TELEMEDICINE. The use of telecommunication and information technologies in order to provide critical health care at distance

Transcription

1 TELEMEDICINE The use of telecommunication and information technologies in order to provide critical health care at distance

2 History/Present Early forms of telemedicine achieved with telephone and radio have been supplemented with videotelephony Advanced diagnostic methods supported by distributed client/server applications Additionally, with telemedical devices to support in-home care Smoke signals in African villages, two way radios, powered by a dynamo driven by a set of bicycle pedals- Australia

3 TYPES of Telemedicine Store and forward Remote monitoring Real-time interactive services

4 Store and Forward Acquiring medical data( medical images, biosignals) and transmitting this data to a doctor, or a medical specialist at a convenient time for assessment offline It does not require the presence of both parties at the same time Dermatology, radiology, pathology are common specialities that are conductive to asynchronous telemedicine Radiology counting for at least 50% of telemedicine usage

5 Store and Forward A properly structured, medical record, preferably in electronic form, should be a component of this transfer A key difference between traditional in-person patient meeting and telemedicine encounters= omission of an actual physical examination and history

6 Telecardiology Transmission of ECG via frequency modulators Willem Einthoven, actually did tests with transmission of ECG via telephone lines Electronic stetoscopes CAA systems

7 Remote monitoring Enables medical professionals to monitor a patient remotely using various types of devices

8 TED talk This is where I give you Eric Topol TED talk v=ptzm9x3jftk

9 ..back to Remote monitoring This method is primarily used for managing chronical diseases or specific conditions Heart disease( Holter monitoring) Diabetes mellitus Asthma These services can provide comparable health outcomes to traditional in person patient encounters, supply greater satisfaction to patients and be cost-effective

10 Interactive Telemedicine Services Provide real-time interaction between patient and provider, to include phone conversations, online communications etc. Many activities, such as history review, physical examination, psychiatric evaluation and ophthalmology assessments can be done comparably to those done in traditional face-to-face visits example- online group therapy for alcohol and drug addicts

11 General Health Care Delivery Can be extremely beneficial to people living in isolated communities or remote regions Recent developments in mobile collaboration technology( as advance from video conferencing) with the use of hand held mobile devices allow health care in multiple locations the ability to view, discuss, and assess patient issues

12 General Health Care Delivery Telemedicine can be used as a teaching tool, by which experienced medical staff can observe, show and instruct medical staff in another location since primary care providers in remote locations are more often NGO volunteers

13 General Health Care Delivery.MedPhone 1990 cellular phone+base station For diagnosing and treatment of cardiac arrest on spot Google MDphone pocket size GP!!! (Android based applications development)

14 Telerehabilitation Most types of services fall into two categoriesclinical assessment of the patient s functional abilities in his enviroment and clinical therapy Speech/language pathology Audiology Occupational therapy Physical therapy

15 Telerehabilitation Most telerehabilitation is highly visual Ground breaking research in telehaptics( the sense of touch) and VR may broaden the scope of telerehabilitation in future

16 Telesurgery..is the ability for a doctor to perform surgery on a patient even though they are not physically in the same location Combines elements of robotics, cutting edge communication technology such as high-speed data connections and elements of management of information systems While the field robotic surgery is fairly well established, most of these robots are controlled by surgeons at the location of surgery

17 One more TED talk for goodbye Catherine Mohr catherine_mohr_surgery_s_ past_present_and_robotic_f uture.html