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Telehealth-Based Systems for Diagnosis, Management, and Treatment of Autism Spectrum Disorders: Challenges, Opportunities, and Applications

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DOI: 10.4018/978-1-4666-3990-4.ch055
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MLA

Angjellari-Dajci, Fiorentina, William F. Lawless, Nitin Agarwal, Ron Oberleitner, Barbara Coleman and Masoud Kavoossi. "Telehealth-Based Systems for Diagnosis, Management, and Treatment of Autism Spectrum Disorders: Challenges, Opportunities, and Applications." Handbook of Research on ICTs and Management Systems for Improving Efficiency in Healthcare and Social Care. IGI Global, 2013. 1044-1065. Web. 23 Oct. 2014. doi:10.4018/978-1-4666-3990-4.ch055

APA

Angjellari-Dajci, F., Lawless, W. F., Agarwal, N., Oberleitner, R., Coleman, B., & Kavoossi, M. (2013). Telehealth-Based Systems for Diagnosis, Management, and Treatment of Autism Spectrum Disorders: Challenges, Opportunities, and Applications. In M. Cruz-Cunha, I. Miranda, & P. Gonçalves (Eds.) Handbook of Research on ICTs and Management Systems for Improving Efficiency in Healthcare and Social Care (pp. 1044-1065). Hershey, PA: Medical Information Science Reference. doi:10.4018/978-1-4666-3990-4.ch055

Chicago

Angjellari-Dajci, Fiorentina, William F. Lawless, Nitin Agarwal, Ron Oberleitner, Barbara Coleman and Masoud Kavoossi. "Telehealth-Based Systems for Diagnosis, Management, and Treatment of Autism Spectrum Disorders: Challenges, Opportunities, and Applications." In Handbook of Research on ICTs and Management Systems for Improving Efficiency in Healthcare and Social Care, ed. Maria Manuela Cruz-Cunha, Isabel Maria Miranda and Patricia Gonçalves, 1044-1065 (2013), accessed October 23, 2014. doi:10.4018/978-1-4666-3990-4.ch055

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Abstract

The prevailing system for diagnosis, treatment, and management of Autism Spectrum Disorders (ASDs) in the US—the in-person service delivery—has been unable to address the increase in the demand for services and societal costs for those served, and the unattained societal benefits for those not diagnosed early enough or not offered early and intensive behavioral interventions. The authors discuss new developments in telehealth for diagnostic evaluation and ASD treatment in the US. They build a theoretical model to capture telehealth system’s potential in reaching ASD screening market equilibrium under the constraint of full utilization of provider hours and other stylized facts. The authors estimate the market demand for ASD screening in the US for year 2011. They present their progress with a case study that focuses on the potential impacts of increased access to care of technology-based telehealth on the Georgia-South Carolina border. The authors use social network analysis to envision the future of telehealth service delivery for ASDs.
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Introduction

Autism Spectrum Disorders (ASDs) are a group of lifelong neurodevelopmental disabilities characterized by atypical development of verbal and nonverbal communication, impaired reciprocal social interaction and restricted and repetitive patterns of behavior, interests and activities that profoundly affect the way a person comprehends, communicates and relates to others (Mandell & Palmer, 2005). In addition to these core features, a range of other behavior problems are common, such as anxiety, depression, sleeping and eating disturbances, attention issues, temper tantrums, and aggression or self-injury. (Myers & Johnson, 2007) The term ASD has been used to include Pervasive Developmental Disorders classified in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) under these five diagnostic categories: autistic disorder, Asperger’s disorder, Pervasive Developmental Disorder–Not Otherwise Specified (PDDNOS), Childhood Disintegrative Disorder (CDD) and Rett syndrome (DSM-IV-TR, 2000).

Over the last two decades, ASD prevalence in the US has been on a steady rise. (Centers for Disease Control [CDC], 2011; Individuals with Disabilities Education Act [IDEA], 2011) Currently one in 110 American children carries a diagnosis of ASD. In some states, such as Georgia, this prevalence is higher (1 in 98), and one study found that administrative prevalence in Georgia may underestimate true ASD prevalence and demand for ASD services (Boyle, Van Naarden & Yeargin-Allsopp, 2005). The rise in ASD prevalence has raised significant public health concerns given the shortage of trained specialists in the treatment of ASDs, especially in rural areas.

