Author Interviews, Mental Health Research, Telemedicine / 15.10.2025

Editor's note: This piece discusses mental health issues. If you have experienced suicidal thoughts or have lost someone to suicide and want to seek help, you can contact the Crisis Text Line by texting "START" to 741-741 or call the Suicide Prevention Lifeline at 800-273-8255. [caption id="attachment_70998" align="aligncenter" width="500"]virtual counseling Source[/caption] Today, maintaining mental health is just as important as staying physically fit. Unfortunately, not everyone has the time or access to attend in-person sessions with a therapist. That’s where virtual counseling comes in. A virtual counselor provides professional therapy sessions online, helping people receive support from the comfort of their homes.

What Is a Virtual Counselor?

A virtual counselor is a licensed therapist who conducts sessions online through video calls, phone calls, or messaging. They help individuals manage stress, anxiety, depression, relationship issues, and other emotional challenges. The main goal of a virtual counselor is to make mental health therapy accessible to everyone, especially those living far from therapy centers or managing busy lifestyles. With virtual counseling, therapy has become easier than ever. You can now talk to a trained therapist without worrying about travel time, waiting rooms, or tight schedules. It’s especially helpful for people seeking consistent care and support without disrupting their daily routines.
Mental Health Research, Telemedicine / 01.09.2025

[caption id="attachment_70501" align="aligncenter" width="500"]telehealth-for-mental-health Photo By: Kaboompics.com[/caption] If you’ve been managing a long-term condition or living with persistent pain, fatigue, or mental health challenges, you may have found yourself searching online for alternative treatment options. Maybe you typed in “new symptom relief therapies in Australia” or looked up terms like “emerging treatments for chronic conditions.” And maybe, like many people, you’re wondering where to go when the usual care pathways just aren’t helping anymore.  This blog is for anyone who’s felt stuck in the system. It’s not about offering medical advice or recommending one treatment over another. It’s about helping you understand your options, feel more confident in your next steps, and know where to find patient-first support. 

Why So Many Australians Are Searching for Something Different 

Chronic and complex health conditions can leave you feeling exhausted, not just physically, but emotionally too. You might have: 
  • Tried several treatments with little or no success
  • Felt dismissed or not believed by healthcare providers
  • Struggled to explain your symptoms in a way that feels understood
  • Been told “there’s nothing more we can do” even though you’re still suffering
It's no wonder that more Australians are turning to emerging therapies and asking bigger questions about what symptom relief really looks like. For many, it’s not about a cure. It’s about feeling even slightly better: more energy, less pain, better sleep, more clarity. 
addiction-treatment, Telemedicine / 11.07.2025

[caption id="attachment_69490" align="aligncenter" width="500"]telehealth-covid-era Photo by Anna Shvets[/caption] The COVID-19 pandemic changed many facets of healthcare delivery, none more rapidly or dramatically than behavioral health services. As in-person interactions became limited, telehealth emerged as a critical tool in maintaining access to mental health and substance use treatment. For individuals in residential addiction programs, this shift raised an important question: Can virtual counseling enhance the effectiveness of residential treatment programs?

The Acceleration of Telehealth During the Pandemic

Before COVID-19, telehealth had already gained traction in outpatient therapy, particularly for individuals in rural or underserved communities. However, adoption remained relatively modest due to regulatory limitations, reimbursement hurdles, and provider hesitancy. Once lockdowns began and healthcare settings became high-risk environments, providers across the country turned to video conferencing, secure messaging, and digital health tools almost overnight. According to a CDC survey conducted in 2021, telehealth utilization increased by over 50% compared to the previous year, with mental and behavioral health appointments leading the surge. Residential treatment centers, which typically rely on face-to-face interaction and immersive care, had to adapt rapidly.
Telemedicine / 27.05.2025

[caption id="attachment_68808" align="aligncenter" width="500"]telemedicine-televisits-online-visits Source[/caption] In today's fast-paced world, getting medical care can be hard. Long waits, travel time, and busy schedules make it tough to see a doctor. Luckily, telemedicine services are changing that. With just a phone or computer, you can talk to a doctor from home. It's quick, safe, and easy. Telemedicine is becoming more popular because it helps people get the care they need without leaving their homes. It also gives access to doctors for people in small towns or rural areas. This simple and smart way to get care is helping more people stay healthy.
Addiction, Telemedicine / 17.05.2025

[caption id="attachment_68562" align="aligncenter" width="500"]telehealth-addiction-virtual Photo By: Kaboompics.com[/caption] In an era where therapy sessions, doctor visits, and even group support can take place with the click of a button, it's no surprise that addiction treatment has also gone digital. Virtual rehab—once considered a niche alternative—has become a mainstream option for individuals seeking help with substance use disorders, especially in regions like Massachusetts where accessibility and flexibility matter. But the big question remains: Can online addiction treatment really work? And more importantly, is it right for you or someone you love?
Aging, Nursing, Technology, Telemedicine / 21.03.2025


