Mutha kugwiritsa ntchito foni yanu yam'manja kusinthanitsa masheya, kuyitanitsa galimoto yamtengo wapatali, kutsatira zotumizira, ntchito zofunsira mafunso, kuyitanitsa chakudya chotengera, ndikuwerenga pafupifupi buku lililonse losindikizidwa.
Koma kwa zaka zambiri, bizinesi imodzi - chisamaliro chaumoyo - yakhala ikutsatira njira yake yolumikizirana maso ndi maso, ngakhale pakusamalidwa kwanthawi zonse.
Chilengezo chadzidzidzi chaumoyo wa anthu chomwe chakhazikitsidwa ku Indiana ndi mayiko ena ambiri kwa nthawi yopitilira chaka chakakamiza mamiliyoni a anthu kuti alingalirenso momwe amachitira chilichonse, kuphatikiza kulankhula ndi madokotala.
M'miyezi yowerengeka chabe, kuchuluka kwa ma foni ndi makompyuta omwe adawerengera ndalama zochepera 2% ya inshuwaransi yazachipatala mu 2019 yakwera kupitilira nthawi 25, kufika pachimake mu Epulo 2020, zomwe zikuwerengera 51% ya zonena zonse.
Kuyambira pamenepo, kukula kwamphamvu kwa telemedicine m'machitidwe ambiri azachipatala kwatsika pang'onopang'ono mpaka 15% mpaka 25%, koma akadali kuwonjezeka kwakukulu kwa nambala imodzi kuyambira chaka chatha.
"Zikhalabe kuno," adatero Dr. Roberto Daroca, dokotala wa amayi ndi amayi ku Muncie komanso pulezidenti wa Indiana Medical Association.“Ndipo ndikuganiza kuti ndi zabwino kwambiri kwa odwala, zabwino kwa madokotala, komanso zabwino kulandira chithandizo.Ichi ndi chimodzi mwazinthu zabwino kwambiri zomwe zingachitike. ”
Alangizi ambiri ndi akuluakulu azaumoyo amalosera kuti kukwera kwamankhwala odziwika - osati telemedicine, komanso kuyang'anira thanzi lakutali ndi zina zapaintaneti zamakampani azachipatala - zitha kubweretsa zosokoneza zambiri, monga kuchepa kwa kufunikira kwa malo azachipatala komanso Kuwonjezeka kwa mafoni. zida zaumoyo ndi oyang'anira akutali.
Bungwe la American Medical Association linanena kuti akuyerekeza kuti US $ 250 biliyoni mu chisamaliro chaumoyo ku US akhoza kusamutsidwa kwamuyaya ku telemedicine, kuwerengera pafupifupi 20% ya ndalama zomwe makampani a inshuwaransi amalonda ndi aboma amayendera poyendera odwala kunja, ofesi ndi mabanja.
Kampani yofufuza ya Statistica ikuneneratu kuti, makamaka msika wapadziko lonse wa telemedicine udzakula kuchoka pa madola mabiliyoni 50 aku US mu 2019 kufika pafupifupi madola mabiliyoni 460 aku US mu 2030.
Nthawi yomweyo, malinga ndi zomwe zachokera ku kampani yofufuza ya Rock Health, osunga ndalama adapereka ndalama zokwana $ 6.7 biliyoni pakuyambitsa thanzi la digito ku United States m'miyezi itatu yoyambirira ya 2021.
McKinsey and Co., kampani yayikulu yopereka upangiri ku New York, idafalitsa mutu wovutitsawu mu lipoti chaka chatha: "Zowona za $ 2.5 biliyoni pambuyo pa COVID-19?"
Frost & Sullivan, kampani ina yolangizira yomwe ili ku San Antonio, Texas, ikulosera kuti pofika 2025, padzakhala "tsunami" mu telemedicine, ndi kukula kwa nthawi 7.Zoneneratu zake zikuphatikiza: masensa osavuta kugwiritsa ntchito komanso zida zowunikira zakutali kuti akwaniritse zotsatira zabwino za chithandizo cha odwala.
