Zvigadziriso zvezvigadziriso zvekuchengetedza zvinogona kubatsira masangano ezvehutano kuvaka zvirinani zvekurapa zvekufungidzira zvivakwa.
Doug Bonderud munyori anohwina mubairo anogona kuvhara musiyano pakati penhaurirano yakaoma pakati petekinoroji, hunyanzvi uye mamiriro evanhu.
Kunyangwe neiyo yekutanga wave yeCCIDID-19 kutenderera nyika, kutarisirwa chaiko kwave chinhu chakakosha chekupa mabasa ekurapa anoshanda uye anoshanda.Kwapera gore, zvirongwa zve telemedicine zvave chinhu chakajairika chenyika yekurapa zvivakwa.
Asi chii chichatevera kuitika?Zvino, sekuenderera mberi kwekuedza kwekudzivirira kunopa mhinduro inononoka uye yakagadzikana yekushushikana kwedenda, mushonga chaiwo unotora basa rei?Telemedicine ichagara pano here, kana huwandu hwemazuva ari muhurongwa hwekutarisira hwakakodzera?
Sekureva kweAmerican Medical Association, hapana mubvunzo kuti kunyangwe mamiriro enjodzi adzikira, kutarisirwa chaiko kucharamba kuri mune imwe nzira.Kunyangwe makumi mashanu muzana evashandi vehutano vakaisa masevhisi ehutano kekutanga panguva yedenda iri, remangwana rematanho aya rinogona kunge riri rekugadzirisa kwete kupera basa.
"Takaona kuti kana tikamanikidzwa kutenderera, tinokwanisa kuona zviri nani kuti ndeupi rudzi rwekushanya (mumunhu, runhare kana kushanya chaiko) rwakanakira murwere wega wega," akadaro CEO weCommunityHealth, chipatara chikuru chemahara cheChicago.Steph Willding vakati masangano ekurapa anozvipira."Kunyangwe iwe usingawanzo kufunga nezvenzvimbo dzehutano dzemahara senzvimbo dzekuvandudza, 40% yekushanya kwedu kunoitwa kuburikidza nevhidhiyo kana runhare."
Susan Snedaker, mukuru wezvekuchengetedza ruzivo uye yenguva CIO yeTMC HealthCare, akataura kuti kuTucson Medical Center, chaiyo yekurapa tekinoroji yakatanga nenzira nyowani yekushanya kwevarwere.
Iye akati: "Muchipatara chedu, takashanyira mukati memadziro echivakwa kuti tideredze kushandiswa kwePPE.""Nekuda kwekushomeka kwekushandisa uye nguva yevanachiremba, vanofanirwa kupfeka midziyo yekudzivirira inodiwa (dzimwe nguva inosvika maminetsi makumi maviri), saka takaona kuti mameseji chaiwo, vhidhiyo uye chat mhinduro zvine kukosha kukuru."
Munzvimbo yechinyakare yekuchengetedza hutano, nzvimbo nenzvimbo ndizvo zvakanyanya kukosha.Nzvimbo dzevakoti dzinoda nzvimbo yakakwana yekugara vanachiremba, varwere, vashandi vekutonga nemidziyo, uye vashandi vese vanodiwa vanofanirwa kunge vari munzvimbo imwechete panguva imwe chete.
Kubva pamaonero aWilling, denda iri rinopa mukana kumakambani ezvehutano kuti "vafunge zvakare nzvimbo nenzvimbo yevarwere-centric hutano hwehutano."Maitiro eCommunityHealth kugadzira modhi yakasanganiswa nekutanga telemedicine nzvimbo (kana kuti “microsites”) muChicago yese.
Willding akati: "Nzvimbo idzi dziri mumasangano emunharaunda aripo, zvichiita kuti dzive dzakasimba."“Varwere vanokwanisa kuuya kune imwe nzvimbo munharaunda yavo vobatsirwa nekurapwa.Pa-saiti vabatsiri vekurapa vanogona Kukubatsira kuita nhamba dzakakosha uye nekuchengetedza, uye kuisa varwere mukamuri yekushanya chaiko nenyanzvi. "
CommunityHealth inoronga kuvhura microsite yayo yekutanga muna Kubvumbi, nechinangwa chekuvhura saiti itsva kota yega yega.
