Kusamalira Matenda Popanda Pakati Pathupi
Intaneti ikusintha chirichonse. Munthu akhoza kugula zovala zamkati kapena galimoto yatsopano ndi pulogalamu. Ngakhalenso kugula kunyumba n'kotheka, kuphatikizapo kukwanitsa kutenga ngongole pa smartphone. Ngakhale mutagwiritsa ntchito mwambo watsopano wa nyumba yanu, mumagwiritsa ntchito ma imelo mwachindunji ndikusindikiza zolemba zonse pamagetsi, kupatula gawo lomalizira lomwe liyenera kulembedwa.
Mofananamo, malo 911 akusintha kuti apempha agwiritse ntchito mauthenga a mauthenga kuti afotokoze zoopsa . M'madera ena a dzikoli, zoyamba kuchitidwa kumangidwa kwa mtima zingapangidwe kwambiri pulogalamu yomwe imachenjeza odzipereka omwe ali pafupi. Kodi ma ambulansi ndi magalimoto oyendetsa moto amayendetsa nthawi yaitali bwanji?
Ndi kusintha konseku ndi kusintha, sizosadabwitsa kuti kulandira chithandizo chamankhwala ndikutenganso. Osati ma galimoto oyendetsa galimoto okha-chinthu chomwe odwala ambiri sakhala openga-koma ngakhale momwe akuwonera dokotala akusintha.
Health Care: Kupanga Long-Distance Relationships
Thandizo labwino (lomwe limatchedwanso telehealth kapena telemedicine) ndilo liwu lomwe likukhudzana ndi kugwiritsira ntchito foni kapena mavidiyo kuti azindikire ndi kuchiritsidwa ndi dokotala. Chithandizo chabwino cha mankhwala ndi njira yabwino yothandizira mwamsanga chifukwa imalola wodwala kuti adziwe dokotala wake (kapena dokotala aliyense) nthawi iliyonse yomwe akufuna, kawirikawiri popanda kuyembekezera ndi kuyendera mwamsanga.
Ndibwino kuti dokotala wodwala ali kutali kwambiri. Dokotala wa mkazi wanga anasamukira mtunda wa makilomita 100 kutali ndi ife, koma ubale wake ndi dokotala wake akadali wamphamvu. Angagwiritse ntchito njira za telehealth kuti amuthandize kuti azilankhulana komanso azifufuza mofulumira ndi foni kapena mavidiyo. Iye samasowa kuyamba ndi dokotala watsopano.
Nthawi zina, nsanja yolankhuliranayi imachokera pa pulogalamu yamakono. Mawindo ena akhoza kukhala pa webusaiti kapena kugwiritsa ntchito malo ogwiritsira ntchito. M'masinthidwe ambiri, madokotala angathe kulankhulana pakati pa owona odwala njira yakale: muofesi.
Mitundu ya Machitidwe Otetezeka Oyenera
Thandizo labwino labwino silinangokhalapo pena paliponse. Yakhala yosinthika kwa chitukuko ndi thanzi.
Mzere wolozera uphungu umabwera poyamba. Zomwezo zinkafuna kudula ndalama za inshuwalansi pogwiritsa ntchito namwino kupereka chitsogozo cha kupita kwa ER kapena kupanga nthawi. Mayi othandizira maulendo nthawi zambiri amakhala otetezedwa ndi ma protocol (anamwino ali ndi script ndi ndondomeko yomwe akuyenera kutsatira), koma akukula kupereka zambiri kuposa njira zosavuta zowonongeka.
Anamwino tsopano amapereka chithandizo chamankhwala osiyanasiyana ndi mizere yambiri ya uphungu amagwiritsa ntchito asing'anga kuti azindikire odwala ndi kuwathandiza kupeza chithandizo chomwe akusowa. Izi ndizinthu zomwe zimayendetsedwa ndi njira zomwe zimayendetsedwa, koma amafunikira osowa osamalira okha kuti athe kupanga chisankho cholimba chachipatala.
Mtsinje wotsatira unkatchedwa telemedicine. Mu bukhu ili, pali dokotala yemwe alipo pamapeto ena. Ndicho chimene chinayambitsa mapulogalamu osamalidwa komanso mapulatifomu.
Mapulogalamu a Telemedicine ali ndi zosiyana zosiyanasiyana. Kwa mapulogalamu ambiri a foni yamakono, palibe wina pakati pa wodwala ndi dokotala. Ndi wodwala, doc, ndi foni.
Maulendo Obwino, Ntchito Zenizeni
M'masinthidwe ambiri omwe alipo pakali pano pamsika, madokotala ndi ofanana ndi golide wa chithandizo chamankhwala. Namwino kapena wothandizira zachipatala angayankhe maitanidwewo poyamba ndikukonzeketsa zomwe wodwalayo adziŵa, dzina lake, tsiku lobadwa, inshuwalansi, adiresi, dokotala wamkulu, ndi zina zotero-koma ndalama ndizochita mgwirizano wa dokotala, omwe nthawi zambiri amakhala ochepa.
Ichi ndi ntchito yabwino kwambiri kwa dokotala.
Kulimbana pakati poleza mtima ndifupikitsidwa chifukwa palibe amene akufuna kutenga nthawi yambiri kuposa foni. Mukupeza zomwe mukusowa, koma sizowoneka ngati maso ndi maso. Mutangotsala nthawi yanu kuti muyang'ane ndikuyang'ana mu chipinda chodikirira, mukhoza kumangosintha pang'ono ndikupita kuchipatala. Komabe, pa foni, maulendo ofupika amawakonda. Ziri bwino kwa wodwala chifukwa zonsezi zatha mofulumira ndipo zimapindula kwambiri kwa dokotala chifukwa cha chiwerengero chachikulu cha odwala.
