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Yini ongayilindela ekuqokweni kwakho kokuqala kwe-telehealth

Imfundo Yezempilo

Akekho othanda ukuya emahhovisi ezokwelapha. Yini okumele uyithande ngokuhlala egumbini lokulinda uzungezwe abantu abagulayo? Futhi ngubani ofuna ukungena emotweni, noma okubi kakhulu - ezokuthutha zomphakathi, futhi ashiye indlu lapho bezizwa begula? Lokhu kuyiqiniso ikakhulukazi lapho ukugula noma isimo singatholakala kalula futhi siphathwe ngokuba nengxoxo nomhlinzeki wezokunakekelwa kwempilo.

Okungenani ama-80%, uma kungenjalo, salokho esikwenzayo njengodokotela bokunakekela okuyinhloko ukulalela, ukubuka, nokubuza imibuzo, kusho uGeorgine Nanos, MD, MPH, udokotela kanye ne-CEO Iqembu Lezempilo Elinomusa eCalifornia. Yile ndlela esifika ngayo ekuhlolweni okuningi.

Akumangalisi ukuthi i-telehealth ithola ukuthandwa e-United States. Kuyinto elula, iyonga imali, futhi igcina iziguli zikude ngokuphepha komunye nomunye — into ebaluleke kakhulu ekuvikeleni impilo yomphakathi ngesikhathi se-coronavirus ubhubhane .

Yini i-telehealth?

ITelehealth iyindlela yokuletha izinsizakalo zezempilo emitholampilo ezigulini ezikude kusetshenziswa ukuxhumana okulalelwayo nokulalelwayo kwevidiyo, kuchaza uJames R. Powell, MD, CEO / CMO we ILong Island Khetha Ukunakekelwa Kwezempilo . I-Telehealth ingasetshenziselwa ukuhlinzeka nganoma yiluphi uhlobo lwensizakalo olungadingi ukuthi udokotela anuke noma athinte isiguli. Ngokuvamile, i-telehealth isiza abantu ukuthi bathole ukufinyelela ekunakekelweni abakudingayo ngokunqoba imigoqo yebanga, isikhathi, ukwahlukaniswa, ukwahlukaniswa, kanye / noma ukungahambi kahle kwesiguli.

I-Telehealth ingasetshenziswa kuzilungiselelo ezahlukahlukene:

Ekhaya, ngabantu abaxhuma nabahlinzeki bezempilo
Ezikoleni, ukuxhumana nomhlinzeki wezokunakekelwa kwezempilo ukuthola izeluleko ngokunakekelwa komfundi ogulayo noma olimele
Ezibhedlela, ukubonisana nochwepheshe bakwelinye idolobha
Ezindaweni zokuhlala zabantu abadala nasezikhungweni zokunakekelwa, ikakhulukazi ezikhiyiwe ngenxa yokuqubuka okufana ne-COVID-19, ukuthola imithi, ukulandelwa, ukuhlolwa nezikhathi zokwelashwa
Ukuqapha kwesiguli esikude (i-RPM), okuthumela ukufundwa kusuka kumadivayisi asetshenziswa isiguli ekhaya (njenge-monitor yegazi, i-pulse oximeter, noma i-glucose monitor) eqenjini lezokwelapha ukuze liqaphe. Lokhu kuvumela abahlinzeki ukuthi bathumele imilayezo emuva esigulini noma baxhumane ngekholi yevidiyo. Amakhithi we-COVID-19, kufaka phakathi ama-stethoscopes edijithali, okwamanje enzelwa i-RPM.

Abanye abahlinzeki bezempilo bazonikeza ukubonisana ngocingo — ikakhulukazi ngesikhathi sokuqubuka kwe-coronavirus — kepha ukuxhumana ngevidiyo kuvame kakhulu.

