Unogona kushandisa mbozhanhare yako kutengesa masheya, kuodha mota yemhando yepamusoro, kuronda kutakura, kubvunzurudza mabasa, kuodha chikafu chinotorwa, uye kuverenga chero bhuku rakatsikiswa.
Asi kwemakumi emakore, imwe indasitiri-yehutano-yakanyanya kuomerera kune yayo yechinyakare chivakwa chekutarisana chiso nechiso modhi, kunyangwe kune yakajairika kutarisira.
Chiziviso chezvehutano hweveruzhinji chakaitwa muIndiana nedzimwe nyika dzakawanda kweanopfuura gore chakamanikidza mamirioni avanhu kuti vafunge zvakare maitiro avanoita zvese, kusanganisira kutaura navanachiremba.
Mumwedzi mishomanana chete, huwandu hwenharembozha nemakombuta kubvunzana kwaiita isingasviki 2% yezvese zvichemo zveinishuwarenzi yekurapa muna 2019 yakakwira nekanopfuura ka25, ichisvika panhongonya muna Kubvumbi 2020, ichiverengera makumi mashanu neshanu muzana ezvese zvichemo.
Kubva ipapo, kuputika kuri kuita telemedicine mumasisitimu akawanda ehutano kwakadzikira zvishoma nezvishoma kusvika pachikamu che15% kusvika pa25%, asi kuchiri kuwedzera kwenhamba imwe chete kubva mugore rapfuura.
"Ichagara pano," akadaro Dr. Roberto Daroca, chiremba wezvekubereka uye gynecologist muMuncie uye purezidhendi weIndiana Medical Association.“Uye ndinofunga kuti chakanakira varwere, chakanakira vanachiremba, uye chakanakira kurapwa.Ichi ndicho chimwe chezvinhu zvakanakisisa zvinogona kuitika. "
Vazhinji vanachipangamazano nevakuru vehutano vanofanotaura kuti kusimuka kwemushonga chaiwo-kwete chete telemedicine, asiwo kure kure kutarisa kwehutano uye zvimwe zveInternet zveindasitiri yehutano-zvinogona kukonzera kukanganisa kwakawanda, sekuderera kwekuda kwenzvimbo yekurapa uye Kuwedzera kwenharembozha. midziyo yehutano uye mamonitor ari kure.
Sangano reAmerican Medical Association rakataura kuti zvinofungidzirwa kuti US $ 250 bhiriyoni muhutano hwehutano hweUS inogona kuendeswa zvachose kune telemedicine, inoverengera inosvika makumi maviri muzana yemari inoshandiswa nemakambani einishuwarenzi ekutengesa uye ehurumende pakushanya kwevarwere vekunze, hofisi uye hutano hwemhuri.
Kambani yekutsvagisa Statistica inofanotaura kuti, kunyanya, musika wepasi rose we telemedicine uchakura kubva pamabhiriyoni makumi mashanu emadhora ekuAmerica muna 2019 kusvika pamadhora mazana mana nemakumi matanhatu emadhora muna 2030.
Panguva imwecheteyo, maererano nedata kubva kukambani yekutsvagisa Rock Health, vanoisa mari vakapa rekodhi US $ 6.7 bhiriyoni mune mari yekutanga hutano hwedhijitari muUnited States mumwedzi mitatu yekutanga ye2021.
McKinsey and Co., kambani hombe yekubvunza yakavakirwa muNew York, yakaburitsa uyu musoro unotyisa mumushumo gore rapfuura: "Chokwadi chemabhiriyoni maviri nemazana mashanu emadhora mushure meCOVID-19?"
Frost & Sullivan, imwe kambani yekubvunzurudza iri muSan Antonio, Texas, inofanotaura kuti ne2025, pachava ne "tsunami" mu telemedicine, ine chiyero chekukura kusvika ku7 nguva.Kufembera kwaro kunosanganisira: mamwe ma sensor-user-friendly sensors uye midziyo yekuongorora iri kure kuti iwane zvirinani kurapwa kwemurwere.
