Ngama-podcasts, amabhulogi, nama-tweets, laba bagqugquzeli banikeza ukuqonda nobungcweti ukuze basize izethameli zabo zihambisane nezitayela zakamuva zobuchwepheshe bezokwelapha.
U-Jordan Scott ungumhleli wewebhu we-HealthTech.Uyintatheli ye-multimedia enesipiliyoni sokushicilela se-B2B.
Bayanda odokotela ababona ukubaluleka kwemishini nezinsizakalo zokuqapha isiguli.Ngakho-ke, izinga lokutholwa liyakhula.Ngokocwaningo olwenziwa yi-VivaLNK, ama-43% odokotela bakholelwa ukuthi ukwamukelwa kwe-RPM kuzohambisana nokunakekelwa kweziguli phakathi neminyaka emihlanu.Izinzuzo zokuqapha isiguli kude kodokotela zihlanganisa ukufinyelela kalula kudatha yesiguli, ukuphathwa okungcono kwezifo ezingelapheki, izindleko eziphansi, kanye nokusebenza kahle okwandisiwe.
Mayelana neziguli, abantu baya ngokuya beneliseka nge-RPM nezinye izinsizakalo zosekelo lobuchwepheshe, kodwa inhlolovo ye-Deloitte 2020 ithole ukuthi u-56% wabaphenduli bakholelwa ukuthi uma kuqhathaniswa nokubonisana nodokotela ku-inthanethi, bathola ikhwalithi efanayo noma inani lokunakekelwa.Abantu bayavakashela.
UDkt. Saurabh Chandra, umqondisi we-telemedicine e-University of Mississippi Medical Center (UMMC), uthe uhlelo lwe-RPM lunezinzuzo eziningana zeziguli, kuhlanganise nokufinyelela okungcono ekunakekelweni, imiphumela yezempilo ethuthukisiwe, izindleko eziphansi, kanye nezinga lempilo elithuthukisiwe.
"Noma yisiphi isiguli esinesifo esingamahlalakhona sizohlomula ku-RPM," kusho uChandra.Odokotela bavame ukuqapha iziguli ezinezifo ezingamahlalakhona, njengesifo sikashukela, umfutho wegazi ophakeme, ukwehluleka kwenhliziyo eqinile, isifo esingamahlalakhona se-pulmonary pulmonary, nesifo somoya.
Amadivayisi okunakekelwa kwezempilo e-RPM athwebula idatha ye-physiological, efana namazinga kashukela egazini nomfutho wegazi.U-Chandra uthe izinto ezisetshenziswa kakhulu ze-RPM amamitha kashukela wegazi, amamitha okucindezela, ama-spirometer, nezikali zesisindo ezisekela i-Bluetooth.Idivayisi ye-RPM ithumela idatha ngohlelo lokusebenza kudivayisi yeselula.Ezigulini ezingezona i-tech-savvy, izikhungo zezokwelapha zingahlinzeka ngamaphilisi ngohlelo lokusebenza olunikwe amandla-iziguli zidinga nje ukuvula ithebhulethi futhi zisebenzise idivayisi yazo ye-RPM.
Izinhlelo zokusebenza eziningi ezisuselwe kubathengisi zingahlanganiswa namarekhodi ezempilo e-elekthronikhi, okuvumela izikhungo zezokwelapha ukuthi zizenzele imibiko yazo ngokusekelwe kudatha noma zisebenzise idatha ngezinjongo zokukhokha.
UDkt. Ezequiel Silva III, udokotela we-radiologist e-South Texas Radiological Imaging Center futhi oyilungu le-American Medical Association's Digital Medical Payment Advisory Group, uthe ezinye izisetshenziswa ze-RPM zingafakwa ngisho nokugxiliswa.Isibonelo ithuluzi elikala umfutho we-pulmonary artery ezigulini ezinesifo senhliziyo.Ingaxhunywa ku-digital platform ukwazisa isiguli ngesimo sesiguli futhi ngesikhathi esifanayo yazise amalungu ethimba lokunakekela ukuze enze izinqumo zokuphatha impilo yesiguli.
USilva uveze ukuthi amadivaysi e-RPM nawo awusizo ngesikhathi sodlame lwe-COVID-19, okuvumela iziguli ezingaguli kakhulu ukuthi zilinganise amazinga azo okugcwala komoyampilo ekhaya.
UChandra uthe ukuhlushwa yisifo esisodwa noma ngaphezulu okungamahlalakhona kungase kubangele ukukhubazeka.Kulabo abangakutholi ukunakekelwa okungaguquki, ukugula kungaba umthwalo wokuphatha.Idivayisi ye-RPM ivumela odokotela ukuthi baqonde umfutho wegazi wesiguli noma izinga likashukela egazini ngaphandle kokuba isiguli singene ehhovisi noma sishaye ucingo.
