Telemedicine for access to quality care on medical practice and continuing medical education in a global arena (original) (raw)

Crossing Borders: The Licensure of Interstate Telemedicine Practitioners

1999

Telemedicine enables health care providers to use electronic communications devices to deliver a variety of health care services to a patient without examining him in person. Telemedicine therefore enables health care providers who are licensed in one state to participate in clinical applications that involve a patient in another state. Since each state maintains its own system for licensing and regulating physicians and other health care providers, a telemedicine practitioner who is licensed in one state must determine whether it is necessary to obtain a license to provide services to patients in a different state. This Article examines the legal challenges that a state-based system of physician licensure poses for the practice of telemedicine across state lines. It describes the structure of current licensure requirements in the health care field and analyzes whether the practice of telemedicine should be considered to fall within the scope of such regulation. Finally, the Article...

The Promises and Pitfalls of Telemedicine

2017

Telemedicine technology promises to improve patient outcomes, lessen the burden of visits on patients, increase access to physicians, increase physician efficiency, and decrease costs. However, it must be incorporated into medical practice safely without impeding patient–doctor interactions. This will require an effective triage system, efficient physician workflow, and a HIPAA-compliant communication method, among others. Payment reform is a barrier to more widespread adoption: physicians must be able to care for their patients while being reimbursed. Technologies that enable real-time access to medical records, have the ability to capture high-quality images, and supply a comprehensive medical history will help further the success of telemedicine. The American Journal of Accountable Care. 2017;5(2):24-26 We are practicing in a time of rapid technological innovation. Telemedicine technology not only exists, but is increasingly being welcomed by healthcare consumers. It is imperativ...

Telemedicine

Managing Healthcare Information Systems with Web-Enabled Technologies

Telemedicine is redefining the boundaries of the doctor and patient encounter. No longer do the doctor and patient need to be in the same room. No longer does the doctor have to visually see the patient to develop a diagnosis. New telecommunications infrastructures have created the possibility for a virtual office visit, outside of the constraints of time and space. This radical change in physical boundaries creates a profound transformation of the doctor and patient relationship, the organizational cultures of the healthcare institutions involved, and the administration, management, and reimbursement of services. Debakey (1995) argued that telemedicine, or the use of telecommunications technologies within the field of healthcare, has the potential for having a greater impact on the future of medicine than any other modality. Although the term telemedicine can include a wide variety of applications and technologies, including database management, distance education, and electronic p...

Telemedicine: Innovation Has Outpaced Policy

The virtual mentor : VM, 2014

Digital-age technology offers great promise for improving access to and quality of health care via transformational care delivery mechanisms. Demand for innovative solutions has been driven by an aging population, high rates of chronic illness, geographic and sociodemographic disparities in access to care, and increasing numbers of insured Americans seeking care in the face of health professional workforce shortages; the AAMC recently projected an estimated shortage of 46,000 primary care clinicians and 45,000 specialists by 2020 [1]. Telemedicine or "connected care," facilitated by a range of digital technologies and broadband communications services, can help address many of the above challenges. Telemedicine is an exceptional tool for improving access, care quality, and population health. The field is advancing because of technological innovation, broadband expansion, professional engagement, strong evidence of its effectiveness, and consumer demand, but, for it to be properly integrated into everyday care in the twenty-first century, we must advance beyond twentieth-century public policy. What is Telemedicine? Defined as the practice of medicine using electronic communications services that connect a clinician in one location with a patient in another location, telemedicine services can be provided live, via high-definition interactive videoconferencing, or asynchronously, using store-and-forward technologies, mobile health tools, or remote patient monitoring. Its uses range from screening for diabetic retinopathy and management of chronic conditions such as diabetes to remote diagnosis and treatment of stroke, wound management aided by store-and-forward image programs, and collaborative management of malignancies by physicians in various locations. Telemedicine has been adapted to fit diverse models of health care delivery. Opportunities for hospitals and medical practices to adopt telemedicine are extensive, varying with the needs of the institution, the credentials of the medical professional, and the model they wish to deploy. Primary care and specialty clinicians can connect to their patients or to one another through live interactive videoconferencing, offer clinical services using store-and-forward technologies, serve on panels for telemedicine services companies, or keep track of patients' progress with monitoring programs in their homes. Hospitals may choose to collaborate using telemedicine technologies to address gaps in services, to improve triage, or to reduce readmissions.

