Systemic Literature Review on Telehealth System Evaluation: Health IT

This report presents a systemic literature review focused on evaluating a specific health IT system, specifically telehealth. The introduction highlights the importance of innovation in healthcare and introduces the context of Circle Health Ltd. The report then details the functionality of telehealth systems, including live video, store-and-forward, remote patient monitoring, and mobile health applications. A significant portion of the report focuses on the application of telehealth in managing diabetes, outlining various methods such as mobile apps for monitoring, video consultations, and remote patient monitoring. The report also discusses the benefits of telehealth such as increased access to care, improved health outcomes, and reduced costs. Furthermore, the report delves into the review process, telehealth modalities, and critical analysis, including patient portals, virtual appointments, and remote monitoring. The discussion section addresses the potential of telehealth to improve healthcare quality, alongside its limitations, such as potential fragmentation and accessibility issues. The report concludes by summarizing the key findings and emphasizing the transformative potential of telehealth in the healthcare sector.

Systemic literature review on
the evaluation of a specific
health IT system

Table of Contents
INTRODUCTION...........................................................................................................................1
TASK...............................................................................................................................................1
Introduction and background......................................................................................................1
Review Process...........................................................................................................................3
Results, methods and critical analysis.........................................................................................4
Discussion...................................................................................................................................6
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8

INTRODUCTION
The health care sector is very essential to be innovate and become more capable to sort
out disease problem of people in more appropriate manner. It is necessary to a effective as well
as efficient techniques or procedures to improve health care standards of people. There are
different kinds of management system which are utilise by organisations such as telehealth
system, electronic health record-system and consumer- health management- system (Luppa and
et. al., 2012). This report is based on Circle Health Ltd. which was co- founded by ex-investment
banker Ali Parsa and Consultant Ophthalmologist Massoud Fouladi in the year around 2004.
they ha their independent hospitals to prove required health care services to people. This
assignment will discuss about tele health system ans its roles in health care organisation along
with specific condition.
TASK
Introduction and background
Tele health system can be described as set of effective technologies which can be used to
to deliver virtual medical, health and education services to people. It is not considered as kind of
facility but it has capability to enhance levels for health care services and providing desired
information about specific issues along with methods of precautions. According to the law,
telehealth refers to an appropriate method to deliver facilities or improve public health through
information technologies which facilitates to conduct diagnosis, consultation, treatment,
education, care management, and self-management of a patient in better way. This technique
provide support to people for doing their self management, care takers help for patient, involves
synchronous interactions, asynchronous store and forward transfers (Déglise, Suggs and
Odermatt, 2012).
The telehealth system is emerging as critical component of health care sector because it
provide support to solve diseases problem of people in better way. It is helpful to tackle various
kinds of challenging cases and improve standards of health care facilities in Circle Health Ltd
properly. Different benefits of this method are explained further-
Increase access to health care • Make patient capable to take clinical
services easily.

• Hospitals become able to render
emergency and intensive care facilities.
Boost up health outputs • People can get better treatments or
diagnosis ate less cost with appropriate
outcomes.
• ICU's of Circle Health Ltd may have
substantially decrease mortality rates,
complications and reduce hospitalised
duration of individuals.
Reduce cost of health care • Home monitoring programs helps in
decreasing high cost of hospital visits.
• High cost transferring patient for stroke
and other complexities can be reduced.
Improve distribution of care providers • Medical specialist become capable to to
serve more number if people at
particular period of time.
• Shortage of medical professional can be
managed easily (Gurman, Rubin and
Roess, 2012).
Supportive for clinical education events • Rural clinicians can easily get updates
with knowledge about several health
issues and their solving techniques.
• They can consult with senior or more
experienced specialist in easy manner
in Circle Health Ltd.
Increase support for family members of
patient
• They can establish contact with family
or friends who are hospitalised away
from home.
Helps to natural environment • Reducing extended travelling facilitates
to decrease environmental issues lie