"Uma noma iyiphi inkomba isezingeni eliphezulu kakhulu, othile angashayela futhi axhumane nesiguli futhi aseluleke ukuthi adinga ukuthuthukiswa abe ngumhlinzeki wangaphakathi," kusho uChandra.
Ukuqapha kunganciphisa izinga lokulaliswa esibhedlela ngesikhathi esifushane futhi kuvimbele noma kubambezele izinkinga zesifo, njenge-microvascular stroke noma ukuhlasela kwenhliziyo, esikhathini eside.
Nokho, ukuqoqa idatha yesiguli akuwona kuphela umgomo wohlelo lwe-RPM.Imfundo yesiguli ingenye ingxenye ebalulekile.U-Chandra uthi le datha inganika amandla iziguli futhi izinikeze ulwazi oluyidingayo ukuze izisize zishintshe ukuziphatha kwazo noma indlela yokuphila ukuze zenze imiphumela enempilo.
Njengengxenye yohlelo lwe-RPM, odokotela bangasebenzisa ama-smartphone noma amaphilisi ukuthumela iziguli amamojula okufundisa aqondene nezidingo zabo, kanye namathiphu ansuku zonke ngezinhlobo zokudla okufanele zidle nokuthi kungani ukuzivocavoca kubalulekile.
"Lokhu kwenza iziguli zithole imfundo eyengeziwe futhi zibhekele impilo yazo," kusho uChandra.“Miningi imiphumela emihle yomtholampilo iwumphumela wemfundo.Uma sikhuluma nge-RPM, akumele sikukhohlwe lokhu. ”
Ukunciphisa ukuvakasha nokulaliswa esibhedlela nge-RPM esikhathini esifushane kuzonciphisa izindleko zokunakekelwa kwezempilo.I-RPM ingase futhi yehlise izindleko zesikhathi eside ezihlobene nezinkinga, njengezindleko zokuhlola, ukuhlola, noma izinqubo.
Uveze ukuthi izingxenye eziningi ze-RPM e-United States azikho abahlinzeki bokunakekelwa okuyinhloko, okwenza odokotela bafinyelele kangcono iziguli, baqoqe idatha yezempilo, banikeze ukuphathwa kwezokwelapha, futhi bazuze ukwaneliseka ukuthi iziguli zinakekelwa ngenkathi abahlinzeki behlangabezana nezinkomba zabo.Uthi.
“Bayanda odokotela bokunakekelwa okuyisisekelo bayakwazi ukufeza izinhloso zabo.Kukhona ezinye izikhuthazo zezimali ukuze kuhlangatshezwane nalezi zinhloso.Ngakho-ke, iziguli ziyajabula, abahlinzeki bayajabula, iziguli zijabule, futhi abahlinzeki bajabule ngenxa yokwanda kwezinzuzo zezimali, "Usho.
Kodwa-ke, izikhungo zezokwelapha kufanele ziqaphele ukuthi umshuwalense wezokwelapha, i-Medicaid kanye nomshwalense wangasese awunayo njalo izinqubomgomo zokubuyisela noma izindlela zokufaka, kusho u-Chandra.
USilva uthe kubalulekile ukuthi odokotela basebenzisane namaqembu akhokhelayo esibhedlela noma ehhovisi ukuze baqonde ikhodi yombiko efanele.
U-Chandra uthe inselele enkulu ekusebenziseni uhlelo lwe-RPM ukuthola isixazululo esihle sabahlinzeki.Izinhlelo zokusebenza zabahlinzeki zidinga ukuhlanganisa ne-EHR, zixhume amadivaysi ahlukahlukene futhi zikhiqize imibiko engenzeka ngendlela oyifisayo.U-Chandra uncoma ukubheka umhlinzeki ohlinzeka ngesevisi yamakhasimende esezingeni eliphezulu.
Ukuthola iziguli ezifanelekile kungenye into ecatshangelwayo enkulu yezinhlangano zokunakekelwa kwezempilo ezinentshisekelo yokusebenzisa izinhlelo ze-RPM.
“Kunamakhulu ezinkulungwane zeziguli eMississippi, kodwa sizithola kanjani?E-UMMC, sisebenzisana nezibhedlela ezahlukene, imitholampilo kanye nezikhungo zezempilo zomphakathi ukuze sithole iziguli ezifanele,” kusho uChandra.“Kumele futhi siphakamise izindlela zokufakwa ukuze kutholakale ukuthi yiziphi iziguli ezifanele.Lobu bubanzi akumele bube buncane kakhulu, ngoba awufuni ukukhipha abantu abaningi kakhulu;ufuna ukuzuza abantu abaningi.”
