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Ethical issues with telehealth
Telemedicine a new concept
Telemedicine a new concept
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Recommended: Ethical issues with telehealth
We at Capstone Health Consultants are pleased to provide the Board of Directors of Utopia University Medical Center our recommendations regarding design, development, and deployment of a multi-disciplinary Telemedicine program for outlying clinics.
In this document we will discuss the benefits and challenges that exist in setting up such a service. We will then review in detail the important ethical and legal considerations standards that must be met, as well as cost, training and implementation issues that we feel will arise. Lastly, we will discuss possible future developments and project return on investment.
Utopia University Medical Center
Utopia University Medical Center (UUMC) is at the center of a thriving network of schools, clinics, and health-related organizations that serves the greater Utopian area. Established over 40 years ago, the mission of UUMC remains, as it has from the beginning, to “advance health and wellness through education, research, and patient care” through the core values of “innovation, collaboration, accountability, respect and excellence” (St Jude Hospital). With well over 375 licensed beds, UUMC had over 18,000 admissions last year and over 60,000 emergency department visits. In addition, affiliated medical clinics in the greater Utopian area had over 370,000 outpatient clinic visits. A broad set of specialty services is provided in these clinics including everything from audiology to wound care.
While those clinics and patients located in close proximity to UUMC are able to enjoy sub-specialty services, there is a growing concern that patients living in the rural sections of the state have either no access to such services in outlying clinics or must travel hundreds of mile...
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...ng and growing population will surely contribute to these challenges. A comprehensive understanding of the landscape for each of these areas is vital for successful development and implementation of a telemedicine program.
The technical issues that need to be addressed are fairly straightforward and deal largely with the set-up and maintenance of a telemedicine clinic. A clear understanding of the stakeholders in such a program is required along with a delineation of services that will initially be provided by the telemedicine clinics. As we have mentioned, we believe starting off with neurology, dermatology, and rheumatology clinics in three rural offices is the best way to start the telemedicine initiative. It of course follows that hardware that meets both communication and privacy standards will need to be acquired along with personnel hiring and training.
There has been a shortage of physicians, lack of inpatient beds, problems with ambulatory services, as well as not having proper methods of dealing with patient overflow, all in the past 10 years (Cummings & francescutti, 2006, p.101). The area of concern that have been worse...
...ward understanding the cost benefit of telemedicine applications. Hospital Topics: Research and Perspectives on Healthcare
[20]Charles BL. (2000) Telemedicine can lower costs and improve access. Healthcare Financial Management. 54(4): 66.
For decades, individuals living in rural areas have been considered medically underserved. Access to healthcare is a problem that has been increasing for individuals in rural America due to aging populations, declining economies, rural hospital closures, rising healthcare costs, healthcare provider shortages and difficulties attracting and retaining healthcare personnel and physicians (Bauer, 2002). This population experience more health disparities than t...
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:
Morrissey, J. (2013, October 1). Telemedicine: “If you aren’t doing anything now, you’re way behind”. Hospitals & Health Networks, 87(10), 22-23.
Telemedicine is a new comer to the field of medicine and it is the treatment of patients by means of telecommunications technology. Telemedicine is carried out in a variety of ways whether it is by smart phone, wireless tools or other forms of telecommunications. Examples of telemedicine include: 1) transmission of medical images 2) care services at the home of the patient 3) Diagnosis at distance 4) education and training of patients. The diversity of practices in what is known as telemedicine raises many questions and one of those questions, which is extremely important, relate to the safety of the practice and the risks involved.
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According to Castro, D. (May, 2014), there are the functions of the Telehealth or Telemedicine that are using by the patient between the doctors. First function is the real-time services. The function is provides the activities that are using between the doctor and patients through the video conferencing or telephone, messaging and online from the website of Telehealth or Telemedicine. From that, the patients can interacting with the doctor and share the information about their health record. The patients can store-and-forward means data is sent to the web-site and then received and analyzed by a provider designated to a web-site consultant. Consultants will review the pictures and clinical data within a certain time and then return their opinion
This study uses secondary data as well as tertiary data for research. Meta-analysis involves several journals and scholarly articles reviewed over three-month period to analyze the shortage of providers in three US States: Colorado, Kansas, and Utah. A cross-sectional survey will be mailed to 15 different primary care clinics within these three states. The participation in the survey will be voluntary and all respondents will have an option to mail, email or fax the survey. In order to encourage participation in the survey, the surveyors will be automatically selected for $100 lucky draw. Internal consistency will be assessed to determine reliability. Validity will be assessed through the technical quality of survey item. Principal component
However, the framework may perhaps be used as an instrument for policy-makers, planners, program managers when considering the growth of current projects or the outline of new interventions (Gericke, Kurowski, Ranson & Mills, 2005). The complexity of this particular framework has to be strategically planned in order to have maximum results. As stated earlier, the cost will always have an affect on just how well this health care delivery system can be utilized to its maximum potential. The United States allocates the most money on medical amenities than any other developed country (Shi & Singh, 2017). Academic health centers have a chance to focus their significant guidance and expertise on health systems revolutions to produce new tactics to service delivery and to foster leaders of transformation (Ellner, Stout, Sullivan, Griffiths, Mountjoy & Phillips, 2015). The United States has a distinctive healthcare system, however, it lacks the accessibility by all Americans which will forever be an on-going battle that needs to be the central focus (Shi & Singh,
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Telenursing, according to Schlachta-Fairchild, Varghese, Deickman, and Castelli (2010), is the use of telehealth technology to deliver nursing care and conduct nursing practice. As a result, telehealth is now being integrated into routine care delivery of patients around the globe. The two skills that will be helpful to an INS in a clinical setting are clinical assessment skills and documentation. In completing a physical assessment, the INS needs to draw on knowledge and think critically in order to make a nursing diagnosis based on the information that is collected (Schlachta-Fairchild et al., 2010). This will enable the telehealth nurse to act quickly in an emergent situation. Knowledge is powerful when one can interpret the signs and symptoms