Methodology for Analyzing and Developing Information Management Infrastructure to Support Telerehabilitation
DOI:
https://doi.org/10.5195/ijt.2009.6012Abstract
The proliferation of advanced technologies led researchers within the Rehabilitation Engineering Research Center on Telerehabilitation (RERC-TR) to devise an integrated infrastructure for clinical services using the University of Pittsburgh (PITT) model. This model describes five required characteristics for a telerehabilitation (TR) infrastructure: openness, extensibility, scalability, cost-effectiveness, and security. The infrastructure is to deliver clinical services over distance to improve access to health services for people living in underserved or remote areas. The methodological approach to design, develop, and employ this infrastructure is explained and detailed for the remote wheelchair prescription project, a research task within the RERC-TR. The availability of this specific clinical service and personnel outside of metropolitan areas is limited due to the lack of specialty expertise and access to resources. The infrastructure is used to deliver expertise in wheeled mobility and seating through teleconsultation to remote clinics, and has been successfully deployed to five rural clinics in Western Pennsylvania.
Keywords: Telerehabilitation, Information Management, Infrastructure Development Methodology, Videoconferencing, Online Portal, Database
References
Bashshur, R., Shannon, G., & Sapci., H. (2005). Telemedicine Evaluation. Telemedicine and e-Health, 11(3), 296-316.
Batavia, M., Batavia, A.I., & Friedman, R. (2001). Changing chairs: Anticipating problems in prescribing wheelchairs. Disability and Rehabilitation, 23, 539-548.
Brennan, D. M., & Barker, L. M. (2008). Human Factors in the Development and Implementation of Telerehabilitation Systems. Journal of Telemedicine and Telecare, 14(2), 55-58
Burns, R. B., Crislip, D., Daviou, P., Temkin, A., Vesmarovich, S., Anshutz, J., et al. (1998). Using Telerehabilitation to Support Assistive Technology. Assistive Technology, 10, 126-133.
Cooper, R., Trefler, E., & Hobson, D.A. (1996). Wheelchairs and seating: Issues and practices. Technology and Disability, 5, 3-16.
Daw, M. (2005). Advanced Collaboration with the Access Grid. Ariadne, 42. Available online at: http://www.ariadne.ac.uk/issue42/daw/.
Goldschmidt, P. G. (2005). HIT and MIS: Implications of health information technology and medical information systems. Commun. ACM, 48(10), 68-74.
Grigsby, J., Schlenker, R. E., Kaehny, M. M., Shaughnessy, P. W., & Sandberg, E. J. (1995). Analytic framework for evaluation of telemedicine. Telemedicine Journal, 1, 31-39.
Kaye, H.S., Kang, T., & LaPlante, M.P. (2000). Disability statistics report no.14: Mobility devices in the United States. Washington, DC: U.S. Department of Education, National Institute on Disability and Rehabilitation Research.
Kinsella, A., (1998). Home telecare in the United States. Journal of Telemedicine and Telecare, 4, 195-200.
Lemaire, E. D., Boudrais, Y., & Greene, G. (2001). Low-bandwidth, internet-based videoconferencing for physical rehabilitation consultations. Journal of Telemedicine and Telecare, 7(2), 82-89.
Madden, M. (2006). Internet penetration and impact, Pew Internet & American Life Project, available at: www.pewinternet.org/PPF/r/182/report_display.asp (accessed January 21, 2007).
Mair, F., & Whitten, P.S. (2000). Systematic review of studies of client satisfaction with telemedicine. British Medical Journal, 320(7248), 1517-1520.]
Malagodi, M., Schmeler, M. R., Shapcott, N. G., & Pelleschi, T. (1998). The use of telemedicine in assistive technology service delivery: Results of a pilot study. Technology: Special Interest Section Quarterly, 8(1), 1-4.
Parmanto, B., Saptono, A., Sugiantara, W., Brienza, D., & Nnaji, B. (2006). Information technology infrastructure for supporting telerehabilitation. Prceedings from RESNA Conference 2006. Atlanta, GA.
Ricker, J., Rosenthal, M., Garay, E., DeLuca, J., German, A., Abraham-Fuchs, K., et al. (2002). Telerehabilitation needs: A survey of persons with acquired brain injury. The Journal of Head Trauma and Rehabilitation, 17(3), 242-250.
Russell, T. G. (2007). Physical rehabilitation using telemedicine. Journal of Telemedicine and Telecare, 13(5), 217-220.
Schein, R. M., Schmeler, M. R., Brienza, D., Saptono, A., & Parmanto, B. (2008). Development of a service delivery protocol used for remote wheelchair consultation via telerehabilitation, Journal of Telemedicine and E-Health, 14(9), 932-938.
Whitten, P.S., & Mair, F. (2000). Telemedicine and client satisfaction: Current status and future directions. Telemedicine Journal and e-Health, 6(4), 417-423.
Winters, J. M. (2002). Telerehabilitation research: Emerging opportunities. Annu. Rev. Biomed. Eng., 4(August 2002), 287-320.
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