Ubwino wa kuyang'anira odwala kutali ndi ochuluka

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Jordan Scott ndi mkonzi wa intaneti wa HealthTech.Ndi mtolankhani wa multimedia yemwe ali ndi chidziwitso chofalitsa cha B2B.
Madokotala ochulukirachulukira akuwona kufunika kwa zida ndi ntchito zowunikira odwala patali.Chifukwa chake, kuchuluka kwa kukhazikitsidwa kukukulirakulira.Malinga ndi kafukufuku wa VivaLNK, 43% ya asing'anga amakhulupirira kuti kukhazikitsidwa kwa RPM kudzakhala kofanana ndi chisamaliro cha odwala mkati mwa zaka zisanu.Ubwino wa kuyang'anira odwala kutali kwa madokotala kumaphatikizapo kupeza mosavuta deta ya odwala, kusamalira bwino matenda aakulu, kutsika mtengo, komanso kuwonjezeka kwachangu.
Pankhani ya odwala, anthu amakhutira kwambiri ndi RPM ndi ntchito zina zothandizira luso, koma kafukufuku wa Deloitte 2020 adapeza kuti 56% ya omwe adafunsidwa amakhulupirira kuti poyerekeza ndi kufunsira kwachipatala pa intaneti, amapeza zofanana Ubwino kapena mtengo wa chisamaliro.Anthu amachezera.
Dr. Saurabh Chandra, mkulu wa telemedicine ku yunivesite ya Mississippi Medical Center (UMMC), adanena kuti pulogalamu ya RPM ili ndi ubwino wambiri kwa odwala, kuphatikizapo kupeza bwino kwa chithandizo, zotsatira za thanzi labwino, kuchepetsa ndalama, komanso moyo wabwino.
"Wodwala aliyense yemwe ali ndi matenda aakulu adzapindula ndi RPM," adatero Chandra.Madokotala nthawi zambiri amawunika odwala omwe ali ndi matenda osachiritsika, monga shuga, kuthamanga kwa magazi, kulephera kwamtima kwamtima, matenda am'mapapo osatha, komanso mphumu.
Zipangizo zothandizira zaumoyo za RPM zimajambula zambiri zathupi, monga kuchuluka kwa shuga m'magazi ndi kuthamanga kwa magazi.Chandra adanena kuti zida zodziwika bwino za RPM ndi mita za glucometer, ma pressure metre, ma spirometer, ndi masikelo olemera omwe amathandizira Bluetooth.Chipangizo cha RPM chimatumiza deta kudzera pa pulogalamu pa foni yam'manja.Kwa odwala omwe sali tech-savvy, mabungwe azachipatala amatha kupereka mapiritsi okhala ndi pulogalamuyo-odwala amangofunika kuyatsa piritsi ndikugwiritsa ntchito chipangizo chawo cha RPM.
Mapulogalamu ambiri opangira mavenda amatha kuphatikizidwa ndi zolemba zamagetsi zamagetsi, kulola mabungwe azachipatala kuti apange malipoti awoawo malinga ndi zomwe zalembedwazo kapena kugwiritsa ntchito deta pazolinga zolipirira.
Dr. Ezequiel Silva III, katswiri wa radiologist ku South Texas Radiological Imaging Center komanso membala wa American Medical Association's Digital Medical Payment Advisory Group, adanena kuti zipangizo zina za RPM zimatha kuikidwa.Chitsanzo ndi chipangizo chomwe chimayesa kuthamanga kwa mitsempha ya m'mapapo mwa odwala omwe ali ndi vuto la mtima.Ikhoza kugwirizanitsidwa ndi nsanja ya digito kuti idziwitse wodwalayo za momwe wodwalayo alili komanso nthawi yomweyo adziwitse mamembala a gulu la chisamaliro kuti athe kupanga zisankho za momwe angasamalire thanzi la wodwalayo.
Silva adanenanso kuti zida za RPM ndizothandizanso panthawi ya mliri wa COVID-19, kulola odwala omwe sakudwala kwambiri kuyeza kuchuluka kwawo kwa oxygen kunyumba.
Chandra ananena kuti kudwala matenda aakulu limodzi kapena angapo kungachititse olumala.Kwa iwo omwe alibe mwayi wopeza chithandizo chokhazikika, matenda amatha kukhala cholemetsa chowongolera.Chipangizo cha RPM chimalola madokotala kuti amvetsetse kuthamanga kwa magazi kwa wodwalayo kapena kuchuluka kwa shuga m'magazi popanda wodwalayo kulowa muofesi kapena kuyimba foni.