Explore how personalized medicine is transforming senior healthcare through tailored treatments, advanced technology, and individualized care plans. Learn how innovations are improving outcomes and quality of life for aging populations.
The senior population continues to grow, which, in turn, adds pressure to the healthcare system. With age comes various health conditions, making individualized care more essential. Healthcare isn’t a one-size-fits-all. Each health condition may need attention and treatment, and not everyone has the same health conditions or reactions. Personalized medicine focuses on providing the right plans and treatment for each individual, improving outcomes and the quality of life.
Personalized medicine is an approach that caters to the necessary treatment an individual needs based on their specific conditions and characteristics. Characteristics can be defined as genetics, lifestyle, and environment. With new innovations and advances in technology, personalized medicine can be more helpful now than ever.
Genetic testing for treatment plans
Genetic testing is a more recent innovation in the healthcare industry. Your genetics are made of your DNA, which can be analyzed in a lab. When you analyze someone’s DNA, you can identify changes that could lead to certain health conditions and understand how their body might respond to treatments. A person’s genomics are specific to that one patient, which means their treatment plans would be personalized as they depend on their specific genetics.
Within genetic testing, there is the study of how genes can affect our reactions to prescriptions. This study is called pharmacogenetics. This is especially important for seniors as most seniors take more than one medication. Understanding how one’s body might react to not only one medication but multiple is extremely important when mixing medications could have serious consequences.
Does Medicare cover genetic testing?
Medicare offers limited coverage regarding genetic testing, which is essential for seniors. Typically, it can be covered if there is a cancer diagnosis. Medicare can cover genetic testing for the BRCA mutation or multigene panel testing if you meet the criteria.
Wearable technology for monitoring
Advancements in technology have opened many doors in healthcare. The integration of wearable technology specifically allows physicians to gather health data over a period of time while the patient performs daily tasks. Wearable devices, such as smartwatches and fitness trackers, can provide information on blood pressure, heart rate, sleep patterns, and more.
Additionally, continuous glucose monitors or heart rate monitors help alert health professionals of changes that may need attention for chronic conditions like diabetes or heart disease.
Integrating these types of devices allows for proactive management of health conditions. When health conditions can be monitored, a physician can change treatment and create a more personalized plan based on the results.
Medicare’s coverage on wearable devices
While Medicare does not offer coverage for Apple Watches or fitness trackers, it does cover devices specific for health conditions, such as glucose monitors and heart monitors. Typically, these devices fall under Part B as durable medical equipment and will be covered at 80% by Part B.
Telehealth and virtual visits
Telehealth has become a popular method of healthcare in recent years. It’s especially convenient for seniors who may not have transportation. Telehealth allows you to connect virtually with a healthcare professional about a symptom or problem you’re having without leaving your house. This is particularly valuable for individuals with chronic conditions who need frequent check-ups or medication adjustments. Telehealth visits allow for a quick change in treatment and continued personalized medicine.
In addition to routine consultations, telemedicine can also be used for mental health care. Seniors often face issues such as depression or isolation, and virtual therapy sessions offer a convenient way to access psychological support without leaving home.
Medicare and telehealth
Until March 2025, Medicare does cover telehealth for most services at any location. However, starting April 2025, telehealth services will be limited to End-Stage Renal Disease visits, acute stroke services, and mental disorders.
Paying Medicare premiums online
With the rise of digital technology, seniors have more convenient ways to manage their healthcare finances, including paying Medicare premiums online. The Centers for Medicare & Medicaid Services (CMS) offer an online payment system that allows beneficiaries to pay premiums for Medicare Part B, Medicare Advantage, or prescription drug plans without having to mail a check. You can focus more on your healthcare treatment plan when you set up Medicare Easy Pay and have automatic payments for your Medicare premium.
Online payments can be made through the official Medicare website. This system makes it easier for seniors to stay up to date on their premiums, avoiding late fees or disruptions in coverage. With more seniors becoming familiar with online tools, digital payment options offer greater flexibility and ease of use.
Moving forward
Thanks to ongoing advancements in personalized medicine, the future of senior healthcare looks promising. By utilizing genetic testing, wearable technology, telemedicine, and other innovative tools, healthcare providers are better equipped to offer tailored care that addresses the unique needs of older adults. These innovations will improve treatment outcomes and enhance seniors' overall quality of life, helping them live healthier, longer lives.
Explore how personalized medicine is transforming senior healthcare through tailored treatments, advanced technology, and individualized care plans. Learn how innovations are improving outcomes and quality of life for aging populations. The senior population continues to grow, which, in turn, adds pressure to the healthcare system. With age comes various health conditions, making individualized care more essential. Healthcare isn’t a one-size-fits-all. Each health condition may need attention and treatment, and not everyone has the same health conditions or reactions. Personalized medicine focuses on providing the right plans and treatment for each individual, improving outcomes and the quality of life. Personalized medicine is an approach that caters to the necessary treatment an individual needs based on their specific conditions and characteristics. Characteristics can be defined as genetics, lifestyle, and environment. With new innovations and advances in technology, personalized medicine can be more helpful now than ever.
Race/Ethnic Diversity, Technology, Telemedicine / 20.03.2025

