Kudikira pa Osankhidwa Achipatala Achilendo

Zosokoneza kugonjetsedwa pamaso pa telemedicine zimakhala zenizeni.

Anthu ambiri ali ndi mafoni a m'manja omwe amadzaza ndi mapulogalamu. Anthu ambiri amawona madokotala ndi ena othandizira zachipatala kuchipatala. Koma ndichifukwa chiyani zosankhidwa kuti mupite ndi dokotala pogwiritsa ntchito pulogalamu yamakono ya foni yamakono?

Ngakhale tili ndi teknoloji ya audiovisual-kuphatikizapo makamera apamwamba komanso malo ogwiritsira ntchito pa Intaneti pafoni-kuti atumizire telemedicine ndikuyendera maofesi ndi madokotala akuwona, tidakali ndi zopinga zambiri kuti tisawonongeke kuti maulendo a odwala nthawi zambiri asakhalenso wamba ndipo zatsopanozi zimasokoneza motero kusintha momwe mankhwala amachitira.

Kodi Telemedicine N'chiyani?

Kugwiritsira ntchito luso lamakono, telemedicine kumathandiza kulankhulana pakati pa dokotala ndi wodwala nthawi yeniyeni. Kuchokera kumalo akutali kapena malo amodzi , dokotala kapena munthu wina wothandizira zaumoyo amavomereza amathandiza wodwala amene ali pa malo oyamba kapena oyankhulidwa . Mwachitsanzo, katswiri wa zamoyo pa malo oyang'anira dera angapereke chisamaliro cha wodwala ndi matenda a mtima m'zipatala zakumidzi pogwiritsa ntchito telojeya ya telemedicine.

Ngakhale kulimbikitsana kwa nthawi yeniyeni ndi chitukuko chatsopano, telemedicine yakhala ikuzungulira kwa zaka zopitirira 30. Kugwiritsira ntchito sayansi ya "sitolo-ndi-patsogolo", pathologists ndi radiologists akhala akuwonanso zithunzi zamakono ndi zojambula zomwe zasamutsidwa kuchoka kumalo ena kupita kumalo ena.

Pofika m'chaka cha 2012, pafupifupi theka la zipatala zonse za ku United States zinapanga telemedicine. Komanso, boma la federal likugwiritsidwa ntchito kwambiri pa telemedicine, ndipo Dipatimenti ya US Veterans Affairs yatsitsa VA Telehealth Services kwa ankhondo.

Mu 2014, asilikali oposa 28,000 adatumizidwa ndi madokotala kumadera akutali pogwiritsa ntchito ma telemedicine.

Chidwi cha boma ndi boma pa telemedicine chimachotsedwa ndi nkhaŵa zokhudzana ndi kuchuluka kwa ndalama za chithandizo chamankhwala. Ambiri amakhulupirira kuti powapatsa telemedicine services, mtengo wa chithandizo chamankhwala umachepa.

Komabe, sizikudziwikiratu ngati telemedicine idzapulumutsa ndalama, ndipo kufufuza pa phunziroli ndi kochepa komanso kosadziwika

Zimangidwe za Telemedicine

Zedi, pali zovuta zongopeka za telemedicine. Zopindulitsa izi zimaphatikizapo kuchepa pamwamba pa njerwa ndi zamtengo pamwamba, kuchepetsa mtengo wa kubwezeredwa ndi ogulitsa inshuwalansi, komanso kuchepetsa ndalama zomwe mpata wodwala akumana nazo kuphatikizapo ndalama zochepa zoyendayenda komanso kutaya nthawi kuntchito. Komabe, mwachidziwitso, izi zowonongeka sizinakwaniritsidwe. Mwachindunji, palibe phunziro lomwe lawonetsa kuti telemedicine imachepetsa mtengo wa chithandizo chamankhwala.

Kuwonjezera apo, telemedicine idzabwera ndi ndalama zomwe zimagwiritsidwa ntchito pokhapokha phindu la kukhala ndi anamwino kapena ena omwe amaphunzitsidwa kuti azitumiza kudzera pa telemedicine, ndipo mwina kuthekera kosavuta kuwatumiza kudzawonjezera kuchuluka kwa chisamaliro chapadera ndi kuyendera katswiri.

Ponena za kusintha kwa thanzi, sikudziwikanso ngati telemedicine idzapindulitsa odwala. Umboni wina umasonyeza kuti maselo a telemedicine angachepetse kutalika kwa chipatala anthu omwe ali ndi matenda opuma, shuga ndi mtima wosalimba. Kuwonjezera pamenepo, kupindula kwa anthu kwafa kwagwirizanitsidwa ndi telemedicine miyeso yoperekedwa kwa odwala omwe ali ndi mtima wolephera.

Komabe, maphunziro ena sasonyeza ubwino wathanzi wa telemedicine, ndipo sitikudziwa ngati ziwonetsero zapamwamba zidzasintha ubwino wa chisamaliro kunja kwa malo ovuta kapena osamalidwa bwino. Palibe maphunziro a nthawi yayitali omwe awonanso zotsatira za zotsatira za umoyo.

Imodzi mwa mavuto akuluakulu ndi telemedicine ndi okhudzana ndi chilolezo ndi malamulo. Mabungwe a zamankhwala amalembera madokotala, ndipo zinthu zimatha kukhala ndi ubweya pamene wothandizira zaumoyo kuchokera ku dziko lina kapena dziko lina amatsogolera. Kuti telemedicine ikhale yofala, madokotala omwe amapereka chisamaliro chakumidzi ayenera kuloledwa kuchita zimenezo.

Maofesi enieni omwe amawachezera ndi kuwunikira mosakayikira adzasintha mgwirizano wa chithandizo pakati pa dokotala ndi wodwala.

Mwachitsanzo, pokomana, sizingatheke kuti wothandizira aike manja ndikuyesa wodwalayo. Odwala ambiri amapeza kuthana maso ndi maso ndi madokotala omwe amatonthoza ndipo sangayambe kukaonana ndi dokotala kudzera njira yamagetsi.

Pazinthu zowonjezereka, telemedicine idzasintha mphamvu zogwirira ntchito pakati pa akatswiri a zamankhwala. Pakalipano, chithandizo chamankhwala ambiri chimaperekedwa ndi akatswiri omwe amalumikizana mwachindunji. Nchiyani chimachitika pamene mamembala ena a gulu amagwira ntchito kutali?

Pansi

Pamene odwala amakhala opanga tech savvy ndi kuwonjezeka kwambiri pa zovuta ndi inshuwalansi kukhala ofunika kwambiri, zojambula telemedicine ndi kafukufuku angapangitse kusatsutsika. Komabe, tidakali patali kwambiri, ndipo kuti telemedicine ipite patsogolo, tifunikira kumvetsa tanthauzo la teknoloji yotereyi pa zotsatira zokhudzana ndi matenda. Komanso, mabungwe a inshuwalansi ndi mabungwe ena osamalira udindo ayenera kuwona momwe angagwiritsire ntchito telemedicine ntchito yachuma.

Zosankha Zosankhidwa

Nkhani yotchedwa "Visited Virtual - Kulimbana ndi Mavuto a Telemedicine" ndi JM Kahn wochokera ku NEJM yofalitsidwa mu 2015. Kupezeka pa 7/13/2015.

Nkhani yotchedwa "The Impact of Telehealthcare pa Makhalidwe ndi Chitetezo cha Chisamaliro: Zowonongeka Mwachidule" ndi S. McLean ndi alembi ena a PLoS One omwe adafalitsidwa mu 2013.