Mu zina, milandu yowonjezereka, dokotala amagwira ntchito monga magulu a magulu a zachipatala omwe amapangidwa ndi anamwino kapena opaleshoni . Madokotala amagwiritsa ntchito opereka chithandizo chachipatala kuti akhale manja, maso, ndi makutu. Namwino kapena odwala matenda opatsirana pogonana akhoza kukhala pafupi ndi odwala ndi odwala. Amatha kumva kutentha ndi chinyezi cha khungu. Amatha kumvetsera zozizwitsa komanso kutenga zizindikiro zofunika. Iwo angaperekenso thandizo lalikulu la zamankhwala ndi malangizo ochokera kwa dokotala.
Mapulogalamu ambiri a telemedicine amagwiritsidwa ntchito kuthandizira zipatala kuchepetsa kuwerengedwa kwa odwala omwe posachedwapa amamasulidwa. Medicare inalimbikitsa izi makamaka mwa kulandira zipatala ngati odwala posachedwa atha kubwereranso ku chipatala chifukwa cha vuto lomwelo.
Mapulogalamu ena a telemedicine amagwiritsa ntchito njirayi kuti azindikire ndikutsogolera njira zowonjezereka zamankhwala. Pogwiritsa ntchito telemedicine, dokotala akhoza kuwonjezeredwa kuntchito iliyonse yowonjezera pafupifupi kulikonse padziko lapansi. Docs ku San Francisco ikhoza kutsogolera opaleshoni ku Antarctica kapena neurosurgeon ingagwire ntchito ndi odwala opaleshoni kuti adziwe odwala omwe ali ndi matendawa.
Nthawi zina, othandizira opaleshoni kapena anamwino pambali pambali amavala luso lamakono ngati mavidiyo kapena makamera a thupi kuti athandize dokotala kumuwona wodwalayo ali pafupi.
Kuyankha Kuitana
Bwanji nanga ntchito zina, ngakhale? Ali kuti namwino amene anayankha foni? Amenewo akhoza kukhala antchito omwe akuyitana mafoni akuyankha mafoni m'mabwana awo ndikugwira ntchito khumi ndi awiri pa ora, kapena angakhale anthu m'nyumba zawo poyankha mayitanidwe omwe amawatumizira kudzera pulogalamu ya mapulogalamu.
Sukulu ya Nursing ilibe gawo pa kafukufuku wa foni ndi chisamaliro, choncho ambiri mwa malowa amafunika kuphunzitsidwa kuti akonzekerere namwino wa telemedicine. Kuyesera kuli kosiyana kwambiri pamene iwe umangokhala pawindo la smartphone kapena, moipa komabe, kungogwiritsa ntchito mawu a wodwala kuti muwone momwe akuwonetsera zachipatala.
Otsatsa 911 ndi akatswiri pankhani yowunika zomwe zikuchitika kumapeto ena a foni. Omasulira omwe amaphunzitsidwa kuthana ndi maulendo a zachipatala, kuphatikizapo kupereka malangizo kwachipatala kwa oimba osaphunzitsidwa, amatha kuitanitsa zokambirana ndikuwapempha kuti azitsatira. Otsatsa 911 ali ndi zochepa zenizeni za zamankhwala. Zosinthazo zimapanga zisankho zonse kwa iwo. Zapangidwa kuti ziwatsogolere kupyolera mukugwirizanitsa zachipatala zokhazikika pa mayankho a oitanira ku mafunso omwe akuyankhidwa ndi algorithm.
Nthaŵi zambiri, odwala omwe amawatcha kuti pulogalamu yamakono yowonongeka sakumana ndi zoopsa za moyo, koma ndizotheka ndi kuyitana kulikonse. Anamwino sangathe kunyalanyaza maitanidwe awo. Kuika anamwino mwa maphunziro ofanana ndi a 911 kutumiza kumathandiza kupanga wosakanizidwa amene angagwiritse ntchito njira zowonjezereka.
Kupititsa patsogolo Zam'tsogolo
Mosasamala kanthu yemwe amayankha foni kapena amene akupereka chithandizo chamankhwala, akatswiri a IT ndi makopi a makompyuta amafunika kuti chinthu chonsecho chigwire ntchito kumapeto. Zambiri mwa nsanjazi sizinakhaleko. Ndizolemba makompyuta omwe ali patsogolo pa chilengedwe. Akatswiri opanga mauthenga ndi akatswiri a zamalonda amathandiza kuti ntchitoyi ikangotanganidwa ndipangidwe mazikowo.
Mabanki a zamankhwala amasungira ndalama zomwe zikuyenda kumapeto. Zambiri mwa mapepalawa ndi atsopano ndipo sizinakwaniritse zitsanzo zamalonda za inshuwalansi zamankhwala. Tsogolo la chithandizo chamankhwala limadalira kupeza chitsanzo chomwe chimapanga ndalama komanso chimakhala chosatha.
> Zotsatira:
> Gordon, AS, Adamson, WC, & DeVries, AR (2017). Maulendo Abwino Othandiza, Osamaliridwa Osagwira Ntchito: Kufufuza kwa Zomwe Zimagwiritsidwa Ntchito pa Zigawo Zakale. Journal of Medical Internet Research , 19 (2), e35. http://doi.org/10.2196/jmir.6783
> Schoenfeld AJ, Davies JM, Marafino BJ, Dean M, DeJong C, Bardach NS, Kazi DS, Boscardin WJ, Lin GA, Duseja R, Mei YJ, Mehrotra A, Dudley RA. Kusiyanasiyana mu Umoyo Wathanzi Wathanzi Mwachangu Pakati pa Maulendo Oyenera Azamalonda. JAMA Intern Med . 2016 May 1; 176 (5): 635-42. lembani: 10.1001 / jamainternmed.2015.8248.