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Goals and Objectives DEFINE TELEMEDICINE OUTLINE ITS PURPOSE REVIEW THE PROS AND CONS PATIENT SAFETY IN TECHNOLOGY THE FUTURE OF VIRTUAL HEALTH CARE Loading… VIRTUAL CARE defined as ….”any interaction between patients and/or members of their circle of care, occurring remotely, using any forms of communication or information technologies with the aim of facilitating or maximizing the quality and effectiveness of patient care.” (VCTF) This Photo by Unknown Author is licensed under CC BY-NC ” ” The use of telecommunication technology to provide, enhance or expedite health care services, as by accessing offsite databases, linking clinics or physicians’ offices to central hospitals, or transmitting x-rays or other diagnostic images for examination at another site. The American Heritage, Medical Dictionary TELEMEDICINE DEFINED Loading… TELEHEALTH vs TELEMEDICINE Telehealth •Refers to health information services, health care education, and health care services in a broad sense •Telehealth technology enables the remote diagnoses and evaluation of patients and the ability to remotely detect fluctuations in the medical condition of the patient at home •For example remote monitoring of vital signs, ECG or blood pressure Telemedicine •Refers to the use of information technologies and electronic communications to provide remote clinical services to patients •For example digital transmission of medical imaging, remote medical diagnosis and evaluations, and video consultations with specialists History of telemedicine The idea of Telehealth dates back to the 1940s. In Pennsylvania, radiology images were sent 24 miles between two townships via telephone line in the world’s first example of an electronic medical record transfer. Canada was also an early pioneer in the development of virtual care through the work of the late Dr. Maxwell House of Memorial University of Newfoundland in the 1970s; he used telephone technology to provide virtual consultations to remote sites throughout the province. Why Telemedicine will grow in healthcare delivery •There is a persistent shortage of family physicians in Canada. •According to Statistics Canada in 2017 4.7 million Canadians aged 12 years and older reported that they did not have a regular health care provider • 4 in 10 people with a regular provider could not get an appointment either the same or next day when they needed one. •In November 2018 there were almost 2,000 advertised positions for family physicians, not including part-time and locum positions The World Health Organization (WHO) has projected that there will a global shortage of some 18 million health workers by 2030. Waiting for Treatment PRE-COVID • Specialist physicians have reported a median waiting time of 22.6 weeks between referral from a general practitioner and receipt of treatment •2020 wait time is the longest wait time recorded and are143% longer than in 1993, when it was just 9.3 weeks. •It is estimated that, across the 10 provinces, the total number of procedures for which people were waiting for in 2020 was 1,224,198. This means that, assuming that each person waits for only one procedure, 3.2% of Canadians were waiting for treatment in 2020 (Fraser Institute 2020) Pros of telemedicine This Photo by Unknown Author is licensed under CC BY-ND Loading… More Convenient and Accessible Patient Care 1.Patients prefer easy access to healthcare services over in-person interactions with providers 2.In today’s world, convenience is key 3.Better access for patients who live in remote locations, or who are immobilized or homebound 4.Increased productivity as a result of fewer in person consultations 5.Reduction in expenses for both patients and providers eg. Patient incurred expenses for travel, lost wages, less overhead for DRs who add working from home to their schedule Cost effective and offers healthcare savings 1.reduces unnecessary non-urgent ER visits 2.eliminates transportation related expenses for regular checkups 3.Remote analysis and monitoring services and electronic data storage reduces healthcare service costs 4.For Physicians telehealth can help boost revenue by turning on-call hours into billable time, attracting new patients, reducing no-shows, and even reducing overhead if they choose to change to a work from home schedule parttime Increased Patient Engagement 1.When patients are committed to their health care goals it leads to lower costs and improved health 2.Increased engagement initiatives can also curb obesity rates and tobacco use by helping encourage patients’ healthy lifestyle choices. 3.Patients can maintain appointments and care schedules independently feeling more in control of their healthcare 4.Virtual visits makes it easier to reach out with questions, report early warning signs, and make follow-up appointments Better Patient Care Quality 1.Patients in rural or remote areas benefit from quicker and more convenient specialist access – patients can be referred to the specific physicians they need, regardless of location. 2.Telemedicine offers patient-centered approaches, such as improved timeliness of care which is critical to quality patient care. Being able to address healthcare issues quickly and learn about treatment options in minutes. Studies shows that telemedicine patients score lower for depression, anxiety, and stress, and have 38% fewer hospital admissions (AJMC,2015) Cons of using Telemedicine Technical Training and Equipment Hardware •Adequate screen space —Virtual visits require additional screen space •• High-definition video camera with microphone •Good-quality speakers or earphones/headphones to provide patient privacy from being overheard •Secure USB drive for electronic storage Training •Restructuring IT staff responsibilities and purchasing equipment takes time and costs money. •Training is crucial to building an effective telemedicine program Trouble shooting •High quality and reliable internet connectivity is required •Possibility of encountering technical difficulties •Concerns regarding the privacy and security of patient data Reduced Continuity of Care relational continuity When patients are using on demand telemedicine services this connects them with a random healthcare provider informational continuity A patients primary care provider may not have access to records from those other visits and end up with an incomplete history for the patient management continuity A patients primary physician will encounter difficulty managing their care and shared services/care because of the possible disconnection of information Fewer In-person Consultations As much as some patients can see the value and prefer the convenience offered in virtual care, many patients still like the face to face interactions with a physician. Not all procedures – even simple checkups – can be performed not in person.
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