Dr. Linette Williamson - Telemedicine in Oceanside
What Is Telemedicine?
Telemedicine enables health care professionals to evaluate, diagnose and treat individuals at a distance using telecommunications technology. The approach has been through a striking evolution in the last decade and it is becoming an increasingly vital part of the American healthcare infrastructure.
History
What we recognize as telemedicine today started in the 1950's when a few hospital systems and university medical centers started to look for ways to share information and images using the telephone. In one of the first successes, two health centers in Pennsylvania were able to send radiologic images over the phone.
In the early days, telemedicine was used primarily to connect doctors working with a patient in one location to specialists somewhere else. This was of great benefit to rural or hard to reach populations where specialists aren't readily available. Throughout the next several decades, the devices required to perform remote visits remained expensive and complex, so the use of the approach, while growing, was limited.
The rise of the internet age brought with it profound changes for the practice of telemedicine. The proliferation of smart devices, with the ability of high-quality video transmission, created the opportunity of providing remote healthcare to patients in their homes, workplaces or assisted living facilities as an alternative to in-person visits for both primary and specialty care.
Telemedicine vs Telehealth
Although the terms telemedicine and telehealth are frequently used interchangeably, there is a distinction between the two.
The term telehealth consists of a wide range of technologies and services to provide patient care and enhance the healthcare delivery system as a whole. Telehealth is different from telemedicine because it refers to a broader range of remote healthcare services than telemedicine. While telemedicine refers specifically to remote clinical services, telehealth can refer to remote non-clinical services, such as provider training, administrative meetings, and continuing medical education, along with clinical services. According to the World Health Organization, telehealth consists of, "Surveillance, health promotion and public health functions."
Telemedicine involves the use of electronic communications and software to provide clinical services to individuals without an in-person visit. Telemedicine technology is frequently used for follow-up visits, management of chronic conditions, medication management, specialist consultation and a host of other clinical services that can be offered remotely through secure video and audio connections.
Telemedicine Benefits
Using telemedicine as an alternative to in-person visits has a host of advantages for patients and providers alike.
Individuals enjoy:
- Less time away from work
- No traveling expenses or time
- Less interference with child or elder care responsibilities
- Privacy
- No exposure to other potentially infectious individuals
Providers enjoy:
- Increased revenue
- Better office efficiency
- An answer to the competitive threat of retail health clinics and online only providers
- Better patient follow through and better health results
- Fewer missed appointments and cancellations
- Private payer reimbursement
Telemedicine Definition
Telemedicine can be defined as using technology (computers, video, phone, messaging) by a physician to diagnose and treat patients in a remote location.
Applications
There are few limitations to how telemedicine can be used. Here are a few examples of how it is being utilized today.
Follow-up visits
Utilizing health software for routine follow-up visits is not only more efficient for providers and patients, but it also increases the chance of follow-up, reducing missed appointments and improving patient outcomes.
Remote chronic disease management
The increasing rate of chronic disease is a major challenge for our health system. It is a prime candidate for using telemedicine software because it makes it easier and less expensive for individuals to maintain control over their health.
Remote post-hospitalization care
One telehealth program for patients with congestive heart failure decreased 30-day hospital readmissions by 73 percent and six-month readmissions by half.
Preventative care assistance
Weight loss and smoking cessation are the keys to lowering heart disease and a host of other problems. Telemedicine can be a useful device in connecting providers with patients to make sure they get the help they need to be successful.
School based telehealth
When children become ill at school, they may visit a school nurse or be picked up by their parents and taken to an urgent care center. Some innovative districts have partnered with doctors to perform remote visits from the school. The provider can assess the urgency of the situation and provide instructions or reassurance to parents.
Assisted living center support
Telemedicine software has already proven to be useful in keeping residents of assisted living facilities out of the hospital. Issues frequently occur at night or on weekends, making hospitalization the only alternative even for less urgent issues. With telemedicine, on-call physicians can perform a remote visit to determine if hospitalization is necessary.
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