Koj qhov kev mus ntsib kev noj qab haus huv ib txwm muaj xws li tsav tsheb mus rau chaw kho mob lossis chaw ua haujlwm, sau qee cov ntaub ntawv, thiab tos ib tus neeg hu rau koj thaum tus kws kho mob npaj txhij rau koj.
Tom qab ntawd, tus kab mob coronavirus.Tam sim ntawd, ntau tus neeg tuaj koom lub rooj sib tham hauv computer lossis hauv xov tooj, thiab telemedicine tau dhau los ua lub npe tsev neeg.
Txawm hais tias kev teem caij telemedicine muaj ntau xyoo lawm, lawv tseem nyob ntawm qhov chaw kho mob.Tom qab tus kabmob kis tau ua rau nws tsis tuaj yeem muab kev pabcuam khomob zoo li yav dhau los, telemedicine tau tsim nyog, thiab kev cuam tshuam rau kev them nyiaj rov qab, thev naus laus zis, thiab ntawv tso cai pib txo qis.Qee qhov kev kho mob yuav tsum tau hloov pauv los ntawm kev siv telemedicine me mus rau 100% virtual ntsib thaum hmo ntuj.Tsis ntev tus neeg mob pib mus ntsib kws kho mob hauv tsev.Txawm tias nyob hauv ib puag ncig hauv tsev kho mob, lawv muaj kev cuam tshuam nrog cov kws kho mob ntawm iPad.Harlan Krumholz, tus kws tshaj lij ntawm cov tshuaj ntawm Yale University Tsev Kawm Ntawv Tshuaj Kho Mob, tau hais tias qhov kev txhim kho tshiab kawg hauv telemedicine yog "tsis tuaj yeem xav txog rau tib neeg feem coob."
Ua ntej muaj kev sib kis, cov kws kho mob tau pom tias telemedicine yog yam uas yuav tsum tau zam.Txawm li cas los xij, vim muaj ntau yam, suav nrog kev them nyiaj rov qab, kev lig kev cai thiab cov neeg mob nyiam, lub tsev kho mob tseem tsis tuaj yeem tshem tawm nws tus kheej.Yav dhau los, feem ntau telemedicine tau ua tiav los ntawm kev sib koom ua ke ntawm cov kab ke kev noj qab haus huv thiab chaw kho mob hu ua "hub" qauv, uas cov kws tshaj lij ("hubs") yuav muab rau cov chaw kho mob me me thiab tsev kho mob ("hais lus") Virtual kev sab laj..Piv txwv li, tus neeg mob yuav mus rau lub chaw saib xyuas kev noj qab haus huv hauv zej zog kom pom tus kws kho mob puas siab puas ntsws ntau pua mais deb.Hauv kev kis thoob qhov txhia chaw, tus qauv no tau hloov pauv ntau dua los ntawm tus qauv ncaj qha rau cov neeg siv khoom ntau dua, tab sis hauv thaj chaw uas muaj kev txwv Internet bandwidth (cov neeg yuav tsum tau mus rau cov chaw kho mob hauv zej zog) thiab cov chaw nyob deb uas xav tau cov cuab yeej tshwj xeeb ntxiv tshwj tsis yog hauv kev kho mob. teb, piv txwv li rau cov neeg mob uas yuav tsum tau kuaj mob stroke lossis mob plawv.
Rau ntau tus neeg xav tsis thoob, qhov kev hloov pauv loj no mus rau telemedicine thiab video conferencing nkag mus ua haujlwm tau zoo.Cov koom haum saib xyuas kev noj qab haus huv tau muaj peev xwm muab kev nyab xeeb thiab sib cav ntau dua thiab muaj txiaj ntsig zoo rau cov neeg mob hauv tsev.Qhov no kuj txhais tau tias muaj cib fim ntau dua los ua haujlwm hauv tsev, tau txais txiaj ntsig ntau tus neeg ua haujlwm kho mob (piv txwv li, niam txiv nrog menyuam).Tsis tas li ntawd, tus kws kho mob tuaj yeem pom sab hauv ntawm tus neeg mob lub tsev, uas yuav pab kom nkag siab zoo rau tus neeg mob lub neej.
