BACKGROUND To describe the use of videoconference telemedicine for providing outpatient pulmonary consultation to a remote, underserved clinic site. METHODS Analysis of data from the Milwaukee Veteran Affairs Medical Center (VAMC) pulmonary telemedicine clinic. Pulmonary physicians at the Milwaukee VAMC provide outpatient consultations with the use of… (More)
This article describes the patient-centered Scalable National Network for Effectiveness Research (pSCANNER), which is part of the recently formed PCORnet, a national network composed of learning healthcare systems and patient-powered research networks funded by the Patient Centered Outcomes Research Institute (PCORI). It is designed to be a… (More)
Patient-centered healthcare and increased efficiency are major goals of modern medicine, and physician–patient interaction and communication are a cornerstone of clinical encounters. The introduction of the electronic health record (EHR) has been a key component in shaping not only organization, clinical workflow and ultimately physicians’ clinical decision… (More)
In recent years, telehealth technologies are diffusing rapidly into all aspects of healthcare practices, ranging from traditional medical consultations to various patient-centric areas. These new uses bring a promise of integrating computerized support and Internet functionality into the deeper recesses of our community, addressing the intractable problems… (More)
Incomplete patient adherence with nasal continuous positive airway pressure (CPAP) limits the effectiveness of treatment and results in suboptimal obstructive sleep apnea (OSA) outcomes. An interactive website specifically designed for patients with OSA was designed and utilized in a randomized clinical trial to test its effect on increasing CPAP adherence.… (More)
This article summarizes two ongoing randomized controlled trials that compare individual in-person psychotherapy with psychotherapy provided using video teleconferencing for military veterans with posttraumatic stress disorder. We describe training methods, populations, technology, challenges, successes, and lessons learned so far during the trials.
OBJECTIVE Electronic health records (EHRs) have great potential to improve quality of care. However, their use may diminish "patient-centeredness" in exam rooms by distracting the healthcare provider from focusing on direct patient interaction. The authors conducted a qualitative interview study to understand the magnitude of this issue, and the strategies… (More)