Quality assessment and cataloguing of telemedicine applications

An evaluation of the use of Telehealth within palliative care settings across Scotland

There is a lack of evidence-based research in the use of Telehealth within palliative care in the UK, particularly in Scotland. The aim of this project was to evaluate the current use of Telehealth applications within palliative care across Scotland, and how these and future applications are perceived by patients, carers and professionals. This paper reports on the qualitative findings from focus groups with patients and carers in three geographical areas in Scotland, and individual interviews with key stakeholders from across Scotland, who currently work within areas of high and low Telehealth activity. The key findings indicated that Telehealth initiatives are welcomed by patients and carers but that these should be an adjunct to clinical care rather than an alternative. The stakeholder interviews revealed several notable differences between those working within areas of high and low Telehealth activity. Principally, areas of high Telehealth activity appear to be driven by national and local policy and seem to benefit from a greater level of investment in Telehealth equipment and facilities than in the more central, and hence accessible, parts of Scotland.

UK telehealth initiatives in palliative care: a review

This review paper explores the use of telehealth in relation to palliative care in the UK. Information technology (IT) developments are being harnessed throughout society, and there is growing interest in the ways in which they can be used to meet and support patients' health needs in the community. The aim of the literature review was to scope the information available from published and unpublished research, with particular reference to older people. The evidence suggests that, despite the challenges, there are numerous examples of good practice in relation to telehealth, palliative and end-of-life care, and older people. Developments in technology that have increased the capacity to improve care, through reaching greater numbers of people of all age groups, mean that telehealth has much to offer people living with and dying from advanced illness. However, some of the evaluative evidence is limited and further rigour is needed when evaluating future telehealth innovations.

Telemedicine technology assessment part I: setup and validation of a quality control system

The remarkable development of telemedicine applications has brought about the need for a telemedicine quality control system to prevent application failures and guarantee users. The aim of this paper was to report on the setup of a quality control system and validate it on a testing set of telemedicine products and services. The quality control system followed two main phases. Phase I was focused on data acquisition and preliminary evaluation of the telemedicine products and services. A classification form and an informative questionnaire were used to gather all the relevant information about the telemedicine application under test. Phase II was focused on evaluation and quality control of the telemedicine product. A Technical File and a Quality Assessment Checklist were used to assess the telemedicine product and service. The telemedicine quality control system was suitable for the efficient evaluation of telemedicine applications. A quality level was assigned to each product according to a threshold and an algorithm. All telemedicine products tested passed the test with a quality level higher than the threshold. The quality control system assured the definition of standardized quality levels for the telemedicine products and services. The study presented in this paper could be useful for promoting the use of standardized telemedicine applications, and therefore speeding up their integration process in the national health service.

Telemedicine technology assessment part II: tools for a quality control system

Because no study has been done so far that fully assesses all the aspects that concur to achieve the quality of telemedicine applications, the authors propose a set of tools and procedures for Telemedicine Quality Control. A set of quality control procedures were developed in order to furnish tools to assess telemedicine products and/or services. The procedures were then submitted to manufacturers of telemedicine applications. An Informative Questionnaire and a Classification Form were specifically designed for maximizing the acquisition of data on the products/services. The other tools, a Technical File and a Quality Assessment Checklist (QACL), were intended to both evaluate and improve the quality of the telemedicine applications. The tools were continuously upgraded according to the manufacturer's suggestions. Because of the synergy that ensued, each tool was designed to cover a wide range of aspects for the evaluation of the telemedicine products and services. Thus, the Informative Questionnaire became the core tool for acquiring the information, whereas the QACL was the core evaluation tool. The proposed tools have been used in an integrated manner, and constitute a full quality control process for the assessment of telemedicine products.