Izinsizakalo zeTelehealth

I-Telehealth inganikeza ngezinsizakalo eziningi. Emtholampilo kaDkt. Nanos, babhekana nezinkinga ezinjengalezi:

Ukulandelwa kwezifo ezingamahlalakhona
Ukulandelelwa kobuhlungu obungapheli
Ukungezwani komzimba
Ukukhwehlela nokubanda
Ukuphathwa kwesifo sikashukela
Ukuxoxa ngemiphumela yokuhlolwa
Ukutheleleka kweso
Ukuvakashelwa kokulandelela
Imibuzo ejwayelekile kudokotela
Ukulandelwa komfutho wegazi ophezulu
Ukulandelwa kwezempilo yengqondo njengokukhathazeka nokudangala
Imibuzo yemithi, ukulungiswa, nokugcwaliswa kabusha
Umkhuhlane omusha
Ukuyeka ukubhema
AmaRash
Ukudluliselwa kochwepheshe
Izinkinga zesinus
Izinkinga zokulala
Ukwelulekwa ngokusebenzisa kabi izidakamizwa
Ukuhlanza nokuhuda
Ukwehla kwesisindo nenhlalakahle

Telehealth vs. telemedicine: Uyini umehluko?

Ngenkathi la magama evame ukusetshenziswa ngokungafani, abhekisela emikhubeni ehlukene.

ITelehealth yisikhathi esibanzi sezinsizakalo zezempilo ezinikezwa ukude kusetshenziswa ubuchwepheshe bezokuxhumana, kungagcini ngokubonisana nabezokwelapha.

I-Telemedicine iyi-subset ye-telehealth ehlangabezana nezidingo zezinsizakalo zemitholampilo (umkhuba wezokwelapha phakathi kwesiguli nomhlinzeki wezokunakekelwa kwempilo). Empeleni, i-telemedicine ifana nokuvakashela umhlinzeki wezokunakekelwa kwempilo, kepha empeleni, kuvame ukwenza umhlangano ngevidiyo.

Abahlinzeki be-Telemedicine kudingeka ukuthi balandele imithwalo yemfanelo efanayo ye-Health Insurance and Portability Act (HIPAA) yokunakekelwa okubonakalayo njengoba injalo ngokunakekelwa kweziguli kumuntu.

Kungani i-telehealth ibalulekile ngesikhathi sobhadane njenge-COVID-19?

Telehealth isekela ukuziqhelelanisa nomphakathi ngokuvumela abantu abaphilile, noma abantu abanezimo ezingenayo i-coronavirus, ukuthi bathole ukunakekelwa okuyisisekelo nokuphuthumayo ngaphandle kokushiya ikhaya, kusho uDkt. Powell. Lokhu kubaluleke kakhulu ngemibhede eminingi yesibhedlela nezindawo zokuphuthuma ezidingekayo ezigulini ze-coronavirus.

I-Telehealth ingasetshenziswa futhi njengendlela yohlu lokuncipha. Uma isiguli singenaso isiqiniseko sokuthi ukugula noma ukulimala kudinga uhambo oluya kumhlinzeki wezokunakekelwa kwezempilo okungaphakathi, noma ngisho negumbi lezimo eziphuthumayo, ukubonisana nge-telehealth kunganquma ubunzima nokuthi uma kudingeka ukunakekelwa okwengeziwe. Uma ukuvakashelwa umuntu uqobo noma igumbi lezimo eziphuthumayo kubonakala kunesidingo, isisebenzi se-telehealth singashayela phambili i-ambulensi, isibhedlela, noma umhlinzeki wokunakekelwa komuntu ngokuhlolwa kwabo okuyinhloko nolwazi. Ngaphezu kokwenza ngcono ukunakekelwa kwesiguli, lokhu kusiza kakhulu ngesikhathi sokuqubuka njenge-coronavirus to lungiselela abasebenzi bezokwelapha kwesiguli esingahle sithathelane.

OKUSHIWO: Okufanele ukwenze uma ucabanga ukuthi une-coronavirus

Ngabe umshuwalense uyayemboza i-telehealth?

Abahlinzeki abaningi bomshuwalense banikela ngokutholakala kwe-telehealth, futhi inani lezinsizakalo ezihlanganisiwe liyanda. Cishe wonke amazwe anezinsizakalo ezithile zeMedicaid telehealth ezimbozwe yilolu hlelo, kanti iMedicaid neMedicare zisanda kusungula imithethonqubo yokukhuthaza ukusetshenziswa kwe-telehealth ngesikhathi esiphuthumayo sempilo yomphakathi ye-coronavirus.

IBlue Cross neBlue Shield bandise ukutholakala kwabo kweze-telehealth ukuphendula ubhadane lwe-COVID-19, njengabanikezeli bomshwalense abaningi bezentengiselwano.

