Ungasebenzisa umakhalekhukhwini wakho ukuhwebelana ngamasheya, u-ode imoto kanokusho, ulandelele ukulethwa, imisebenzi yenhlolokhono, u-ode ukudla okuthengwayo, futhi ufunde cishe noma iyiphi incwadi eshicilelwe.
Kodwa amashumi eminyaka, imboni eyodwa—ukunakekelwa kwezempilo—ikakhulukazi ibambelele kumodeli yayo yendabuko yokubonisana ubuso nobuso yesakhiwo somzimba, ngisho nangokunakekelwa okuvamile.
Isimemezelo esiphuthumayo sezempilo yomphakathi esenziwe e-Indiana nakwezinye izifundazwe eziningi isikhathi esingaphezu konyaka siphoqelele izigidi zabantu ukuthi zicabange kabusha ukuthi zenza kanjani yonke into, okuhlanganisa nokukhuluma nodokotela.
Ezinyangeni ezimbalwa nje, isibalo sokubonisana ngocingo namakhompiyutha okubalele ngaphansi kuka-2% wezicelo zomshwalense wezempilo zizonke ngo-2019 senyuke izikhathi ezingaphezu kuka-25, safinyelela inani eliphakeme ngo-Ephreli 2020, okubalelwa ku-51% wazo zonke izimangalo.
Kusukela lapho, ukukhula okuqhumayo kwe-telemedicine ezinhlelweni eziningi zokunakekelwa kwezempilo kuye kwehle kancane kancane kwafinyelela ku-15% kuya ku-25%, kodwa kusewukukhula okukhulu kwedijithi eyodwa kusukela onyakeni odlule.
“Izohlala lapha,” kusho uDkt. Roberto Daroca, udokotela wezokubelethisa nodokotela wabesifazane eMuncie nomongameli we-Indiana Medical Association.“Futhi ngicabanga ukuthi ilungele iziguli, ilungele odokotela, futhi ilungele ukuthola ukunakekelwa.Lokhu kungenye yezinto ezinhle kakhulu ezingenzeka. ”
Abeluleki abaningi kanye nezikhulu zezempilo babikezela ukuthi ukukhuphuka kwemithi ebonakalayo-hhayi i-telemedicine kuphela, kodwa futhi nokuqapha impilo okude kanye nezinye izici ze-inthanethi embonini yezokunakekelwa kwempilo-kungase kubangele ukuphazamiseka okwengeziwe, njengokuncipha kwesidingo sendawo yehhovisi lezokwelapha kanye nokwanda kweselula. amadivaysi ezempilo namaqaphi akude.
I-American Medical Association ithe kulinganiselwa ukuthi amaRandi ayizigidi eziyizinkulungwane ezingama-250 ekunakekelweni kwezempilo kwase-US angase adluliselwe unomphela ku-telemedicine, okuhlanganisa cishe u-20% wezindleko zezinkampani zomshwalense zezentengiselwano nezikahulumeni ekuvakasheni kweziguli, amahhovisi kanye nezempilo yomndeni.
Inkampani yocwaningo i-Statistica ibikezela ukuthi, ikakhulukazi, imakethe yomhlaba wonke ye-telemedicine izokhula isuka ezigidini eziyizinkulungwane ezingama-50 zamadola aseMelika ngo-2019 iye cishe ezigidini eziyizinkulungwane ezingama-460 zamadola aseMelika ngo-2030.
Ngasikhathi sinye, ngokusho kwedatha yefemu yocwaningo i-Rock Health, abatshalizimali banikeze irekhodi lama-US $ 6.7 wezigidigidi ekuxhaseni ukuqaliswa kwempilo yedijithali e-United States ezinyangeni ezintathu zokuqala zika-2021.
IMcKinsey and Co., inkampani enkulu yezokubonisana ezinze eNew York, ishicilele lesi sihloko esishaqisayo embikweni wangonyaka odlule: "Iqiniso lama-dollar ayizigidi eziyizinkulungwane ezingama-2.5 ngemuva kwe-COVID-19?"
UFrost & Sullivan, enye inkampani yokubonisana ezinze eSan Antonio, eTexas, ubikezela ukuthi ngo-2025, kuyoba “ne-tsunami” ku-telemedicine, enezinga lokukhula elifinyelela izikhathi ezingu-7.Izibikezelo zayo zihlanganisa: izinzwa ezengeziwe ezisebenziseka kalula kanye nemishini yokuxilonga ekude ukuze kuzuzwe imiphumela engcono yokwelashwa kwesiguli.