pollution, global worming, ozone
depletion.
Improves productivity of an organisation • Medical staff become able to absences
from their work and attend every
patient properly with patience.
• Improve outcomes of treatment
procedures which facilitates to boost up
image of Circle Health Ltd.
Review Process
Telehealth modalities
There are several domains of applications which are included in criteria of telehealth and
theses are explained further-
Live video (synchronous): This can be described as to conduct two way interaction
where patient and care provider by utilising audio visual telecommunications technology. It is
known as real time service which help medical specialist of Circle Health Ltd to render health
care service to required person when not available to physically attend them.
Store-and-forward (asynchronous): The previous stores records of health care case
which includes X- rays, CT scan, MRIs, Blood test reports etc. should be stored properly. Thus,
these pathological reports can be send to medical professionals to convey actual scenario to them
so that they can take more appropriate action to save life of an individual (Best and et. al., 2012).
Circle Health Ltd can also render information to specialist which helps them to conduct desired
treatment process.
Remote patient monitoring (RPM): This can be explained as collecting mandatory
information about personal health and medical data of an individual at particular location. Thus,
it should be done through effective electronic communication technology which should be
conveyed medical specialist at another place for utilising in care or relevant help. Circle Health
Ltd can transfer relevant record of information about particular patient to other institution
Mobile health (mHealth): The mobile health can be described as to use several devices
such as mobile phones, tablets, computers and many more to contact with doctors. The health

organisation can text alerts and required information about precautions about several crucial
diseases to public at large level properly. It will provide support to make people aware about
preventing techniques or methods that helps to individuals for remaining disease free. Circle
Health Ltd have to apply this practice to solve health issues of people in easy manner.
Results, methods and critical analysis
Health issue: Diabetes
There are different types of health issues from which people get suffered and remain
unable to spend their lives in comfortable manner. Telehealth is use of advanced technology to
convey information or communication with help of Taking an example of diabetic patients, the
telehealth technology provide help to care providers as well as patients to conduct treatment
procedure in proper manner to get desired outcomes (Brett and et. al., 2014).
This technique render several benefits to diabetic people hence they have to follow
several steps; Initially, use mobile phones to upload food blogs, medications, dosing and blood
sugar level to be reviewed by specialist who respond according via electronic device. Secondly,
watch relevant video such as carbohydrate counting and utilise related applications for desired
use. Thirdly, use applications to measure proper diet or exercise level to known about
requirements of insulin. Fourthly, people can use online portals to see test reports, appointments,
request prescriptions and online medications. Additionally, an individual can get mobile
screening photo screening at doctor's clinic rather then scheduling appointments with them. Last
but not the least, get e- mail or text reminders to determine need of flu shot, foot exam or other
preventive care (Booth, Sutton and Papaioannou, 2016).
The goals and objectives of telehealth are reach people who are living and rural area and
not capable to visit hospitals in city. The Circle Health Ltd can provide required care services to
people with limited mobility, time or transportation options. It also includes criteria of providing
access to medical specialists so that they will render proper medications to patients and save their
lives. This technique will render help to boost up level of communication between medical
professionals connected to same case which results into better outcomes. It involves an effective
target of making people capable for self- management of health care. The method of telehealth
includes several strategies as well as policies which provide support to Circle Health Ltd to
improve their standards of service and solve health problems of people in an appropriate manner.