Lauren Eberly, tus kws tshawb fawb soj ntsuam hauv cov tshuaj mob plawv ntawm Perelman Tsev Kawm Ntawv Tshuaj ntawm University of Pennsylvania, hais txog ib qho piv txwv thaum mus ntsib kws kho mob thaum nws cov neeg mob tham txog nws cov tshuaj.Thaum Eberly nug txog kev noj qee yam tshuaj, tus neeg mob xav tias nws tau noj - tab sis tom qab ntawd nws tau pom Eberly nws lub txee tshuaj, uas tsis muaj cov tshuaj.Tus neeg mob xav tias nws muaj tag nrho cov tshuaj uas nws xav tau, tab sis qhov tseeb nws tsis muaj ib qho tshuaj, uas tuaj yeem ua rau muaj kev puas tsuaj loj.
David Bates, tus thawj coj ntawm cov tshuaj sab hauv ntawm Brigham thiab Women's Hospital thiab tus kws tshaj lij ntawm txoj cai tswjfwm kev noj qab haus huv thiab kev tswj hwm ntawm Harvard University hais tias "Ntau txoj hauv kev, [kev siv telemedicine] yuav yog ib qho ntawm cov txiaj ntsig zoo hauv kev sib kis.Chen Chen School of Public Health.
Lub tshuab hluav taws xob muaj zog thiab ruaj khov tuaj yeem txo qhov kev sib tsoo hauv tsev kho mob, tso cai rau ntau tus neeg mob tau txais kev saib xyuas hauv tsev thiab sab nraum tsev kho mob.Qhov no yuav pab tau Bates los kwv yees tias yav tom ntej, ntau lub tsev kho mob tuaj yeem teeb tsa, yog li lawv tuaj yeem dhau los ua cov chaw saib xyuas hnyav lossis chav saib xyuas dav dav tsis yog ib lossis ntau dua.Ua li no, cov tsev kho mob yuav muaj peev xwm "zoo siab" thaum lub sijhawm muaj kev xav tau siab, ib yam li cov tsev kho mob hauv California tau ntsib thaum muaj kev sib kis.
Txawm li cas los xij, kev loj hlob sai ntawm telemedicine tsis zoo tag nrho.Ob tus neeg muab kev pabcuam thiab cov neeg mob yuav tsum paub sai sai nrog lub tshuab thev naus laus zis tshiab, thiab nws nyuaj rau tib neeg los tswj hwm kev nkag mus rau video, txheeb xyuas seb yuav siv daim ntawv thov kev sib tham video lossis tswj kev sib txuas hauv Is Taws Nem ruaj khov.Cov kws kho mob yuav tsis nco qab cov lus qhia tsis hais lus thiab lwm yam kev hloov maj mam ntawm kev mus ntsib tus neeg mob, lossis ua tsis pom kev pom zoo hauv kev sib ntsib tim ntsej tim muag, xws li muab kev nplij siab txhais tes.Qee lub platform tsis muaj qhov ntsuas kev nyab xeeb zoo tshaj plaws.Ntxiv mus, yog tias tus neeg mob yuav tsum tau kuaj xyuas qee yam, lawv tsis tuaj yeem nqa tawm ntawm qhov chaw xwb.
Kev hais lus dav dav, kev sib kis tau muab kev sim rau ntau lub cev noj qab haus huv los txais yuav telemedicine ntau dua.Txawm li cas los xij, zoo li txhua yam beta version, ib qho kev txhim kho.Txhawm rau telemedicine kom ncav cuag nws lub peev xwm, nws yuav xav tau cov ntaub ntawv zoo dua ntawm cov neeg mob kev koom tes, xws li kev saib xyuas tej thaj chaw deb, piv txwv li, ib txoj hauv kev rau tib neeg kom tau txais ntshav siab thiab lwm yam cim tseem ceeb hauv tsev.Cov kws saib xyuas kev noj qab haus huv tseem tab tom kawm txawm tias qhov tsawg tshaj plaws, xws li tsis sib ntsib li niaj zaus thaum mus ntsib virtual.Lub platform telemedicine yuav txuas ntxiv txhim kho raws li kev siv tau, kev ceev ntiag tug thiab kev nyab xeeb.
