Telehealth is defined as a form of conferencing that connects patients and health professionals through technology, providing an array of services such as diagnosis and assessment, medication management and individual therapy (L'Abate, 2015). Telehealth is associated with many advantages such as including improved accessibility, flexibility relating to personalisation and reduced costs (L'Abate, 2015). However, the effectiveness of telehealth has become more prominent in recent years in its ability to successfully provide basic health care to those who have restricted access to health services, thus offering new opportunities of individuals to meet health standards, increasing their health status. In Australia, those in rural and remote geographical
Telehealth is an innovative approach to health care that is rapidly expanding in all areas of patient care. It has been shown to be cost effective and is rapidly being integrated into everyday practices from clinics, hospitals, court systems, school systems and even the local drug store.
Medical travel can be very stressful physically, emotionally, and financially. Moreover, due to very high unemployment rate most of the families cannot afford to have their own transportation vehicles to access primary care in the community. Transportation issue can also lead to missing appointments or delayed treatments. There are minimal health care services in the aboriginal communities, particularly those that are in rural, remote, and in north with limited to access to medical technology, equipment, supplies and medications (HCC, 2013). Majority of Aboriginals do not have access to technology, therefore, access to health information and promotion is limited. Telehealth and other virtual or mobile health care programs are available; the problem is that communities do not always have adequate information and communication technology and other infrastructures to reliably deliver these programs. The lack of a modern
Telehealth uses technology to provide services that assist in the management of long term health conditions. For patients, telehealth can be a blessing that allows them to remain in their homes rather than moving to rehabilitation facilities. By taking an active role in their own care, some patients are reducing the number of medications they take, visiting emergency rooms less frequently and even lessening depressive symptoms.
Telehealth has become a preferred method of healthcare delivery for many patients and healthcare professionals alike. Some key benefits include its convenience and cost effectiveness. It also allows patients to play a more active role in their own healthcare, which has been found to dramatically increase patient outcomes. While research suggests that the advantages of telehealth outweigh the disadvantages, it is important to note that not everyone would benefit from this form of technology. It is crucial for the patient’s healthcare team to assess if this method of healthcare delivery is appropriate for that individual patient. In today’s society, staying current on the latest technologies is extremely important. Although telehealth
The purpose of this paper is to discuss how technology has impacted the health care delivery system. Health care technology is advancing at an increasingly rapid rate in the United States, and globally. Patients and providers are witnessing these changes through the use of telehealth, and telemedicine applications. Telehealth, and telemedicine are often used interchangeably, however there is a difference between the two applications. Telehealth is the use of technology to deliver health care, health information, or health education at a distance (U.S. Department of Health and Human Services, n.d.).
The benefits of telehealth consultations are immeasurable; clients are able to access a knowledgeable health care professional and receive a telephone triage/assessment and recommendations. This allows the patient to have immediate access to good health advice and quicker solutions. Telemedicine is one of the many vehicles of telehealth; for example, the cardiologist orders an outpatient Holter Monitor trial to evaluate arrhythmias. The technician calls the patient at the sign of any abnormal rhythm and investigate the activity performed when the reading fluctuation then the reported is communicated to the cardiologist. If warranted, the cardiology staff will contact the patient with instructions schedule an immediate appointment. Telehealth services resources would benefit the client in this next example, an individual’s come in for a sick visit expecting a prescription to be written for their illness; they receive informative instructions because of the nature of the
Many of these barriers exist from lack of essentially knowing the benefits of what the incorporation of telehealth can offer within the aspect of this type of community. At times, there has been a great interest in telehealth surrounding its potential to reduce health care costs along with the improvement of patient outcomes, but at times there has been no known scientific evidence base underpinning it (McLean, Sheikh, Cresswell, Nurmmatov, Mukherjee, Hemmi & Pagilari, 2013).
