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Barriers in implementation of Telehealth
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Barriers in implementing Telehealth 1. Organizational barrier - To convince the panel of directors in the health care organization, to fund for Telehealth technologies (as not every patient pays for them, nor every physician in the hospital utilise them) and to show them positive benefits from it is a major challenge. Implementation of telehealth infrastructure can be costly, time consuming and complicated initially. 2. Physician engagement - Physicians often resist acceptance of new technology and complain about lack of hands on interaction with patients with Telehealth. According to Gustke et al (2000), fear of malpractice suites is another consideration for physicians. Lack of staff with appropriate skills for telehealth also poses a
The author’s sources support the conclusion that innovations in health technology will help improve patient care. Using not only Dr. Martin but others who are being trained in the field such as Sean Hayes, a Baylor MB/Healthcare/MSIS candidate, who in the article spoke of how a physician can be patched in by video and do a distance consult, which he saw as cost sharing in rural areas at may not be able to afford
[20]Charles BL. (2000) Telemedicine can lower costs and improve access. Healthcare Financial Management. 54(4): 66.
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 benefits conclusively. This change in health care delivery presents new ethical concerns, and new relationship boundaries between health care professionals, patients, and family members. This paper will discuss telehealth benefits in specific patient populations, costs benefits of using telehealth, and concerns of using telehealth.
Among the main aims of health care reform and improvement is expanding healthcare access to different populations, which have been subjects to underserving for a long period. These include the poor, the previously uncovered, rural societies, and the minorities, to mention just a few. Great challenges definitely lie ahead, since several individuals start seeking access to the primary healthcare clinicians (Arnaert & Delesie, 2001). Telenursing assures to be a crucial tool to meet such needs. It refers to making use of the telehealth technology in conducting nursing practice and delivering nursing care. Because of the quick telemedicine technology adoption within the healthcare institutions, telenursing emerges as a fresh tool that provokes discussions
Providers are faced with having to weigh the expense of investing in telehealth technologies with the ability to generate enough revenue to cover these costs. This is often difficult as expenses in the literature can cover those directly linked with the delivery of care (healthcare costs) and those that are not directly related to providing care (non-heath care costs) (Bergmo, 2009). Some of the healthcare costs a practitioner must consider are items such as computers, video cameras, microphones, modems, routers, software and other components such as specialized stethoscopes and imaging equipment needed to assess an individual patient. The cost of these items can add up quickly. As one study estimates, the capital expenditure for the implementation of telehealth video conferencing can reach as much as $80,000. The cost of transmitting data in order to deliver these services can also reach $800-$2000 per month in spoke and hub type telehealth systems (Gamble, Savage, & Icenogle, 2004). These costs incur even more ...
Kansas is considered a rural state in the United States. Merriam-Webster (2012) defines rural theoretically as “open land” or “relating to the country, country people or life, or agriculture”. The U.S. Census Bureau considers rural to be “open country and settlements with fewer than 2,500 residents” (Cromartie, 2007). Nearly 17% of the U.S. population lives in rural areas, which is about 80% of all U.S. territory (Cromartie, 2009). What this means that there is more land mass compared to the people inhabiting the land; rural communities have fewer people living in larger, more remote areas. Individuals living in rural communities have different cultures and experiences than those living in urban communities, which can become problematic in regards to healthcare.
Adams A, Adams R, Thorogood M, Buckingham C. Barriers to the use of e-health technology in nurse practitioner-patient consultations.Informatics In Primary Care [serial online]. June 2007;15(2):103-109. Available from: Academic Search Premier, Ipswich, MA. Accessed November 29, 2013.
TP has grown from a single store in 1988 to the largest pizza chain in Spain. At the end of 1997 they had 399 stores and an estimated market share of 62% in Spain. But what made it so successful? There are several reasons for that in the TP concept:
Many fear entering a doctor 's office. They are afraid of talking to a doctor, filling out endless paperwork, encountering unknown bills and receiving unwanted diagnoses. These are all problems, however, that modern patient engagement technology seems to be alleviating. With patient engagement technology digitizing forms, allowing for secured payment and helping manage treatment plans the gap between patients and provider seems to be decreasing tremendously. Ultimately patient engagement technology is clearing communication pathways and helping improvement long term health and status of patients in a multitude of ways!
The new communication systems also give patients additional satisfaction as compared to the traditional techniques. Patients are delighted at the quality of communication services that come along with the program. As pointed out by one of the physicians at Colorado Permanente, the system is patient-centred and a real satisfier to them (Bishop et al., 2013). The positive feedback that is received from the patients is a clear indicator that the move towards adoption of the electronic communication services in the health sector is aimed at value creation for the
Healthcare relies heavily on the use of technology. Sonograms, x-rays, electronic health records are commonly known technology uses, and there are many more. This paper will focus on an aspect of technology in healthcare: telehealth and telenursing in healthcare. It will explain how health care has been successfully implementing telehealth, as well as the complications and negative aspects of telehealth.
Mandl, Kenneth, MD., Kohane, Isaac, MD., Brandt, Allan, MD. (1998). “Electronic Patient – Physician Communication: Problems and Promise”. Annals of Internal Medicine, 129, 495 – 500.
E-Health, which is inclusive of Telemedicine and the use of Electric Medical Records (EMR), is a potential solution to the problems of accessibility, quality and costs of delivering public healthcare services to patients. Although e-health has become quite common in recent years, it remains unclear the degree to which clinicians are able to accept and use these new and rapidly developing technologies. The use of information and communication technologies in healthcare is seen as essential for high quality and cost-effective healthcare. However, implementation of e-health initiatives has often been problematic, with many failing to demonstrate the predicted benefits (Zhang, 2015).
In conclusion, when used sensibly and wisely telemedicine and social media offer a platform to promote individual and public health. Strong leadership with a focus on ethical values, and following laws to minimize legal concerns while protecting patient privacy will advance the organization. The digital age is changing the future of the healthcare delivery system, thus management will be reshaped to better facility the new and fast growing market. However, when heedlessly used the dangers associated with these technologies create more harm than good.
From state and federal levels, the healthcare industry has come a very long way, experiencing changes along the way. The development of advanced technology that has enhanced the quality of healthcare delivery systems will help all patients to be able to benefit. Doctors are able to access patient records at a faster rate and respond to their patients in a much more timely fashion. E-mail, electronic transfer of records and telemedicine will give all patients and physicians the tools needed to be more efficient, deliver quality care and deliver quality telecommunication at a faster pace than before.