Lolu wushintsho olunyakazisa umhlaba ohlelweni lokunakekelwa kwezempilo lwaseMelika.Nakuba ukuthuthuka kwesoftware namagajethi kunyakazise ezinye izimboni eziningi, okuhlanganisa nezitolo eziqashisa ngevidiyo, uhlelo belulokhu luthembele kumodeli yalo yokubonisana nehhovisi, ukuthwebula izithombe zefilimu, ukuqasha Izimoto, amaphephandaba, umculo nezincwadi.
Ngokusho kokuvota kwakamuva kukaHarris, cishe ama-65% abantu ahlela ukuqhubeka nokusebenzisa i-telemedicine ngemuva kwalesi sifo.Iningi labantu elahlolwa lathi lingathanda ukusebenzisa i-telemedicine ukubuza imibuzo yezokwelapha, ukubuka imiphumela yaselabhorethri, nokuthola imithi kadokotela.
Ezinyangeni eziyi-18 nje ezedlule, odokotela base-Indiana University Health Center, uhlelo lwesibhedlela olukhulu kunazo zonke esifundazweni, basebenzisa ama-smartphone, amaphilisi, noma amakhompyutha edeskithophu kuphela ukuze babone inqwaba yeziguli bekude njalo ngenyanga.
“Esikhathini esidlule, ukube besivakashelwa izikhathi eziyi-100 ngenyanga, singajabula kakhulu,” kusho uDkt. Michele Saysana, iphini likamongameli wezinga nokuphepha kwa-IU Health.
Kodwa-ke, ngemuva kokuthi uMbusi u-Eric Holcomb ememezele isimo esiphuthumayo sezempilo yomphakathi ngoMashi 2020, bonke abasebenzi ababalulekile kumele bahlale ekhaya futhi kutheleke izigidi zabantu.
E-IU Health, kusukela ekunakekelweni okuyinhloko nasekubelethweni kuya ekuhlolweni kwezifo zenhliziyo nengqondo, inani lokuvakashelwa nge-telemedicine likhuphuka njalo ngenyanga—izinkulungwane kuqala, bese kuba amashumi ezinkulungwane.
Namuhla, noma ngabe izigidi zabantu zigonyiwe futhi umphakathi uvulwa kabusha, i-telemedicine ye-IU Health isenamandla kakhulu.Kuze kube manje ngo-2021, inani lokuvakashelwa okubonakalayo lidlule ku-180,000, lapho bekungaphezu kuka-30,000 ngoMeyi kuphela.
Kungani kuthatha isikhathi eside kangaka ukuthi odokotela neziguli bakhulume ngokunethezeka ngesibonisi, kuyilapho ezinye izimboni eziningi zizama ukushintshela kumamodeli ebhizinisi aku-inthanethi, akucaci.
Abanye abantu embonini yezokwelapha baye bazama—noma okungenani bafisa—ukuba ngokoqobo ngokwengeziwe.Iminyaka engaphezu kwekhulu, abaholi bezimboni bebelokhu bephusha futhi bephusha ukufeza lo mgomo.
Isihloko esikumagazini wezokwelapha waseBrithani i-Lancet ngo-1879 sakhuluma ngokusebenzisa ucingo ukuze kuncishiswe ukuvakashela emahhovisi okungadingekile.
Ngo-1906, umsunguli we-electrocardiogram wanyathelisa iphepha elithi “electrocardiogram,” esebenzisa izintambo zocingo ukuze adlulisele ukushaya kwenhliziyo kwesiguli kudokotela aqhele ngamakhilomitha ambalwa.
NgokweNational Center for Biotechnology and Medicine, ngo-1925, isembozo sikamagazini othi “Science and Invention” sabonisa udokotela owaxilonga isiguli ngomsakazo futhi wacabanga ngomshini ongahlola nge-video ezigulini eziqhele ngamakhilomitha ambalwa ukusuka emtholampilo..
Kepha iminyaka eminingi, ukuvakasha okubonakalayo kuye kwahlala kungajwayelekile, cishe kungekho kubhaliswa ohlelweni lokunakekelwa kwezempilo lwezwe.Amandla alolu bhubhane acindezela amasistimu ukuthi asebenzise ubuchwepheshe ngezindlela eziningi ezahlukene.Ku-Community Health Network, ngesikhathi sodlame olubi kakhulu, cishe ama-75% odokotela abavakashela ngaphandle benziwa ku-inthanethi.