The increase in ASD prevalence has implications for the annual and lifetime per capita societal costs incurred. For example lifetime societal cost of caring for and treating a person on the autism spectrum in the US has been estimated to be $3.2 million (in 2003 dollars), and about $35 billion for an entire birth cohort of people with ASDs. (Ganz, 2007) Given the increase in ASD prevalence, a revision of these estimates will most likely result in higher societal costs in the US in 2011.

Currently, the in-person service delivery is the prevailing system for diagnosis, treatment and management of ASDs in the US. Such a system has been unable to address: (1) the increasing gap between service delivery supply and demand, (2) the increasing societal costs for those served, and (3) the unattained societal benefits for those not diagnosed early enough or not offered early and intensive behavioral intervention treatments, which have been proven to produce substantial benefits over the long run (Jacobson, Mulick & Green, 1998; Lovaas, 1987; McEachin, Smith & Lovaas, 1993; Ospina et al., 2008).

We argue that telehealth service delivery could be initially introduced as a complementary (additional) delivery system, especially in providing services in rural areas, and gradually gain market share, by becoming a competing system to the in-person delivery due to the several socio-economic benefits it provides for the three main stakeholder groups: the client/caregiver, the provider, and the payer.

The introduction of telehealth service delivery in ASDs could narrow the supply-demand gap and eventually help achieve market equilibrium. In addition, provided that telehealth service delivery meets the effectiveness criteria for early and intensive behavioral interventions (Guralnick, 1998; Ramey & Ramey, 1998), additional clinical and socio-economic benefits are likely to emerge. Such benefits could be monetized along with all other societal benefits and compared to all incurred societal costs for both telehealth and in-person service deliveries. Last, the large-scale implementation of telehealth service delivery in ASDs will most likely require high start up and maintenance costs when compared to the in-person delivery. However, once implementation has reached a large scale, it is also likely to produce cost-savings from economies of scale (average total costs decreasing with the increase in service volume).