"Ngati chizindikiro chilichonse chili pamlingo wapamwamba kwambiri, wina atha kuyimbira foni ndikulumikizana ndi wodwalayo ndikumulangiza ngati akuyenera kukwezedwa kukhala wothandizira wamkati," adatero Chandra.
Kuyang'anira kungachepetse kuchuluka kwa chipatala kwakanthawi kochepa ndikuletsa kapena kuchedwetsa zovuta za matendawa, monga matenda a microvascular stroke kapena matenda a mtima, pakapita nthawi.
Komabe, kusonkhanitsa deta ya odwala si cholinga chokha cha pulogalamu ya RPM.Maphunziro oleza mtima ndi gawo lina lofunika.Chandra akunena kuti detayi imatha kupatsa mphamvu odwala ndikuwapatsa chidziwitso chomwe akufunikira kuti chiwathandize kusintha khalidwe lawo kapena moyo wawo kuti apange zotsatira zabwino.
Monga gawo la pulogalamu ya RPM, madokotala amatha kugwiritsa ntchito mafoni a m'manja kapena mapiritsi kuti atumize odwala ma modules ophunzirira okhudzana ndi zosowa zawo, komanso malangizo a tsiku ndi tsiku pa mitundu ya zakudya zomwe ayenera kudya komanso chifukwa chake kuchita masewera olimbitsa thupi n'kofunika.
"Izi zimathandiza odwala kulandira maphunziro ochuluka ndikukhala ndi udindo pa thanzi lawo," adatero Chandra.“Zotsatira zabwino zambiri zachipatala ndi zotsatira za maphunziro.Tikamalankhula za RPM, tisaiwale izi. ”
Kuchepetsa maulendo ndi zipatala kudzera mu RPM mu nthawi yochepa kudzachepetsa ndalama zothandizira zaumoyo.RPM imathanso kuchepetsa ndalama zomwe zimayenderana ndi zovuta, monga mtengo wowunika, kuyesa, kapena njira.
Ananenanso kuti mbali zambiri za RPM ku United States zilibe opereka chithandizo choyamba, zomwe zimathandiza kuti achipatala athe kufika kwa odwala bwino, kusonkhanitsa deta yaumoyo, kupereka chithandizo chamankhwala, ndikupeza kukhutira kuti odwala amasamaliridwa pamene opereka chithandizo akukumana ndi zizindikiro zawo.Akutero.
“Madokotala ochulukirachulukira akuchipatala amatha kukwaniritsa zomwe akufuna.Pali zolimbikitsa zandalama kuti zikwaniritse zolingazi.Choncho, odwala amakhala okondwa, opereka chithandizo ali okondwa, odwala ali okondwa, ndipo opereka chithandizo ali okondwa chifukwa cha kuwonjezeka kwa ndalama zolimbikitsira, "akutero.
Komabe, mabungwe azachipatala ayenera kudziwa kuti inshuwaransi yachipatala, Medicaid ndi inshuwaransi yachinsinsi sizikhala ndi ndondomeko zobwezera zomwezo kapena njira zophatikizira, Chandra adati.
Silva adati ndikofunikira kuti asing'anga azigwira ntchito ndi magulu olipira zipatala kapena ofesi kuti amvetsetse nambala yolondola ya lipoti.
Chandra adati vuto lalikulu pakukwaniritsa dongosolo la RPM ndikupeza yankho labwino laoperekera.Mapulogalamu othandizira amafunika kuphatikiza ndi EHR, kulumikiza zida zosiyanasiyana ndikupanga malipoti osinthika.Chandra akulimbikitsa kuyang'ana wogulitsa yemwe amapereka chithandizo chabwino kwa makasitomala.
Kupeza odwala oyenerera ndichinthu chinanso chofunikira kwa mabungwe azaumoyo omwe akufuna kukhazikitsa mapulogalamu a RPM.
"Ku Mississippi kuli odwala masauzande ambiri, koma timawapeza bwanji?Ku UMMC, timagwira ntchito ndi zipatala zosiyanasiyana, zipatala ndi zipatala kuti tipeze odwala oyenerera, "adatero Chandra."Tiyeneranso kupereka njira zophatikizira kuti tidziwe odwala omwe ali oyenerera.Izi siziyenera kukhala zopapatiza, chifukwa simukufuna kupatula anthu ambiri;mukufuna kupindulitsa anthu ambiri.”
