Ketelo ea hau e tloaelehileng ea tlhokomelo ea bophelo e kenyelletsa ho khanna ho ea tleliniking kapa ofising, ho tlatsa lipampiri, le ho emela hore motho e mong a u letse ha mofani a se a u loketse.
Joale, tšoaetso ea coronavirus.Ka tšohanyetso, batho ba bangata ba ea libokeng ka k'homphieutha kapa ka thelefono, 'me telemedicine e se e le lebitso le tummeng.
Le hoja li-appointment tsa telemedicine li se li le mashome a lilemo, li ntse li le moeling oa tsamaiso ea bophelo bo botle.Kamora hore seoa sena se etse hore ho se khonehe ho fana ka lits'ebeletso tsa bongaka joalo ka pele, telemedicine e ile ea hlokahala, mme litšitiso tsa ho khutlisa, theknoloji le laesense li ile tsa qala ho fokotseha.Litsamaiso tse ling tsa bongaka li tlameha ho tloha ts'ebetsong e nyane ea telemedicine ho ea ho 100% ea ho kopana ka bosiu bo le bong.Kapele mokuli o ile a qala ho bona ngaka lapeng.Esita le tikolohong ea sepetlele, ba ntse ba buisana ka ho eketsehileng le bafani ba tlhokomelo ea bophelo ka iPad.Harlan Krumholz, moprofesa oa bongaka Sekolong sa Bongaka sa Yale University, o boletse hore tsoelo-pele ea morao-rao litabeng tsa thelefono "ha e kholoe ke batho ba bangata."
Pele ho seoa sena, bafani ba tlhokomelo ea bophelo bo botle ba ne ba hlokometse hore telemedicine e ke ke ea qojoa.Leha ho le joalo, ka lebaka la mabaka a sa tšoaneng, ho kenyelletsa le mokhoa oa ho lefella chelete, moetlo le likhetho tsa mokuli, tsamaiso ea sepetlele e ntse e sitoa ho itokolla.Nakong e fetileng, boholo ba telemedicine bo ne bo etsoa ka marang-rang a mekhoa ea tlhokomelo ea bophelo le litleliniki tse bitsoang "hub" mohlala, moo litsebi ("hubs") li neng li tla fana ka litsi tse nyenyane tsa bophelo bo botle le lipetlele ("spokes") Therisano ea Virtual..Ka mohlala, mokuli a ka ’na a ea setsing sa bophelo sa sechaba ho ea bona ngaka ea mafu a kelello e bohōle ba lik’hilomithara tse makholo.Seoa sena, mohlala ona o nkeloe sebaka haholo ke mohlala o tobileng ho bareki, empa libakeng tse nang le marang-rang a fokolang a marang-rang (batho ba ka hloka ho ea litleliniking tsa sechaba) le libakeng tse hole tse hlokang lisebelisoa tse khethehileng ntle le ho tsa bongaka. tšimo, mohlala bakeng sa bakuli ba hlokang ho hlahlojoa bakeng sa lefu la stroke kapa lefu la pelo.
Ho makatsang ke batho ba bangata, phetoho ena e kholo ea ho fihlella telemedicine le videoconferencing e sebetsa hantle.Mekhatlo ea tlhokomelo ea bophelo e khonne ho fana ka tlhokomelo e sireletsehileng le e sebetsang hantle le e baballang bakuli malapeng.Sena se boetse se bolela menyetla e mengata ea ho sebetsa lapeng, ho tsoela basebeletsi ba bangata ba bophelo bo botle molemo (mohlala, batsoali ba nang le bana).Ho phaella moo, mofani oa thepa a ka bona bokahare ba ntlo ea mokuli, e leng se ka thusang ho utloisisa bophelo ba mokuli hamolemo.