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Table of Contents
Preface
Maria Manuela Cruz-Cunha, Isabel Maria Miranda, Patricia Gonçalves
Chapter 1
Joseph C. Wood, Kim Marcille Romaner, Max E. Stachura, Elena A. Wood, Fjorentina Angjellari-Dajci, LeeAnn Kung, William F. Lawless
Information and Communication Technology (ICT) has become distinguished from Information Technology in that ICT extends specifically beyond... Sample PDF
Review of Web-Based Research in Health Care for Georgia: Telemedicine, eHealth, and e-Institutional Review Boards
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Chapter 2
Fjorentina Angjellari-Dajci, William F. Lawless, Max E. Stachura, Elena A. Wood, Caroline DiBattisto
Comparative full economic evaluations are needed to evaluate whether telehealth-based systems can bring societal cost savings and economic benefits... Sample PDF
Economic Evaluations for Service Delivery in Autism Spectrum Disorders: Benefit-Cost Analysis for Emerging Telehealth Systems
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Chapter 3
Mark Griffiths, Daria J. Kuss, Angelica B. Ortiz de Gortari
There is a long history of using videogames in a therapeutic capacity, including rehabilitation for stroke patients, people with traumatic brain... Sample PDF
Videogames as Therapy: A Review of the Medical and Psychological Literature
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Chapter 4
Patrice Braun
This chapter reports on the evaluation of Clever Health, an Australian e-health project. The evaluation took place from mid-2007 through 2010 and... Sample PDF
Clever Health: A Study on the Adoption and Impact of an eHealth Initiative in Rural Australia
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Chapter 5
Jose Andonegui, Aitor Eguzkiza, Mikel Auzmendi, Luis Serrano, Ane Zurutuza, Mónica Pérez de Arcelus
e-Ophthalmology is the use of information and telecommunications technologies to provide or support a group of activities related to ophthalmic... Sample PDF
E-Ophthalmology in the Diagnosis and Follow-Up of Chronic Glaucoma
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Chapter 6
António Teixeira, Carlos Pereira, Miguel Oliveira e Silva, Joaquim Alvarelhão, Anabela G. Silva, Margarida Cerqueira, Ana Isabel Martins, Osvaldo Pacheco, Nuno Almeida, Catarina Oliveira, Rui Costa, António Neves, Alexandra Queirós, Nelson Rocha
The world’s population is getting older with the percentage of people over 60 increasing more rapidly than any other age group. Telerehabilitation... Sample PDF
New Telerehabilitation Services for the Elderly
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Chapter 7
Tiago Cravo Oliveira, Mónica Duarte Oliveira, Teresa Peña
The adoption of electronic drug prescribing (ePrescribing) systems has been largely discussed in scientific literature. Yet post-implementation... Sample PDF
Towards a Post-Implementation Evaluation Framework of Outpatient Electronic Drug Prescribing
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Chapter 8
Milica Milutinovic, Koen Decroix, Vincent Naessens, Bart De Decker
In this chapter, the authors describe the software architecture of a commercially run home assistance system that allows patients or elderly people... Sample PDF
Commercial Home Assistance Services
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Chapter 9
Nélia Jordão Alberto, Lúcia Maria Botas Bilro, Paulo Fernando da Costa Antunes, Cátia Sofia Jorge Leitão, Hugo Filipe Teixeira Lima, Paulo Sérgio de Brito André, Rogério Nunes Nogueira, João de Lemos Pinto
In the last years, optical fiber based sensors and systems for ehealthcare attracted the attention of the scientific community. Over this chapter... Sample PDF
Optical Fiber Technology for eHealthcare
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Chapter 10
Maria José Lucena e Vale, Filipa Vale
The existence of adequate and reliable information to assess population health is essential to build solid strategies for public health promotion... Sample PDF
Geographical Information Management Approaches: Improvements in Health and Social Care
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Chapter 11
Advances in Robot Surgery  (pages 223-246)
Silvia Frumento, Roberto P. Razzoli, Francesco E. Cepolina
Mini-invasive surgery deserves increasing attention to lower the post-operative stay in hospital and lessen falls-off complications. This leads to... Sample PDF
Advances in Robot Surgery
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Chapter 12
Martha Sabelli, Jorge Rasner, María Cristina Pérez Giffoni, Eduardo Álvarez Pedrosian
Within the framework of the implementation of the Integrated National Healthcare System (SNIS) along with national policies of information and... Sample PDF
The Information and Communication Strategies Focused on Young People and Adolescents within the Field of Public Health
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Chapter 13
Guido van Os, Vincent Homburg, Victor Bekkers
In Western European welfare states, one of the uses of ICT is the delivery of integrated public services in social security. In order to do this... Sample PDF
Contingencies and Convergence in European Social Security: ICT Coordination in the Back Office of the Welfare State
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Chapter 14
George Jamil, Lorena Furbino, Leandro Santos, Marcus Alves, Rafael Santiago, Silvia Loyola
The healthcare market is a dynamic sector, where marketing decisions are decisive and critical. Strategic and tactical planning demand data and... Sample PDF
A Design Framework for a Market Intelligence System for Healthcare Sector: A Support Decision Tool in an Emergent Economy
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Chapter 15
Gandhi Samuel Hernández-Chan, Alejandro Rodríguez-González, Ricardo Colomo-Palacios
Web 2.0 Applications have gained much power and usability in the last years. A particular case is medicine Web sites, like forums, wikis, and... Sample PDF