Iyi ishanduko inotyisa yeAmerican healthcare system.Kunyangwe kufambira mberi kwesoftware nemagetsi kwakazunungusa mamwe maindasitiri mazhinji, kusanganisira zvitoro zvekurenda mavhidhiyo, sisitimu iyi yagara ichivimba nemuenzaniso wayo wekubvunza muhofisi, kutora mafoto emafirimu, Mota dzekurenda, mapepanhau, mimhanzi nemabhuku.
Maererano nesarudzo ichangoburwa yeHarris, vangangoita makumi matanhatu neshanu muzana evanhu vanoronga kuenderera mberi nekushandisa telemedicine mushure medenda.Vanhu vazhinji vakaongororwa vakataura kuti vangada kushandisa telemedicine kubvunza mibvunzo yekurapa, kuona mhinduro dzemurabhoritari, uye kuwana mishonga yekurapa.
Mwedzi gumi nemisere chete yapfuura, vanachiremba vepaIndiana University Health Center, chipatara chikuru chehurumende, vakangoshandisa mafoni, mahwendefa, kana makomputa edesktop kuona makumi evarwere vari kure mwedzi wega wega.
"Munguva yakapfuura, dai taiva nekushanyira 100 pamwedzi, taizofara zvikuru," akadaro Dr. Michele Saysana, mutevedzeri wemutungamiri wehutano nekuchengeteka paIU Health.
Nekudaro, mushure mekunge Gavhuna Eric Holcomb azivisa nezvehutano hweveruzhinji munaKurume 2020, vese asi vashandi vakakosha vanofanirwa kugara pamba uye mamirioni avanhu akadururwa mukati.
PaIU Health, kubva pakutarisira kwekutanga uye zvekudzivirira kusvika kucardiology uye psychiatry, nhamba yekushanyira telemedicine inokwira mwedzi wega wega-zviuru kutanga, ipapo makumi ezviuru.
Nhasi, kunyangwe mamirioni avanhu akabaiwa uye nzanga iri kuvhurwazve, IU Health's telemedicine ichiri yakasimba.Parizvino muna 2021, huwandu hwekushanya chaiko hwakapfuura zviuru zana nemakumi masere, izvo zvaive zvinopfuura zviuru makumi matatu muna Chivabvu chete.
Nei zvichitora nguva yakareba kuti vanachiremba nevarwere vataure zvakanaka kuburikidza nechiratidziro, nepo mamwe maindasitiri ari kutsvanzvadzira kuti achinje kumhando dzebhizinesi repamhepo, hazvina kujeka.
Vamwe vanhu vari muindasitiri yezvokurapa vakaedza—kana kuti vaishuva—kunyanya kuona.Kweanopfuura zana ramakore, vatungamiriri veindasitiri vanga vachisundidzira uye kusundira kuzadzisa chinangwa ichi.
Imwe nyaya iri mumagazini yezvokurapa yokuBritain inonzi The Lancet muna 1879 yakataura nezvekushandisa runhare kuderedza kushanya kusiri madikanwa muhofisi.
Muna 1906, muvambi weelectrocardiogram akabudisa bepa pamusoro pe“electrocardiogram,” iyo inoshandisa tambo dzenhare kufambisa kurova kwemwoyo wemurwere kuenda kuna chiremba mamaira akati kuti kure.
Maererano neNational Center for Biotechnology and Medicine, muna 1925, butiro remagazini inonzi “Science and Invention” yakaratidza mumwe chiremba akaongorora murwere achishandisa redhiyo uye akaona muchina waigona kuongorora mavhidhiyo pavarwere vari kure nekiriniki..
Asi kwemakore mazhinji, kushanya chaiko kwakaramba kuchishamisa, pasina kunyoreswa pane hutano hwenyika.Masimba edenda ari kusundira masisitimu kuti atore tekinoroji nenzira dzakasiyana siyana.MuCommunity Health Network, panguva yakaipisisa denda, vangangoita makumi manomwe neshanu muzana ekushanyirwa kwevarwere kunze kwevanachiremba kwakaitwa online.
