Zosintha pazosungirako zitha kuthandiza mabungwe azachipatala kuti apange malo abwino owonera zachipatala.
Doug Bonderud ndi wolemba wopambana mphoto yemwe amatha kuletsa kusiyana pakati pa zokambirana zovuta pakati pa ukadaulo, luso komanso momwe anthu amakhalira.
Ngakhale ndi mliri woyamba wa COVID-19 m'dziko lonselo, chisamaliro chenicheni chakhala chida chofunikira popereka chithandizo chamankhwala choyenera komanso chothandiza.Patatha chaka chimodzi, mapulani a telemedicine akhala chinthu chodziwika bwino pazachipatala cha dziko lonse.
Koma n’chiyani chidzachitike kenako?Tsopano, pamene ntchito yopereka katemera ikupereka njira pang'onopang'ono komanso yokhazikika pazovuta za mliri, kodi mankhwala enieni amagwira ntchito bwanji?Kodi telemedicine ikhala pano, kapena kuchuluka kwa masiku mu dongosolo la chisamaliro choyenera?
Malinga ndi kunena kwa American Medical Association, n’zosakayikitsa kuti ngakhale mavuto atachepa, chisamaliro chenicheni chidzakhalabe mwanjira inayake.Ngakhale pafupifupi 50% ya opereka chithandizo chamankhwala adapereka chithandizo chamankhwala kwanthawi yoyamba panthawi ya mliriwu, tsogolo la machitidwewa litha kukhala kukhathamiritsa m'malo mwa kutha ntchito.
"Tapeza kuti tikakakamizika kusinthasintha, titha kudziwa bwino kuti ndi maulendo ati (payekha, telefoni kapena kuyendera) komwe kuli koyenera kwa wodwala aliyense," adatero CEO wa CommunityHealth, bungwe lalikulu lachipatala laulere ku Chicago.Steph Willding adati mabungwe azachipatala odzipereka."Ngakhale nthawi zambiri simumaona kuti zipatala zaulere ndizongopanga zatsopano, tsopano 40% ya maulendo athu amachitika kudzera pavidiyo kapena pafoni."
Susan Snedaker, woyang'anira zidziwitso komanso CIO wanthawi yayitali wa TMC HealthCare, adati ku Tucson Medical Center, luso laukadaulo lazachipatala linayamba ndi njira yatsopano yoyendera odwala.
Anati: "M'chipatala chathu, tidayendera mkati mwakhoma la nyumbayo kuti tichepetse kugwiritsa ntchito PPE.""Chifukwa cha kuchepa kwa zinthu zomwe zimagwiritsidwa ntchito komanso nthawi ya madotolo, amafunikira kuvala zida zodzitetezera (nthawi zina mpaka mphindi 20), ndiye tapeza kuti mayankho anthawi yeniyeni, makanema ndi macheza ali ndi phindu lalikulu."
M'malo azachipatala, malo ndi malo ndizofunikira kwambiri.Malo osungira anamwino amafunika malo okwanira kuti azitha kukhala ndi madokotala, odwala, ogwira ntchito ndi zipangizo, ndipo ogwira ntchito onse ofunikira ayenera kukhala pamalo amodzi nthawi imodzi.
Malinga ndi malingaliro a Willding, mliriwu umapereka mwayi kwa makampani azachipatala kuti "aganizirenso za malo ndi malo omwe chithandizo chamankhwala chili pakati pa odwala."Njira ya CommunityHealth ndikupanga mtundu wosakanizidwa pokhazikitsa malo opangira telemedicine (kapena "microsites") ku Chicago konse.
Willding adati: "Malowa ali m'mabungwe omwe alipo kale, zomwe zimapangitsa kuti azikhala okhazikika."“Odwala amatha kubwera kudera lakwawo ndikulandira chithandizo chamankhwala.Othandizira azachipatala omwe ali pamalopo atha Kukuthandizani kuchita ziwerengero zofunika komanso chisamaliro chofunikira, ndikuyika odwala mchipindamo kuti mukacheze ndi akatswiri. ”
CommunityHealth ikukonzekera kutsegula microsite yake yoyamba mu Epulo, ndi cholinga chotsegula tsamba latsopano kotala lililonse.