Uku ndikusintha kodabwitsa kwa dongosolo lazaumoyo ku America.Ngakhale kupita patsogolo kwa mapulogalamu ndi zida zamakono zagwedeza mafakitale ena ambiri, kuphatikizapo masitolo obwereketsa mavidiyo, dongosololi nthawi zonse limadalira chitsanzo chake cha ofesi, kujambula mafilimu, Magalimoto obwereketsa, nyuzipepala, nyimbo ndi mabuku.
Malinga ndi kafukufuku waposachedwa wa Harris, pafupifupi 65% ya anthu akufuna kupitiliza kugwiritsa ntchito telemedicine pambuyo pa mliri.Anthu ambiri omwe adafunsidwa adanena kuti akufuna kugwiritsa ntchito telemedicine kufunsa mafunso azachipatala, kuwona zotsatira za labotale, ndikupeza mankhwala olembedwa ndi dokotala.
Miyezi 18 yapitayo, madokotala a ku Indiana University Health Center, chipatala chachikulu kwambiri m'boma, amagwiritsa ntchito mafoni a m'manja, mapiritsi, kapena makompyuta okha kuti awone odwala ambiri ali kutali mwezi uliwonse.
"Kale, tikadakhala ndi maulendo 100 pamwezi, tidzakhala okondwa kwambiri," adatero Dr. Michele Saysana, wachiwiri kwa pulezidenti wa khalidwe ndi chitetezo ku IU Health.
Komabe, Bwanamkubwa Eric Holcomb atalengeza za ngozi yapagulu mu Marichi 2020, onse koma ofunikira ayenera kukhala kunyumba ndipo anthu mamiliyoni ambiri adatsanuliridwa.
Ku IU Health, kuchokera ku chisamaliro chapadera ndi obereketsa kupita ku zamtima ndi zamaganizo, chiwerengero cha maulendo a telemedicine chikukwera mwezi uliwonse-zikwi choyamba, kenako makumi zikwi.
Masiku ano, ngakhale mamiliyoni a anthu atatemera katemera ndipo anthu akutsegulanso, telemedicine ya IU Health ikadali yamphamvu kwambiri.Pakadali pano mu 2021, kuchuluka kwa maulendo adapitilira 180,000, omwe anali opitilira 30,000 mu Meyi wokha.
Chifukwa chiyani zimatenga nthawi yayitali kuti madotolo ndi odwala azilankhula momasuka kudzera pachiwonetsero, pomwe mafakitale ena ambiri akungofuna kusintha mabizinesi apaintaneti, sizikudziwika.
Anthu ena m’makampani azachipatala ayesa—kapena kulota—kukhala woona mtima kwambiri.Kwa zaka zoposa zana, atsogoleri amakampani akhala akukankhira ndi kukankha kuti akwaniritse cholinga ichi.
Nkhani ina m’magazini yachipatala ya ku Britain yotchedwa The Lancet mu 1879 inafotokoza za kugwiritsa ntchito telefoni pofuna kuchepetsa maulendo osafunikira a maofesi.
Mu 1906, amene anayambitsa makina a electrocardiogram anatulutsa pepala lofotokoza za “electrocardiogram,” yomwe imagwiritsa ntchito matelefoni kuti atumize kugunda kwa mtima wa wodwala kupita kwa dokotala kutali.
National Center for Biotechnology and Medicine, mu 1925, chikuto cha magazini ya “Science and Invention” chinasonyeza dokotala amene anatulukira wodwala kudzera pa wailesi ndipo anaona kachipangizo kamene kamatha kuyeza vidiyo kwa odwala omwe ali kutali kwambiri ndi chipatalacho..
Koma kwa zaka zambiri, maulendo oyendera anthu akhala achilendo, pafupifupi osalembetsa pachipatala cha dzikolo.Mphamvu za mliri zikukankhira machitidwe kuti atenge ukadaulo m'njira zosiyanasiyana.Mu Community Health Network, panthawi yovuta kwambiri ya mliriwu, pafupifupi 75% ya odwala omwe amapita kunja ndi madokotala adachitika pa intaneti.
