Health and Technology, thank you for the invitation to provide testimony regarding the opportunities and challenges for small medical practices seeking to incorporate telehealth into everyday practice. My name is Dr. Karen Rheuban, and I direct the Center for Telehealth at the University of Virginia. I am the Principal Investigator of the federally funded Mid Atlantic Telehealth Resource Center...

BACKGROUND Nonpharmacological interventions are needed to support the function of older adults struggling with subjective cognitive impairment (SCI), mild cognitive impairment (MCI), and dementia due to Alzheimer disease (AD). Telerehabilitation aims to provide rehabilitation at a distance, but cognitive rehabilitation by videoconferencing has not been explored. OBJECTIVE The objective of thi...

Telehealth and telecare have been heralded as major mechanisms by which frail elderly people can continue to live at home but numerous pilot studies have not led to the adoption of these technologies as mainstream contributors to the health and social care of people in the community. This paper reviews why dissemination has proved difficult and concludes that one problem is that these technolog...

BACKGROUND Veterans with type 1 diabetes who live in rural Alabama and Georgia face barriers to receiving specialty diabetes care because of a lack of endocrinologists in the Central Alabama Veterans Health Care System. Telemedicine is a promising solution to help increase access to needed health care. We evaluated telemedicine's effectiveness in delivering endocrinology care from Atlanta-based...

Telehealth interventions can provide remote monitoring of patients at home, through the use of electronic devices. For example, diabetics are asked to record regular blood glucose levels, and individuals with respiratory illnesses are asked to fill in electronic symptom questionnaires. As clinicians can monitor this ongoing data, they are aware of signs of poor health and can intervene to avoid...

INTRODUCTION Honduras is the second poorest country in Central America, and roughly 50% of the population lives in rural areas. A telehealth network linking these areas to larger health centers may improve patient access to care, and physician access to educational opportunities. This pilot study assessed the feasibility of establishing a pediatric telehealth network between underserved clinics...

Abstract Hearing loss is a pervasive global healthcare concern with an estimated 10% of the global population affected to a mild or greater degree. In the absence of appropriate diagnosis and intervention it can become a lifelong disability with serious consequences on the quality of life and societal integration and participation of the affected persons. Unfortunately, there is a major dearth ...

The Veterans Health Administration (VHA) is one of the world leaders in using telehealth to promote independent living for its patient population. The VHA’s model uses a care coordinator who supports and monitors a panel of 100–150 patients, with a focus on empowering patients to take roles in self-management. VHA’s telehealth program has resulted in successful outcomes including patient satisf...

This paper describes the Internet adaptation of an evidenced-based intervention for Hispanic families, eHealth Familias Unidas, and explores whether an Internet-based format is feasible and acceptable to Hispanic families. Core intervention components from the evidence-based intervention, Familias Unidas, were transposed into a video format and edited for content. Additionally, interactive exer...

Telehealth improves access to medical services, especially for people living in rural areas. In North Carolina, the advantages of telepsychiatry also go beyond improving access. This article describes a diverse program of telehealth and telepsychiatric service delivery and discusses its advantages and disadvantages.