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A telemedicine transaction model.

D Filiberti·J Wallace·R Koteeswaran·D Neft
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Abstract

The objective of this paper is to propose a telemedicine transaction model and a set of terms to facilitate communication between telemedicine researchers, program directors, and others. The model is described in terms of the sites, personnel, and events involved. Examples of real-time, store-and-forward, and physical referral transactions are depicted using the model. A hierarchy of information classes for collaboration studies is developed based on their relation to the frequency of data collection. Finally, a list of definitions is given to specify the terminology used. The model is suitable for most telemedicine systems, is useful in providing a common language for skilled telemedicine participants, and can be used in comparative evaluation studies.

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CommunicationHumansInterprofessional RelationsModels, TheoreticalProgram DevelopmentProgram EvaluationTelemedicineTerminology as TopicJournal ArticleResearch Support, U.S. Gov't, Non-P.H.S.

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D Filiberti, J Wallace, R Koteeswaran, D Neft. 1995. A telemedicine transaction model.. https://doi.org/10.1089/tmj.1.1995.1.237

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Information-sharing among couples considering multifetal pregnancy reduction.

OBJECTIVE: To determine the information-sharing strategies of couples considering fetal reduction, and the impact of these strategies on the chances of encountering hostility in their social networks. DESIGN: Cross-sectional design of semistructured qualitative interviews, coded with respect to sharing strategies and level of personally directed hostility encountered. SETTING: Multiple Pregnancy Management Program, Comprehensive Genetics, New York, New York. PATIENT(S) AND INTERVENTION(S): Fifty women and their partners who were making a first visit to our maternal-fetal management facility, in order to consider the possibility of multifetal reduction as a pregnancy-management strategy. MAIN OUTCOME MEASURE(S): Development of information-sharing strategies, and the chances of encountering personally directed hostility regarding multifetal reduction associated with more and less selective strategies. RESULT(S): Four information-sharing strategies emerged from the analysis. Two of these strategies were relatively open (extended network, and both parents). Two other strategies were relatively selective (qualified family and friends, and defended relationship). The selective strategies were significantly less likely to encounter to encounter personally directed hostility (odds ratio, 3.88; 95% confidence intervals, 0.87-17.30). CONCLUSION(S): Selective sharing of information for couples considering multifetal prgnancy reduction is a potentially useful strategy for moderating potentially stressful relationships in their social networks. Clinics should find a way of integrating the discussion of selective sharing into their clinic's cultural repertoire of patient-support services.

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