"Kana pasina denda, ndinofunga vazhinji vanopa havazombochinja," akadaro Hoy Gavin, director director weCommunity Health Telemedicine."Zvimwe zvechokwadi hazvichinje nekukurumidza."
MuAscension St. Vincent, iyo yechipiri yakakura kwazvo hutano system, kubva pakatanga denda, huwandu hwekushanya kwenharembozha hwakwira kubva pasi pe1,000 muna 2019 kusvika pa225,000, ndokudzika kusvika pagumi muzana yekushanya kwese nhasi nezve.
Dr. Aaron Shoemaker, mukuru wezvokurapa weAscension Medical Group muIndiana, akati iye zvino, kune vanachiremba vakawanda, vanamukoti nevarwere, iyi inongova imwe nzira yekuonana nayo.
"Inova kufamba chaiko, imwe nzira yekutarisa varwere," akadaro.“Unogona kuenda kunosangana nomumwe munhu kubva mukamuri rimwe chete, uye ipapo kamuri rinotevera ringava kushanya chaiko.Izvi ndizvo zvatakajaira tese."
PaFrancisca Health, kutarisirwa chaiko kwakaverengera makumi masere muzana ekushanya kwese muchirimo cha2020, ndokuzodzokera kune yanhasi 15% kusvika 20%.
Dr. Paul Driscoll, mutungamiriri wezvechiremba mukuru weFranciscan Physician Network, akati chikamu chekuchengetedzwa kwekutanga chakakwirira zvishoma (25% kusvika 30%), asi chikamu chepfungwa uye humwe hutano hwehutano hwakanyanya (kupfuura 50%). .
“Vamwe vanhu vanonetseka kuti vanhu vachatya michina iyi uye havadi kuzviita,” akadaro.“Asi izvi handizvo.Zviri nyore kuti murwere asatyaira kuenda kuhofisi.Mukuona kwachiremba, kuri nyore kuronga mumwe munhu nokukurumidza zvikuru.”
Akawedzera kuti: “Kutaura chokwadi takaona zvakare kuti zvinotichengetera mari.Kana tikakwanisa kuenderera mberi ne25% yekutarisira chaiko, tingangoda kudzikisa nzvimbo yemuviri ne20% kusvika 25% mune ramangwana. "
Asi vamwe vanogadzira vakati havafunge kuti bhizinesi ravo rakatyisidzirwa zvakanyanya.Tag Birge, purezidhendi weCornerstone Cos. Inc., kambani yeIndianapolis-based real estate, akati haatarisiri kuti maitiro ekurapa atange kupa zviuru zvemamita masikweya ehofisi nenzvimbo yekiriniki.
"Kana uine makamuri gumi nemaviri ebvunzo, pamwe unogona kuderedza imwe, kana uchifunga kuti unogona kuita 5% kana 10% telemedicine," akadaro.
Dr. William Bennett akasangana nemurwere ane makore mana uye amai vake kuburikidza neIU Health's telemedicine system.(IBJ faira mufananidzo)
Dzimwe nyanzvi dzinoti nyaya isingazivikanwe nezve mushonga chaiwo vimbiso yekupa hutano hwakakwana, kana kugona kweboka revanopa rubatsiro kuungana kuti vakurukure mamiriro emurwere uye kupa rubatsiro kune nyanzvi mune imwe nzvimbo (dzimwe nguva nemazana evanachiremba. )Maira kure.
"Apa ndipo pandinoona telemedicine ine simba rakakura," akadaro Brian Tabor, purezidhendi weIndiana Hospital Association.