"Uma lungekho ubhubhane, ngicabanga ukuthi abahlinzeki abaningi abasoze bashintsha," kusho uHoy Gavin, umqondisi omkhulu weCommunity Health Telemedicine.“Abanye ngokuqinisekile ngeke bashintshe maduze nje.”
E-Ascension St. Vincent, uhlelo lokunakekelwa kwezempilo lwesibili ngobukhulu esifundazweni, kusukela ekuqaleni kwalolu bhubhane, isibalo sokuvakasha kwe-telemedicine senyuke sisuka ngaphansi kwe-1,000 phakathi no-2019 saya ku-225,000, sase sehla saya ku-10% kukho konke ukuvakasha namuhla mayelana.
UDkt. Aaron Shoemaker, isikhulu sezokwelapha se-Ascension Medical Group e-Indiana, uthe manje, kodokotela abaningi, abahlengikazi neziguli, lena enye indlela yokuxhumana.
"Kuba ukuhamba komsebenzi kwangempela, enye indlela yokubheka iziguli," esho.“Ungaya kohlangana nothile mathupha usuka ekamelweni elilodwa, bese igumbi elilandelayo kube ukuvakasha okubonakalayo.Yilokhu sonke esikujwayele.”
KwaFrancisca Health, ukunakekelwa okubonakalayo kwabalelwa ku-80% wakho konke ukuvakasha entwasahlobo ka-2020, kwase kubuyela emuva ku-15% kuya ku-20% wanamuhla.
UDkt. Paul Driscoll, umqondisi wezokwelapha ophethe weFrancisca Physician Network, uthe ingxenye yokunakekelwa okuyinhloko iphakeme kancane (25% kuya ku-30%), kuyilapho ingxenye yokwelashwa kwengqondo nokunye ukunakekelwa kwezempilo kokuziphatha iphakeme nakakhulu (ngaphezu kuka-50%). .
“Abanye abantu bakhathazekile ngokuthi abantu bazosaba lobu buchwepheshe bangafuni ukukwenza,” usho kanje.“Kodwa akunjalo.Kulula kakhulu ukuthi isiguli singashayeli siye ehhovisi.Ngokombono kadokotela, kulula ukuhlela umuntu ngokushesha okukhulu.”
Uqhube wathi: “Uma sikhuluma iqiniso siphinde sathola ukuthi kuyasonga.Uma singaqhubeka nokunakekelwa okubonakalayo okungama-25%, singase sidinge ukunciphisa indawo ebonakalayo ngo-20% kuya ku-25% esikhathini esizayo.”
Kodwa abanye onjiniyela bathi abacabangi ukuthi ibhizinisi labo lisengozini enkulu.U-Tag Birge, umongameli we-Cornerstone Cos. Inc., inkampani yezindlu ezinze e-Indianapolis, uthe akalindele ukuthi izinqubo zezokwelapha ziqale ukuyeka izinkulungwane zamamitha-skwele ehhovisi nendawo yomtholampilo.
“Uma unamagumbi okuhlola angu-12, mhlawumbe unganciphisa elilodwa, uma ucabanga ukuthi ungenza u-5% noma u-10% we-telemedicine,” usho kanje.
UDkt. William Bennett wahlangana nesiguli esineminyaka engu-4 ubudala kanye nomama wakhe ngohlelo lwe-telemedicine lwe-IU Health.(Isithombe sefayela le-IBJ)
Abanye ochwepheshe bathi indaba eyaziwa kancane ngemithi ebonakalayo isithembiso sayo sokuhlinzeka ukunakekelwa okuphelele, noma ikhono leqembu labahlinzeki lokuhlangana ukuze lixoxe ngesimo sesiguli futhi linikeze ukunakekelwa kochwepheshe emkhakheni othile (ngezinye izikhathi namakhulu odokotela. ).Amamayela kude.
"Lapha ngibona i-telemedicine inomthelela omkhulu," kusho uBrian Tabor, umongameli we-Indiana Hospital Association.