"Ngati kulibe mliri, ndikuganiza kuti ambiri opereka chithandizo sadzasintha," atero a Hoy Gavin, wamkulu wa Community Health Telemedicine.Zina sizisintha posachedwa.
Ku Ascension St. Vincent, dongosolo lachiwiri lalikulu la zaumoyo m'boma, kuyambira chiyambi cha mliriwu, chiwerengero cha maulendo a telemedicine chakwera kuchoka pa 1,000 mu 2019 mpaka 225,000, ndipo chinatsikira ku 10% ya maulendo onse lero.
Dr. Aaron Shoemaker, dokotala wamkulu wa Ascension Medical Group ku Indiana, adanena kuti tsopano, kwa madokotala ambiri, anamwino ndi odwala, iyi ndi njira ina yolumikizirana.
"Imakhala mayendedwe enieni, njira ina yowonera odwala," adatero.“Mutha kupita kukakumana ndi munthu wina m’chipinda chimodzi, ndiyeno chipinda chinacho chingakhale kuyenderana kwenikweni.Izi ndi zomwe tonse tinazolowera. "
Ku Franciscan Health, chisamaliro chenicheni chidatenga 80% ya maulendo onse kumapeto kwa 2020, ndikubwerera ku 15% mpaka 20%.
Dr. Paul Driscoll, mkulu wa zachipatala wa Franciscan Physician Network, adanena kuti gawo la chithandizo chamankhwala ndi lapamwamba pang'ono (25% mpaka 30%), pamene gawo la matenda a maganizo ndi makhalidwe ena a zaumoyo ndi apamwamba kwambiri (kuposa 50%). .
Iye anati: “Anthu ena akuda nkhawa kuti anthu aziopa luso limeneli ndipo safuna kutero.“Koma sizili choncho.Ndikosavuta kwambiri kuti wodwalayo asayendetse galimoto kupita kuofesi.Malinga ndi mmene dokotala amaonera, n’kosavuta kukonza munthu mwamsanga.”
Iye anawonjezera kuti: “Kunena zoona, tinapezanso kuti zimatipulumutsa.Ngati titha kupitiliza ndi 25% chisamaliro chenicheni, tingafunike kuchepetsa malo okhala ndi 20% mpaka 25% mtsogolo.
Koma otukula ena adanena kuti sakuganiza kuti bizinesi yawo yakhala ikuwopsezedwa kwambiri.Tag Birge, Purezidenti wa Cornerstone Cos.
"Ngati muli ndi zipinda zoyesera 12, mwina mutha kuchepetsa chimodzi, ngati mukuganiza kuti mutha kuchita 5% kapena 10% telemedicine," adatero.
Dr. William Bennett anakumana ndi wodwala wazaka 4 ndi amayi ake kudzera mu IU Health's telemedicine system.(Chithunzi cha IBJ)
Akatswiri ena amanena kuti nkhani yosadziŵika kwambiri ya mankhwala enieni ndi lonjezo lake lopereka chisamaliro chokwanira, kapena kuthekera kwa gulu la opereka chithandizo kuti asonkhane kuti akambirane za matenda a wodwala ndikupereka chisamaliro ndi akatswiri a ntchito inayake (nthawi zina ndi mazana a madokotala. ).Makilomita kutali.
"Apa ndipamene ndikuwona kuti telemedicine ili ndi chiyambukiro chachikulu," adatero Brian Tabor, Purezidenti wa Indiana Hospital Association.
M'malo mwake, madotolo ena azachipatala aku Franciscan Health agwiritsapo kale misonkhano yapavidiyo pozungulira odwala.Pofuna kuchepetsa kufala kwa kachilombo ka COVID-19, akhazikitsa njira yoti dokotala m'modzi yekha alowe m'chipinda cha wodwalayo, koma mothandizidwa ndi piritsi kapena laputopu, madotolo ena asanu ndi mmodzi atha kukhala ndi msonkhano kuti alankhule ndi wodwalayo komanso funsani za chisamaliro.
