Feasibility of Telehealth

In the United States, a renewed interest occurred in telehealth in the 1990s according to McGonigle and Mastrian because of escalating costs, the need for greater access for all

telecommunications infrastructure and access to Information and Communications Technology (ICT) in First Nations and Inuit communities significantly limits opportunities to link federal health facilities to health programs and services delivered through provincial and territorial telehealth networks (Health Canada, 2004).

Telehealth is remote exchange of data between a patient and doctor that facilitate in better diagnosis of patients and monitoring typically used to support patients with long term conditions.

It excludes the option of face-to-face communication during examinations. Finally, telehealth focuses on educational and research purposes involving all types of caregivers with telecommunication between patient and health professionals. Health care delivery in its use of information, records, communication, and will continue to grow with the Internet. The rapid expansion of information technology into daily life and business has healthcare delivery begin to adopt and optimize the use of technology.

This paper will discuss the Canadian healthcare system compared to the United States healthcare system. Although they’re close in proximity, these two nations have very different health care systems. Each healthcare system has its own difficulties, and is currently trying to find ways to improve. Canada currently uses the Universal Health Care system; which provides healthcare coverage to all Canadian citizens (Canadian Health Care, 2007). The services are executed on both a territorial and provincial basis, by staying within the guidelines that have been enforced by the federal government (Canadian Health Care, 2007).

While sometimes used interchangeably in literature, telemedicine is the remote delivery of clinical data using the internet, telephone, wireless, and satellite media (“The Rise of Telehealth,” 2015). Telehealth services are provided through various devices such as cell phones, the internet, video, and computer software. The goal of telehealth is to “provide the right care at the right place at the right time” (“Home Telehealth: A Tool for Diabetic Self-Management,” 2016). Telehealth applications perform a wide array of functions. For instance, certain programs collect objective and subjective findings which help the healthcare team identify a diagnosis. Some telehealth technologies have been designed to allow images to be uploaded and assessed by healthcare professionals. Certain applications provide the patient with remote monitoring. Other services are designed to educate and prevent certain disease processes among its users (“The Rise of Telehealth,” 2015). All of the services which telehealth offer are designed to track various trends in patient data and the goal is that they be as user friendly as

Canada 's healthcare system is praised globally for its universal and free healthcare. It started to take shape after World War II in 1945. Health insurance was introduced and was attempted, but was not successful even though there was an increase in the spending of health related services and goods. Fast forward a few years to 1961 where Tommy Douglas, the premier of Saskatchewan, developed the idea for an all-inclusive insurance plan. He later inspired the Medical Care Act in Canada in 1967, when he pointed out health care is a right for all Canadians. From this one thought, Canada has become of the many countries with a universal health care system. Ever since Tommy Douglas sparked the idea for health care coverage, Canada is praised for the way it carries out its system because of several key features. This system is publically funded, is universal and is accessible to everyone across the nation. Because this is a public system, funding comes from the tax payers and some federal funding, so there is no extra cost for the patients. Also, being a universal system it has offered care to all Canadians, immigrants and visitors. Unlike the U.S who does not provide healthcare to its entire population because it is a private system; access depends on how much someone could afford, and how

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

Northern Canada is comprised of remote stretches of land that “are removed from major population and service centres” (Schmidt, 2008, p. 3). Many of the services easily available in urban areas are not readily available in these areas (Schmidt, 2008). Significant barriers to accessing health care can be seen as “more than two thirds of residents in northern and remote regions live more than 100 kilometers from a

daunting task of caring for a rapidly aging and ever expanding population1—the corollary of which is increased need for

“Telehealth changes the location of care by connecting patients and clinicians virtually, in place of the usual face-to-face contact.” (Darkins 2012).

Telehealth is the use of electronic information to support long distance clinical health care, patient education, and public health administration. Telehealth involves video conferences, internet, streaming media, and wireless communication to deliver health related services. It encompasses the preventative, promotive, and curative aspects of health care. This system exchanges health related data and other information between the patient and the health care professional to help with the diagnosis and management of conditions. It allows for conferencing between health care professionals and patients in “real time”, remote patient monitoring (such as the blood pressure monitor feeding results through the system), electronic consultation, transmission of medical data, health advice in emergency cases, and long distance patient education. Telehealth is great for monitoring a client in between doctor appointments in order to assess their progression. This benefits the clients because it reduces the need for hospitalizations and visits to the emergency room, while improving their quality of life.

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

One thing that did catch my eye is that in the author’s opinion, “communication between cancer specialists of tertiary care medical facilities and doctors at the primary and secondary hospitals is not easy to establish due to geographical and institutional problems” shows that they are not confident on the technological development that the telemedicine system is capable of bring to the community. The reason is because there are some applications (to be used in the smart devices) that being developed which doctors in various geographical locations can use to discuss the condition or illness of the patient and come to a conclusion of the best fit treatment plan.