[caption id="attachment_67338" align="aligncenter" width="500"]health-care-inequalities Photo by Tessy Agbonome[/caption]   Healthcare inequality remains one of the most pressing global challenges, affecting billions of people worldwide. Despite advancements in medical science and healthcare infrastructure, access to quality healthcare services remains unequal across different regions, socioeconomic groups, and communities. Disparities in healthcare access, affordability, and outcomes persist due to factors such as income level, geographic location, race, gender, and social status. However, technology has emerged as a powerful tool in bridging these gaps and democratizing healthcare. From telemedicine and wearable devices to artificial intelligence (AI) and big data, innovative technologies are transforming the healthcare landscape and making healthcare more accessible, affordable, and efficient. Healthcare software developers play a crucial role in this transformation, creating the digital platforms, applications, and tools that enable these technological advancements to reach a wider audience.
Electronic Records, Mental Health Research, Technology, Telemedicine / 17.02.2025

  health-care-technology-and-burnout Physician burnout is a growing crisis in the healthcare industry, with many doctors facing overwhelming workloads, excessive administrative burdens, and emotional exhaustion. According to recent studies, nearly 50% of physicians experience symptoms of burnout, leading to reduced job satisfaction, increased medical errors, and even early retirement. Fortunately, advances in healthcare technology are helping to alleviate these stressors, allowing doctors to focus more on patient care rather than paperwork. Let's explore how modern healthcare technology is playing a crucial role in reducing physician burnout and improving overall well-being for healthcare providers.

1. Electronic Health Records (EHRs) that Prioritize Physician Efficiency

One of the biggest contributors to physician burnout is the time spent on administrative tasks, particularly electronic documentation. Traditional EHR systems have often been complex, time-consuming, and frustrating, but newer platforms are designed with physician efficiency in mind.
  • Streamlined User Interfaces  Modern EHRs now feature intuitive designs that make navigating patient records easier.
  • Voice-to-Text Documentation  AI-powered dictation tools allow doctors to document notes quickly without typing.
  • Automated Workflows  Features like auto-populating fields and predictive text reduce the time spent on repetitive data entry.
Platforms such as Elation Health are designed to simplify administrative tasks, giving physicians more time to engage with their patients. By reducing the time spent on documentation, doctors can avoid unnecessary stress and focus on what they do best: providing quality care.
Telemedicine / 10.02.2025

The healthcare sector is rapidly evolving with the integration of telehealth technologies. Remote patient monitoring (RPM) is increasingly pivotal in managing chronic conditions, offering real-time insights into patient health. Virtual medical assistants are playing a crucial role in reducing administrative tasks and enhancing care delivery. [caption id="attachment_66474" align="aligncenter" width="500"]Telehealth-chronic disease Young adult calling doctor on videocall telehealth, talking about healthcare treatment on videoconference and telemedicine. Meeting on remote teleconference call with physician, online appointment.[/caption] The expansion of telehealth has transformed how patients interact with healthcare providers, particularly in managing chronic diseases. By leveraging RPM, healthcare professionals can monitor patients' health metrics remotely, ensuring timely interventions and improving patient outcomes. The integration of virtual medical assistants, such as those offered by www.honesttaskers.com, provides a streamlined approach to managing administrative tasks, allowing providers to focus more on patient care.

Key benefits of telehealth and RPM for chronic conditions

One significant advantage of telehealth is the increased accessibility it provides to patients with chronic conditions. This technology reduces the need for frequent in-person visits, saving travel time and costs for patients. With remote monitoring devices, patients can have their vital signs tracked continuously, leading to better adherence to treatment plans and enhanced overall management of their conditions. The continuous flow of health data from RPM devices enables healthcare teams to detect deviations in patients' health metrics early. Such real-time tracking allows for prompt interventions, potentially preventing complications and hospitalizations. Moreover, this proactive approach facilitates better communication between patients and healthcare providers, fostering a more engaged and informed patient population. Additionally, telehealth has demonstrated cost-effectiveness for healthcare providers who effectively utilize these platforms. By reducing the need for physical infrastructure and enabling efficient resource allocation, telehealth services help minimize operational costs while maintaining high-quality care delivery. This financial benefit further encourages the adoption of telehealth technologies across various healthcare settings.
Mental Health Research, Telemedicine / 28.10.2024

