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Published in: BMC Medical Informatics and Decision Making 1/2020

Open Access 01-12-2020 | Telemedicine | Debate

Will applications on smartphones allow a generalization of telemedicine?

Authors: F. A. Allaert, L. Legrand, N. Abdoul Carime, C. Quantin

Published in: BMC Medical Informatics and Decision Making | Issue 1/2020

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Abstract

Background

Telemedicine is one of the healthcare sectors that has developed the most in recent years. Currently, telemedicine is mostly used for patients who have difficulty attending medical consultations because of where they live (teleconsultation) or for specialist referrals when no specialist of a given discipline is locally available (telexpertise). However, the use of specific equipment (with dedicated cameras, screens, and computers) and the need for institutional infrastructure made the deployment and use of these systems expensive and rigid. Although many telemedicine systems have been tested, most have not generally gone beyond local projects.
Our hypothesis is that the use of smartphones will allow health care providers to overcome some of the limitations that we have exposed, thus allowing the generalization of telemedicine.

Main body

This paper addresses the problem of telemedicine applications, the market of which is growing fast. Their development may completely transform the organization of healthcare systems, change the way patients are managed and revolutionize prevention. This new organization should facilitate the lives of both patients and doctors.
In this paper, we examine why telemedicine has failed for years to take its rightful place in many European healthcare systems although there was a real need. By developing the example of France, this article analyses the reasons most commonly put forth: the administrative and legal difficulties, and the lack of funding. We argue that the real reason telemedicine struggled to find its place was because the technology was not close enough to the patient.