Using Social Networks to Obtain Medical Diagnosis
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Chapter 16
André S. Fialho, Federico Cismondi, Susana M. Vieira, Shane R. Reti, João M. C. Sousa, Stan N. Finkelstein
During the last decade, modern hospitals have witnessed a growth in the amount of information acquired, stored, and retrieved more than ever before.... Sample PDF
Challenges and Opportunities of Soft Computing Tools in Health Care Delivery
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Chapter 17
Ricardo Jorge Santos, Jorge Bernardino, Marco Vieira
The sudden fall of blood pressure (hypotension) is a common and serious complication in medical care. In critical care patients, hypotension may... Sample PDF
A Hypotension Surveillance and Prediction System for Critical Care
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Chapter 18
Nuria Novas, José Antonio Gázquez, Marina Noguerol
This chapter discusses the development and implementation methodology of a real-time biomedical telemetry system for ambulances. Comparable systems... Sample PDF
Real-Time Biomedical Telemetry System for Ambulances
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Chapter 19
Jason F. Cohen, Jean-Marie Bancilhon, Shaun Sergay
Self-Service Technologies (SSTs) enable consumers to produce services independent of direct employee involvement. The successful introduction of... Sample PDF
An Empirical Study of Patient Willingness to Use Self-Service Technologies in the Healthcare Context
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Chapter 20
Helena Blazun, Kaija Saranto, Sari Rissanen, Samo Bobek
The purpose of this chapter is to present up-to-date knowledge on elderly people’s use of Information Communication Technology (ICT), online social... Sample PDF
Elderly People and Information Communication Technology (ICT): Issues, Challenges, and Opportunities for Better Quality of Life
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Chapter 21
Álvaro Alvares de Carvalho César Sobrinho, Leandro Dias da Silva, Leonardo Melo de Medeiros, Ana Cláudia de Brito Câmara
In recent years, there has been a great advancement in technology for wireless communication. This facilitates the availability of devices using... Sample PDF
Pervasive Multiplatform Health Care Support
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Chapter 22
Irmeli Luukkonen, Marika Toivanen, Anja Mursu, Kaija Saranto, Mikko Korpela
The primary objective of this chapter is to introduce a socio-technical approach called the Activity-Driven (AD) approach to Information Systems... Sample PDF
Researching an Activity-Driven Approach to Information Systems Development
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Chapter 23
Gustavo Julio Puente Salcido, Eduardo César Contreras Delgado
Most of Mexican populations, even medical population, do not have enough information on rheumatic diseases to allow them to understand the... Sample PDF
Intelligent Agent to Identify Rheumatic Diseases
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Chapter 24
Ana Paula Macedo, Fernando Petronilho, João Cainé
We have witnessed a change in the Health Information Systems (HIS) in what concerns structure, contents, and support for optimization of the... Sample PDF
Nursing Information Systems: From Documentation as Evidence to Documentation as a Support to the Clinical Decision Making
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Chapter 25
Saïd Mahmoudi, Mohammed Benjelloun
In this chapter, the authors propose a new method belonging to content medical-based image retrieval approaches and that uses a set of region-based... Sample PDF
Using Global Shape Descriptors for Content Medical-Based Image Retrieval
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Chapter 26
Aini Syuhada Md Zain, Abid Yahya, Mohd Fareq Abd. Malek, Normaliza Omar
The current growth of mobile data usage and emergence of new applications have greatly motivated the Third Generation Partnership Project (3GPP) to... Sample PDF
Developing Wireless Network Design in 4G Long Term Evolution for Healthcare
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Chapter 27
Irem Ozkarahan, Emrah B. Edis, Pinar Mizrak Ozfirat
Surgical units are generally the most costly and least utilized units of hospitals. In order to provide higher utilization rates of surgical units... Sample PDF
Operating Room Management in Health Care: Operations Research and Artificial Intelligence Approaches
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Chapter 28
Jean-Luc Hainaut, Anne-France Brogneaux, Anthony Cleve
This chapter studies the requirements for a wide range of healthcare information systems, including, but not limited to, clinical pathways... Sample PDF
Healthcare Information System Modelling
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Chapter 29
Iulian Furdu, Bogdan Patrut
This chapter describes and discusses the applications and solutions under development or implemented in the e-Health care systems, in terms of their... Sample PDF
ICT Applications and Solutions in Healthcare: Present and Perspectives
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Chapter 30
César Benavente-Peces, Ander Garcia-Gangoiti, José Manuel Pardo-Martín, Francisco Javier Ortega-González, Javier Franco-Arroyo
This chapter is aimed at the analysis and description of various wireless technologies and methods for indoor location of mobile/portable devices in... Sample PDF
Location-Based Services to Improve Elderly and Handicapped Citizens’ Mobility
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Chapter 31
Paolo J. S. Gonçalves, Rui J. Almeida, João R. Caldas Pinto, Susana M. Vieira, João M. C. Sousa
The high number of exams that is done in healthcare institutions increases the medical doctors’ workload, leading to poor working conditions and the... Sample PDF
Image Based Classification Platform: Application to Breast Cancer Diagnosis