Mwanjira imeneyi, madokotala amene nthaŵi zambiri amawonana ndi dokotala m’magulu, ndipo amawonana ndi dokotala nthaŵi ndi nthaŵi tsiku lonse, mwadzidzidzi, amawona mkhalidwe wa wodwalayo ndi kulankhula m’nthaŵi yeniyeni.
Dr. Atul Chugh, katswiri wa matenda a mtima wa ku bungwe la Franciscans, anati: “Chotero, tonsefe tili ndi mwayi woyeza odwala ndi kuwapangira zosankha zazikulu pamodzi ndi madokotala amene akufunika.”
Chifukwa cha zifukwa zosiyanasiyana, mankhwala enieni akuchulukirachulukira.Mayiko ambiri achepetsa zoletsa pamankhwala apaintaneti.Indiana idapereka lamulo mu 2016 lomwe limalola madokotala, othandizira madotolo, ndi anamwino kugwiritsa ntchito makompyuta kapena mafoni am'manja kuti apereke mankhwala.
Monga gawo la "Coronavirus Prevention and Response Supplementary Appropriations Act," boma lidayimitsa malamulo angapo a telemedicine.Zofunikira zambiri zolipirira inshuwaransi yachipatala zimachotsedwa, ndipo olandira amatha kupeza chisamaliro chakutali mosasamala kanthu komwe amakhala.Kusunthaku kumapangitsanso kuti madotolo azilipiritsa inshuwaransi yachipatala pamlingo wofanana ndi ntchito zapamaso ndi maso.
Kuphatikiza apo, Indiana State Assembly idapereka chigamulo chaka chino chomwe chidakulitsa kwambiri kuchuluka kwa akatswiri ovomerezeka omwe angagwiritse ntchito ntchito zobweza telemedicine.Kuphatikiza pa madotolo, mndandanda watsopanowu ukuphatikizanso akatswiri azamisala, ogwira ntchito zachipatala omwe ali ndi chilolezo, othandizira pantchito, ndi zina zambiri.
Kusuntha kwina kwakukulu kwa boma la Holcomb kunachotsa zopinga zina.M'mbuyomu pansi pa pulogalamu ya Indiana Medicaid, kubwezera telemedicine, ziyenera kuchitidwa pakati pa malo ovomerezeka, monga chipatala ndi ofesi ya dokotala.
"Pansi pa pulogalamu ya Medicaid ya Indiana, simungathe kupereka chithandizo cha telemedicine kunyumba za odwala," adatero Tabor.“Zinthu zasintha ndipo ndikuthokoza kwambiri gulu la bwanamkubwa.Adayimitsa pempholi ndipo zidatheka. ”
Kuphatikiza apo, makampani ambiri a inshuwaransi yazamalonda achepetsa kapena kuchotseratu ndalama zogulira telemedicine ndikukulitsa othandizira ma telemedicine mkati mwa netiweki.
Madokotala ena amanena kuti maulendo a telemedicine amatha kufulumizitsa matenda ndi chithandizo, chifukwa odwala omwe amakhala kutali ndi dokotala nthawi zambiri amatha kupeza njira zakutali m'malo modikirira theka la tsiku pamene kalendala yawo ili yaulere.
Ndiponso, okalamba ndi odwala ena opunduka ayenera kulinganiza galimoto yochoka panyumbapo, zimene nthaŵi zina zimakhala mtengo wowonjezereka wa chithandizo chamankhwala chodula.
Mwachiwonekere, kwa odwala, mwayi waukulu ndi wosavuta, popanda kuyendetsa galimoto kudutsa mtawuni kupita ku ofesi ya dokotala, komanso popanda kukhala m'chipinda chodikirira kosatha.Amatha kulowa mu pulogalamu yaumoyo ndikudikirira dokotala m'chipinda chawo chochezera kapena kukhitchini pamene akuchita zinthu zina.
Nthawi yotumiza: Jun-18-2021