Conclusion

Finally, we explain how the development of smartphones and their current ubiquitousness should allow the generalization of telemedicine in France and on a global scale.
Literature
3.
go back to reference Stroetmann KA, Artmann J, Stroetmann V. Developing national eHealth infrastructures--results and lessons from Europe. AMIA Annu Symp Proc AMIA Symp. 2011;2011:1347–54.PubMed Stroetmann KA, Artmann J, Stroetmann V. Developing national eHealth infrastructures--results and lessons from Europe. AMIA Annu Symp Proc AMIA Symp. 2011;2011:1347–54.PubMed
5.
go back to reference Owens B. Telemedicine on the rise but lagging in Canada. CMAJ Can Med Assoc J J Assoc Medicale Can. 2018;190(38):E1149–50.CrossRef Owens B. Telemedicine on the rise but lagging in Canada. CMAJ Can Med Assoc J J Assoc Medicale Can. 2018;190(38):E1149–50.CrossRef
6.
go back to reference Zanaboni P, Wootton R. Adoption of routine telemedicine in Norwegian hospitals: progress over 5 years. BMC Health Serv Res. 2016;16:496.CrossRef Zanaboni P, Wootton R. Adoption of routine telemedicine in Norwegian hospitals: progress over 5 years. BMC Health Serv Res. 2016;16:496.CrossRef
7.
go back to reference Allaert FA, Weinberg D, Dusserre P, Yvon PJ, Dusserre L, Retaillau B, et al. Evaluation of an international telepathology system between Boston (USA) and Dijon: glass slides versus telediagnostic television monitor. J Telemed Telecare. 1996;2(Suppl 1):27–30.CrossRef Allaert FA, Weinberg D, Dusserre P, Yvon PJ, Dusserre L, Retaillau B, et al. Evaluation of an international telepathology system between Boston (USA) and Dijon: glass slides versus telediagnostic television monitor. J Telemed Telecare. 1996;2(Suppl 1):27–30.CrossRef
8.
go back to reference Communication from the Commission to the European Parliament, the Council, the European Economic and Social Committee and the Committee of the Regions on telemedicine for the benefit of patients, healthcare systems and society /COM/2008/0689 final. EUR-Lex - 52008DC0689 - EN - EUR-Lex [Internet]. [cited 2018 Oct 23]. Available from: https://eur-lex.europa.eu/legal-content/EN/ALL/?uri=%20CELEX:52008DC0689 Communication from the Commission to the European Parliament, the Council, the European Economic and Social Committee and the Committee of the Regions on telemedicine for the benefit of patients, healthcare systems and society /COM/2008/0689 final. EUR-Lex - 52008DC0689 - EN - EUR-Lex [Internet]. [cited 2018 Oct 23]. Available from: https://​eur-lex.​europa.​eu/​legal-content/​EN/​ALL/​?​uri=​%20CELEX:52008DC0689
9.
11.
go back to reference Allaërt FA, Dusserre L. Legal requirements for tele-assistance and tele-medicine. Medinfo MEDINFO. 1995;8(Pt 2):1593–5.PubMed Allaërt FA, Dusserre L. Legal requirements for tele-assistance and tele-medicine. Medinfo MEDINFO. 1995;8(Pt 2):1593–5.PubMed
13.
go back to reference Bower P, Cartwright M, Hirani SP, Barlow J, Hendy J, Knapp M, et al. A comprehensive evaluation of the impact of telemonitoring in patients with long-term conditions and social care needs: protocol for the whole systems demonstrator cluster randomised trial. BMC Health Serv Res. 2011;11:184.CrossRef Bower P, Cartwright M, Hirani SP, Barlow J, Hendy J, Knapp M, et al. A comprehensive evaluation of the impact of telemonitoring in patients with long-term conditions and social care needs: protocol for the whole systems demonstrator cluster randomised trial. BMC Health Serv Res. 2011;11:184.CrossRef
14.
go back to reference Steventon A, Bardsley M, Billings J, Dixon J, Doll H, Hirani S, et al. Effect of telehealth on use of secondary care and mortality: findings from the whole system demonstrator cluster randomised trial. BMJ. 2012;344:e3874.CrossRef Steventon A, Bardsley M, Billings J, Dixon J, Doll H, Hirani S, et al. Effect of telehealth on use of secondary care and mortality: findings from the whole system demonstrator cluster randomised trial. BMJ. 2012;344:e3874.CrossRef
15.
go back to reference Steventon A, Bardsley M, Billings J, Dixon J, Doll H, Beynon M, et al. Effect of telecare on use of health and social care services: findings from the whole systems demonstrator cluster randomised trial. Age Ageing. 2013;42(4):501–8.CrossRef Steventon A, Bardsley M, Billings J, Dixon J, Doll H, Beynon M, et al. Effect of telecare on use of health and social care services: findings from the whole systems demonstrator cluster randomised trial. Age Ageing. 2013;42(4):501–8.CrossRef
16.
go back to reference Kidholm K, Ekeland AG, Jensen LK, Rasmussen J, Pedersen CD, Bowes A, et al. A model for assessment of telemedicine applications: mast. Int J Technol Assess Health Care. 2012;28(1):44–51.CrossRef Kidholm K, Ekeland AG, Jensen LK, Rasmussen J, Pedersen CD, Bowes A, et al. A model for assessment of telemedicine applications: mast. Int J Technol Assess Health Care. 2012;28(1):44–51.CrossRef
17.
go back to reference Simon P. Les leçons apprises des principales études sur les objets connectés en télémédecine et santé mobile. Eur Res Telemed Rech Eur En Télémédecine. 2017;6(2):67–77.CrossRef Simon P. Les leçons apprises des principales études sur les objets connectés en télémédecine et santé mobile. Eur Res Telemed Rech Eur En Télémédecine. 2017;6(2):67–77.CrossRef
18.
go back to reference Allaert F. A, Quantin C. “ Responsabilités et rémunérations des actes de télé-expertise ”. J Gest Déconomie Médicales 2012;30(4):219–229.CrossRef Allaert F. A, Quantin C. “ Responsabilités et rémunérations des actes de télé-expertise ”. J Gest Déconomie Médicales 2012;30(4):219–229.CrossRef