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Chapter 32
Mina Deng, Milan Petkovic, Marco Nalin, Ilaria Baroni
Cloud computing is one of the emerging technologies that has an increasing impact on both private and public sectors. It represents an on-demand... Sample PDF
Home Healthcare in Cloud Computing
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Chapter 33
Leonor Teixeira, Vasco Saavedra, Carlos Ferreira, Beatriz Sousa Santos
This chapter outlines a study that examines the role of Information and Communication Technologies (ICTs) in management of a rare and chronic... Sample PDF
The Role of ICTs in the Management of Rare Chronic Diseases: The Case of Hemophilia
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Chapter 34
Asli Suder, Murat Durucu
Information and communication technologies are radically changing the way that healthcare is delivered with the development of e-Health among the... Sample PDF
ICT in Healthcare Management, Developments, and Applications in Turkish Health Sector
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Chapter 35
Maria Borges Tiago, Flavio Tiago
This chapter acts as both a review and an empirical framework analysis piece. It argues that technological acceptance and adoption by healthcare... Sample PDF
Roadmaps for Future ICT Use in the Health Sector
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Chapter 36
Guillermo López Cala, Yolanda María de la Fuente Robles, Rosa María Fernández Alcalá
This chapter deals with accessibility, a relevant and important concept for every citizen in the improvement of their quality of life in any... Sample PDF
The Reality of Accessibility in the Public Health Systems
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Chapter 37
Bolanle A. Olaniran, Natasha Rodriguez
The use of Information and Communication Technologies (ICT) to support and facilitate interactions on the Web has increased in the amount of users... Sample PDF
ICT and Healthcare: A Closer Look at the Role of ICTs in Providing Support for Female Victims/Survivors of Domestic Violence (DV)
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Chapter 38
Eilon Blanc, Iris Reychav
Geographical Information Systems (GIS) are a relatively new tool in health care services and organizations. However, health-care professionals who... Sample PDF
Potential of GIS and Spatial Knowledge in Health Care and Public Safety
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Chapter 39
Emilia Mendes
This chapter describes a case study where Bayesian Networks (BNs) were used to construct an expert-based software effort and risk prediction model... Sample PDF
Improving Project Management of Healthcare Projects through Knowledge Elicitation
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Chapter 40
Juan Enrique Garrido Navarro, Víctor Manuel Ruiz Penichet, María Dolores Lozano Pérez
A residential care home is a suitable environment to implement a software system providing users the functionality and the information required at... Sample PDF
An Architecture Proposal for Residential Care Home Environments
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Chapter 41
Lenka Lhotska, Jaromir Dolezal, Branislav Bosansky
Healthcare applications involve complex structures of interacting processes and professionals that need to exchange information to provide the care... Sample PDF
Knowledge-Based Support of Medical Work in Home Care
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Chapter 42
Jerzy Brzezinski, Michal Kosiedowski, Cezary Mazurek, Krzysztof Slowinski, Roman Slowinski, Maciej Stroinski, Jan Weglarz
Over the years, the developments in computing science have strongly influenced the way healthcare entities maintain processes aimed at delivering... Sample PDF
Towards Telemedical Centers: Digitization of Inter-Professional Communication in Healthcare
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Chapter 43
Filipe Quinaz, Paulo Fazendeiro, Miguel Castelo-Branco, Pedro Araújo
The automatic drug infusion in medical care environment remains an elusive goal due to the inherent specificities of the biological systems under... Sample PDF
Soft Methods for Automatic Drug Infusion in Medical Care Environment
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Chapter 44
Federico Della Croce, Fabio Salassa
In this chapter, the authors discuss the technological aspects of solutions and applications in staff rostering by means of ICT techniques. Three... Sample PDF
Personnel Rostering Management by ICT Techniques
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Chapter 45
Crescenzio Gallo
In this chapter, the authors examine the technical background behind the general problem of multimedia content deployment, and the architectural and... Sample PDF
A Multichannel Framework for Multimedia Content Deployment in E-Health Environments
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Chapter 46
Calin Ciufudean, Otilia Ciufudean, Constantin Filote
This chapter is focused on evaluation of the links between physiology of human body and human emotional states in order to help specialists to... Sample PDF
New Models for ICT-Based Medical Diagnosis
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Chapter 47
Saskia Biskup
Next-Generation-Sequencing (NGS) techniques are currently on the rise. This is seen as a revolution by (most) geneticists. The wealth of data... Sample PDF
ICT Aspects of Next-Generation-Sequencing Applied to Molecular Diagnostics
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Chapter 48
Álvaro Rocha, Patrícia Leite Brandão
The use of a methodology for the evaluation, comparison, and quality improvement of Health Web Sites is justified by its widespread adoption and... Sample PDF
Quality of Health Web Sites: Dimensions for a Broad Evaluation Methodology
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Chapter 49
Alberto Carneiro
This chapter discusses the issues and choices that researchers and technicians should consider when adapting maturity models to healthcare... Sample PDF