Txhawm rau telemedicine kom ncav cuag nws lub peev xwm, peb kuj yuav tsum tau ua tib zoo saib seb leej twg yuav raug tso tseg.Cov xov tooj smartphones tuaj yeem pab txuas cov kev faib digital, tab sis rau ntau pawg, muaj ib txwm muaj kev cuam tshuam rau kev nkag mus rau thev naus laus zis.Piv txwv li, cov neeg los ntawm cov haiv neeg tsawg yog tus cwj pwm los ntawm kev siv dav dav thiab qis qis hauv computer thiab siv Internet.Cov neeg laus tej zaum yuav tsuas muaj xov tooj hauv xov tooj thiab tsis tuaj yeem nkag mus rau video.
Kev tshawb fawb tsis ntev los no ntawm cov neeg mob uas npaj yuav mus ntsib kws kho mob hauv thawj ob peb lub hlis ntawm tus mob coronavirus pandemic qhia tias muaj qhov tsis sib xws hauv kev siv telemedicine.Feem ntau, kev siv telemedicine (xws li xov tooj thiab video) qis dua ntawm cov neeg laus, Neeg Esxias lossis tsis hais lus Askiv.Ib yam li ntawd, cov laus, poj niam, cov neeg dub lossis Latino, cov neeg uas muaj kev noj qab haus huv hauv zej zog siv cov yeeb yaj kiab tsawg dua.
Eberly tau hais tias "Peb tab tom tsim lub tshuab telemedicine tshiab, uas muab sijhawm rau peb los daws qhov teeb meem," Eberly tau hais."Thaum siv nws, txawm tias nws yog kev siv tshuab ntau dua lossis ntau dua tshiab, peb yuav tsum siv lub moj khaum kom peb tuaj yeem soj ntsuam qhov tsis sib xws ntawm cov txheej txheem hauv telemedicine. "
Telemedicine yuav xav tau kev nqis peev ntau dua.Lub Mercy Virtual Care Center, lub tsev kho mob virtual loj, tau ua tus thawj coj hauv kev pab cov koom haum xav txog kev saib xyuas virtual.Raws li Bates, Mercy siv li 5% ntawm nws cov nyiaj tau los ntawm telemedicine, uas yog ntau dua li lwm lub tsev kho mob cov kev siv nyiaj hauv telemedicine (kwv yees li 0.1% txog 0.2% ntawm nws cov nyiaj tau los).
Bates tau hais tias: "Peb tabtom nqis peev rau hauv (telemedicine)."Yuav muaj kev hloov pauv yav tom ntej, tab sis nws yuav siv qee lub sijhawm."
Kev txhim kho telemedicine kuj xav tau txoj cai mus sij hawm ntev thiab kev tswj hwm kev hloov kho.Ua ntej tus kab mob coronavirus pandemic, txawm hais tias telemedicine tau siv tau zoo hauv ntau txoj haujlwm, yuav luag tsis muaj nyiaj rov qab rau cov nqi kho mob.Tom qab tus kab mob kis thoob qhov txhia chaw tau tshaj tawm tias muaj xwm txheej ceev rau pej xeem kev noj qab haus huv, cov tuam txhab tuav pov hwm, nrog rau Medicare thiab Medicaid, tau nthuav dav kev pab cuam telemedicine.Congress, tseemfwv qibsiab thiab tsoomfwv lub xeev kuj tau tso cai rau tus neeg mob tsis pub lwm tus paub thiab cov cai tswjfwm kev khomob.Txawm li cas los xij, feem ntau ntawm cov kev hloov kho no tau tshaj tawm ib ntus thaum muaj xwm txheej ceev rau pej xeem kev noj qab haus huv, thiab txawm hais tias kev sib kis tsis tiav, lawv twb tau pib rov qab.
Qhov zoo tshaj plaws, tus nqi them rov qab rau txhua hom kev kho mob (ntsej muag, yees duab thiab xov tooj) yuav tsum zoo ib yam, tsis yog ib ntus xwb.Yog tias tsis muaj qhov sib xws no, cov kws kho mob uas muab kev kho mob hauv xov tooj (xws li kev mus ntsib xov tooj rau cov neeg tsis txaus ntseeg) yuav raug nplua vim tias lawv cov nqi them rov qab qis dua.Txawm li cas los xij, muaj qee qhov laj thawj rau kev cia siab.Piv txwv li, nrog kev txhawb nqa los ntawm ob tog, 2021 Telemedicine Protection Act tom qab COVID-19 thiab Telemedicine Modernization Act of 2021 tau thov rau Congress tsis ntev los no.Tus tswv xeev ntawm Massachusetts, Charlie Baker, tsis ntev los no tau kos npe rau daim nqi kho mob kho mob, uas xav kom tus nqi ntawm kev mus ntsib kws kho mob yuav tsum zoo ib yam li tus nqi ntawm kev mus ntsib tim ntsej tim muag rau ib lub sijhawm ob xyoos.Yog tsis muaj cov cai li no, yuav muaj feem ntau ntawm ib qho kev pab them nqi kho mob hauv lub tebchaws.Tab sis cov neeg muaj feem cuam tshuam tsis xav ua kev mus ntsib telemedicine yam tsis muaj txiaj ntsig rau cov neeg mob.