Buza ihhovisi likadokotela wakho ukuthi ngabe banikela nge-telehealth njengenye indlela yokuvakashela emtholampilo, nokuthi izokhokhelwa, kusho uDkt. Powell. Shayela umshwalense wakho ukuthi akubuze mayelana nokutholakala kwe-telehealth noma ungene ku-inthanethi ukuze ubone izinzuzo zakho ezihlanganisiwe. Kungenzeka ukuthi bavuselele amawebhusayithi abo ukukhombisa impendulo yemibuzo yakho.

Yini ongayilindela ekuqokweni kwakho kwezebhizinisi

Ngokufana nokuvakashela ehhovisi, udokotela uzobuyekeza ishadi nomlando wezokwelapha, bese ekhuluma nesiguli ngqo ukuze asihlole, kusho uNishant Rao, ND, oyiChief Medical Officer I-DocTalkGo eCalifornia. Udokotela uzobuza imibuzo yezokwelapha futhi angacela amarekhodi angaphambilini noma ukuthi kwenziwe ukuhlolwa okwengeziwe kwelebhu. Udokotela angabhala incwadi kadokotela, bese ithunyelwa ngqo ekhemisi le-imeyili lokulethwa ekhaya noma ekhemisi lendawo isiguli elizolithatha.

Ezinye izidingo zobuchwepheshe be-telehealth okufanele zicatshangelwe zifaka:

Idivayisi ethembekile efana ne-smartphone, ithebhulethi, noma ilaptop eyenza umsindo / ividiyo
Uhlelo, uhlelo lokusebenza, noma iwebhusayithi ukuxhumana nomhlinzeki wokunakekelwa
Ukuxhumeka okuhle kwe-inthanethi noma i-wifi eqinile
Amahedfoni (awadingeki, kepha angasiza ekusithekeni nasekuvimbeleni umsindo)

Isiguli singakulungiselela kanjani ukuqokwa kwe-telehealth?

Ngaphambi kokuqokwa, thola indawo yangasese, ethule enokukhanya okuhle. UDkt. Nanos uphakamisa ukungena ngemvume kuhlelo imizuzu engu-15 ngaphambi kokuqokwa. Iziguli kufanele futhi ziqiniseke ukuthi ziyazi ukuthi zenzeni uma zinganqamuka kumhlinzeki wokunakekela ngesikhathi sokuqokwa. Umhlinzeki wokunakekela angabiza isiguli uma lokhu kwenzeka, ngakho-ke kubalulekile ukuqinisekisa ukuthi umhlinzeki unemininingwane efanele yokuxhumana nesiguli.

Uneminye imininingwane umhlinzeki wokunakekelwa angayidinga usizo, njengemiphumela yelebhu yakamuva, ukucabanga okwenziwe, njll.

Izinto ezingenziwa iziguli ukulungiselela ukuvakashelwa nge-telemedicine ziqondene ngqo nohlobo lwenkinga okukhulunywa ngayo, kusho uFernando Ferro, MD, umqondisi wezokwelapha Odokotela Bomuntu WaseMercy e-Overlea eMaryland. Uma isiguli sigula ngesifo, kuyasiza uma sihlolile futhi saqopha izinga lokushisa kwaso. Kufanele babe nemithi yabo eseduze yokuqinisekisa ukuthi bayayithatha yini imishanguzo esiyibhale eshadini labo. Uma isiguli sinomfutho wegazi ophezulu, kuyasiza uma ngabe siqapha umfutho wegazi waso ekhaya ngeso lokuqapha ikhaya nokuqopha ukufundwa.

Iziguli kufanele zibe ne- uhlu lwemibuzo nokukhathazeka ukulungele futhi ukulungele ukukhombisa umhlinzeki wokunakekelwa noma yini edinga ukuhlolwa ngokubuka, njengokuqubuka.

Kwenzekani uma ukuxilongwa kungenakwenziwa nge-telehealth?

Ochwepheshe bezokunakekelwa kwempilo abahambela ukuvakashelwa kwezobuchwepheshe bazonquma uma kuqhubeka ukuxhumana, ukuhlolwa , noma kudingeka ukwelashwa. Lokhu kungafaka ukuthumela isiguli ukuxoxisana nomuntu ohlinzeka ngosizo lwezempilo, ukweluleka isiguli ukuthi sishayele i-911 noma siye esibhedlela ukuthola usizo oluphuthumayo, noma uku-oda izivivinyo zelebhu noma i-imaging.

Ingabe imithi ingabhalwa nge-telehealth?