Maturity and Metrics in Health Organizations Information Systems
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Chapter 50
Elsa M. Macías, Alvaro Suarez, Fernando Calvo
Improved 4G communication technologies in conjunction to Web 2.0 technologies are contributing to design and implement new and exciting healthcare... Sample PDF
Improving Health using Therapies 2.0 with Ubiquitous Wireless Access
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Chapter 51
Ana Pinto Borges, Erika Laranjeira
Over the past sixty years, developed countries have registered high growth of total expenditure on health, which has attracted the attention of... Sample PDF
Why and How Did Health Economics Appear? Who Were the Main Authors? What is the Role of ITCs in its Development?
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Chapter 52
Nuno Duarte Martins, Heitor Alvelos, Rita Espanha
The goal of the present study is mapping the nature of possible contributions of participatory online platforms in citizen actions that may... Sample PDF
Participatory Online Platforms and the Construction of Citizen Autonomy in Health Issues
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Chapter 53
Samuel Oliveira Azevedo, Rummenigge Rudson Dantas, Luiz Marcos Gonçalves
This chapter introduces the use of middleware tools in applications for healthcare and social services, focusing on solutions designed for... Sample PDF
Using Interactive Digital Television Middleware Tools to Promote Facilities for Healthcare and Social Services
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Chapter 54
Maria de Fátima Martins, Paula Cristina Remoaldo, Ana Paula Carvalho
In Portugal, the Health Ministry’s family planning programmes have traditionally focused on women. However, the involvement of men in family... Sample PDF
Sexual and Reproductive Health: The Impact of Technological and Communicational Advances on the Male Role
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Chapter 55
Fiorentina Angjellari-Dajci, William F. Lawless, Nitin Agarwal, Ron Oberleitner, Barbara Coleman, Masoud Kavoossi
The prevailing system for diagnosis, treatment, and management of Autism Spectrum Disorders (ASDs) in the US—the in-person service delivery—has been... Sample PDF
Telehealth-Based Systems for Diagnosis, Management, and Treatment of Autism Spectrum Disorders: Challenges, Opportunities, and Applications
$30.00
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Chapter 56
Michiel C. Meulendijk, Clara Drenth-van Maanen, Paul Jansen, Sjaak Brinkkemper, Mattijs Numans, Marco Spruit
Although the conduction of feasibility analyses before executing comprehensive projects is often urged in literature, little standardization exists... Sample PDF
Introducing the COrETeSt Feasibility Analysis in Medical Informatics: A Case Study of a Decision-Support Knowledge System in the Dutch Primary Care Sector
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Chapter 57
Simon McGinnes, Mary Burke
Primary care involves collaboration by diverse, geographically dispersed health professionals, and presents unique challenges for IT. In Ireland... Sample PDF
Hoping for the Best: A Qualitative Study of Information Technology in Primary Care
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Chapter 58
Chad Lin, Yu-An Huang, Chien-Fa Li, Geoffrey Jalleh, Ying-Chieh Liu
Many hospitals are experiencing pressure to improve their operational efficiency and patient safety due to escalating costs and increased... Sample PDF
A Preliminary Study of Key Factors Affecting Management and Evaluation of IT Outsourcing Contracts in Hospitals
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Chapter 59
Fernanda Gonçalves, Gabriel David
Medical information produced in hospitals is, simultaneously, used (1) to support health care provided to patients, (2) in research work performed... Sample PDF
Definition of a Retrospective Health Information Policy Based on (Re)Use Study
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Chapter 60
Célia Picoito, Maria João Major
New Public Management (NPM) is a global paradigm that affects all public sectors, health included. Following the course of NPM reforms, Portuguese... Sample PDF
New Public Management Reforms in the Portuguese NHS: The Role of Traditional and Activity-Based Costing Systems in these Reforms
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Chapter 61
Francisco Madeira Esteves, Luís Manuel de Macedo Gomes Lagartinho, Pedro Fernandes da Anunciação
The information systems have assumed a central role in the health sector. Particularly in the public domain, health institutions have traditionally... Sample PDF
Information Systems for Management Decision Support in Portuguese Public Hospital: The Urgency of a Supra-Financial Perspective
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Chapter 62
Eva Martínez-Caro, Juan Gabriel Cegarra-Navarro, Marcelina Solano-Lorente
The implementation of a Hospital-in-the-Home Unit (HHU) involves the application of technologies adapted to improve quality of care. The aim of this... Sample PDF
An Extension of the Technology Acceptance Model in Hospital-in-the-Home Units
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Chapter 63
Canan Gamze Bal, Serkan Ada
Supplier evaluation of Information and Communication Technologies (ICTs) in healthcare institutions is a crucial problem, and the success of the... Sample PDF
ICT Supplier Evaluation Criteria in Large University Hospitals: An Empirical Examination in Turkey
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Chapter 64
José Porfírio, Marc Jacquinet, Tiago Carrilho
One of the domains where ICTs’ impact on healthcare and social services can be assessed is through the presence of healthcare interactions in... Sample PDF
The Impact of ICT and Online Social Networks on Health and Social Services
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Key Terms in this Chapter