Lauren Eberly, mofuputsi oa tleliniki ea bongaka ba pelo le pelo Setsing sa Bongaka sa Perelman Univesithing ea Pennsylvania, o ile a fana ka mohlala nakong ea ketelo ea telemedicine ha bakuli ba hae ba ne ba bua ka meriana ea hae.Ha Eberly a botsa ka ho noa moriana o itseng, mokuli o ne a nahana hore oa o noa—empa o ile a bontša Eberly khabinete ea hae ea meriana, e neng e se na lengolo la ngaka.Mokuli o ne a nahana hore o na le meriana eohle eo a e hlokang, empa ha e le hantle o ne a haelloa ke moriana o le mong, o neng o ka ba le liphello tse bohloko.
"Ka litsela tse ngata, [tšebeliso ea telemedicine] e tla ba e 'ngoe ea lintlha tse ntle seoa sena," ho boletse David Bates, motsamaisi oa bongaka ba ka hare ho Brigham le Sepetlele sa Basali le moprofesa oa leano la bophelo bo botle le tsamaiso Univesithing ea Harvard.Sekolo sa Chen Chen sa Bophelo bo Botle ba Sechaba.
Sistimi e matla, e sa feleng ea telemedicine e ka fokotsa tšubuhlellano sepetlele, ea lumella bakuli ba bangata ho fumana tlhokomelo lapeng le kantle ho sepetlele.Sena se ka thusa Bates ho bolela esale pele hore nakong e tlang, libethe tse ngata tsa sepetlele li ka hlophisoa, kahoo e ka boela ea e-ba litsi tsa tlhokomelo e matla kapa tsa tlhokomelo e akaretsang ho e-na le e le 'ngoe kapa ho feta.Ka tsela ena, lipetlele li tla khona ho "thabisa" nakong ea tlhokahalo e phahameng, joalo ka ha lipetlele tsa California li bile teng nakong ea seoa sena.
Leha ho le joalo, tsoelo-pele e potlakileng ea telemedicine ha ea phethahala.Ka bobeli bafani le bakuli ba hloka ho tloaelana le sethala se secha sa theknoloji kapele, 'me ho thata hore batho ba laole phihlello ea livideo, ho tseba ho sebelisa lits'ebetso tsa seboka sa video kapa ho boloka khokahano e tsitsitseng ea Marang-rang.Bafani ba ka 'na ba hloloheloa mekhoa e sa bueng ka mantsoe le likarolo tse ling tse poteletseng tsa ketelo ea mokuli, kapa ba hlōleha ho bontša kutloelo-bohloko ka litsela tse tloaelehileng tsa sefahleho, tse kang ho fana ka matsoho a tšelisang.Li-platform tse ling ha li na mekhoa e metle ea ts'ireletso.Ho feta moo, haeba mokuli a hloka ho etsoa litlhahlobo tse itseng, li ke ke tsa etsoa feela setšeng.
Ha re bua ka mokhoa o pharalletseng, seoa sena se fane ka liteko bakeng sa lits'ebetso tse ngata tsa bophelo bo botle ho amohela telemedicine ka bophara.Leha ho le joalo, joalo ka mofuta ofe kapa ofe oa beta, mofuta o ntlafalitsoeng.E le hore telemedicine e finyelle bokhoni ba eona bo feletseng, e tla hloka mekhoa e metle ea ho kenya letsoho ha mokuli, joalo ka ho shebella hole, mohlala, mokhoa oa hore batho ba fumane khatello ea mali le matšoao a mang a bohlokoa lapeng.Bafani ba tsa bophelo bo botle ba ntse ba ithuta le lintho tse nyane haholo, joalo ka ho se kopane joalo ka tloaelo nakong ea ketelo ea sebele.Sethala sa telemedicine se tla tsoela pele ho ntlafatsoa mabapi le ts'ebeliso, lekunutu le ts'ireletso.
E le hore telemedicine e fihlele bokhoni ba eona, re boetse re hloka ho ela hloko hore na ke mang ea tla sala.Li-smartphone li ka thusa ho koala karohano ea dijithale, empa ho lihlopha tse ngata, ho lula ho na le litšitiso tsa ho fihlella theknoloji.Ka mohlala, batho ba merabe e menyenyane ba khetholloa ka litekanyetso tse tlaase tsa ho amohela li-broadband le litekanyetso tse tlaase tsa tšebeliso ea lik'homphieutha le Inthanete.Bakuli ba tsofetseng ba ka ba le mohala oa mohala feela 'me ha ba khone ho fumana video.
