Sunday, March 31, 2019
The Evolution Of Telemedicine Health And Social Care Essay
The Evolution Of Telemedicine Health And aff fitting Cargon EssayWho would engender ever imagined that a doctors visit could be conducted done a phone-line, video, or the habit of a computer molar concentration plus miles away? Medical records can be view by some other medical exam exam professional for a second credit ternary counties away before you arrive. A radiologist in Singapore has diagnosis your femur fracture here in the United States. Medical diagnosis, give-and-take and consultations are be performed from miles away beca recitation of engineering science. It seems as if there is no boundary to the vigorous being of a affected role role through a tolerant range of telemedicine services.What is telemedicine?According to the American Telemedicine Association telemedicine is the use of medical cultivation exchanged from one site to another via electronic communications to amend patient roles health status. Emails, videoconferencing, transmission of fluid images, e-health including patient portals, remote monitoring of vital signs, continuing medical education and nursing c completely centers are all considered part of telemedicine.(http//www.americantelemed.org) This interactive form of medical services has provided health cathexis to individuals many miles away or minutes away in the comfort of their piazzas, mendelevium offices and hospitals.Ways to draw servicesStore-and - beforehand is a means of transmission of medical tuition to other medical professionals and facilities that will provide the recipient apposite medical history, vital signs, medical records, lab results and images. Store-and- precedent telemedicine systems have the ability to have and store digital still or moving images of patients, as well as audio and text data. A store-and-forward system eliminates the need for the patient and the clinician to be available at the same time and place. Store-and-forward is therefore an asynchronous, no interactive form of telemedicine. It is usually employed as a clinical consultation (as opposed to an office or hospital visit). (http//www.ahrq.gov) One of the major mends with store and forward is whether it is as legal as bet to face medical visits, does it have comparable outcomes, is it appropriate for appropriate medical management, is the patient truly satisfied with the outcome and level of services and is it hail effective? There are some(prenominal) receiptss of store-and-forward technology. Patients in verdant areas are able to be seen by specialty physician miles away when there is moderate access to the services in the area. The store-and-forward of medical nurture is also being used with emergency response teams to communicate the information to the emergency way staff for an efficient transfer of vitals and medical status. The store and forward technology is said to be the least expensive way to communicate and the most accurate in authorized time for patients at a dista nce needing medical consultation. Another type of store and forward technology is videoconferencing technology. The two way television allows two doctors in two diametrical areas to communicate to provide treatment, a diagnosis, or telesurgery. There are several healthcare areas that benefit from telemedicineSome of the common teleservicesTelemedicine allows several medical disciplines that benefit from the services. Services like radiology, dermatology, nursing, pharmacy, pathology, neurology and psychiatry. The need for a second opinion in healthcare has seen a demand, and the shortage of specialty doctors in rural areas increased. The development of telemedicine has benefited the patient in many ways because of technology.Teleradiology- is the transmission of x-ray, CT, MRI, PET, and spec images that can be read by radiologist in another facility or country. The information is sent via the store and forward summons of telemedicine. Large and small hospitals have began to use teleradiolgist to cut big money on expense and having access to immediate diagnosis.Teledermatology- is the use of video conferencing and store and forward images to provide a consultation for an individual that requires a dermatologist. There have been concerns with the consistency of this tyoe of visit for patients due to unclear images of the skin and the possibility of not having that face to face visual from the dermatologist to make an adequate diagnosis.Telenurse- the use of phone, electronic email, videoconferencing, and computers to provide healthcare services or consultation to a patient. Telenusring has continued to grow in the areas of telephone triage for health insurance carriers. Telenursing has big with interactive patient training related to changing wound dressings, insulin administering, egotism management of a patients health.ReimbursementMany of the healthcare providers must follow authoritative guidelines to receive payment for telemedicine. According to Me dicare its condition for payment must include an interactive audio and video telecommunications system that is used and must admit real-time communication between the physician or practitioner at the distant site and the beneficiary at the originating site. The medical providers that are cover under this fee for payment are services rendered by a physician, nurse, physician assistant, midwife, clinical nurse specialist, or clinical psychologist.The current list of Medicare telehealth services includesConsultationsOffice or other outpatient visitsIndividual psychotherapypharmacological managementPsychiatric diagnostic interview examinationEnd-Stage Renal disorder (ESRD)-related servicesNeurobehavioral status examinationFor ESRD-related services, at least one face-to-face, give on visit (not telehealth) must be furnished each calendar month to examine the vascular access site by a physician, NP, PA, or CNS. (http//www.cms.hhs.gov)New Trends in telemedicineTrends observed nationally includeusing telemedicine in correctional facilities and home health care settings, can significantly slenderize the time and costs of patient transportationproviding additional services to rural arealinking physicians together more efficientlylinking hospitals and schools together to improve care and widespreadThe benefitsWith a growing population and healthcare on the bear witness many public and private medical providers have seen a cost reduction with the use of telemedicine and patients have benefited from the technology in telemedicine. Insurance providers are paying for less hospital in patient days because the patient can be monitored from a distance. The patients are able to communicate with a nurse or physician at home through phone, video, or Bluetooth monitoring. Telemedicine allows more freedom to the patient to feel less restricted to home visits, they have access to some providers 24 hours a day and it cuts down on their travel time to medical visits. The patients family has also displayed satisfaction from the use of telemedicine because its less strenuous on their travel time and redness of hold out days. Another benefit of telemedicine provides an outreach to rural areas to be included in clinical trial studies and procedures. The providers have also benefited because they are able to receive real time feedback from other professionals that are able to transmitted medical information quickly, decreased travel time, and continued patient education and communication.Issues that need to be addressedEducation regarding telemedicine and its usage. There are concerns that many do not know that he services exist.Cost and evaluation of the services. Will the cost for reimbursement be lower because there is no face to face stir? How will the affects of technology increase cost?Liability and malpractice issues.Out of show practices of medical professionals crossing their licensed boundaries. How will they be regulated and which order laws and r ules will they be governed under?Security is always a concern regarding information sent via phone and internet lines. Can medical information be protected properly and the doctors will be held liable for the embezzlement of a patients medical information. Although there are HIPPA laws regarding patients privacy according to ORTCC its a lot more difficult to guarantee confidentiality because several individuals outside the handed-down medical team. The transmission procedure requires technical staff at both ends. In small communities, it is possible that the patient knows the nonmedical personnel socially, compounding the sense of loss of privacy. Thus, the nature of the doctor patient relationship changes dramatically with telemedicine, challenging traditional concepts of privacy and confidentiality. (http//www.ortcc.org)ConclusionWith technology making waves telemedicine has been able to grow through leaps and bounds allowing those that are limited and restricted to receive the medical management of medical professionals. Physician has gain quicker access to other professionals without academic session face to face, digital images, and audio files of heartbeats and fetal movements. The privacy, protection, reimbursement, malpractice, and governing laws are still a concern but the efficiency of communication to provide medical care is needed.