Telemedicine:The Medicine with Heart

Contents

i. Introduction

ii. Definitions

iii. Communication

Type, Medical, Common

iv. Benefits & Concerns &

Requirements

v. Who needs Telemedicine?

vi. The Top 4 Medical Fields

Chart, Radiology, Dermatology,

Psychiatry, PACU/Anesthesiology

vii. Conclusion & ReferencesPhoto by Cheryl Bennett

Telemedicine is not entirely a

modern day miracle in the medical

world. However, each new decade

brings innovations towards

improving healthcare. Telemedicine

is truly becoming the medicine with

heart.

Introduction

Definitions ofTelemedicine

The combination of traditional

health care and telecommunication

technology.

(Birk, 2008 p. B.1)

Transmitted interactive audio,

visual, and data communications

(Burg/Hasse/Cipolat/Kropf/Djamei/Soyer/

Chimenti, 2005 p.170)

How is Medical Data Communicated?

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and Videos

Types of Communication

Synchronous

Same time

communication

between medical

personnel

(Torrey, 2008 p.1)

Involves:

Patient/Doctor

Doctor/Doctor

Doctor/Robot

Asynchronous

Forwarded/

saved to be

analyzed later

by medical

personnel

(Torrey, 2008 p.1)

Involves:

Doctor/Doctor

Doctor/

Specialist

Doctor/

Computer

Medical Communication

Output

Computers Robots Printed materials

Network

Receiving Storing Sending

Input

Digital images Web cams Medical

machines

Common Methods

Phones & Fax machines

Computers

Internet

Robotics

Digital Cameras

Medical equipment

Benefits, Concerns, and Requirements

Benefits

Easy to use for doctors and patients

Increase access to doctors/specialists for

diagnostic and consultation purposes

Continuous medical education

Medical training in remote areas

Allows faster consultations/diagnosis's

between

doctors and specialists

(Burg/Hasse/Cipolat/Kropf/Djamei/Soyer/

Chimenti, 2005 p.169-172) & (Jesitus, 2006

p. 24)

Concerns

Privacy and security of medical records

Confidentiality of visits

Replacement of the doctor/patient

relationship

Impersonal

Ease of technology training

Standardization of image quality and color

(Burg/Hasse/Cipolat/Kropf/Djamei/Soyer/

Chimenti, 2005 p169-172), (Jesitus, 2005

p. 18), and (Jesitus, 2006 p. 24-25),

Requirements

Up-to-Date Equipment

High-Speed Connections

Larger Storage Capacities

Data Standardizations

Training

Acceptance by Medical Staff &

Patients

(Burg/Hasse/Cipolat/Kropf/Djamei/

Soyer/ Chimenti, 2005 p.169-172)

Who Needs Telemedicine?

Best For Those Who:

Have no transportation

Have no babysitters

Cannot take time away from their job

Are unable to leave their home.

Live far from a hospital

Live in a remote location

(Burg/Hasse/Cipolat/Kropf/Djamei/Soyer/

Chimenti, 2005 p.169-172) & (Jesitus, 2006

p.24)

Where is Telemedicine

used the most?

The Top 4 Fields

Uses Telemedicin

emore

Radiology

Dermatology Psychiatry

PACU/Anesthesiology

Radiology

Viewed by multiple doctors at the same

time but at different locations

Images can be magnified, or rotated for

easier diagnosing

Lower supply, processing, and storage

costs

Involves x-rays, MRI’s, and full body scan

images

(Stevens, 1999 p.25)

Dermatology

Access to a specialist when timing is

essential to recovery

Improved diagnosis accuracy through

digital imaging

Allows time for questions and review by

both the doctor and the patient

Uses digital photographic images

Burg/Hasse/Cipolat/Kropf/Djamei/Soyer/

Chimenti, 2005 p.169-172)

Psychiatry

Phone therapy

Videoconferencing

Suited for mild to moderate anxiety

disorders and depression.

Allows patients to stay in familiar

surroundings

Uses webcams and telephones

(Mann, 2008 p. 3) & (Hilty, 2009 pp. 228-229)

PACU/Anesthesiology

Phone consultations/orders/medication

dosages by phone or e-mail between

doctors and nurses

Patient monitoring devices such as pulse

oximeter machines, cardiac monitors, and

programmable i.v. pumps

I-pad/I-phone with internet access to

converse with patient’s monitoring

equipment

Patient record/chart e-filing

“Dreams in the Past Lead

to Future Real i t ies .”

Cheryl Bennett

Conclusion

References

References

Birk, C.,  (2008, August 27). Long-distance healthcare amonitoring

patients

cuts costs, can improve outcomes. St. Louis Post - Dispatch,

p. B.1. 

Retrieved November 8, 2009, from ProQuest Newsstand.

(Document ID: 1542247691).

Burg, G., Hasse, U., Cipolat, C., Kropf, R., Djamei, V., Peter Soyer, H.,

 & Chimenti, S., (2005). Teledermatology: Just Cool or a Real

Tool? Dermatology, 210(2),  pp.169-73.  Retrieved November 7,

2009, from Research Library. (Document ID: 796791381).

References

Hilty, D., Yellowlees, P., Sonik, P., Derlet, M., & Hendren, R., (2009). Rural

Child

and Adolescent Telepsychiatry: Successes and Struggles. Pediatric

Annuals, 38(4), pp. 228-232.  Retrieved October 27, 2009, from

Research Library. (Document ID: 1752173991).

Jesitus, J.,  (2005, October). Telemedicine tackles access problems. 

Dermatology Times, 26(10), p. 18. Retrieved November 7, 2009,

from Research Library. (Document ID: 914524721).

References

Jesitus, J., (2006, July). Virtual visits aid acne treatment. Dermatology

Times, 27(7), p. 24-25. Retrieved November 7, 2009, from Research

Library. (Document ID: 1083773781).

Mann, L.,  (2008, October 12). With therapy only a phone call away,

patients

stick to it. Chicago Tribune, p. 3.  Retrieved October 27, 2009,

from Chicago Tribune. (Document ID: 1571971501).

References

Stevens, L.,  (1999, December). Better Patient Care Via The

Internet. InternetWeek, (792), p. 25, 30.  Retrieved November 8,

2009, from ABI/INFORM Global. (Document ID: 46888532).

Torrey, T., (2008 September). Telemedicine- The Definition of

Telemedicine.

p. 1., Retrieved October 13, 2009, from

http://patients.about.com/od/glossary/g/telemedicine.htm.