If you or someone you know is struggling or in crisis, help is available. Call or text 988 or chat at org. To learn how to get support for mental health, drug or alcohol conditions, visit FindSupport.gov. [caption id="attachment_64343" align="aligncenter" width="500"]telemedicine-online-therapy Source[/caption] As mental health care becomes more accessible, many people are now considering whether virtual counseling can offer the same benefits as face-to-face therapy. The question arises: does online counseling provide the same depth of connection and understanding as traditional therapy? In today’s fast-paced world, many individuals are seeking more convenient ways to access mental health services. As a result, virtual sessions are becoming an increasingly popular option. When comparing the two approaches, it's important to assess whether virtual counseling can truly replicate the in-person experience. Services like The Collective Therapy & Wellness provide virtual therapy, making mental health support easier to access for a wider audience. The flexibility of scheduling and the comfort of attending sessions from home have their unique appeal.
PT-Rehabilitation, Social Issues, Telemedicine / 22.08.2024

Recovering from surgery or a significant injury is a journey that’s increasingly taking place in the comfort of home. The idea is simple but powerful: familiar surroundings, combined with the right tools and support, can significantly enhance the recovery process. Recent advancements in rehabilitation have made home care more effective than ever. From innovative mobility equipment to telehealth services that bring therapists into the living room, these trends are reshaping how we approach recovery. This post explores how these trends are making home care a more viable and often preferable option for those on the road to recovery.

The Rise of Home-Based Rehabilitation

Why Home Care is Gaining Popularity

The appeal of home-based recovery goes beyond comfort - it is also about the psychological benefits. Home is where people feel most relaxed and supported, which can accelerate the healing process. Studies have shown that lower stress levels, often experienced at home, contribute to faster recovery. The ability to maintain daily routines in a familiar environment provides both physical and emotional comfort, motivating patients to stick with their recovery plans.   [caption id="attachment_62920" align="aligncenter" width="936"]rehabilitation pixabay Image by Alexas_Fotos on Pixabay[/caption]

Impact of COVID-19 on Home Rehabilitation

The COVID-19 pandemic accelerated the shift towards home-based care. With hospitals under strain and concerns about exposure to the virus, many turned to home care as a safer option. This shift highlighted that with the right support and equipment, such as a rotating bed is a lifesaver for those with limited mobility, effective rehabilitation can indeed happen at home. Telehealth services have played a crucial role in this transition, allowing patients to consult with healthcare providers remotely. This not only reduces the risk of infection but also offers the flexibility to receive care at convenient times, making home recovery more accessible.
Sleep Disorders, Telemedicine / 18.08.2024

In an era where technology is rapidly transforming healthcare, Dr. Avinesh Bhar has emerged as a leading figure in the field of sleep medicine. Through his innovative platform, Sliiip.com, Dr. Bhar is revolutionizing how people with sleep issues access care. His accomplishments in telemedicine are not only groundbreaking but also essential for addressing the growing prevalence of sleep disorders. [caption id="attachment_62872" align="alignleft" width="200"]Dr. Avinesh Bhar Dr. Avinesh Bhar[/caption]

Who is Dr. Avinesh Bhar?

Dr. Avinesh Bhar is a renowned sleep doctor dedicated to advancing the treatment and understanding of sleep disorders. With a background in sleep medicine and a passion for leveraging technology to improve patient outcomes, Dr. Bhar has made significant strides in making sleep health services more accessible and effective.

Author Interviews, Cost of Health Care, Telemedicine / 09.07.2024

The United States currently has a doctor-patient ratio of 2.6 in 1000, and although it is above the recommended 1:1000, medical practitioners are still having a hard time finding the right system to balance administrative tasks and patient care. Healthcare providers are struggling to keep up with the ever-increasing demands of their patients. That is why there is now a fast-growing demand for Virtual Patient Coordinators. Virtual Patient Coordinators are skilled individuals who work remotely to assist medical practices in managing their patients' needs. They are responsible for a wide range of tasks, including scheduling appointments, coordinating referrals, and organizing medical records. By utilizing advanced technology and secure communication platforms, virtual patient coordinators are able to efficiently handle these tasks from anywhere in the world, ensuring that patients receive the care they need in a timely manner. Let’s find out the ways they are changing the game for busy medical practices.
Electronic Records, Telemedicine / 18.06.2024

In the complex healthcare realm, efficiency is not just desirable—it’s paramount. Enter Athena and Luminello EMR, two groundbreaking healthcare systems revolutionizing care norms with precision and innovation. Harnessing the synergy of digital records and tech-intensive tools, these care systems modernize care procedures for good. Join us as we explore the remarkable features and price structures of these platforms to explore how they are revamping the landscape of care administration. Unlock the power of Athena and Luminello EMR today and take your medical practice to new heights of success and excellence.