Patient portal: This can be described as to
establish online patient portals which can be utilised to carrying out required communication
between medical specialists and patients. Rather than using e- mails. It is more secure to use
portal because they are helpful to remain information secret between two people along with
continuing desired process of treatment. It will help make conversation with doctor or nurse,
request prescription refills, review teat results and conduct scheduled appointments (Ambresin
and et. al., 2013). The Circle Health Ltd can establish patient portals to attend more number of
people and convey proper diagnosis to patient having issues of diabetes in correct way.
Virtual appointments: This includes to carrying out video conferencing between
medical specialist and patients to attend scheduled appointments. It involves virtual
appointments which considers web based visits with doctor so that they will provide services for
several issue such minor illness similar to facilities that are available at a drop in clinic. In case
of Circle Health Ltd, they can also carrying out such visits of patients which is easy for them to
take prescription from specialists.
Remote monitoring: This technique includes the criteria of using remote to monitor
patient every time with help of suitable technology in correct manner. It is beneficial to observe
the person on continuous basis to so that medical practitioners become capable to take an
appropriate cation to solve criticality of situation in proper manner. The Circle Health Ltd can
conduct an accurate monitoring of patients in proper manner to render desired medical service to
them for maintaining their condition stable.
Doctors talking to doctors: The technique of telehealth provides support to health
specialist more than people because they can communicate with each other to consult about
better procedure of treatment (Drummond And et. al., 2015). It is important to convey accurate
information about medical reports of patient because diagnosis should be done as per them only
to get beneficial results. In case of Circle Health Ltd, hey can connect between their medical
specialists to tackle complicated cases properly.
Personal health records: This can be described as to maintain personal records by help
of suitable technology and take precautions according to them. It is possible through an efficient
PHR system for collecting information about health condition and maintain it. It will help in
emergency case to facilitate immediate treatment of person in correct way.

Personal health apps: The multiple apps has been develop which help people to arrange
their all medical data and information in safe manner. There are various techniques and methods
which can be used such as store personal health facts and information, record vital symbols,
measuring and tracking calories consumptions, also record physical activity and so more. This
can storing the personal health data and information of specific person in better manner.
Discussion
There are various kinds of benefits which are gained by people and health organisations
by using an effective or innovative technology named telehealth. It provide support to patients
for conducting their regular check up properly for remaining disease free and hospitals can
maintain accurate records about medical reports of every patient in correct manner for future
reference. Some of benefits and limitations of this technology are discussed below:
Potential telehealth: As per the case study, Circle health Ltd use technology which has
potential for improve the quality and attribute of health care related issues and they require to
develop accessible for number of individuals (Paré and et. al., 2015). Along with this, tele health
can provide effective opportunities for make better health in more efficient, improved
coordination and closer to the house. The company are conduct investigation about tele health
which is mainly relative to this, but it is growing on continuous basis. For instance, in the year of
2016 they review the examination which found that both telephone based and tele monitoring is
the one of the critical signs of people that will reduces the heart failure and improve the quality
of life. Also this will reduces the risk of death.
Limitations of telehealth: The telehealth has desired for developing better coordination
which run the risk of disintegration in the health care. The fragmentation can lead the gap in
care, inappropriate usage of medications and unnecessary care. In addition to this, there are
certain advantages of telehealth facilities and services which can be limited for others aspects
that includes capability to pay for them, some people gain benefit for improved access to take
care the limit due to regional availability and cost of mobile technology or device in better
manner (Nguyen, Bellucci and Nguyen, 2014). Such technology will help in reduces the diseases
of people such as diabetes through this they can perform better in the work place.

CONCLUSION
The above report had concluded that the tele health system refers to a group of efficient
technologies which can be used to to deliver virtual medical, health and education services to
people. The goals and objectives of telehealth are reach people who are living and rural area and
not capable to visit hospitals in city. Along with this, tele health can provide effective
opportunities for make better health in more efficient, improved coordination and closer to the
house. It concludes basically to establish effective connection between patients and doctors by
use of digital technology and solve health issues properly.

REFERENCES
Books and journals
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systematic review and meta-analysis. Journal of affective disorders, 136(3), pp.212-
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Déglise, C., Suggs, L. S. and Odermatt, P., 2012. SMS for disease control in developing
countries: a systematic review of mobile health applications.
Gurman, T. A., Rubin, S. E. and Roess, A. A., 2012. Effectiveness of mHealth behavior change
communication interventions in developing countries: a systematic review of the
literature. Journal of health communication, 17(sup1), pp.82-104.
Best, A. and et. al., 2012. Large‐system transformation in health care: a realist review. The
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Brett, J. and et. al., 2014. Mapping the impact of patient and public involvement on health and
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Drummond, M. F. And et. al., 2015. Methods for the economic evaluation of health care
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Paré, G. and et. al., 2015. Synthesizing information systems knowledge: A typology of literature
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Nguyen, L., Bellucci, E. and Nguyen, L. T., 2014. Electronic health records implementation: an
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