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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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.