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Barriers in implementation of Telehealth
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Barriers in implementing Telehealth 1. Organizational barrier - To convince the panel of directors in the health care organization, to fund for Telehealth technologies (as not every patient pays for them, nor every physician in the hospital utilise them) and to show them positive benefits from it is a major challenge. Implementation of telehealth infrastructure can be costly, time consuming and complicated initially. 2. Physician engagement - Physicians often resist acceptance of new technology and complain about lack of hands on interaction with patients with Telehealth. According to Gustke et al (2000), fear of malpractice suites is another consideration for physicians. Lack of staff with appropriate skills for telehealth also poses a
Providers are faced with having to weigh the expense of investing in telehealth technologies with the ability to generate enough revenue to cover these costs. This is often difficult as expenses in the literature can cover those directly linked with the delivery of care (healthcare costs) and those that are not directly related to providing care (non-heath care costs) (Bergmo, 2009). Some of the healthcare costs a practitioner must consider are items such as computers, video cameras, microphones, modems, routers, software and other components such as specialized stethoscopes and imaging equipment needed to assess an individual patient. The cost of these items can add up quickly. As one study estimates, the capital expenditure for the implementation of telehealth video conferencing can reach as much as $80,000. The cost of transmitting data in order to deliver these services can also reach $800-$2000 per month in spoke and hub type telehealth systems (Gamble, Savage, & Icenogle, 2004). These costs incur even more ...
[20]Charles BL. (2000) Telemedicine can lower costs and improve access. Healthcare Financial Management. 54(4): 66.
Kansas is considered a rural state in the United States. Merriam-Webster (2012) defines rural theoretically as “open land” or “relating to the country, country people or life, or agriculture”. The U.S. Census Bureau considers rural to be “open country and settlements with fewer than 2,500 residents” (Cromartie, 2007). Nearly 17% of the U.S. population lives in rural areas, which is about 80% of all U.S. territory (Cromartie, 2009). What this means that there is more land mass compared to the people inhabiting the land; rural communities have fewer people living in larger, more remote areas. Individuals living in rural communities have different cultures and experiences than those living in urban communities, which can become problematic in regards to healthcare.
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.
The purpose of telemedicine is to remove distance as a barrier to health care. While telehealth is an accepted resource to bridge the gap between local and global health care, integrating telehealth into existing health infrastructures presents a challenge for both governments and policy makers (HRSA, 2011). Today there are policy barriers that prevent the expansion of telehealth, including reimbursement issues raised by Medicare and private payers, state licensure, and liability and privacy concerns.
TP has grown from a single store in 1988 to the largest pizza chain in Spain. At the end of 1997 they had 399 stores and an estimated market share of 62% in Spain. But what made it so successful? There are several reasons for that in the TP concept:
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
Implementing telehealth. support medical practice in rural/remote regions: what are the conditions for success? Implement Sci. 2006 Aug 24;1:18. Epub 2006 Aug 24.
Adams A, Adams R, Thorogood M, Buckingham C. Barriers to the use of e-health technology in nurse practitioner-patient consultations.Informatics In Primary Care [serial online]. June 2007;15(2):103-109. Available from: Academic Search Premier, Ipswich, MA. Accessed November 29, 2013.
As life expectancy of people living in the developed countries keep increasing, so is the pressure on healthcare facilities hence in the near future the use of Telehealth will likely become more of a necessity than choice. This presents an unprecedented opportunity for Phillips and its competitors. Phillips could leverage more market share than its competitors due to first mover advantage because it has begun the implementation of various Telehealth schemes e.g. Motiva and also because it aligns with its business strategy and vision.s
Many fear entering a doctor 's office. They are afraid of talking to a doctor, filling out endless paperwork, encountering unknown bills and receiving unwanted diagnoses. These are all problems, however, that modern patient engagement technology seems to be alleviating. With patient engagement technology digitizing forms, allowing for secured payment and helping manage treatment plans the gap between patients and provider seems to be decreasing tremendously. Ultimately patient engagement technology is clearing communication pathways and helping improvement long term health and status of patients in a multitude of ways!
The new communication systems also give patients additional satisfaction as compared to the traditional techniques. Patients are delighted at the quality of communication services that come along with the program. As pointed out by one of the physicians at Colorado Permanente, the system is patient-centred and a real satisfier to them (Bishop et al., 2013). The positive feedback that is received from the patients is a clear indicator that the move towards adoption of the electronic communication services in the health sector is aimed at value creation for the
In conclusion, when used sensibly and wisely telemedicine and social media offer a platform to promote individual and public health. Strong leadership with a focus on ethical values, and following laws to minimize legal concerns while protecting patient privacy will advance the organization. The digital age is changing the future of the healthcare delivery system, thus management will be reshaped to better facility the new and fast growing market. However, when heedlessly used the dangers associated with these technologies create more harm than good.
From state and federal levels, the healthcare industry has come a very long way, experiencing changes along the way. The development of advanced technology that has enhanced the quality of healthcare delivery systems will help all patients to be able to benefit. Doctors are able to access patient records at a faster rate and respond to their patients in a much more timely fashion. E-mail, electronic transfer of records and telemedicine will give all patients and physicians the tools needed to be more efficient, deliver quality care and deliver quality telecommunication at a faster pace than before.
It is critical to understand perceptions of the clinician population in order to maximize the effectiveness of future training strategies. Findings will be used to help guide approaches in providing training on e-health technologies. It is hoped that exposure to demonstration on the one technology identified with the strongest resistance or difficulties will allay anxieties or resistance to use.