Boithuto ba morao-rao ba bakuli ba rerileng ho etela ka telemedicine likhoeling tse 'maloa tsa pele tsa seoa sa coronavirus e bonts'a hore ho na le ho se lekane ho hoholo ts'ebelisong ea telemedicine.Ka kakaretso, ts'ebeliso ea telemedicine (ho kenyeletsoa mohala le video) e tlase ho bakuli ba baholo, ba Asia kapa ba sa bueng Senyesemane.Ka mokhoa o ts'oanang, batho ba baholo, basali, ba batšo kapa ba Latino, batho ba nang le maemo a tlase a moruo ba sebelisa phihlello ea livideo khafetsa.
"Re ntse re haha mokhoa o mocha oa telemedicine, o re fang monyetla oa ho rarolla bothata," Eberly o itse."Ha re e kenya ts'ebetsong, ebang ke thekenoloji e eketsehileng kapa mekhoa e mecha, re tlameha ho sebelisa moralo e le hore re ka tsoela pele ho lekola ho se lekane ha meralo ho telemedicine."
Telemedicine e tla hloka matsete a mangata.Mercy Virtual Care Center, e leng setsi se seholo sa bongaka, e bile moetapele oa ho thusa mekhatlo ho nahana ka tlhokomelo ea sebele.Ho ea ka Bates, Mercy o sebelisa chelete e ka bang 5% ea chelete ea eona ho telemedicine, e leng holimo haholo ho feta litšenyehelo tsa litsamaiso tse ling tsa sepetlele ho telemedicine (hoo e ka bang 0.1% ho ea ho 0.2% ea chelete ea eona).
Bates o itse: "Re tsetela haholo ho (telemedicine).""Ho tla ba le liphetoho nakong e tlang, empa ho tla nka nako."
Ho ntlafatsa telemedicine ho boetse ho hloka liphetoho tsa nako e telele tsa pholisi le taolo.Pele ho seoa sa coronavirus, leha telemedicine e ne e kentsoe tšebetsong ka nepo mafapheng a mangata a litsebi, ho ne ho batla ho se na puseletso ea litšenyehelo tsa telemedicine.Kamora hore seoa sena se phatlalatsoe e le boemo ba tšohanyetso ba bophelo bo botle ba sechaba, lik'hamphani tsa inshorense, hammoho le Medicare le Medicaid, li fane ka tšireletso e atolositsoeng ea telemedicine.Congress, mmuso oa koporasi le mebuso ea linaha le tsona li ntlafalitse lekunutu la bakuli le melaoana ea telemedicine.Leha ho le joalo, boholo ba liphetoho tsena li fanoe ka nakoana nakong ea maemo a tšohanyetso a bophelo ba sechaba, 'me le hoja seoa sena se e-s'o fele, se se se qalile ho khutlela morao.
Ka mokhoa o nepahetseng, sekhahla sa puseletso bakeng sa mefuta eohle ea tlhokomelo ea bophelo (sefahleho le sefahleho, video le mohala) e lokela ho tšoana, eseng ea nakoana feela.Ntle le tekano ena, bafani ba fanang ka telemedicine (joalo ka ho etela batho ba sotlehileng ka mohala) ba tla fuoa kotlo e kholo hobane litheko tsa bona tsa puseletso li tlase.Leha ho le joalo, ho na le mabaka a mang a ho ba le tšepo.Mohlala, ka tšehetso ea mekha e 'meli, Molao oa Ts'ireletso ea Telemedicine oa 2021 kamora COVID-19 le Telemedicine Modernization Act ea 2021 li hlahisitsoe ho Congress haufinyane.'Musisi oa Massachusetts, Charlie Baker, o sa tsoa saena bili ea phetoho ea tlhokomelo ea bophelo bo botle, e hlokang hore litšenyehelo tsa maeto a telemedicine a boitšoaro li lokela ho tšoana le litšenyehelo tsa maeto a sefahleho ka nako ea lilemo tse peli.Ntle le melawana e jwalo, ho tla ba le kgaso e le nngwe ya telemedicine ka hara naha.Empa ba amehang ha ba batle ho etela batho ka telemedicine ntle le ho fana ka boleng ho bakuli.