19.
go back to reference Kramer GM, Kinn JT, Mishkind MC. Legal, regulatory, and risk management issues in the use of technology to deliver mental health care. Cogn Behav Pract. 2015;22(3):258–68.CrossRef Kramer GM, Kinn JT, Mishkind MC. Legal, regulatory, and risk management issues in the use of technology to deliver mental health care. Cogn Behav Pract. 2015;22(3):258–68.CrossRef
20.
go back to reference Kramer GM, Luxton DD. Telemental health for children and adolescents: an overview of legal, regulatory, and risk management issues. J Child Adolesc Psychopharmacol. 2015;26(3):198–203.CrossRef Kramer GM, Luxton DD. Telemental health for children and adolescents: an overview of legal, regulatory, and risk management issues. J Child Adolesc Psychopharmacol. 2015;26(3):198–203.CrossRef
21.
go back to reference Rakhman AZ, Nugroho LE, Widyawan and Kurnianingsih. Fall detection system using accelerometer and gyroscope based on smartphone; 2014. p. 99–104. Rakhman AZ, Nugroho LE, Widyawan and Kurnianingsih. Fall detection system using accelerometer and gyroscope based on smartphone; 2014. p. 99–104.
22.
go back to reference Ben-Zeev D, Kaiser SM, Brenner CJ, Begale M, Duffecy J, Mohr DC. Development and usability testing of FOCUS: a smartphone system for self-management of schizophrenia. Psychiatr Rehabil J. 2013;36(4):289–96.CrossRef Ben-Zeev D, Kaiser SM, Brenner CJ, Begale M, Duffecy J, Mohr DC. Development and usability testing of FOCUS: a smartphone system for self-management of schizophrenia. Psychiatr Rehabil J. 2013;36(4):289–96.CrossRef
23.
go back to reference Demaerschalk BM, Vargas JE, Channer DD, Noble BN, Kiernan T-EJ, Gleason EA, et al. Smartphone teleradiology application is successfully incorporated into a telestroke network environment. Stroke. 2012;43(11):3098–101.CrossRef Demaerschalk BM, Vargas JE, Channer DD, Noble BN, Kiernan T-EJ, Gleason EA, et al. Smartphone teleradiology application is successfully incorporated into a telestroke network environment. Stroke. 2012;43(11):3098–101.CrossRef
24.
go back to reference Rat C, Hild S, Rault Sérandour J, Gaultier A, Quereux G, Dreno B, et al. Use of smartphones for early detection of melanoma: systematic review. J Med Internet Res. 2018;20(4):e135.CrossRef Rat C, Hild S, Rault Sérandour J, Gaultier A, Quereux G, Dreno B, et al. Use of smartphones for early detection of melanoma: systematic review. J Med Internet Res. 2018;20(4):e135.CrossRef
25.
go back to reference Ware P, Ross HJ, Cafazzo JA, Laporte A, Seto E. Implementation and evaluation of a smartphone-based Telemonitoring program for patients with heart failure: mixed-methods study protocol. JMIR Res Protoc. 2018;7(5):e121.CrossRef Ware P, Ross HJ, Cafazzo JA, Laporte A, Seto E. Implementation and evaluation of a smartphone-based Telemonitoring program for patients with heart failure: mixed-methods study protocol. JMIR Res Protoc. 2018;7(5):e121.CrossRef
26.
go back to reference Weinstein RS, Lopez AM, Joseph BA, Erps KA, Holcomb M, Barker GP, et al. Telemedicine, telehealth, and mobile health applications that work: opportunities and barriers. Am J Med. 2014;127(3):183–7.CrossRef Weinstein RS, Lopez AM, Joseph BA, Erps KA, Holcomb M, Barker GP, et al. Telemedicine, telehealth, and mobile health applications that work: opportunities and barriers. Am J Med. 2014;127(3):183–7.CrossRef
27.
go back to reference Boulos MNK, Wheeler S, Tavares C, Jones R. How smartphones are changing the face of mobile and participatory healthcare: an overview, with example from eCAALYX. Biomed Eng Online. 2011;10:24.CrossRef Boulos MNK, Wheeler S, Tavares C, Jones R. How smartphones are changing the face of mobile and participatory healthcare: an overview, with example from eCAALYX. Biomed Eng Online. 2011;10:24.CrossRef
28.
go back to reference Chaet D, Clearfield R, Sabin JE, Skimming K. Council on ethical and judicial affairs American Medical Association. Ethical practice in Telehealth and telemedicine. J Gen Intern Med. 2017;32(10):1136–40.CrossRef Chaet D, Clearfield R, Sabin JE, Skimming K. Council on ethical and judicial affairs American Medical Association. Ethical practice in Telehealth and telemedicine. J Gen Intern Med. 2017;32(10):1136–40.CrossRef
29.
go back to reference Champagne-Langabeer T, Langabeer JR, Roberts KE, Gross JS, Gleisberg GR, Gonzalez MG, et al. Telehealth impact on primary care related ambulance transports. Prehospital Emerg Care Off J Natl Assoc EMS Physicians Natl Assoc State EMS Dir. 2019;9:1–6. Champagne-Langabeer T, Langabeer JR, Roberts KE, Gross JS, Gleisberg GR, Gonzalez MG, et al. Telehealth impact on primary care related ambulance transports. Prehospital Emerg Care Off J Natl Assoc EMS Physicians Natl Assoc State EMS Dir. 2019;9:1–6.
30.
go back to reference Ho A, Quick O. Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. BMC Med Ethics. 2018;19(1):18.CrossRef Ho A, Quick O. Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. BMC Med Ethics. 2018;19(1):18.CrossRef
Metadata
Title
Will applications on smartphones allow a generalization of telemedicine?
Authors
F. A. Allaert
L. Legrand
N. Abdoul Carime
C. Quantin
Publication date
01-12-2020
Publisher
BioMed Central
Keyword
Telemedicine
Published in
BMC Medical Informatics and Decision Making / Issue 1/2020
Electronic ISSN: 1472-6947
DOI
https://doi.org/10.1186/s12911-020-1036-0

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