Economies of Scale: A concept related to the increase in efficiency of production as the number of goods being produced increases. Typically, a company that achieves economies of scale lowers the average cost per unit through increased production since fixed costs are shared over an increased number of goods.

Telehealth: The use of electronic information and telecommunications technologies to support long-distance clinical health care, professional health-related education, public health, and health administration.

NODA: The naturalistic observation diagnostic assessment method, which relies on observed behavioral examples occurring in naturalistic settings to diagnose autism, and differentiate Autistic disorder, Asperger’s disorder, and PDD-NOS.

Autism Diagnostic Interview-Revised (ADI-R): An established diagnostic instrument for ASDs, which consists in an interview taken by the caregiver.

Full Economic Evaluation: Economic evaluation that requires identification, measurement, valuation, and comparison of both costs (inputs) and consequences (outputs, outcomes) of alternative health care resources.

Economies of Scale: A concept related to the increase in efficiency of production as the number of goods being produced increases. Typically, a company that achieves economies of scale lowers the average cost per unit through increased production since fixed costs are shared over an increased number of goods.

Autism Diagnostic Observation Schedule (ADOS): An established diagnostic instrument for ASDs, which consists in a series of play-based tasks administered to the child, usually with the parent(s) present.

Autism Diagnostic Interview-Revised (ADI-R): An established diagnostic instrument for ASDs, which consists in an interview taken by the caregiver.

NODA: The naturalistic observation diagnostic assessment method, which relies on observed behavioral examples occurring in naturalistic settings to diagnose autism, and differentiate Autistic disorder, Asperger’s disorder, and PDD-NOS.

Full Economic Evaluation: Economic evaluation that requires identification, measurement, valuation, and comparison of both costs (inputs) and consequences (outputs, outcomes) of alternative health care resources.

Applied Behavior Analysis (ABA): A scientific approach for evaluating behavior, which teaches social, motor, and verbal behaviors, as well as reasoning skills. ABA treatment is used in teaching behaviors to children with autism who may not “pick up” these behaviors on their own. The ABA approach can be used by a parent, counselor, or certified behavior analyst.

Applied Behavior Analysis (ABA): A scientific approach for evaluating behavior, which teaches social, motor, and verbal behaviors, as well as reasoning skills. ABA treatment is used in teaching behaviors to children with autism who may not “pick up” these behaviors on their own. The ABA approach can be used by a parent, counselor, or certified behavior analyst.

Autism Diagnostic Observation Schedule (ADOS): An established diagnostic instrument for ASDs, which consists in a series of play-based tasks administered to the child, usually with the parent(s) present.

Autism Spectrum Disorders (ASDs): Pervasive Developmental Disorders classified under five diagnostic categories: autistic disorder, Asperger’s disorder, Pervasive Developmental Disorder-Not Otherwise Specified (PDDNOS), Childhood Disintegrative Disorder (CDD), and Rett syndrome.

Social Network Analysis (SNA): The mapping and measuring of relationships and flows between people, groups, organizations, computers or other information/knowledge processing entities. The nodes in the network are the people and groups, while the links show relationships or flows between the nodes. SNA provides both a visual and a mathematical analysis of complex human systems.

Autism Spectrum Disorders (ASDs): Pervasive Developmental Disorders classified under five diagnostic categories: autistic disorder, Asperger’s disorder, Pervasive Developmental Disorder-Not Otherwise Specified (PDDNOS), Childhood Disintegrative Disorder (CDD), and Rett syndrome.

Telehealth: The use of electronic information and telecommunications technologies to support long-distance clinical health care, professional health-related education, public health, and health administration.

Social Network Analysis (SNA): The mapping and measuring of relationships and flows between people, groups, organizations, computers or other information/knowledge processing entities. The nodes in the network are the people and groups, while the links show relationships or flows between the nodes. SNA provides both a visual and a mathematical analysis of complex human systems.