EFFECTS OF TELEMEDICINE IN HEALTH CARE SECTOR

isara solutions, 2021

Telemedicine can be a generalized word used to distantly describe specific areas of health care. Telemedicine is also characterized in its broadest sense, as telecommunications systems are used to deliver medical knowledge and services. It's the use of electronic signals to move knowledge from one location to another. It is being more recognised with the usage of electronic imaging devices as regards online health treatment and consultation. Telemedicine incorporating electronic medical records will reduce the number of instances where doctors are unable to access patient information. A broad variety of safety issues have been tackled at a distance via telecommunications technologies. during a type of settings. Therapeutic, medical, and prevention resources are also offered through telemedicine programs, as well as patient care. It's useful for contact with doctors, pharmacists, patients and men. Patients, physicians and organizations are rapidly utilizing the telemedicine facilities. KEY WORD: concept, utilization and benefits of telemedicine INTRODUCTION: Aggregated by the rising medical requirements and the strong demands of patients with respect to healthcare facilities, inadequate medical personnel and unbalanced distribution of resources have become a global issue. This issue is extremely serious, typically metropolitan Chinese hospitals. The Chinese Government has consulted on a new medical education plan inside the healthcare sector to cope with it and and highlighted the adoption and utilization of telemedicine services. Telemedicine offers patients with exposure to high-quality clinical facilities through digital connectivity and computer processing Thus, telemedicine will significantly enhance the equity and reliability of provision of healthcare services and expand patients 'exposure to historically inaccessible or difficult to obtain professional skills. Clinical supervision means where a patient means tracked remotely by medical examiners using electronic tools, interactive camera or other instruments. This approach is primarily applicable to chronic disorders such as coronary failure, diabetes and asthma. Patients and physicians typically collaborate by video conferencing in real-time digital facility Patients will attend the nearest telemedicine centre with this facility with the help of tele-specialists Through promoting easy access to medical services, telemedicine will eliminate regional variation in evaluation, care and health administration The study performed in rural areas of the Brazilian state of Minas Gerais between 2009-2010 reveals that 80.8 tele consultations can be avoided. For appointments and 45.5 per cent for travel costs Several other reports have confirmed that telemedicine will

Telehealth and Telemedicine: Using Technology to Extend the Reach and Offset the Insufficient Supply of Health Care Professionals

Telehealth and Medicine Today

No abstract available. Editor’s Note: This is the first in a series of articles by Dr. Nigam on the use of digital information and communication technologies, commonly referred to as telehealth and telemedicine. In this article the author distinguished between these terms and identifies the potential contributions of digital information and communication in meeting healthcare challenges facing society today. In future articles, Dr. Nigam will address regulatory issues and the future of telemedicine. The series concludes with a comparison of the use of telemedicine in North America and the international community.

National Telemedicine Initiatives: Essential to Healthcare Reform

Telemedicine and e-Health, 2009

Telemedicine technology embodies the electronic acquisition, processing, dissemination, storage, retrieval, and exchange of information for the purpose of promoting health, preventing disease, treating the sick, managing chronic illness, rehabilitating the disabled, and protecting public health and safety. Telemedicine systems consist of collaborative health networks, facilities, and organizations dedicated to these objectives. Over the past several decades, telemedicine systems have demonstrated the capacity to do the following:

Telemedicine in the USA

Telecommunications Policy, 1979

The authors examine the development and use of telecommunications technology in the provision of health services and in that context discuss policy formulation relating to technological innovation in health care. In the course of their examination, they consider the nature of the major challenges facing health care delivery that are amenable to responses in telecommunications technology, present selected findings from telemedicine studies in the light of these challenges, and offer a set of policy recommendations.

Prohibitions on long distance treatment.: Historical roots and continuities in limiting the use of electronic telemedicine

2019

One of the advantages of telemedicine is its capacity to overcome the physical distance between a patient and a physician. Telemedical ICT technology, such as live-video interaction, may enhance patients’ access to a wide variety of healthcare services1, especially in areas that suffer from the shortage of physicians. With the help of technology, doctors could remotely treat patients situated in rural areas, other states or countries. However, in many jurisdictions, the availability of direct-to-consumer telemedicine is subject to legal constraints, such as prohibitions or limitations on offering long-distance medical treatment. The legal norms that limit the use of telemedicine have the most straightforward impact on its adoption. These norms may take the form of a straightforward prohibition on long-distance treatment or on its important elements, such as diagnosis.2 The limitations may also be more subtle; for example, they may focus on setting qualifications for consultations or...