Research Blog 3

Source 1: Using Video from Mobile Phones to Improve Pediatric Triage in an Underserved Population

Using Video from Mobile Phones to Improve Pediatric Phone Triage in Underserved Populations

What is most interesting/surprising to you from this source?  

Telemedicine is a topic that I have some knowledge on due to my work at the NIEHS research lab in Durham, NC. However, I was unaware that this innovative technique is being actively implemented in underserved populations. This specific research article is discussing children with asthma and using videos and video chat to evaluate their respiratory conditions. They did this by listening to breath sounds, cough sounds, as well as listening to the symptoms listed by the child and the parents. It is surprising to me that the doctors are able to make viable assumptions based on these “virtual examinations”

What year was this written? What do you know about the author, and the source (magazine, journal, publisher?) that published it? (Google author’s name? Google publisher?)

This article was written in 2016. The source I have received this from is the Journal of Telemedicine and there are three authors. All three of the authors are physicians (M.D) and have additional higher level education such as master’s degrees or PhD’s. The journal of Telemedicine produces numerous articles every month regarding new studies on telemedicine and new research proposals. Most of the articles are written by doctors or other members in the health services or public health field.

Does this source refer to other sources? If so, how and why? If not, why not?

Yes, the source refers to many other sources. The source takes research from other medical centers to compare it to their own data. Additionally, there is the discussion in the article about diseases and symptoms and this information is cited with medical databases that are in the sources list.

What new perspective does it give you on your topic?

This article has given me many new perspectives on my topic. Firstly, after reading about the virtual examinations through videos and video chat, I would like to look into the success rate that the diagnosis’ given to patients have. Did they give the correct medical advice? Can you really diagnose an individual through a video examination? In short, this article leads me to want to research how exactly doctors make judgements on these patients without physically being able to examine them.

What else does it make you want to know? Search for next? What questions does this source raise for you?

I would like to further research the patient satisfaction rate that comes from this telemedicine triage in underserved populations. Do these patients like being seen over the phone? Is it more convenient for them? Would they rather have doctors come and physically examine their children? Healthcare is largely about the satisfaction and wellbeing of the patient. Therefore, this is why I am eager to look into how the patient’s themselves feel about this new technique in medicine.

What are some words and ideas the author uses that might be good search terms?

Triage, underserved population, phone triage system, potential clinical utility, acceptability and feasibility

 

Source 2: Eye Disease in Patients with Diabetes Screened with Telemedicine

Eye Disease in Patients with Diabetes Screened with Telemedicine

What is most interesting/surprising to you from this source?  

I was surprised that this study was used to survey specifically Native American or Alaskan Native individuals. I am currently studying public health, and the first essential service of public health is to monitor health status. This essential service aims to look at certain populations and research prevalence of disease. If there seems to be a trend, further research is done to see why there is a trend within a certain population or geographic location. Typically, public health separates itself from medicine, but I was surprised in this case that telemedicine is being used to connect clinical medicine to the realm of public health.

What year was this written? What do you know about the author, and the source (magazine, journal, publisher?) that published it? (Google author’s name? Google publisher?)

This article was written in 2016. The authors are both doctors (M.D) and also Masters of Public Health (MPH). The source that published this article is the Journal of Telemedicine.

Does this source refer to other sources? If so, how and why? If not, why not?

Yes, this source refers to many other sources. Most of the sources are regarding past research done on retinal issues within the Native American community. In many health research articles, background information must come from external sources so those citations have to be included in the sources.

What new perspective does it give you on your topic?

This article leads me to see my topic more holistically. I would like to not only focus on how telemedicine is impacting productivity, I want to see how it is changing lives. Statistically, from what I have learned in my public health classes, Native American populations tend to live further away from hospitals or healthcare facilities. Therefore, telemedicine benefits them greatly in that they can have access to care. I would like to know the potential that telemedicine has to improve the health of overall populations, an overarching goal of public health.

What else does it make you want to know? Search for next? What questions does this source raise for you?

I would like to know what other minority populations have been introduced to telemedicine and see if they have had positive outcomes.

What are some words and ideas the author uses that might be good search terms?

Minorities, racial and ethnic disparities, screening programs, mobilize community partnerships

Finally, respond to the following, considering both of the sources above:

How is your topic changing as you learn more about it?  What does this help you to understand about the research process? Do you need to make changes/adjust/revise your guiding question?  Explain.

My topic is changing in that it is becoming more specific. Originally, my topic was asking how technology has impacted the workplace. Now my topic has narrowed down immensely to how technology is impacting medicine and public health. However, as I look over these two sources I am considering making my pain focus telemedicine. This helps me understand that topics are huge. No matter how small it may seem, there is endless information on the internet, in books, and on databases. I was afraid to narrow down my topic at first, but now being exposed to all of this information, I truly feel like narrowing down my topic will be so much more beneficial to me, especially since I can relate it more to my personal interests.

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