Mukuita, mhinduro dzakaita seizvi dzinoratidza kukosha kwemasangano ekurapa kuti anzwisise kwaanogona kutora mukana we telemedicine.YeCommunityHealth, kugadzira iyo yakasanganiswa mu-munhu/telemedicine modhi inoita pfungwa yakanyanya kune yavo vatengi.
"Nekuda kwekushandiswa kwehunyanzvi hwekuchengetedza hutano, chiyero chesimba chachinja," akadaro Snedaker.“Mupi wehutano achine nguva, asi ndizvo chaizvo zvinodiwa nemurwere.Somugumisiro, zvose mupi uye murwere achabatsirwa nazvo, izvo zvinotungamirira kugamuchirwa kwenhamba dzinokosha.
Muchokwadi, izvi zvinopatsanura pakati pekutarisira nenzvimbo (senge shanduko nyowani munzvimbo nenzvimbo) zvinogadzira mikana yeasynchronous rubatsiro.Hazvichadi kuti murwere uye mupi vave panzvimbo imwechete panguva imwe chete.
Mitemo yekubhadhara uye mirau iri kuchinjawo nekufambiswa kwekurapa chaiko.Semuenzaniso, muna Zvita, iyo Center for Medicare neMedicaid Services yakaburitsa runyorwa rwayo rweterevhizheni masevhisi eCCIDID-19 denda, iro rakawedzera zvakanyanya kugona kwevanopa kupa-vanoda rubatsiro pasina kudarika bhajeti ravo.Muchokwadi, iyo yakafara yekuvhara inovabvumira kupa varwere-centric masevhisi vachiri kuramba vaine pundutso.
Kunyangwe pasina vimbiso yekuti kufukidzwa kweCMS kuchaenderana nekuzorora kwedenda, zvinomiririra kuti masevhisi asynchronous ane kukosha kwakafanana sekushanya kwemunhu, inova nhanho yakakosha kumberi.
Kuteerera kuchaitawo basa rakakosha mukuenderera mberi kwemaitiro ehutano hwehutano.Izvi zvine musoro: iyo data yemurwere yakawanda inounganidzwa nesangano rekurapa nekuchengetedza pamasevha emunharaunda uye mugore, iyo yakanyanya kutarisiro ine pamusoro pekutapurirana data, kushandiswa, uye pakupedzisira kudzima.
Dhipatimendi reUS rehutano neHuman Services rakaratidza kuti "panguva yeCCIDID-19 yehutano hwehutano hweveruzhinji, kana telemedicine masevhisi akapihwa kune vakatendeseka kurapwa, hazvityore zvinodikanwa zvemutemo weHIPAA uchipokana nevanopa mabasa ekurapa."Kunyangwe zvakadaro, kumiswa uku hakuzogara nekusingaperi, uye masangano ekurapa anofanirwa kuendesa chitupa chinoshanda, kuwana uye kuchengetedza manejimendi ekudzora matanho kuti ave nechokwadi chekuti njodzi yekudzoka inodzorwa mumamiriro ezvinhu akajairwa.
Anofanotaura kuti: "Ticharamba tichiona telemedicine uye masevhisi akatarisana."“Kunyangwe vanhu vazhinji vachifarira kuve nyore kwe telemedicine, ivo havana hukama neanopa.Virtual hutano masevhisi anozodaidzwa kusvika pamwero wakati.Vadzoka, asi vacharamba varipo.”
Iye akati: "Usambotambisa dambudziko."“Chinhu chinonyanya kukosha padenda iri ndechekuti rinopaza zvipingaidzo zvinotitadzisa kufunga nezvekutora tekinoroji.Nokufamba kwenguva, tichazogara munzvimbo iri nani.”
Nguva yekutumira: Mar-15-2021