Telehealth can help reduce high cost hospital visits such as stroke cases, neonatal intensive care unit (NICU) cases and other emergencies. There have been recent initiatives that collected data to see if telehealth was a cost effective option for healthcare. One initiative, Baby CareLink, places telehealth units in homes of low-birth weight neonates.12 For this initiative, Beth Israel Deaconess Medical Center (BIDMC) in Boston installs the telehealth units in the neonates home for $2,000, and that units replaces a NICU stay of $5,000 per day.12 If a neonate was to stay in the NICU for 7 days, that would be a $35,000 expense that the $2,000 telehealth unit replaces. 12 Different disease states and emergency states will have different cost factors depending on the amount of medical care. However, the amount that a family can save on their newborn by investing in telehealth is quite significant. In a study from the Milwaukee and Iron Mountain Veterans Affairs Medical Centers (VAMC) telepulmonary program, telehealth was found to be more cost effective compared to routine care. This study was conducted over a year and telehealth had costs of $335 per patient per year compared to routine care, which was $585 per patient per year, and onsite care was also compared at $1,166 per patient per year.13 A sensitivity analysis was performed on these values, and it did show that the cost-effectiveness telehealth was dependent on successful telehealth consultation, equipment cost, and
Telehealth has been a large topic of debate in recent years because of the economic, political, and regulatory points of view. In deciding outcomes in these areas, it is the responsibility of all healthcare professions to identify information gaps in order to come to the more rational and beneficial conclusion about telehealth (Grace, 2014). Economically, there are concerns regarding the access and affordability of telehealth equipment. At the same time, telehealth is being adapted in ways to be utilized with technological devices that many individuals already have access to like telephones, cellular phones, and personal computers/laptops. Telehealth can positively impact both clients and providers by increasing access to care and reducing the time and costs associated with traveling for health care (Allen, Aylott, Loyola, Moric, & Saffarek, 2015). As telehealth develops technological devices can be made more affordable and can be covered by insurance policies (Thomas et al., 2014). Many nurses functioning as case managers can help provide the tools and resources individuals require to manage their health.
Telehealth is an all inclusive, systematic approach application of care and case management. The program personalizes the delivery of health care services using health informatics, disease management and health technologies. Telehealth facilitates access to care and improves the health of designated individuals and populations.
As discussed earlier, Roja et al. (2014) found that there is minimal effort in developing programs for the Aboriginal community that are deemed culturally safe and appropriate care provided by health care professionals. With current advancements in technology, remote Aboriginal communities can now utilize a videoconferencing service where a physician can attend to them via Telehealth. According to Kowpak & Gillis (2015), this method uses a robot that has ‘peripheral examination tools such as a stethoscope, ENT camera, and a general exam camera’. Although this method paves way to a much acceptable timeframe to consult with a physician, Telehealth also has its fair share of criticisms (Health Canada, 2014). Telehealth is another form of service
Telehealth is the monitoring via remote exchange of physiological data between a patient at home and health care professionals at hospitals or clinics to assist with diagnosis and treatment. As our society ages and health care costs increase, government and private insurance payers are seeking technological interventions. Technological solutions may provide high quality healthcare services at a distance, utilize professional resources more effectively, and enable elderly and ill patients to remain in their own homes. Patients may experience decreased hospitalization and urgent care settings, and out of home care may not be required as the patient is monitored at home. However, no study has been able to prove telehealth
The delivery of health care has always been influenced by technological developments and innovations. This is particularly true in modern health care professionals where they are obsessed with technology and rush to apply them. One of the most recent applications of ICT – Information and computer technology- is telehealth. Telehealth is the use of communication, diagnostic and information technology to provide health care when patients and providers are geographically separated [2], Technologies include videoconferencing, the internet, store -and-forward imaging, streaming media, terrestrial and wireless communications. Telehealth could be as simple as two health professionals discussing a case over the telephone or as
Often the biggest barriers to accessing healthcare are cost and location. Lower income individuals just do not have the resources to have optimal healthcare, or cannot take the time away from employment to deal with health issues. One potential solution to help with these problems could be “telehealth.” Telehealth allows a lower level healthcare practitioner to communicate with a physician or specialists when necessary. Remote rural areas use a Physician Assistant or a Nurse Practitioner on location in remote areas.
There is an increasing need within the U.S. for quality health care to be provided to individuals who have limited access whether it is due to a rural environment, disabilities, or in the field of battle. Telemedicine is literally medicine provided at a distance. Telehealth is able to alleviate some of the effects of a growing shortage of professionals such as primary care physicians. In this type of health care delivery, the dynamics between the patient and the entire health care system changes. Telemedicine meets the increasing demands of patients to have greater access, or responsiveness, from a health care provider. It also meets the needs of the provider who is very interested in time-saving, safety-enhancing assistance in their daily practice. Employers and health plans are also very interested in telemedicine as a means of improving compliance with treatment plans and care management initiatives (Hodgkins, 2008). The use of email also allows the patient to have increased access to their health care providers. Instead of calling their health care provider’s office, patients are now able to email their non-emergent health care questions to their provider. Conversely, health care providers are able to email patients reminders for appointments or wellness tips.