Krumholz tau hais tias "Tib neeg yuav nrhiav kev lav phib xaub," Krumholz tau hais.Nws kuj tau taw qhia tias txij li cov neeg mob zoo li telemedicine feem ntau mus ntsib kws kho mob, cov tuam txhab tuav pov hwm yuav txuas ntxiv mus rau underwriting lub siab ntawm telemedicine.
Joseph Kvedar, tus xibfwb ntawm dermatology ntawm Harvard Medical School thiab tus thawj coj ntawm American Telemedicine Association, tau hais tias txoj cai them rov qab yooj yim yog qhov tseem ceeb raws li kev them nyiaj.Yog tias nws nyuaj, lub tuam txhab tuav pov hwm tej zaum yuav tsis lees txais daim nqi, lossis tus neeg mob yuav tau txais daim nqi them tsis tau.
Ntxiv nrog rau cov txheej txheem them nyiaj rov qab, muaj lwm txoj cai tswjfwm uas yuav tsum tau hloov kho.Piv txwv li, muaj qee qhov kev txwv rau kev nkag mus rau cov neeg mob thoob plaws lub xeev los ntawm telemedicine.Txawm hais tias qhov kev txwv no muaj txiaj ntsig rau thawj zaug mus ntsib, nws yuav tsim nyog los so kom txaus cov cai rau lub xeev cov ntawv tso cai kom ua raws li qhov ua tau zoo.Kev pabcuam dav dav dav dav kuj yuav tsum tau.
Ib qho ntawm cov lus nug tseem ceeb uas tsav tsheb telemedicine yog: Thaum twg nws ua rau muaj kev nkag siab zoo rau cov neeg zov me nyuam kom pom cov neeg mob ntawm tus kheej tsis yog hauv video?Raws li qhov xav tau ntawm tus neeg mob, qee qhov chaw xws li kev puas siab puas ntsws tej zaum yuav tsim nyog rau kev ua raws li virtual.Txawm li cas los xij, vim xav tau cov cuab yeej tshwj xeeb, lwm tus neeg (piv txwv li, mus ntsib kws kho mob kom pom lossis hnov lus) ploj mus.
Zuag qhia tag nrho, cov koom haum saib xyuas kev noj qab haus huv tseem muaj cov teeb meem tsis daws teeb meem, suav nrog kev siv lawv lub cev zoo tshaj plaws thiab yuav ua li cas cais cov neeg mob.Tab sis cov teeb meem no tuaj yeem daws tau.Qhov tseem ceeb tshaj plaws yog telemedicine muaj thiab tseem yuav muab cov neeg muaj txiaj ntsig zoo.
“Peb tsuas pom nws txoj kev loj hlob xwb.Tseem muaj ntau yam uas yuav tsum tau kawm, tab sis qhov no yog lub sijhawm zoo siab. "Krumholz hais.
Hloov Kho Lub Peb Hlis 1, 2021: Cov kab lus no tau hloov kho kom pom tias Yauxej Kovdal tam sim no yog tus thawj coj ntawm American Telemedicine Association.
Yav Tom Ntej Tense yog ib tus khub ntawm Slate, New America thiab Arizona State University, mob siab rau kev tshawb fawb txog cov thev naus laus zis tshiab, pej xeem txoj cai thiab tib neeg.
Slate cia siab rau kev tshaj tawm los txhawb peb cov neeg sau xov xwm.Yog tias koj muaj nuj nqis rau peb txoj haujlwm, thov lov tes taw koj tus ad blocker.
Los ntawm koom nrog Slate Plus, koj yuav txhawb nqa peb txoj haujlwm thiab tau txais cov ntsiab lus tshwj xeeb.Thiab koj yuav tsis pom cov lus no ntxiv lawm.
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Post lub sij hawm: Mar-02-2021