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e-Health Care in Dentistry and Oral Medicine - A Clinician's Guide
von: Nicolas Giraudeau
Springer-Verlag, 2018
ISBN: 9783319694504 , 155 Seiten
Format: PDF, Online Lesen
Kopierschutz: Wasserzeichen
Preis: 139,09 EUR
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Contents
3
Part I: General Aspects of e-Oral Health
7
1: Definition of Teledentistry
8
1.1 Introduction
8
1.2 Telehealth and Telemedicine Defined
10
1.2.1 Telemedicine: Applications and Mechanism of Delivery
11
1.3 Teledentistry Defined
13
1.3.1 Reasons for Teledentistry
14
1.4 Towards e-Oral Health as a Scientific Field of Inquiry
15
References
17
2: e-Oral Health Tools
20
2.1 Introduction
21
2.2 Tools for e-Oral Health and Teledentistry
22
2.2.1 Teleconsultation and Telediagnosis
22
2.2.2 Monitoring Applications
23
2.2.3 Smart Glass as an Oral Health Clinical Tool
24
2.2.4 Personally Controlled e-Records
25
2.2.5 e-Tools for Primary Prevention
25
2.2.5.1 Gamification (gHealth)
25
2.2.5.2 Web Portals
25
2.3 Arrangement for Wider Implementation of e-Oral Health and Teledentistry
26
2.3.1 Technical
26
2.3.2 Behavioural
27
2.3.3 Organisational
28
2.3.3.1 Sustainability and Institutionalisation
28
2.3.3.2 Confidentially, Security and Liability Issues
28
Regulation Framework
28
2.3.4 Economical
29
2.4 Final Remarks
30
References
31
3: Development of Teledentistry: From Pilot Projects to Successful Implementation
34
3.1 Introduction
34
3.2 Assessment of Pilot Projects
35
3.3 Decision to Adopt Telemedicine Technology
36
3.4 Critical Factors for Telemedicine Implementation
36
3.4.1 Technology Issues
36
3.4.2 Acceptance Issues
38
3.4.3 Financing Issues
38
3.4.4 Organizational Issues
39
3.4.5 Policy and Legislation Issues
40
References
40
4: Ethics and Teledentistry: Challenges and Questions
44
4.1 Introduction
44
4.2 International Ethical Framework [1]
45
4.3 What Are the Ethical Issues in Dentistry with Regard to Telemedicine?
46
4.3.1 Telemedicine’s Place Within Health Care
46
4.3.2 Prevention: A Major Ethical Issue
46
4.3.3 The Patient’s Freedom of Choice
47
4.3.4 Protecting the Person
48
4.3.5 Assessment and Research in Telemedicine
49
4.3.6 A Public Health Social Challenge
49
4.4 Discussion/Conclusion
49
References
51
5: The Economics of Teledentistry
52
5.1 Introduction: Efficiency Is a Key Dimension of Health System Performance
52
5.2 Assessing the Efficiency of Telemedicine: A Theoretical Framework
53
5.2.1 Efficiency
53
5.2.2 Definitions, Advantages and Disadvantages of the Three Forms of Economic Evaluation
54
5.3 Practical Approaches to the Economic Evaluation of Teledentistry
55
5.3.1 Economic Evaluation Alongside Clinical Trials
55
5.3.1.1 Quantifying Uncertainty in Stochastic Cost-Effectiveness Analysis
57
5.3.2 Economic Evaluation of a Teledentistry Programme Through Modelling
57
5.3.2.1 Requirements for Economic Evaluation for Decision-Making
57
5.3.2.2 Role of Decision-Analytic Models
58
5.3.2.3 Stages in the Development of a Decision-Analytic Model
59
5.3.2.4 Markov Models
59
5.4 Literature Review
60
References
62
Part II: E-health Care in Oral Medicine
63
6: A Clinical Evaluation of Teledentistry in Oral Health Promotion
64
6.1 Social Relevance (Introduction)
65
6.2 Materials and Methods
66
6.2.1 Objectives
66
6.2.2 Research Protocol
67
6.2.3 Research Design
67
6.2.3.1 Gold Standard
68
Evaluation of Patients Concerns
68
Caries Detection
68
Plaque Index
70
Denture Plaque
70
Calculus
71
Posterior Occluding Couples of Teeth
71
Gingivitis Index
71
Soft Tissue Lesions
71
Experience + Feedback Patient
71
Experience + Feedback Researcher
71
Compliance Patient
71
Mental
71
Physical
72
Time Needed to Do the Oral Examination
72
6.2.3.2 Teledentistry System
72
Evaluation of Patient Concerns
73
Caries Detection
73
Plaque Index
73
Denture Plaque
73
Calculus
73
Posterior Occluding Couples of Teeth
74
Gingivitis Index
74
Soft Tissue Lesions
74
Time Needed to Collect Information with SoproCare
74
Time Needed to Interpret Information from SoproCare Evaluation
74
6.2.3.3 Visit and Examination Provided