A Look into the Key Attributes: Transforming Healthcare Operations

It is imperative to gain useful insights into why both systems stand out in healthcare administration. At this point, we will reveal the integral capabilities and functionalities of Luminello and Athena, shedding light on the outstanding potential of these EMR virtuosos. This will help you better understand why you need to incorporate a healthcare platform.
Author Interviews, Technology, Telemedicine / 14.06.2024

Enhancing Patient Engagement Through Strategic Digital Integration

[caption id="attachment_61969" align="alignleft" width="200"]How Online Platforms Are Speeding Up Patient Service Photo from Pexels[/caption]

Leveraging SEO for Improved Patient Information Accessibility

The strategic use of digital platforms in healthcare, particularly through search engine optimization (SEO), significantly enhances how medical practices engage with patients. SEO is crucial in making educational content easily discoverable online, thereby ensuring that when patients seek information about their conditions or potential treatments, the resources provided by advanced platforms like CheckedUp are readily available.

Pre-Visit Patient Education via Optimized Content

Digital platforms not only facilitate direct patient education but also play a pivotal role in how this content is structured and presented online. By optimizing content for search engines, practices can ensure higher visibility and accessibility, allowing patients to obtain necessary medical knowledge before their consultations. This approach not only improves the efficiency of in-person visits but also empowers patients, making them proactive participants in their healthcare journey.
Author Interviews, Columbia, JAMA, Race/Ethnic Diversity, Telemedicine / 29.07.2021

MedicalResearch.com Interview with: [caption id="attachment_57794" align="alignleft" width="100"]Dr. Woolhandler Dr. Woolhandler[/caption] Steffie Woolhandler MD MPH, FACP Professor of Public health and Health Policy CUNY School of Public Health at Hunter College Co-founder and board member Physicians for a National Health Program MedicalResearch.com: What is the background for this study? What are the main findings? Response:   We analzyed a national database of healthcare utilization. We found racial disparities exist in use of specialist MD services by Black- and Native-Americans relative to White-Americans, despite their greater needs.  Hispanic- and Asian-Americans also receive specialist care at low rates.  
Author Interviews, Surgical Research, Telemedicine / 17.07.2020

MedicalResearch.com Interview with: [caption id="attachment_54875" align="alignleft" width="200"]Leonardo Mattos, PhD Head of Biomedical Robotics Lab Advanced Robotics Department Istituto Italiano di Tecnologia Genova, Italy Dr. Mattos[/caption] Leonardo Mattos, PhD Head of Biomedical Robotics Lab Advanced Robotics Department Istituto Italiano di Tecnologia Genova, Italy MedicalResearch.com: What is the background for this study? What are the main findings? Response: We have been working on robotic microsurgery for several years, and have developed robotic technology for it that is getting ready for use on humans. Then, 5G started to become a reality here in Italy, and we wanted to test if it could be used to enable remote telesurgery. So we joined forces with Vodafone Italia to realize this study and proof of concept demonstration. Telesurgery has been a dream for over 20 years, and has been demonstrated already back in 2001. However, the wide scale adoption of the technology has been limited by many factors, including the limited availability of surgical robots and the lack of a telecommunication network that is fast and reliable enough for such operation. Recent technological progress is changing this scenario, with surgical robots being used in hospitals around the world and high-performance telecommunications system becoming widely available. This study shows that telesurgery is now feasible using the newest 5G telecommunication networks, enabling us to consider a large scale adoption of the technology. 
Author Interviews, Diabetes, Duke, Telemedicine / 15.06.2020

MedicalResearch.com Interview with: [caption id="attachment_54582" align="alignleft" width="125"]Matthew J. Crowley, MD Core Investigator, Durham Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT) Affiliated Investigator, VA Office of Rural Health Staff Physician, Endocrinology Section, Durham VA Health Care System Dr. Crowley[/caption] Matthew J. Crowley, MD Core Investigator, Durham Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT) Affiliated Investigator, VA Office of Rural Health Staff Physician, Endocrinology Section, Durham VA Health Care System [caption id="attachment_54583" align="alignleft" width="144"]Elizabeth Kobe, BS Medical Student Durham VA Health Care System Duke University School of Medicine Elizabeth Kobe[/caption] Elizabeth Kobe, BS Medical Student Durham VA Health Care System Duke University School of Medicine MedicalResearch.com: What is the background for this study? With whom were the telehealth sessions performed? (MDs, PAs, Dieticians etc). Response: Diabetes management in rural populations is especially challenging due to limited access to specialty care and self-management programs. Telehealth is a potential strategy for extending high-quality diabetes care to rural areas. The Veterans Health Administration (VHA) has a robust Home Telehealth (HT) system that is currently used for telemonitoring patient blood glucose values. In order to address the challenges of managing diabetes in rural areas in a clinically feasible manner, we strategically designed an intensive diabetes management intervention – Advanced Comprehensive Diabetes Care (ACDC) – for delivery using existing VHA HT infrastructure and clinical staffing. ACDC is a 6-month telehealth intervention that combines telemonitoring with module-based self-management support and medication management. ACDC is delivered entirely by existing clinical staff (a clinical HT nurse and a medication manager (typically a PharmD)) through bimonthly, 30-minute calls. Our initial randomized controlled trial found that ACDC improved HbA1c by a clinically and statistically significant  -1.0% relative to usual care at 6 months, while also improving blood pressure and diabetes self-care. Our goal with the present work was to improve diabetes care in clinical practice for rural Veterans whose type 2 diabetes remained uncontrolled despite receiving available services. To this end, we partnered with the VA Office of Rural Health to implement ACDC into VA sites across the country with large rural populations. 
Author Interviews, Primary Care, Respiratory, Telemedicine / 02.10.2018

