Unit 1-Omd553-Telehealth Technology

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UNIT 1

TELEMEDICINE AND
HEALTH
History and Evolution of telemedicine, Organs
of telemedicine, Global and Indian scenario,
Ethical and legal aspects of Telemedicine -
Confidentiality, Social and legal issues, Safety
and regulatory issues, Advances in
Telemedicine.
TELEHEALTH
• “Telehealth is different from Telemedicine
because it addresses a broader range of
telemedicine services.
• Telemedicine refers to remote clinical services,
whereas Telehealth refers to both clinical and
non-clinical services. Remote sessions, such as
meetings, ongoing training. “
TELEHEALTH -EX
• A public health app that alerts the public of a
disease outbreak
• A video-conferencing platform for medical
education
TELEMEDICINE
• Telemedicine is the remote delivery of
healthcare services, such as health
assessments or consultations, over the
telecommunications infrastructure.
• It allows healthcare providers to evaluate,
diagnose and treat patients using common
technology, such as videoconferencing and
smartphones, without the need for an in-
person visit.
TELEMEDICINE -EX
• A mobile app that lets physicians treat their
patients remotely via video-chat
• A software solution that lets primary care
providers send patient photos of a rash or
mole to a dermatologist at another location
for quick diagnosis
Remote patient monitoring (RPM)
• Remote patient monitoring (RPM), also referred to as
telemonitoring, allows providers to track and monitor
their patients with chronic diseases (diabetes,
hypertension, etc.).
• RPM solutions equip remote caregivers with vital patient
data such as blood sugar or blood pressure levels so that
they can review such data in nearly real time and get
notified if a measurement is abnormal. RPM solutions
makes it possible for chronically ill, at-risk or recovery
patients to stay at home instead of being confined to a
hospital or clinic.
Examples of RPM
• Glucose trackers
• Wearable devices that track health and fitness
levels
• Smart beds that monitors patients‘ health,
communicate with hospital devices and equipment
and automatically make necessary adjustments
• Sensors that monitor the gait and balance of
patients with walkers and canes
Store-and-forward/asynchronous
applications

• Asynchronous telemedicine solutions, commonly referred to as


store-and-forward telemedicine, enable providers to easily store and
share patient medical data with other providers and practices.

Examples of store-and-forward applications:


• Teleradiology solutions that send patient X-rays to another
radiologist
• Teledermatology solutions that send patient photos for remote
diagnosis
• Telepsychiatry solutions that enable remote behavioral health
treatment
Real-time telehealth applications
• Synchronous telemedicine facilitates real-time
communication between physician and patient.
• Generally, real-time telehealth solutions take the form of
audio and video communication and replace in-person
visits.

Examples of real-time telemedicine:


• Live video and audio conferencing
• Emergency virtual consultations
• Remote follow-up visits
Why Telemedicine/Telehealth?
• Access: Time, Travel, Expense, Information -------- No need for
travel.
• Health Provider Collaboration. ------------ prevent patients
from becoming advanced cases and acquiring more cost.
• Minimize referrals Communication/Collaboration with
specialists
• ER ‗front-line‘ support. →Small hospital will alert a big
hospital if it couldn't handle a patient . so, it consults for or
transports this patient.
• Improved professional education
• Saves time, travel to outreach clinics
Challenges of Telehealth
• Infrastructure
• Liability
• Privacy psychiatry patient will be hesitate of using it.
• End-user lack of knowledge about the benefits, services available in
other settings
• Compromised relationship between health professional and patient
• Lack of time to adopt telemedicine
• Equipment costs
• Connectivity costs ,Reimbursement
• A lack of appropriate ,training and educational facilities
• The legal and ethical issues including licencing, privacy and
confidentiality
History of Telemedicine
• University of Nebrastea did first documented use of visual
telecommunication in health care in 1959.
• Under first telemedicine program in December 1988, the site
of massive earthquake in Armenia was linked to medical
centers in United States for telemedicine consultations.
• The program was extended to Russia to provide telemedicine
consultation to burn victims after a terrible train accident.
• First internet based telemedicine trials wall conducted in April
1955 when a Chinese studies zee Ling who was studying in
Beijing University fell sick.
History of Telemedicine
GLOBAL SCENARIO OF TELEMEDICINE
Advances in Telemedicine
• Patient Data Collection and Data Analytics
• Mobility and Cloud Access
• Enhanced Security
• Better Investment Opportunities
• Better Healthcare Apps
THANK YOU….

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