Telemedicine : The Delivery Of Healthcare Services

According to McGonigle and Mastrian (2009), in 1955, the Nebraska Psychiatric Institute began using closed circuit television to provide routine distance education and teleconsultation between itself and a remote state mental hospital. In 1965, cardiac surgeon Michael DeBakey performed open-heart surgery and transmitted the procedure live to a hospital in Genieva, allowing him to describe the process and to answer questions. McGonigle and Mastrian also indicate NASA began using telehealth in the 1960s and 70’s to monitor astronauts’ physical and mental health as well with much success.

Telemedicine is defined as, “The use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status. Telemedicine includes a growing variety of applications and services using two-way video, email, smart phones, wireless tools and other forms of telecommunications technology” (“What is Telemedicine”, n.d)

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

In this context telemedicine and technological capability can respond to two major strands: the first is a simplification to ensure that with available technologies, all actors of a clinical path from taking care to resign, share real-time Useful information for themselves and for other professionals in order to identify and follow the best path. The second strand is the provision on the territory of technological capacities that are very developed in a hospital environment but whose deployment is quite circumscribed.

Telehealth is one of the major types of Health Care Information Systems (HCIS) that enables providers to connect with patients and consulting practitioners across remote areas to support patient and clinician education, diagnosis and treatment, chronic disease management and monitoring, and provider-to-provider interactions (Grube, Kaufman, Clarin, & O’Riordan, 2016, p.43). Telehealth is not a new idea. It initially started in 1950’s and 1960’s when the Nebraska Psychiatric Institute started the closed-circuit TV to monitor patients in rural areas where health care is not easily accessible (Agency for Healthcare Research and Quality, 2015). The development of internet and broadband and

Telemedicine has provided better access to health care to many individuals that would otherwise not be able to get required health care services. Telehealth is a means to improve access to care, while reducing costs of transportation and increasing accessibility to patients in obtaining care. Telemedicine allows for healthcare information to be shared with treatment team members that are separated miles from each other with the ability to communicate in a timely manner. For information technology to impact care, one has to be knowledgeable about the use of technology

The Telehealth services will include the use of technology to deliver telemedicine. The budget will fund the hospital with videoconferencing software, computers, webcams, and trained employees to set up and document the process. The equipment will allow physicians or patients to consult virtually with other physicians and specialists. Instead of missing a day of work or school and commuting hours for an appointment with a specialist, patients will be able to visit their local hospital and consult with the specialist via technology. Consultations, examinations, and monitoring are services that can easily be provided through

In today’s time, the Internet is really altering the way us Americans intermingle with the healthcare system. The Internet is making consumers more desirable to use it, in hopes for more opportunities. With the help from the Internet, telemedicine is becoming one of the best cultivating advanced technology in healthcare right now. Telemedicine can be defined as the use of medical information that is exchanged from one site to another (americantelemed, 2012). This process utilizes technology and digital communication in order to help patients’ progress. Important aspects of telecommunication include video, email, mobile devices, and more. So, in a nutshell telemedicine allows patients to communicate with their assigned physician about any

What is telehealth? Telehealth is the information and communication technology which delivers health services over distances. This information includes Internet or web-based ‘e-health’ and video-based applications which can be delivered in real-time or store-and-forward mode. Telehealth is unique and has the capability to cross geographical, temporal, political, social and cultural barriers within the health sector. Telemedicine is often used interchangeably with telehealth, however the term telemedicine generally implies a physician mediated interaction with patients.”[2]

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

Telemedicine is similar to Telehealth. Telehealth refers to a broader scope of remote healthcare service but Telemedicine refers specifically to remote clinical services. Telehealth can also refer to remote non-clinical services. For example provider training and meetings (link 3). In the past the network is not as fast as now, thus telemedicine is only use in clinical services. Now, due to the development of network, more information can be transferred in a shorter period, thus Telemedicine can be to provide other non-clinical services. The word “Telehealth” refers to both clinical and non-clinical services.

There are several forms of technology that is used to monitor, assist patients with self-care management, assist physicians with delivering care to their patients, including consultation with specialist, and overcoming barriers with transportation. “60% of the healthcare executives, physicians, and nurses in this inaugural survey said that telemedicine was a high priority for 2015“ (Vockley, 2015, para. 7) Telemedicine

Telemedicine is the use telecommunications and information technology to provide healthcare to patients located in the remote or distant locations. For example: people staying in the mountainous areas or islands can get medical services right at their home with the help of smart devices or patients who cannot go to the hospital for some reason.

The use of telecommunications in health care continues to grow each year and has enhanced the opportunities for individuals that make up the medical field. This opportunity is expected to be enhanced in Darby Medical Center, a center I last visited. Even though there are proofs of technology advancement in some of the facilities within the center yet there are some expected tools that need to be implored into the system in order to foster standardization. Majorly, the telecommunications are better in some aspect and poor in other. There are needs for this center to "step up" in the area of electronic communications for better attainment of better care.