Analimbikitsanso kuti gulu lokonzekera la RPM lilankhule ndi wothandizira wamkulu wa wodwalayo pasadakhale, kotero kuti kutenga nawo mbali kwa wodwalayo sikudabwitsa.Kuonjezera apo, kupeza chivomerezo cha wothandizira kungapangitse wothandizira kulangiza odwala ena oyenerera kutenga nawo mbali pa pulogalamuyi.
Pamene kukhazikitsidwa kwa RPM kukuchulukirachulukirachulukira, palinso malingaliro abwino m'magulu azachipatala.Silva adanena kuti kuchulukirachulukira kwa luntha lochita kupanga, kuphunzira makina, ndi njira zophunzirira zozama zomwe zimagwiritsidwa ntchito pa data ya RPM zitha kupanga dongosolo lomwe, kuphatikiza pakuwunika kwa thupi, lingaperekenso chidziwitso chamankhwala:
“Ganizirani za shuga monga chitsanzo choyambirira: ngati mulingo wa shuga ufika pachimake, zitha kuwonetsa kuti mukufunika mulingo wina wa insulin.Kodi adokotala amachita chiyani pankhaniyi?Timapanga zida zamtunduwu mosatengera kutengera kwa dokotala Kodi zosankhazo zakwaniritsidwa?Ngati mungaganizire mapulogalamu omwe angagwiritse ntchito AI kapena osagwiritsa ntchito ma algorithms a ML kapena DL, ndiye kuti zisankhozi zimapangidwa ndi dongosolo lomwe limaphunzira mosalekeza kapena lotsekeredwa mkati, koma kutengera zomwe zaphunzitsidwa.Nazi mfundo zina zofunika.Kodi matekinoloje ndi njira zolumikiziranazi zimagwiritsidwa ntchito bwanji posamalira odwala?Pamene matekinolojewa akuchulukirachulukira, azachipatala ali ndi udindo wopitiliza kuwunika momwe amakhudzira chisamaliro cha odwala, zomwe akumana nazo, ndi zotsatirapo zake. ”
Chandra adanena kuti Medicare ndi Medicaid amabwezera RPM chifukwa akhoza kuchepetsa mtengo wa chisamaliro cha matenda aakulu poletsa kuchipatala.Mliriwu udawonetsa kufunikira koyang'anira odwala kutali ndipo adalimbikitsa boma kuti likhazikitse mfundo zatsopano zadzidzidzi.
Kumayambiriro kwa mliri wa COVID-19, Centers for Medicare and Medicaid Services (CMS) idakulitsa inshuwaransi yachipatala ya RPM kuphatikiza odwala omwe ali ndi matenda oopsa komanso odwala atsopano komanso odwala omwe alipo.Bungwe la US Food and Drug Administration lapereka lamulo lomwe limalola kugwiritsa ntchito zida zovomerezeka ndi FDA kuti zizitha kuyang'anira zizindikiro zofunika kumalo akutali.
Sizikudziwika kuti ndi ndalama ziti zomwe zidzathetsedwa panthawi yadzidzidzi komanso zomwe zidzasungidwe pakachitika ngozi.Silva adati funsoli limafuna kusanthula mosamala zotsatira za mliri, kuyankha kwa wodwala paukadaulo, komanso zomwe zingawongoleredwe.
Kugwiritsiridwa ntchito kwa zipangizo za RPM kungapitirire ku chisamaliro chodzitetezera kwa anthu athanzi;komabe, Chandra adanena kuti ndalama sizikupezeka chifukwa CMS sichibweza ntchitoyi.
Njira imodzi yothandizira bwino ntchito za RPM ndikukulitsa kufalikira.Silva adati ngakhale njira yolipirira ntchito ndi yofunika komanso odwala amawadziwa bwino, chithandizo chingakhale chochepa.Mwachitsanzo, CMS idafotokoza mu Januware 2021 kuti idzalipira zida zogulira mkati mwa masiku 30, koma ziyenera kugwiritsidwa ntchito kwa masiku osachepera 16.Komabe, izi sizingakwaniritse zosowa za wodwala aliyense, kuyika ndalama zina pachiwopsezo cha kusabwezeredwa.
Silva adanena kuti chitsanzo cha chisamaliro chamtengo wapatali chimakhala ndi mwayi wopanga zopindulitsa zina zapansi kwa odwala ndikupeza zotsatira zapamwamba kuti zitsimikizire kugwiritsa ntchito zipangizo zamakono zowunikira odwala ndi ndalama zake.


Nthawi yotumiza: Jun-25-2021