MedicalResearch.com Interview with: [caption id="attachment_44849" align="alignleft" width="150"]Dr. Kathryn A. Martinez PhD MPH CanSORT Cancer Surveillance and Outcomes Research Team Cleveland Clinic Dr Martinez[/caption] Dr. Kathryn A. Martinez PhD MPH CanSORT Cancer Surveillance and Outcomes Research Team Cleveland Clinic MedicalResearch.com: What is the background for this study? What are the main findings? Response: Most upper respiratory infections are viral and therefore should not be treated with antibiotics. Despite this, physicians commonly prescribe them for these conditions. Patients often expect antibiotics for respiratory tract infections.  As a result, physicians may find it easier to give patients what they want rather than explain to them why antibiotics aren’t needed. We hypothesized it also might be more time consuming for physicians to explain to patients why they don’t need antibiotics, which creates a further incentive to prescribe them. To explore this potential phenomenon, we used data from a large direct to consumer telemedicine system to assess differences in medical encounter length by prescription outcome for patients diagnosed with respiratory tract infections. We found that encounters resulting in antibiotics were 0.33 minutes shorter than those that resulted in no prescriptions, supporting our hypothesis that prescribing an antibiotic takes less time than prescribing nothing.
Author Interviews, OBGYNE, Telemedicine / 20.05.2017

MedicalResearch.com Interview with: Abigail R.A. Aiken, MD, MPH, PhD Assistant Professor LBJ School of Public Affairs Faculty Associate Population Research Center University of Texas at Austin Austin, TX, 78713Abigail R.A. Aiken, MD, MPH, PhD Assistant Professor LBJ School of Public Affairs Faculty Associate Population Research Center University of Texas at Austin Austin, TX, 78713 MedicalResearch.com: What is the background for this study? What are the main findings? Response: We've known for some time that women in Ireland and Northern Ireland self-source their own abortions using online telemedicine. In fact, this model has revolutionized abortion access for Irish women. Yet very little was previously known about the outcomes of those abortions. How safe and effective are they? We wanted to address that knowledge gap with this study. What this research shows is that self-sourced medication abortion, conducted entirely outside the formal healthcare setting, can have high rates of effectiveness and low rates of adverse outcomes. Women can successfully manage their own abortions and recognize the symptoms of potential complications. Among the small number who experienced such a symptom, virtually all sought in-person medical attention as advised.
Author Interviews, Cost of Health Care, JAMA, Macular Degeneration, Ophthalmology, Telemedicine / 02.04.2017

MedicalResearch.com Interview with: John Wittenborn Senior research scientist NORC's Public Health Analytics University of Chicago MedicalResearch.com: What is the background for this study? What are the main findings? Response:The emergence of anti-VEGF treatment for wet-form AMD (choroidal neovascularization) has had a dramatic impact on preserving vision for many Americans. However, community-based studies show that most patients are not diagnosed with wet-form AMD until they have already lost a significant, and largely unrecoverable amount of their vision.  Early detection of wet-form AMD is key to effective treatment and the preservation of vision. The ForeseeHome telemonitoring technology provides patients with a means to check their own eyes on a daily basis to detect the earliest signs of vision loss from wet-form AMD. This is a novel technology that has the potential to improve visual health outcomes for AMD patients.  A prior clinical trial (the AREDS-2 HOME study) demonstrated that this technology can detect wet-form AMD earlier, and with less vision loss than standard care alone. However, that is exactly where that study ended as it reported no cost information nor follow-up. Since the end of this study, the device has been cleared by the FDA and approved for reimbursement by Medicare for certain higher risk patients, but no study has yet considered the long-term implications of adoption of this technology. In our analysis, we use a computer simulation model to essentially estimate what will come next, after patients realize earlier detection of wet-form AMD by utilizing home monitoring. Basically, we follow simulated patients from the time they begin monitoring for the rest of their lives, recording the likely impacts of home monitoring on patients’ long term outcomes including visual status, costs and quality of life. We find that home telemonitoring among the population indicated for reimbursement by Medicare would cost $35,663 per quality adjusted life year (QALY) gained.  Medicare would expect to incur $1,312 in net budgetary costs over 10 years for each patient who initiates monitoring.  However, Medicare patients may expect to achieve lifetime net savings when accounting for the chance of avoided vision loss and its associated costs later in life.
Author Interviews, Depression, JAMA, Telemedicine / 23.02.2017

