7^th International Conference on Telemedicine, eHealth & Health Informatics November 16-17, 2018 | Mercure Albert Park | Melbourne, Australia

I am Kobra Aligobandi, graduated in Medical Records education from Iran University of Medical Sciences. I am academic member of Allied Faculty of Sari, Mazandaran, Iran. I have 27 years' experience as professor/instructor in training of medical records students and Health information of technology students. I have 5 books such as basic and advanced medical terms for the health professions.

E-health cards have the potential to improve the patient experience by storing key medical data and medication history, and by serving as an electronic prescription. These cards can also be used to insurance services. Investigations in literature showed that spend hundreds of millions of dollars for diabetic patients forms based on paper. There is widespread recognition that people with diabetes should be involved with their care. Since the patient can be as an affective factor in treatment decision support at new treatment process, researcher designed a diabetic portable/e- card as information for them. This card is useful and important for health care providers and patient's family in tracking and managing of diabetes.This study is descriptive for determining of health information needs in card design surveyed with health experts and patients and as well as completing of information items, this electronic card under reviewed with 50 diabetic patients. It supplied in 5 parts: demographic characteristic, history, laboratory results, diagnoses and data related to therapy.

Vitalii Ostashko for a long time provided the work of a large hospital on the position of medical director, while working as a neurologist. For ten years since its inception, he has been directing the work of State Telemedicine Center MOH. Under his leadership large projects using Telehealth (Telemedicine) for organization of the medical care system for the civilian population and armed forces were implemented. Within the framework of conducted scientific research with International Research and Training Center for Information Technologies and Systems of the National Academy of Sciences were comprehensively explored options for use of Telehealth in the health system at the city level and region. As a result, a practical use model of Telehealth in the healthcare was proposed. Based on the results of this work Vitalii Ostashko was one of the initiators and main developers of Telehealth legislation, which was adopted in 2015-2017.

The relevance of widespread adoption of Telehealth, as a new form of access to healthcare, is due to many factors, among which the following negative tendencies play a leading role: aging of the population, globalization, active migration processes, constant rise in price of medical care. Recently, attempts have been made to systematize disparate services in the field of Telehealth. To this end, providers of medical services are offered to connect to a network where it is possible to provide various types of remote communication between the doctor and the patient. The specificity of the issue is that it should not be about creating networks for communication between a doctor and a patient, but about organizing a complex dynamic system for ensuring timely access to healthcare considering ethical, medical and legal aspects. Wherein It is necessary to take into account the high level of medical service providers’ corporate identity. Considering concentration of high-tech and specialized medical care in hospitals and large medical centers, there is need to use new, innovative solutions for the organization of access to healthcare by a population which is physically away from such centers. To solve this problem, the technology for creation of Telemedicine networks is offered. Telemedicine network - a form of organization of access to medical care, implemented by creating an infrastructure with a fractal-like architecture with a minimum set of universal parameters, common for all its participants. Use of this technology allows at minimal cost quickly and efficiently unite into an unified system number of health care providers, regardless of their corporate identity, level of medical care and territorial location. This technology has been successfully tested in the large region for three years and continues to spread to other regions of Ukraine.

Alessandra G. Samelli is Professor of Audiology from University of São Paulo, Brazil. She has experience in Audiology, acting on the following subjects: hearing loss, primary health care, noise induced hearing loss and telehealth (teleaudiology).

To evaluate the performance of a teleaudiometry method for automatic hearing screening with a tablet in schoolchildren, comparing the results of different hearing screening approaches. A total of 244 children were evaluated, comparing the results of the tablet screening with gold-standard tonal audiometry. Auditory thresholds above 20 dBHL in the tonal audiometry were considered as hearing loss criteria. In the tablet screening, for the result to be considered as ‘pass’, the child should respond to two or three tones of three for all frequencies, in both ears. Different approaches of hearing screening were analyzed: tablet exclusively (with and without the inclusion of 500 Hz); combined tests in series and in parallel (combination of tablet with the immitanciometric screening). Sensitivity, specificity, positive and negative predictive values and accuracy were calculated, as well as ROC curves for each condition and AUC values were estimated. Of the 244 children, 9.43% presented mild to moderate conductive hearing loss, uni or bilateral. Diagnostic values varied among the different hearing screening approaches evaluated: sensitivity of 60 to 95%; specificity of 44 to 91%; positive predictive value of 15 to 44%; negative predictive value of 95 to 99%; accuracy of 49 to 88%; AUC values of 0.690 to 0.883. The highest results, regarding diagnostic values, occurred for the screening via tablet and for the series approach. The automatic hearing screening application developed for tablet showed reliability and feasibility for use with schoolchildren. Comparing the results of the automatic hearing screening (including the 500 Hz frequency) with the results obtained by conventional audiometry, the highest diagnostic values were generally obtained, considering the diagnostic values of the different auditory screening approaches. Therefore, it is suggested, based on reliability and costs, that the hearing screening protocol for this population is composed exclusively of automatic teleaudiometry via tablet.