The need to achieve the triple aim established by the Institute for Healthcare Improvement, of improved patient outcomes and access to care and cost savings to the health care system motivates healthcare organizations to implement telehealth services or expand their virtual services. Hospitals are implementing telehealth to avoid unnecessary visits and give patients, most especially in rural areas, easier and faster access to medical care (Aston, 2015, p. 22). The use of telehealth has the potential to improve the quality of care, health outcomes, and patient satisfaction and lower health care costs if use appropriately (Grube, Kaufman, Clarin, & O’Riordan, 2016, p.43). This paper will discuss about telehealth, the benefits of telehealth and the barriers to telehealth adaptation. Telehealth 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
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
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.
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.).
monitored by medical professionals. According to McKnight (2012), “Studies indicate patients with telehealth care are noted to have a 25% reduction in the number of inpatient hospital days and a 19% reduction in the rate of hospitalizations” (p. 4).
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).
In the face of the limits of traditional support, it is necessary not only to redesign an organization, but to a paradigm shift that allows the socio-health performance to be efficiently and sustainably distributed to the widest possible audience. Digital technologies applied to healthcare and healthcare systems can increase their efficiency, improve their quality of life and give innovative impetus to healthcare markets. Telemedicine services can therefore be assimilated to any diagnostic / therapeutic health service. However, telemedicine performance does not replace traditional healthcare performance in the personal-patient relationship, but integrates it to improve its effectiveness, efficiency and appropriateness.
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.
The framework for telehealth builds on the successful outcomes including patient satisfaction and reductions in hospital readmissions. Veterans Health Administration’s telehealth services reported patient satisfaction levels greater than 85%, and reductions in bed days of care exceeded 40% among patients receiving the care technology. The Framework provides a vision, direction, and systematic approach for utilizing telehealth both statewide and locally. The framework will also be a tool to educate decision-makers on the impact of chronic disease, the importance of prevention, and the potential economic return of investment in a proven, community-based
Telemedicine refers to the use of medical information, which is exchanged from one place to another through several electronic communications to improve the health status of patients. Telehealth is closely associated with the term telemedicine. Telehealth encompasses a broader definition of the remote healthcare, which does not necessarily involve any clinical services. As such, transmission of images, video conferencing, medical education, e-health such as patient portals and nursing centers are all part of telehealth and telemedicine. Telehealth and telemedicine are critical issues within the healthcare sector for both the practitioners and the consumers. With the increase in telecommunications development, the internet, and lowered costs of technology, the use of telehealth and telemedicine may have a revolutionary and profound impacts in the field of medical care worldwide. Telemedicine is imperative to healthcare professionals because it is cost efficient, improves access to health care and the increased convenience for
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
Its applications is known to be a prospect of developing organizations by networking , achieving high standards of quality care, promoting wellness and disease control and cost reductions. The beauty of telemedicine is giving an opportunity for patient’s to be discharged earlier from hospital (George et. al. 2008). As a private hospital we are aware that the medical bills are remarkably high. Thus this would help to reduce the financial burden for the patient and their family. In healthcare point of view it is beneficial to the organizations as the turnover is more rapid. By having telemedicine patients are empowered to take care of their own health (Vernic, 2012). Researcher had proven that patients who are empowered shows good improvement in managing and controlling their disease. Another plus point that I realize with telemedicine is the commitments of the family members. I strongly believe that family members play a major role in assisting patients to recover
Hence, the findings through the American Medical Association (AMA) telemedicine technology has the possibility to renovate health care delivery and address numerous care coordination challenges facing the U.S. health care system, which can enable remote, mobile and site-to-site medical care. Moreover, telemedicine primarily the key innovation in support of health care delivery enhancement used in initiatives to increase access to care, care coordination and quality and properly used has the potential to decrease the rate of growth in health care spending. However, there are three broad categories of telemedicine technologies such as store-and-forward, remote monitoring, and real-time, interactive services.
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.