MedicalResearch.com Interview with: Eirini Karyotaki, MSc Department of Clinical Psychology and EMGO Institute for Health and Care Research Vrije Universiteit Amsterdam Amsterdam, the Netherlands MedicalResearch.com: What is the background for this study? What are the main findings? Response: Depression is broadly acknowledged as a major health issue associated with a great risk of mortality and morbidity. Nevertheless, help-seeking rates are low among individuals with depression. Some of the barriers that impede help seeking are the limited availability of trained clinicians, the fear of stigmatisation and the cost of treatment. Self-guided Internet based Cognitive behavioural therapy (iCBT) has the potential to overcome many of these treatment barriers. However, recent randomised controlled trials (RCTs) have produced mixed evidence regarding the effects of self-guided iCBT in treating adults with depressive symptoms. To gain more insight in the effectiveness of self-guided iCBT, an Individual Participant Data meta-analysis was performed. 3876 individual participant data across 13 RCTs were collected and analysed.
Annals Internal Medicine, Author Interviews, Pain Research, Telemedicine / 21.02.2017

MedicalResearch.com Interview with: Rachel Nelligan, BPhysio Physiotherapist & Research Physiotherapist Department of Physiotherapy | Centre for Health, Exercise and Sports Medicine The University of Melbourne Victoria Australia MedicalResearch.com: What is the background for this study? Response: This novel study investigated the efficacy of an internet delivered model of service delivery that combined online education, Skype delivered exercise physiotherapy and an Internet-based interactive pain coping skills training program for people with persistent knee pain. Osteoarthritis, the leading cause of chronic knee pain and disability globally, has a significant individual, societal and economic burden. On an individual level knee osteoarthritis causes loss of function, reduced quality of life, and psychological distress. Clinical guidelines recommend adoption of a biopsychosocial approach to management which should include nondrug, nonsurgical treatments. Specifically exercise, education and psychological interventions (including pain coping skills training (PCST)) that foster self-management are recommended. Evidence identifies that many knee OA sufferers are not receiving adequate management due in part to challenges of accessing these effective treatments. There is an urgent need for new models of health service delivery to rectify this. Tele-rehabilitation is growing in acceptance as an effective, time efficient and convenient means for people to access effective health interventions. In knee OA internet delivered interventions specifically remotely delivered physiotherapy exercise using specialised tele-rehabilitation equipment and an Internet-based interactive PCST program (PainCOACH), designed to translate key therapeutic elements of clinician-delivered face-to-face PCST, have shown improved patient outcomes. Prior to this study the combination of these two internet-based treatments has not been investigated.
Author Interviews, Dermatology, Surgical Research, Telemedicine, UT Southwestern / 05.12.2016

MedicalResearch.com Interview with: [caption id="attachment_30246" align="alignleft" width="120"]Rajiv Nijhawan MD Department of Dermatology The University of Texas Southwestern Medical Center Dallas Dr. Rajiv Nijhawan[/caption] Rajiv Nijhawan MD Department of Dermatology The University of Texas Southwestern Medical Center Dallas MedicalResearch.com: What is the background for this study? What are the main findings? Response: From a healthcare perspective, we are constantly working to improve access to patients, and telemedicine has proved to be an excellent platform for this goal especially in the field of dermatology. In regards to surgical dermatology, the role of telemedicine has been limited. The ubiquity of smartphones with photograph capability has provided an opportunity for patients to take self-acquired photographs (selfies) easily. Our experience has been that few patients who call with post-operative concerns have major issues (e.g. infection, bleeding, etc.) while the majority of concerns are minor in nature, and patients are often seeking reassurance. Our study shows that the majority of concerns can easily be triaged and managed through patient-directed photography without burdening the patient to take time off work for another appointment, find transportation/travel (many of our patients travel hours for their visits), wait to see the provider, etc. This option of triaging a post-operative concern essentially immediately through the use of patient-directed photographs provides the opportunity for immediate feedback on the patient’s concerns and likely reduces anxiety while making the process as patient-centered as possible. In addition, it allows the physician to be as efficient as possible by not having to overbook his/her schedule to accommodate these often non-urgent concerns.
Author Interviews, Mental Health Research, Schizophrenia, Telemedicine / 26.08.2016