Uphinde wancoma ukuthi ithimba lokuhlela le-RPM lixhumane nomhlinzeki wokunakekela oyinhloko wesiguli kusengaphambili, ukuze ukuhlanganyela kwesiguli kungamangalisi.Ngaphezu kwalokho, ukuthola imvume yomhlinzeki kungabangela umhlinzeki ukuthi ancome ezinye iziguli ezifanele ukuthi zibambe iqhaza kuhlelo.
Njengoba ukwamukelwa kwe-RPM kuya kudume kakhulu, kukhona nokucatshangelwa kwezimiso zokuziphatha emphakathini wezokwelapha.USilva uthe ukusetshenziswa okwandayo kobuhlakani bokwenziwa, ukufunda komshini, kanye nezindlela zokufunda ezijulile ezisetshenziswa kudatha ye-RPM kungaveza uhlelo, ngaphezu kokuqapha ngokomzimba, lungahlinzeka ngolwazi lokwelashwa:
“Cabanga ngeglucose njengesibonelo esiyisisekelo: uma izinga le-glucose yakho lifinyelela eqophelweni elithile, lingase libonise ukuthi udinga izinga elithile le-insulin.Iyiphi indima edlalwa udokotela kukho?Senza lezi zinhlobo zamadivaysi azimele ngaphandle kokufaka udokotela Ingabe izinqumo zanelisiwe?Uma ucabangela izinhlelo zokusebenza ezingase zisebenzise noma zingasebenzisi i-AI ngama-algorithms e-ML noma e-DL, lezi zinqumo zenziwa isistimu efunda ngokuqhubekayo noma ekhiyelwe ngaphakathi, kodwa ngokusekelwe kusethi yedatha yokuqeqeshwa.Nazi Okunye okucatshangelwayo okubalulekile.Busetshenziswa kanjani lobu buchwepheshe kanye nezixhumanisi ekunakekeleni isiguli?Njengoba lobu buchwepheshe buvame kakhulu, umphakathi wezokwelapha unomthwalo wemfanelo wokuqhubeka nokuhlola ukuthi zikuthinta kanjani ukunakekelwa kwesiguli, ulwazi kanye nemiphumela.”
U-Chandra uthe i-Medicare ne-Medicaid ibuyisela i-RPM ngoba inganciphisa izindleko zokunakekelwa kwezifo ezingapheli ngokuvimbela ukulaliswa esibhedlela.Lo bhubhane ugqamise ukubaluleka kokuqapha iziguli ezikude futhi wagqugquzela uhulumeni wobumbano ukuthi ethule izinqubomgomo ezintsha zezimo eziphuthumayo zezempilo.
Ekuqaleni kobhubhane lwe-COVID-19, i-Centers for Medicare and Medicaid Services (CMS) yandise ukuhlinzekwa komshwalense wezokwelapha we-RPM ukuze kufakwe iziguli ezigula kakhulu neziguli ezintsha kanye neziguli ezikhona.I-US Food and Drug Administration ikhiphe inqubomgomo evumela ukusetshenziswa kwamadivayisi angahlaseli agunyazwe yi-FDA ukuqapha izimpawu ezibalulekile endaweni ekude.
Akukacaci ukuthi yiziphi izibonelelo ezizokhanselwa ngesikhathi sezimo eziphuthumayo futhi ezizogcinwa ngemva kokuphela kwesimo esiphuthumayo.USilva uthe lo mbuzo udinga ukucwaninga ngokucophelela ngemiphumela ngesikhathi sodlame, impendulo yesiguli kubuchwepheshe, nokuthi yini engathuthukiswa.
Ukusetshenziswa kwemishini ye-RPM kunganwetshwa ekunakekelweni kokuvimbela kubantu abanempilo;Nokho, u-Chandra waveza ukuthi uxhaso alutholakali ngoba i-CMS ayibuyiseli le sevisi.
Enye indlela yokweseka kangcono izinsiza ze-RPM ukukhulisa ukukhava.USilva uthe nakuba imodeli yenkokhelo yesevisi ibalulekile futhi iziguli zijwayelene nazo, ukuhlinzekwa kungase kube nomkhawulo.Isibonelo, i-CMS yacacisa ngoJanuwari 2021 ukuthi izokhokhela ukunikezwa kwesisetshenziswa phakathi kwezinsuku ezingama-30, kodwa kufanele isetshenziswe okungenani izinsuku eziyi-16.Nokho, lokhu kungase kungahlangabezani nezidingo zaso sonke isiguli, okubeka ezinye izindleko engcupheni yokungabuyiselwa.
U-Silva uthe imodeli yokunakekelwa okusekelwe ku-value inamandla okudala izinzuzo ezingezansi zeziguli futhi ifinyelele imiphumela yekhwalithi ephezulu ukuze kulungiswe ukusetshenziswa kobuchwepheshe bokuqapha isiguli esikude kanye nezindleko zayo.
Isikhathi sokuthumela: Jun-25-2021