sortKey="Ohannessian, R" sort="Ohannessian, R" uniqKey="Ohannessian R" first="R." last="Ohannessian">R. Ohannessian</name></author></analytic><series><title level="j">European Research in Telemedicine / La Recherche Européenne en Télémédecine</title><idno type="ISSN">2212-764X</idno><idno type="eISSN">2212-764X</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><sec><title>Background</title><p>Telemedicine has several applications regarding different medical specialties or clinical situations. However, telemedicine as a potential tool during epidemics is not as well considered.</p></sec><sec><title>Methods</title><p>In this paper, the application of telemedicine is conceptualised using five possible evidence-based epidemic situations.</p></sec><sec><title>Results</title><p>The first situation corresponds to asymptomatic individuals, mainly home-based, living in an epidemic-affected location. The application of telemedicine would be through the use of teleconsultation for emergency medical dispatching and would occur when suspicious symptoms are detected by an individual. The second situation for the application of telemedicine is principally home-based and corresponds to the follow-up telemonitoring of asymptomatic individuals identified as case contacts. Concrete applications of these concepts were used during the Ebola virus disease outbreak in Africa since 2014. The third situation links to symptomatic cases in need of isolation. Examples include patients isolated in Taiwan during SARS epidemic in 2003 and H1N1 pandemic influenza in 2009, as well as H7N9 influenza infected patients in 2013 in China. The fourth situation involves tele-expertise when local medical resources do not have the technical expertise for the diagnosis or treatment of a patient and support is required from reference centres. The fifth situation corresponds to a healthcare facility under quarantine that would use telemedicine to keep taking care of patients that cannot access the facility, as it was the case in June 2015 in Seoul during the Middle East Respiratory Syndrome Coronavirus epidemic.</p></sec><sec><title>Conclusion</title><p>The use of telemedicine in epidemic situations has a high potential in improving epidemiological investigations, disease control, and clinical case management. However, since it is a recent application, further research would be needed to gain an improved understanding of how telemedicine could be applied in epidemic situations.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Bashshur, R L" uniqKey="Bashshur R">R.L. Bashshur</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lamothe, L" uniqKey="Lamothe L">L. 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Tom-Aba</name></author><author><name sortKey="Olaleye, A" uniqKey="Olaleye A">A. Olaleye</name></author><author><name sortKey="Olayinka, A T" uniqKey="Olayinka A">A.T. Olayinka</name></author><author><name sortKey="Nguku, P" uniqKey="Nguku P">P. Nguku</name></author><author><name sortKey="Waziri, N" uniqKey="Waziri N">N. Waziri</name></author><author><name sortKey="Adewuyi, P" uniqKey="Adewuyi P">P. Adewuyi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tracey, L E" uniqKey="Tracey L">L.E. Tracey</name></author><author><name sortKey="Regan, A K" uniqKey="Regan A">A.K. Regan</name></author><author><name sortKey="Armstrong, P K" uniqKey="Armstrong P">P.K. Armstrong</name></author><author><name sortKey="Dowse, G K" uniqKey="Dowse G">G.K. Dowse</name></author><author><name sortKey="Effler, P V" uniqKey="Effler P">P.V. Effler</name></author><author><name sortKey="Ebolatracks" uniqKey="Ebolatracks">EbolaTracks:</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Center For Disease Control And Prevention" uniqKey="Center For Disease Control And Prevention">Center for Disease Control and Prevention</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chang, T C" uniqKey="Chang T">T.C. Chang</name></author><author><name sortKey="Lee, J D" uniqKey="Lee J">J.D. Lee</name></author><author><name sortKey="Wu, S J" uniqKey="Wu S">S.J. Wu</name></author><author><name sortKey="Wang, W C" uniqKey="Wang W">W.C. Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chang, T" uniqKey="Chang T">T. Chang</name></author><author><name sortKey="Lee, J" uniqKey="Lee J">J. Lee</name></author><author><name sortKey="Wu, S" uniqKey="Wu S">S. Wu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tsai, S H" uniqKey="Tsai S">S.H. Tsai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="World Health Organization" uniqKey="World Health Organization">World Health Organization</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sunpa Group" uniqKey="Sunpa Group">SUNPA Group</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davila, L R" uniqKey="Davila L">L.R. Davila</name></author><author><name sortKey="Redd, S" uniqKey="Redd S">S. Redd</name></author><author><name sortKey="Isakov, A P" uniqKey="Isakov A">A.P. Isakov</name></author><author><name sortKey="Ribner, B S" uniqKey="Ribner B">B.S. Ribner</name></author><author><name sortKey="Smith, P W" uniqKey="Smith P">P.W. Smith</name></author><author><name sortKey="Hewlett, A" uniqKey="Hewlett A">A. 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<front><journal-meta><journal-title-group><journal-title>European Research in Telemedicine / La Recherche Européenne en Télémédecine</journal-title></journal-title-group><issn pub-type="ppub">2212-764X</issn><issn pub-type="epub">2212-764X</issn><publisher><publisher-name>Elsevier Masson SAS.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">7148594</article-id><article-id pub-id-type="publisher-id">S2212-764X(15)00030-8</article-id><article-id pub-id-type="doi">10.1016/j.eurtel.2015.08.002</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Telemedicine: Potential applications in epidemic situations</article-title><trans-title-group xml:lang="fr"><trans-title>Télémédecine : applications potentielles en situations épidémiques</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" id="aut0005"><name><surname>Ohannessian</surname><given-names>R.