Muchokwadi, vamwe vevanachiremba vechipatara cheFranciscan Health vakatoshandisa musangano wevhidhiyo mukutenderera kwevarwere.Kuti vaderedze kuratidzwa kuhutachiona hweCCIDID-19, vakagadzira nzira yekuti chiremba mumwe chete ndiye anogona kupinda mukamuri yemurwere, asi nerubatsiro rwehwendefa kana laptop, vamwe vanachiremba vatanhatu vanogona kuita musangano wekutaura nemurwere uye. bvunza nezvekuchengeta.
Nenzira iyi, vanachiremba vanowanzoona chiremba mumapoka, uye vanoona chiremba nguva nenguva muzuva rose, kamwe kamwe, vanoona mamiriro emurwere uye vanotaura munguva chaiyo.
Dr. Atul Chugh, chiremba wemwoyo wesangano reFranciscans, akati: “Naizvozvo, tose tine mukana wokuongorora varwere uye kuita zvisarudzo zvinokosha kwavari tiine vana chiremba varipo.”
Nekuda kwezvikonzero zvakasiyana, mushonga chaiwo uri kuwedzera.Nyika zhinji dzakadzoreredza zvirambidzo pamirairo yepamhepo.Indiana yakadzika mutemo muna 2016 unobvumira vanachiremba, vabatsiri vechiremba, uye vanamukoti kushandisa makomputa kana mafoni ekunyora mishonga.
Sechikamu che "Coronavirus Prevention and Response Supplementary Appropriations Act," hurumende yemubatanidzwa yakamisa huwandu hwemitemo yerunhare.Zvizhinji zvekubhadhara inishuwarenzi yezvokurapa zvinodikanwa zvinoregererwa, uye vanogamuchira vanogona kuwana chengetedzo iri kure zvisinei nekwavanogara.Danho iri rinobvumirawo vanachiremba kuti vabhadharise inishuwarenzi yekurapa pamwero wakafanana nemasevhisi akatarisana.
Pamusoro pezvo, Indiana State Assembly yakapasa bhiri gore rino iro rakawedzera zvakanyanya huwandu hwevarapi vane marezinesi vanogona kushandisa telemedicine reimbursement services.Pamusoro pevanachiremba, runyorwa rutsva runosanganisirawo nyanzvi dzepfungwa, vane marezinesi ekiriniki vashandi vemagariro, varapi vebasa, nezvimwe.
Imwe danho guru rehurumende yeHolcomb rakabvisa zvimwe zvimhingamupinyi.Munguva yakapfuura pasi pechirongwa cheIndiana Medicaid, kubhadhara telemedicine, inofanira kuitwa pakati penzvimbo dzakatenderwa, dzakadai sechipatara nehofisi yachiremba.
"Pasi pechirongwa cheIndiana's Medicaid, haugone kupa telemedicine masevhisi kudzimba dzevarwere," Tabor akadaro.“Mamiriro ezvinhu achinja uye ndinotenda zvikuru chikwata chagavhuna.Vakamisa chikumbiro ichi uye chakashanda.”
Uye zvakare, mazhinji makambani einishuwarenzi ekutengesa akadzikisa kana kubvisa kunze-kwe-homwe mari ye telemedicine uye yakawedzera telemedicine vanopa mukati metiweki.
Vamwe vanachiremba vanoti kushanya kwe telemedicine kunogona kukurumidzira kuongororwa uye kurapwa, nekuti varwere vanogara kure nachiremba vanogona kazhinji kuwana kukurumidza kure kure panzvimbo yekumirira hafu yezuva kana karenda yavo yakasununguka.
Uyezve, vamwe varwere vakwegura nevakaremara vanofanira kuronga kuti kombi ibve pamba, iyo dzimwe nguva iri mari yokuwedzera yokurapwa kunodhura.
Zviripachena, kune varwere, mukana wakakura ndiko kuve nyore, pasina kutyaira nemudhorobha kuenda kuhofisi yachiremba, uye pasina kusungirira mukamuri yekumirira nekusingaperi.Vanogona kupinda kune yehutano app uye kumirira chiremba muimba yavo yekutandarira kana kicheni vachiita zvimwe zvinhu.
Nguva yekutumira: Jun-18-2021