75
6.2.3.4 Number of Patients + Method of Recruitment
75
6.2.3.5 Criteria for Inclusion
75
6.2.3.6 Criteria for Exclusion
75
6.2.3.7 Criteria for Ending the Participation in the Study
76
6.3 Results
76
6.3.1 Correspondence Between Caries Seen During SoproCare and Visual Examination
76
6.3.2 Difference Between the Gradation of Caries with SoproCare and Visual Examination
77
6.3.3 Gingivitis Index Measured With SoproCare Versus Visual Examination
77
6.3.4 Time Needed to do SoproCare Examination Compared to Visual Examination
78
6.3.5 Plaque Index Measuring in SoproCare Compared to Visual Examination
78
6.3.6 Relationship Between Calculus and Gingivitis Index
79
6.3.6.1 Visual Exam (VE)
79
6.3.6.2 SoproCare Exam
79
6.3.7 Relationship Between Pain and Caries
80
6.3.7.1 With Caries Present at Visual Exam (VE)
80
6.3.7.2 With Caries Present at SoproCare Exam
80
6.3.8 Correspondence Between Soft Tissue Lesions During SoproCare Versus Visual Exvam
80
6.3.9 Soft tissue Lesions Seen During Visual Exam Related to Pain
81
6.3.10 Mental and Physical Cooperation During SoproCare Versus Visual Exam
81
6.3.11 Patient Feedback of Visual Examination Compared to SoproCare Protocol
82
6.3.12 Examiners Feedback of Visual Examination Compared to SoproCare Protocol
82
6.3.13 Dry Mouth and Bad Breath
82
6.3.14 Subjective Rating of Oral Health
83
6.3.15 Presence of Pain
83
6.3.16 Satisfaction About Denture(s)
84
6.3.17 Chewing Comfort
84
6.3.18 Need of Care
85
6.4 Discussion
86
6.4.1 Methods and Materials
86
6.4.1.1 This Part Will Handle Difficulties Using SoproCare
87
6.4.2 Processing and Results
87
6.5 Conclusion and Future Work
88
References
88
7: e-Implantology
90
7.1 Introduction
91
7.2 Technical Note
91
7.3 Discussion
98
References
100
8: Teledentistry and Orthodontics
101
8.1 Introduction
102
8.2 Referrals and Consultancy
102
8.3 Use of TD for Diagnosis and Patient Monitoring
106
8.4 Final Considerations
108
References
108
9: E-Health Care in Oral Cancer
111
9.1 Introduction
112
9.2 Teleconsulting
112
9.2.1 Description
112
9.2.2 Types of Teleconsulting
113
9.2.3 Cons
113
9.2.4 Pros
113
9.3 Tele-education (2010–2017)
115
9.3.1 Webpalestra (Weblecture) (Fig. 9.3a, c, e)
115
9.3.2 TeleRS Explica (Telers Explains)
116
9.3.3 E-Learning
117
9.3.3.1 Phase 1
117
9.3.3.2 Phase 2
118
9.4 Telediagnosis (2015–2017)
118
9.5 RegulaSUS: An Initiative Focused on the Health-Care Work Process/Referral System (2015–2017)
121
9.6 Challenges and Perspectives
122
References
123
Part III: A Global View on Teledentistry
125
10: Teledentistry in the United States
126
10.1 Introduction
126
10.2 Development of Teledentistry
127
10.3 Influences on Adoption
129
10.4 Future
130
References
130
11: Teledentistry in Brazil: Tools to Improve the Quality of Oral Health in the Primary Care Setting
132
11.1 Introduction
133
11.2 Oral Health in the Primary Care Setting in Brazil: State of the Art
133
11.3 Telehealth Brazil Networks
134
11.4 Teleconsulting
134
11.5 Telediagnosis
137
11.6 Tele-education
137
11.7 Web Lectures
138
11.8 E-Learning
138
11.9 App Development
139
11.10 Formative Second Opinion
139
References
142
12: Teledentistry in France: Example of the e-DENT Project
144
12.1 Introduction
145
12.2 Telemedicine, a Fundamental Legal Tool for Healthcare Democracy
147
12.2.1 A Clear Legal Framework
147
12.2.2 The Parties
148
12.2.3 The Main Observed Principles of Health Law
148
12.3 The System
149
12.3.1 Inclusion of a Technological Third Party
149
12.3.1.1 An Equipped Healthcare Professional
149
12.3.1.2 Specific Equipment
149
12.3.1.3 Necessary Technical Organisation
149
12.3.2 Functioning
149
12.3.2.1 An Asynchronous Act
149
12.3.2.2 A Formalised Workflow
150
12.3.2.3 The Starting Point for an Adapted Dental Treatment Plan
151
12.4 Building a Permanent Economic Model
151
12.5 Trial Setup in Languedoc-Roussillon
152
12.5.1 Benefit for Persons with Special Needs
152
12.5.2 Benefit for Inmates
153
12.5.3 Benefit for the Chronically Ill
153
12.5.4 Benefit for High-Level Athletes
153
12.5.5 Next Communities to Be Targeted
154
References
154