</given-names></name><email>Robin.ohannessian@gmail.com</email></contrib></contrib-group><aff id="aff0005">Université Lyon 1, 43, boulevard du 11-Novembre-1918, 69100 Villeurbanne, France</aff><pub-date pub-type="pmc-release"><day>26</day><month>9</month><year>2015</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>9</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>26</day><month>9</month><year>2015</year></pub-date><volume>4</volume><issue>3</issue><fpage>95</fpage><lpage>98</lpage><history><date date-type="received"><day>29</day><month>7</month><year>2015</year></date><date date-type="accepted"><day>19</day><month>8</month><year>2015</year></date></history><permissions><copyright-statement>Copyright © 2015 Elsevier Masson SAS. All rights reserved.</copyright-statement><copyright-year>2015</copyright-year><copyright-holder>Elsevier Masson SAS</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract id="abs0010"><title>Summary</title><sec><title>Background</title><p>Telemedicine has several applications regarding different medical specialties or clinical situations. However, telemedicine as a potential tool during epidemics is not as well considered.</p></sec><sec><title>Methods</title><p>In this paper, the application of telemedicine is conceptualised using five possible evidence-based epidemic situations.</p></sec><sec><title>Results</title><p>The first situation corresponds to asymptomatic individuals, mainly home-based, living in an epidemic-affected location. The application of telemedicine would be through the use of teleconsultation for emergency medical dispatching and would occur when suspicious symptoms are detected by an individual. The second situation for the application of telemedicine is principally home-based and corresponds to the follow-up telemonitoring of asymptomatic individuals identified as case contacts. Concrete applications of these concepts were used during the Ebola virus disease outbreak in Africa since 2014. The third situation links to symptomatic cases in need of isolation. Examples include patients isolated in Taiwan during SARS epidemic in 2003 and H1N1 pandemic influenza in 2009, as well as H7N9 influenza infected patients in 2013 in China. The fourth situation involves tele-expertise when local medical resources do not have the technical expertise for the diagnosis or treatment of a patient and support is required from reference centres. The fifth situation corresponds to a healthcare facility under quarantine that would use telemedicine to keep taking care of patients that cannot access the facility, as it was the case in June 2015 in Seoul during the Middle East Respiratory Syndrome Coronavirus epidemic.</p></sec><sec><title>Conclusion</title><p>The use of telemedicine in epidemic situations has a high potential in improving epidemiological investigations, disease control, and clinical case management. However, since it is a recent application, further research would be needed to gain an improved understanding of how telemedicine could be applied in epidemic situations.</p></sec></abstract><trans-abstract xml:lang="fr"><title>Résumé</title><sec><title>Contexte</title><p>La télémédecine a de nombreuses applications selon les spécialités médicales et les situations cliniques. Cependant, la télémédecine comme potentiel outil en situations épidémiques a été peu considérée jusqu’à présent.</p></sec><sec><title>Méthodes</title><p>Dans cet article, l’utilisation de la télémédecine en cas d’épidémies a été conceptualisée en fonction de cinq situations épidémiques différentes fondées sur les faits.</p></sec><sec><title>Résultats</title><p>La première situation correspond au cas où la téléconsultation est utilisée avec une personne asymptomatique vivant à domicile dans une logique de régulation médicale d’urgence. La deuxième situation épidémique concerne l’utilisation de la télésurveillance pour le suivi régulier des personnes identifiées comme contacts de cas. De nombreuses applications mettant en pratique ces concepts ont été utilisées lors de l’épidémie de maladie à virus Ebola en Afrique depuis 2014. La troisième situation est en lien avec la nécessité d’isolation de patients malades et la réalisation de téléconsultations. Ce fut utilisé notamment à Taiwan en 2003 lors de l’épidémie de SRAS et en 2009 lors de la pandémie grippale à virus influenza H1N1, ainsi qu’en Chine en 2013 pour des patients infectés par le virus influenza H7N9. La quatrième utilisation est la télé-expertise au cas où les ressources médicales locales ont besoin d’un support extérieur et d’une aide technique pour le diagnostic ou la prise en charge d’un patient. La cinquième situation correspond au cas où un établissement de santé serait en quarantaine et pourrait utiliser la télémédecine pour continuer à prendre en charge les patients ne pouvant accéder à l’établissement, comme ce fût le cas en juin 2015 à Séoul pendant l’épidémie de Coronavirus du Syndrome Respiratoire du Moyen-Orient.</p></sec><sec><title>Conclusion</title><p>L’utilisation de la télémédecine lors de situations épidémiques a un intérêt pour améliorer les investigations épidémiologiques, le contrôle de la maladie, et la gestion médicale des cas. Cependant, cette application de la télémédecine étant récente, des recherches supplémentaires seraient nécessaires afin d’obtenir une meilleure compréhension de la façon dont la télémédecine pourrait être utilisée en cas d’épidémie.</p></sec></trans-abstract><kwd-group id="kwd0005"><title>Keywords</title><kwd>Telemedicine</kwd><kwd>Epidemic</kwd><kwd>Outbreak</kwd><kwd>Disease control</kwd><kwd>Ebola virus disease</kwd><kwd>Global health</kwd></kwd-group><kwd-group xml:lang="fr" id="kwd0010"><title>Mots clés</title><kwd>Télémédecine: Épidémie</kwd><kwd>Cas groupé</kwd><kwd>Contrôle</kwd><kwd>Maladie à virus Ebola</kwd><kwd>Santé globale</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Ohannessian, R" sort="Ohannessian, R" uniqKey="Ohannessian R" first="R." last="Ohannessian">R. Ohannessian</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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