Yebo! Ezimweni eziningi, imiyalo emisha nokuvuselelwa kungabhalwa nge-telehealth, noma ngabe lokhu kungukuqokwa kokuqala kwesiguli nomhlinzeki ngokunakekela. UDkt. Powell uyanezela ukuthi ekuphenduleni inkinga ye-COVID-19, iDrug Enforcement Administration (i-DEA) iye yaxegisa izinhlinzeko maqondana nokunquma izinto ezilawulwayo nge-telehealth noma ngocingo.

Umhlinzeki oshoyo uthumela incwadi kadokotela ku isevisi yokulethwa ekhaya noma ekhemisi. Imiyalo egcwalisiwe ishiywa lapho kuhlala khona isiguli, ithunyelwe ngeposi, noma itholakale lapho kuzolandwa khona ekhemisi, kuya ngokuthi isiguli sikhetha ini.

OKUSHIWO: Ngingayithola kanjani imiyalo yami yokulethwa?

Yiziphi ezinye zezinzuzo ze-telehealth?

Ukufinyeleleka. Iziguli eziningi zibhekana nezithiyo uma kukhulunywa ngokuvakashelwa kwezempilo komuntu uqobo. Noma kungenxa yokukhubazeka, ibanga lomzimba / ukuhlala endaweni yasemakhaya, noma ubunzima bezinto zokuhamba, iziguli eziningi ziyakwazi ukuthola ukubonisana kwezokwelapha nge-telehealth okungenzeka ukuthi zikuphuthele ngenye indlela.
Ukusebenza kahle kwezindleko. Iziguli zonga izindleko zokuhamba nesikhathi sokuhamba, kanye nezindleko zokunakekelwa kwezempilo zizonke ngenxa yokuthola ukwelashwa okungcono.
Ukutholakala okusheshayo kwezikhathi zokuqokwa. Ukunakekelwa kuyatholakala noma nini lapho isiguli sinesikhathi, kanti nodokotela une-slot. Kunezinketho eziningi lapho unganqunyelwe indawo.
Ukuvumelana nezimo. Iziguli nabahlinzeki abadingi ukuxhumana ngesikhathi sangempela. Izithombe zezimo ezibonakalayo ezifana nokuqubuka, idatha efana nokufundwa kwengcindezi yegazi, noma imibuzo yesiguli ingathunyelwa kumhlinzeki nganoma yisiphi isikhathi. Umhlinzeki angabuyekeza lolu lwazi lwezempilo, athumele imibuzo noma ezinye izinto kusiguli, noma athumele imiyalo ngaphambi kwesikhathi esimisiwe sokuqokwa.
Ukwehlisa ukutholakala kokutheleleka. Isiguli asivezelwa abanye abangathathelana, njengalapho besizoba semtholampilo, futhi abahlinzeki bezokunakekelwa kwempilo abadalulwa ezigulini ezingathathelana.

Yikuphi okunye ukulinganiselwa kwe-telehealth?

Kunezinkinga eziningana ezinjengokuhlukumezeka, ukunakekelwa kwesilonda, ukuphefumula okuncane, nokopha okusebenzayo okungenakuphathwa ngokuvakashelwa nge-telemedicine, kusho uDkt. Nanos.

Ukuhlolwa okufana nokusebenza kwegazi nama-X-ray nakho kuzodinga ukuthi kuqokwe umuntu uqobo, yize kungalawulwa nge-telehealth.

Liyini ikusasa le-telehealth?

Ubhadane lwamanje lukhulise kakhulu ukusetshenziswa kwe-telemedicine, futhi ngikholwa ukuthi luzosetshenziswa kabanzi ngemuva kwalolu bhubhane kunakuqala, kusho uDkt Ferro.

Izinhlangano zezempilo ezifana ne-American Hospital Association (AHA) zigqugquzela ukunwetshwa kwemikhuba yezempilo kanye nokuhlinzekwa kwemisebenzi ethe xaxa yezempilo.

Ngisho nangaphambi kwenkinga ye-COVID-19, ukusetshenziswa kwe-telehealth kwakukhula. Njengoba uhlelo lokunakekelwa kwezempilo luqhubeka nokuhlanganisa ukungena kwangempela nobuchwepheshe bezokuxhumana ngocingo, iziguli zingabheka phambili ezinsizakalweni eziningi zokunakekelwa kwezempilo kusuka ezinduduzo zamakhaya azo.