Eqinisweni, abanye odokotela basesibhedlela saseFrancisca Health sebevele basebenzise inkomfa ngevidiyo emizuliswaneni yeziguli.Ukuze banciphise ukuchayeka egciwaneni le-COVID-19, basungule inqubo lapho udokotela oyedwa kuphela ongangena egumbini lesiguli, kodwa ngosizo lwethebhulethi noma ilaptop, abanye odokotela abayisithupha bangaba nomhlangano ukuze bakhulume nesiguli futhi. bonisana ngokunakekelwa.
Ngale ndlela, odokotela abavame ukubonana nodokotela ngamaqembu, futhi babone udokotela ngezikhathi ezithile usuku lonke, ngokuphazima kweso, babona isimo sesiguli futhi bakhulume ngesikhathi sangempela.
UDkt. Atul Chugh, udokotela wezifo zenhliziyo ovela kwaFranciscas, wathi: “Ngakho-ke, sonke sinethuba lokuhlola iziguli futhi sizenzele izinqumo ezibalulekile sinodokotela abadingekayo.”
Ngenxa yezizathu ezihlukahlukene, imithi ebonakalayo iyadlondlobala.Izifundazwe eziningi ziye zaxegisa imikhawulo kumiyalelo ye-inthanethi.I-Indiana yaphasisa umthetho ngo-2016 ovumela odokotela, abasizi bodokotela, nabahlengikazi ukuthi basebenzise amakhompyutha noma ama-smartphone ukuze banikeze imithi.
Njengengxenye yoMthetho “Wokuvinjelwa KweCoronavirus Nokusabela Okwengeza Isabelomali,” uhulumeni wobumbano wamisa inqwaba yemithetho ye-telemedicine.Izimfuneko eziningi zokukhokha umshwalense wezokwelapha ziyekwa, futhi abamukeli bangathola ukunakekelwa okukude kungakhathaliseki ukuthi bahlalaphi.Lesi sinyathelo sivumela futhi odokotela ukuthi bakhokhise umshwalense wezokwelapha ngenani elifanayo nezinsizakalo zobuso nobuso.
Ngaphezu kwalokho, i-Indiana State Assembly yaphasisa umthethosivivinywa kulo nyaka owandisa kakhulu isibalo sabasebenzi abanelayisensi abangasebenzisa izinsiza zokubuyisela nge-telemedicine.Ngaphezu kodokotela, uhlu olusha luhlanganisa nodokotela bengqondo, osonhlalakahle basemtholampilo abanelayisense, abelapha emsebenzini, njll.
Esinye isinyathelo esikhulu sikaHulumeni waseHolcomb sasusa ezinye izithiyo.Esikhathini esedlule ngaphansi kohlelo lwe-Indiana Medicaid, ukubuyisela i-telemedicine, kufanele kwenziwe phakathi kwezindawo ezigunyaziwe, njengesibhedlela nehhovisi likadokotela.
“Ngaphansi kohlelo lwase-Indiana lweMedicaid, awukwazi ukuhlinzeka ngezinsizakalo ze-telemedicine emakhaya eziguli,” kusho uTabor.“Isimo sesishintshile futhi ngibonga kakhulu ithimba lomphathi.Basimisile lesi sicelo kwasebenza.”
Ngaphezu kwalokho, izinkampani eziningi zomshwalense wezohwebo zehlisile noma zaqeda izindleko eziphuma ephaketheni ze-telemedicine kanye nabahlinzeki be-telemedicine abanwetshiwe ngaphakathi kwenethiwekhi.
Abanye odokotela bathi ukuvakashela nge-telemedicine empeleni kungasheshisa ukuxilongwa nokwelashwa, ngoba iziguli ezihlala kude nodokotela ngokuvamile zingakwazi ukuthola ukufinyelela okukude ngokushesha esikhundleni sokulinda uhhafu wosuku lapho ikhalenda lazo likhululekile.
Ngaphezu kwalokho, ezinye iziguli esezikhulile nezikhubazekile kumelwe zihlele ukuba iveni liphume ekhaya, ngezinye izikhathi okuyizindleko ezengeziwe zokwelashwa okumba eqolo.
Ngokusobala, ezigulini, inzuzo enkulu ukuthi kube lula, ngaphandle kokushayela edolobheni ukuya ehhovisi likadokotela, futhi ngaphandle kokuhlala ekamelweni lokulinda ngokungapheli.Bangakwazi ukungena kuhlelo lokusebenza lwezempilo futhi balinde udokotela egumbini labo lokuphumula noma ekhishini ngenkathi benza ezinye izinto.
Isikhathi sokuthumela: Jun-18-2021