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Telehealth on Advanced Networks

dc.contributor.authorWilson, Laurie
dc.contributor.authorStevenson, Duncan
dc.contributor.authorCregan, Patrick
dc.date.accessioned2015-12-10T22:35:24Z
dc.date.issued2010
dc.date.updated2016-02-24T10:18:13Z
dc.description.abstractWe address advanced Internet for complex telehealth applications by reviewing four hospital-based broadband telehealth projects and identifying common threads. These projects were conducted in Australia under a 6-year research project on broadband Internet applications. Each project addressed specific clinical needs and its development was guided by the clinicians involved. Each project was trialed in the field and evaluated against the initial requirements. The four projects covered remote management of a resuscitation team in a district hospital, remote guidance and interpretation of echocardiography, virtual-reality-based instructor-student surgical training, and postoperative outpatient consultations following pediatric surgery. Each was characterized by a high level of interpersonal communication, a high level of clinical expertise, and multiple participants. Each made use of multiple high-quality video and audio links and shared real-time access to clinical data. Four common threads were observed. Each application provided a high level of usability and task focus because the design and use of broadband capability was aimed directly to meet the clinicians' needs. Each used the media quality available over broadband to convey words, gestures, body movements, and facial expressions to support communication and a sense of presence among the participants. Each required a complex information space shared among the participants, including real-time access to stored patient data and real-time interactive access to the patients themselves. Finally, each application supported the social and organizational aspects of their healthcare focus, creating and maintaining relationships between the various participants, and this was done by placing the telehealth application into a wider functioning clinical context. These findings provide evidence for a significantly enhanced role for appropriate telemedicine systems running on advanced networks, in a wider range of clinical applications, more deeply integrated into healthcare systems.
dc.identifier.issn1530-5627
dc.identifier.urihttp://hdl.handle.net/1885/56269
dc.publisherMary Ann Liebert Inc.
dc.sourceTelemedicine and e-Health
dc.subjectKeywords: Ehealth; Extreme environment; Extreme environments; Policy; Telehealth; Telesurgery; Communication; Echocardiography; Health care; Hospital data processing; Hospitals; Internet; Medical computing; Resuscitation; Telemedicine; Transplantation (surgical); T E-health; Extreme environments; Policy; Technology; Telecommunications; Telehealth; Telemedicine; Telesurgery
dc.titleTelehealth on Advanced Networks
dc.typeJournal article
local.bibliographicCitation.issue1
local.bibliographicCitation.lastpage79
local.bibliographicCitation.startpage69
local.contributor.affiliationWilson, Laurie, CSIRO ICT Centre
local.contributor.affiliationStevenson, Duncan, College of Engineering and Computer Science, ANU
local.contributor.affiliationCregan, Patrick, Sydney West Area Health Service
local.contributor.authoremailu4263885@anu.edu.au
local.contributor.authoruidStevenson, Duncan, u4263885
local.description.embargo2037-12-31
local.description.notesImported from ARIES
local.identifier.absfor100503 - Computer Communications Networks
local.identifier.absseo970108 - Expanding Knowledge in the Information and Computing Sciences
local.identifier.ariespublicationU3594520xPUB357
local.identifier.citationvolume16
local.identifier.doi10.1089/tmj.2009.0079
local.identifier.scopusID2-s2.0-76349104203
local.identifier.uidSubmittedByU3594520
local.type.statusPublished Version

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