La télémédecine ou la e-santé regroupent un ensemble d’applications des technologies de l’information et de la communication, lesquelles sont traitées dans cet ouvrage en partant d’idées simples. Cet ouvrage place le patient au cœur du système. La santé est vue sous cet angle à travers la multitude des technologies disponibles actuellement. L’acceptabilité de ces technologies par le patient, l’aidant et le professionnel de soin devient alors un élément clé. L’auteur liste les différentes applications ainsi que les briques matérielles et logicielles indispensables à leur réalisation. Quelques éléments de prospective complètent les évolutions récentes, comme le partage entre l’hôpital et les nouveaux lieux de soins tel le domicile du patient. L’ouvrage analyse les contraintes liées à la mise en place de ces dispositifs, en particulier les normes et certifications nécessaires, puis il aborde les différentes formations mises en œuvre au service du déploiement de ces solutions.

In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.

Telepatients using connected objects to collect time-sensitive data about their health are not neutral carriers of diagnosable symptoms. Patients are persons, or personal beings as well as co-carers, whose personal experience, history and know-how must be acknowledged in time-sensitive telecare practices. Such practices require a relational ethics, inspired by medical ethics and an ethics of virtues, focusing on vulnerability and emotional health, to oversee telecare good practices, define a new therapeutic alliance compliant with patients' values, and reconcile the technical and human sides of telemedicine. - The ethical challenges of telemedicine in chronic patients today - The key features of a person-centered and relational ethics in telemedical settings - The concepts of "emotional health care and "chrono-sensitivity of the "connected sick body

Fundamentals of Telemedicine and Telehealth provides an overview on the use of information and communication technologies (ICTs) to solve health problems, especially for people living in remote and underserviced areas. With the advent of new technologies and improvement of internet connectivity, telehealth has become a new subject requiring a new understanding of IT devices and how to utilize them to fulfill health needs. The book discusses topics such as digitizing patient information, technology requirements, existing resources, planning for telehealth projects, and primary care and specialized applications. Additionally, it discusses the use of telemedicine for patient empowerment and telecare in remote locations. Authored by IMIA Telehealth working group, this book is a valuable source for graduate students, healthcare workers, researchers and clinicians interested in using telehealth as part of their practice or research. - Presents components of healthcare that can be benefitted from remote access and when to rely on them - Explains the current technologies and tools and how to put them to effective use in daily healthcare - Provides legal provisions for telehealth implementation, discussing the risks of remote healthcare provision and cross border care

Telemedicine Based Screening of Infantsat Risk for Retinopathy of Prematurity -- ByOPHTEL:A Bavarian Project for RapidTelemedical Exchange of Knowledge, Files and Skills between Practitionersand Hospitals in Eye Care -- Collaborative Telemedicine between Optometry and Ophthalmology: An Initiative from the University of Houston -- Dermatology -- Web-based Teledermatology Consult system: Preliminary results from the first 100 cases -- Are Dermatologists in Private Practice Interested in Teledermatological Services? -- Pathology -- European Field Tests with HISTKOM Telepathology Equipment -- Radiology -- Economic Analysis of Teleradiology Applications with KAMEDIN -- WWW-Based Access to Radiological Patient Data: Two Years of Experience -- Family Practice and Home Care/Home Monitoring -- Southern Health Board - Advanced Telematic / Telemedicine in Healthcare Services in the South West Of Ireland -- Remote Communities Services Telecentre Project -- HausTeleDienst"--A CATV-based Interactive Video Service for Elderly People -- Fonetix: Building Virtual Speech Therapy Practicum over the Internet -- Psychiatry -- Evaluation of a Canadian Telepsychiatry Service -- Telemedicine in Military -- Functional Characteristics of the Telemedical Network for the Medical Service of the Bundeswehr for Support of Operations Outside Germany and Civil-military Co-operation -- Webliography -- Suggested Telemedicine Websites -- Author Index

E-Health, Telehealth, and Telemedicine is a hands-on resource that shows how communication technologies can be designed, implemented, and managed to help health care professionals expand and transform their organizations. Step by step the authors reveal how to introduce innovative communication tools to a wide range of health care settings. This indispensable book contains a wealth of information, suggestions, and advice about program development, ethical, legal and regulatory issues, and and technical options.

Telemedicine and telehealth have consistently been shown to be effective for remote areas or limited-resource locations, regular medical and surgical practice, primary care, second opinion, extreme conditions, major crises, and disaster management. The aim of this book is to bring all aspects of telemedicine and e-health to the reader, in a simple, make-sense approach, in one tome. The book is structured in four parts with 29 chapters written by the best experts in the field from around the world, including clinicians, scientists, and administrators of telemedicine programs. Part I deals with basic principles of telemedicine and telepresence. Historical journeys of telemedicine and strategies, building sustainable telemedicine and telehealth programs in the United States and in the Balkans, as well as incorporation of telemedicine in the current ongoing pandemic COVID-19 are well described and are must read. Current technological developments, rules and regulations, legal and business aspects and consent are also addressed. Part II describes strategies for building sustainable telemedicine and telehealth programs. Telehealth patient portals and public-private partnership modes of technology, as well the role of international telemedicine and how to make it work, are valuable chapters of great significance. Part III describes outcomes-based evidence clinical applications of telemedicine in trauma, burns, intensive care, pediatric care, psychiatry, and stroke. Finally, one important chapter for the readers is the telemedicine for prison and jail population. The final part, Part IV depicts surgical telementoring and teleproctoring, a chapter written by 18 various surgical experts, a true gem for the readers. The book ends with promises and hurdles of telemedicine in austere conditions. Telemedicine, Telehealth and Telepresence serves as a valuable resource that focuses on providing patients care from a distance using store and forward technology to live actual performance of operations at a distance.Chapters 1, 6, 12 and 17 are available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.