"Batho ba tla batla boikarabello," ho boletse Krumholz.O boetse a supa hore kaha bakuli ba joalo ka telemedicine hangata ba etela ngaka, lik'hamphani tsa inshorense li tla tsoela pele ho ngola khatello ea telemedicine.
Joseph Kvedar, moprofesa oa dermatology Sekolong sa Bongaka sa Harvard le molula-setulo oa American Telemedicine Association, o boletse hore leano le bonolo la ho busetsa le bohlokoa joalo ka tefo.Haeba ho rarahane, ka linako tse ling k’hamphani ea inshorense e ka ’na ea hana sekoloto, kapa mokuli a ka ’na a fumana tefiso eo a neng a sa e lebella.
Ntle le mokhoa oa ho khutlisa chelete, ho na le libaka tse ling tsa maano tse hlokang ho ntlafatsoa.Mohlala, ho na le lithibelo tse ling mabapi le ho fihlella bakuli ho pholletsa le linaha ka telemedicine.Le hoja thibelo ena e na le moelelo bakeng sa ketelo ea pele, ho ka 'na ha hlokahala hore ho fokotsoe litlhoko tsa tumello ea naha e le hore tatellano e ka etsoa hantle.Tšebeletso e akaretsang ea Broadband le eona ea hlokahala.
E 'ngoe ea lipotso tse ka sehloohong tse khannang telemedicine ke: Hoa utloahala neng hore bafani ba bone bakuli ka seqo ho fapana le ho bona video?Ho itšetlehile ka litlhoko tsa mokuli, libaka tse itseng tse kang tsa kelello li ka 'na tsa e-ba tse loketseng haholo bakeng sa ho lateloa ha sebele.Leha ho le joalo, ka lebaka la tlhokahalo ea lisebelisoa tse khethehileng, batho ba bang (ka mohlala, ho bona ngaka bakeng sa ho bona kapa ho utloa) ha ba sa le eo.
Ka kakaretso, mekhatlo ea tlhokomelo ea bophelo e ntse e e-na le mathata a sa rarolloang, ho kenyelletsa le mokhoa oa ho sebelisa sebopeho sa bona sa 'mele hantle le mokhoa oa ho arola bakuli.Empa mathata ana a ka rarolloa.Ntho ea bohlokoa ke hore telemedicine e na le e tla tsoela pele ho fana ka batho ba bohlokoa haholo.
“Re tla bona kholo ea eona feela.Ho sa ntse ho e-na le lintho tse ngata tseo re lokelang ho ithuta tsona, empa ena ke nako e thabisang.”Ho boletse Krumholz.
Ntlafatso ea la 1 Hlakubele 2021: Sengoliloeng sena se ntlafalitsoe ho bontša hore Joseph kovdal hajoale ke molulasetulo oa American Telemedicine Association.
Future Tense ke molekane oa Slate, New America le Arizona State University, e inehetseng ho etsa lipatlisiso tsa mahlale a ntseng a hlaha, leano la sechaba le sechaba.
Slate e itšetlehile ka papatso ho tšehetsa boralitaba ba rona.Haeba u nka mosebetsi oa rona e le oa bohlokoa, ka kopo tima ad blocker ea hau.
Ka ho ikopanya le Slate Plus, o tla ts'ehetsa mosebetsi oa rona mme o fumane litaba tse ikhethileng.Mme ha o sa tla bona molaetsa ona hape.
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Nako ea poso: Mar-02-2021