MedicalResearch.com Interview with: [caption id="attachment_27385" align="alignleft" width="200"]Dror Ben Zeev, PhD Associate Professor of Psychiatry Director, mHealth for Mental Health Program Dartmouth College Hanover, NH Dr. Dror Ben Zeev[/caption] Dror Ben Zeev, PhD Associate Professor of Psychiatry Director, mHealth for Mental Health Program Dartmouth College Hanover, NH MedicalResearch.com: What is the background for this study? Response: We deployed a mobile phone intervention called FOCUS as part of a larger multi-component effort called Improving Care Reducing Costs (ICRC). ICRC was the first technology-aided relapse prevention program of its kind for people with schizophrenia; a very exciting multi-state project funded by the Center for Medicare and Medicaid Innovation (CMMI) led by Dr. John Kane at the Zucker Hillside Hospital and a team of researchers from multiple institutions. Several other technological interventions were used in concert with mHealth, including a web intervention called Coping with Voices Developed by Dr. Jen Gottlieb and a Daily Support Website developed by Dr. Armando Rotondi. A truly multi-disciplinary effort designed to help prevent re-hospitalization in people with psychosis who were recently discharged from the hospital; this is a group that is at very high risk for relapse.
Author Interviews, Diabetes, PLoS, Primary Care, Telemedicine / 26.07.2016

MedicalResearch.com Interview with: Brian McKinstry MD Professor of primary care e-health and General practitioner MacKenzie Medical Centre EdinburghBrian McKinstry MD Professor of primary care e-health and General practitioner MacKenzie Medical Centre Edinburgh MedicalResearch.com: What is the background for this study?  Response: The prevalence of diabetes is rising as the population ages and becomes more obese. Clinical services are increasingly stretched, so much so that it will be difficult for doctors and nurses to continue to look after patients using the same service delivery they have used in the past. Increasingly patients are being asked to self-manage long-term illnesses, but particularly with type 2 diabetes they find this stressful. One solution is to encourage self-management but with monitoring at a distance through telehealth. We performed a randomised controlled trial in family practices in four regions of the United Kingdom among 321 people with type 2 diabetes and glycated haemoglobin (HbA1c) ( a measure of control over the previous three months) >58 mmol/mol. The supported telemonitoring intervention involved self-measurement and transmission to a secure website of twice weekly morning and evening glucose for review by family practice clinicians. The control group received usual care, with at least annual review and more frequent reviews for people with poor glycaemic or blood pressure control in the context of incentives in family practice based on a sliding scale of financial rewards for achieving glycaemic and blood pressure control targets. HbA1c assessed at nine months was the primary outcome. Intention-to-treat analyses were performed.
Author Interviews, Mental Health Research, Pediatrics, Telemedicine / 23.06.2016

MedicalResearch.com Interview with: [caption id="attachment_25473" align="alignleft" width="135"]Mirna Becevic, PhD, MHA Assistant Research Professor University of Missouri - Department of Dermatology Missouri Telehealth Network Dr. Mima Becevic[/caption] Mirna Becevic, PhD, MHA Assistant Research Professor University of Missouri - Department of Dermatology Missouri Telehealth Network MedicalResearch.com: What is the background for this study? Response: Psychiatry is, by far, the biggest utilizer of telemedicine services on the Missouri Telehealth Network (MTN). MTN supports an average of 4000 tele-psychiatry appointments every month, and 10% of those are provided by the University of Missouri Department of Psychiatry. Since we are all aware of the ever-increasing demand for child and adolescent psychiatry, but also the stigma that goes along with it, we wanted to examine more closely the actual usage of those services at the University of Missouri.
Author Interviews, JAMA, Menopause, Telemedicine / 19.05.2016

MedicalResearch.com Interview with: [caption id="attachment_24594" align="alignleft" width="142"]Dr. Susan McCurry Principal Investigator Clinical psychologist and research professor School of Nursing University of Washington Dr. Susan McCurry[/caption] Dr. Susan McCurry Principal Investigator Clinical psychologist and research professor School of Nursing University of Washington MedicalResearch.com: What is the background for this study? Dr. McCurry: Every woman goes through menopause.  Most women experience nighttime hot flashes/sweats and problems sleeping at some point during the menopause transition.  Poor sleep leads to daytime fatigue, negative mood, and reduced daytime productivity.  When sleep problems become chronic – as they often do – there are also a host of negative physical consequences including increased risk for weight gain, diabetes, and cardiovascular disease.  Many women do not want to use sleeping medications or hormonal therapies to treat their sleep problems because of concerns about side effect risks.  For these reasons, having effective non-pharmacological options to offer them is important.