M'malo mwake, mayankho ngati awa akuwonetsa kufunikira kwa mabungwe azachipatala kuti amvetsetse komwe angatengere mwayi pa telemedicine.Kwa CommunityHealth, kupanga hybrid in-person/telemedicine model kumapangitsa chidwi kwa makasitomala awo.
"Chifukwa cha kugwiritsira ntchito zipangizo zamakono zothandizira zaumoyo, mphamvu zowonongeka zasintha," adatero Snedaker."Wopereka chithandizo chamankhwala akadali ndi nthawi yake, koma ndizofunika zomwe wodwalayo amafunikira.Zotsatira zake, onse opereka chithandizo ndi wodwalayo adzapindula nazo, zomwe zimayendetsa kukhazikitsidwa kwa manambala ofunika.
Ndipotu, kusagwirizana kumeneku pakati pa chisamaliro ndi malo (monga kusintha kwatsopano kwa malo ndi malo) kumapanga mwayi wothandizira asynchronous.Sikoyeneranso kuti wodwalayo ndi wothandizira azikhala pamalo amodzi nthawi imodzi.
Ndondomeko zolipirira zikusinthanso ndi kutumizidwa kwachipatala komwe kukukulirakulira.Mwachitsanzo, mu Disembala, Center for Medicare and Medicaid Services idatulutsa mndandanda wazinthu zama telemedicine pa mliri wa COVID-19, womwe udakulitsa luso laopereka chithandizo pofunikira popanda kupitilira bajeti yawo.M'malo mwake, kufalikira kokulirapo kumawalola kuti azitha kupereka chithandizo cha odwala pomwe akukhalabe opindulitsa.
Ngakhale palibe chitsimikizo chakuti kuphimba kwa CMS kudzakhala kogwirizana ndi mpumulo wa kupsinjika kwa mliri, zikuyimira kuti mautumiki aasynchronous ali ndi phindu lofanana ndi kuyendera kwa munthu payekha, yomwe ndi sitepe yofunikira patsogolo.
Kutsatira kudzakhalanso ndi gawo lalikulu pakupitilira kwa chithandizo chaumoyo.Izi ndizomveka: kuchuluka kwa odwala omwe bungwe lachipatala limasonkhanitsa ndikusunga pa maseva am'deralo komanso mumtambo, limayang'anira kwambiri kutumiza, kugwiritsa ntchito, ndikuchotsa.
Dipatimenti ya US Health and Human Services inanena kuti "panthawi ya ngozi yapadziko lonse ya COVID-19, ngati chithandizo cha telemedicine chikaperekedwa kuchipatala chowona mtima, sichiphwanya malamulo a HIPAA motsutsana ndi omwe amapereka chithandizo chamankhwala."Ngakhale zili choncho, kuyimitsidwa kumeneku sikudzakhalapo kwanthawizonse, ndipo mabungwe azachipatala ayenera kugwiritsa ntchito njira zodziwikiratu, zopezera komanso chitetezo kuti zitsimikizire kuti chiwopsezo chobwerera chikuyendetsedwa bwino.
Akuneneratu kuti: "Tipitilizabe kuwona telemedicine ndi ntchito zapamaso ndi maso.""Ngakhale anthu ambiri amakonda kugwiritsa ntchito telemedicine, alibe kulumikizana ndi omwe amapereka.Ntchito zaumoyo zenizeni zidzayimbidwa pamlingo wina.Abwerera, koma adzakhalapo. ”
Anati: "Osataya vuto.""Chomwe chimakhudza kwambiri mliriwu ndikuti umadutsa zopinga zomwe zimatilepheretsa kuganizira zaukadaulo.M’kupita kwa nthaŵi, tidzakhala m’malo abwinoko.”
Nthawi yotumiza: Mar-15-2021