Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Policy issues in telemedicine
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Legal and Ethical Concerns/Issues
Telemedicine is a new comer to the field of medicine and it is the treatment of patients by means of telecommunications technology. Telemedicine is carried out in a variety of ways whether it is by smart phone, wireless tools or other forms of telecommunications. Examples of telemedicine include: 1) transmission of medical images 2) care services at the home of the patient 3) Diagnosis at distance 4) education and training of patients. The diversity of practices in what is known as telemedicine raises many questions and one of those questions, which is extremely important, relate to the safety of the practice and the risks involved.
There are a myriad of concerns related to telemedicine due to the inherent risks involved, which relate to the more obvious reason that most people would think of when the concept of telemedicine arises. One of the most obvious concerns related to telemedicine relate to equipment breakdown. Equipment breakdown is a serious concern to patients and doctors when it comes to telemedicine because in order for telemedicine to function properly it requires that all of the equipment to function smoothly because of the sensitivity of the problems that relate to what is being performed. Examination cameras, remote monitoring devices, digital scopes, mobile telemedicine carts and even surgical robots are all working in tandem in order to prevent the passing along of inaccurate patient information that can seriously harm a patient’s health.
The next problem related to telemedicine relates to security and private breaches. In order for telemedicine to work properly it requires that sensitive patient information be transferred from location to location that may be quite a dista...
... middle of paper ...
...physician and the patient must meet first in person face to face. In Florida the following must be completed before the any physician is allowed to begin telemedicine:
• A documented patient evaluation, including history and physical examination to establish the diagnosis for which any legend drug is prescribed.
• Discussion between the physician and the patient regarding treatment options and the risks and benefits of treatment.
• Maintenance of contemporaneous medical records that meet the requirements of Florida law.
References
Center for Telemedicine Law (2003, June). Telemedicine Licensure Report. Retrieved from http://www.hrsa.gov/ruralhealth/about/telehealth/licenserpt03.pdf
Fla. Stat. § 766.104 (2002)
Telemedicine License | State Requirements | Medical License Service. (2013, January). Retrieved from http://www.medicallicensedirect.com/telemed.html
Abstract: Electronic medical databases and the ability to store medical files in them have made our lives easier in many ways and riskier in others. The main risk they pose is the safety of our personal data if put on an insecure an insecure medium. What if someone gets their hands on your information and uses it in ways you don't approve of? Can you stop them? To keep your information safe and to preserve faith in this invaluable technology, the issue of access must be addressed. Guidelines are needed to establish who has access and how they may get it. This is necessary for the security of the information a, to preserve privacy, and to maintain existing benefits.
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.
Reimbursement policies prevent the total integration of telemedicine into health care practice (Prinz, 2008). Today, there is no overall telemedicine reimbursement policy in the federal health care system (HRSA, 2011 & OAT, 2003). As a result, reimbursement for telecare has been limited and somewhat haphazard. It’s up to each state to specify what telemedicine services, if any, are eligible for Medicaid reimbursement (HRSA, 2011 & OAT, 2003).
Telepsychiatry has been used for many years and is highly regarded as an area where the use of telemedicine has been successful. It has been defined as “The delivery of healthcare and the exchange of healthcare information for purposes of providing psychiatric services across distances” (Woo...
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
In the final part of Tele Health project, there are various aspects which we have to focus on. Tele Health services is already working successfully through remote connection, but it needs a server where it can store even large database, and it needs a security system also. Points mentioned below will be covered in this assignment.
The increased use of high speed communication technologies has not only speeded up the delivery of care, but has opened new portals for potential breeches of patients ' privacy. With increased specialization and sub specialization and resulting increases in consultation, greater need for communication between health care professionals has arisen, and so has the potential for more complete patient
...e telemedicine applications. Unpublished manuscript, Concurrent Engineering Research Center, West Virginia University, Morgantown , West Virginia. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233549/pdf/procamiaafs00001-0381.pdf
Today, providers store patient’s medical record electronically with an easy access via the Internet to users, stakeholders, and agencies. An easy access provides better patient’s care, but also raises concerns about the safety and confidentiality of the information. Medical records are extremely personal and should never be shared with anyone without patient’s consent or as required by law. Our government has implemented laws to protect the consumer’s health records. Strict enforcement of the laws has been effective in limiting breaches of patient’s confidentiality, although there are plenty of cases where we still find compromised patients’ information.
The main ethical dilemma in Healthcare industry is access to information and protecting privacy rights of patients. Handling sensitive data about patient information, storing and transferring it from one system to another is an issue. Storing the data files properly is also essential. The healthcare personnel should not have to go through lengthy paperwork just to access a single record. Patients and auditors can ask for access to the information at any time and so the information needs to be transmitted efficiently and safely to them. Similarly, critical information should not be difficult to retrieve also for a doctor. Suppose in an emergency situation like an accident, the doctor needs to access patient records. The doctor should not have to go through multi-factor authentication system in order to gain access to the records.
After extracting the screaming infant from the wreckage, the paramedics delicately situate the boy on the stretcher and wheel him into the ambulance. The child, a victim of a traumatic motor vehicle collision, barely holds onto his life, having lost a limb with severe blood loss and head trauma. When the ambulance screeches to a halt outside the emergency room doors, nurses sprint outside and bring the agonized boy inside. Before they can even settle him in a room, doctors have already inputted his symptoms into a database and received his estimated chance of survival and which treatment to administer.
Technology and the health care system are constantly improving every day making patient and health care providers easier to communicate and obtain vital information. One topic that is explained in the following paragraphs is about telemedicine: the date of inception, the history of telemedicine and its milestones, the uses of telemedicine, how it is affecting patient care and the potential areas for fraud and abuse.
Health informatics in the future will allow providers to provide their services remotely, have better collaboration between different health care providers; and the ability to shift the focus from treatment services to preventative health care which will allow for better quality and care. Telemedicine in health informatics is the way of the future as it has the potential to transform the way patients are cared for. It is a way for providers and patients to interact with each through an integration of technology and care (AAFP, 2016). Through telemedicine providers will be able to provide real-time service such as remote patient consultations. Providers are able remotely monitor patient’s vital signs and conditions or continuously track a
Telenursing has become an effective way for nurse and health care provider to assist their patients from a long distance. The innovative way of telecommunications and information technology allows nurses to provide care at any time and from any distance to individuals. The practice of telecare and home telecare has facilitated and become an important component of nursing that offers patients accessible and good quality of care without the inconveniences of commuting to health care facility.Telenursing has met patient satisfaction related with fast and high quality response from nurses.
Imagine the ability to obtain healthcare services from almost anywhere in the world where you have access to a phone or computer. Now, imagine being able to provide nursing assessments, diagnosis, treatments, and recommendations to your patients from your home to almost anywhere in the world. Lauren Stokowski (2008) noted in her article that one fourth of the United States has rural residents. That number may appear small in comparison to the urban residences; however, rural residents have a tendency to to have “higher poverty rates, larger percentage of elderly, and tend to be in poorer health”. Could telenursing be a solution?