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Saturday, September 12 2020
- 11:22am
Goal of this paper
Tele-Medicine (Tele-Med) also called Tele-Health, needs a formulation of a vision and workplan.
This document tries to reflect on the issues, and make some suggestions.
Introduction
And then there was Corona / COVID-19: improvisations like ‘eHealth over Skype’ (or WhatsApp, Zoom, or . . . ) may have served in the emergency situation with people subject to lockdown or other restrictive measures, but cannot be considered a longer-term solution, if already a solution in the first place.
Instead, the COVID-19 pandemic has demonstrated the need for real Tele-Med:
- The inability of patients, medical personnel and caregivers to meet physically under lock-down
- To protect patients and medical personnel and caregivers against the risks of infecting each other
- To keep ‘light’ and non-COVID-19 patients away from overloaded hospitals and contamination risks
- To avoid unnecessary consumption of Personal Protective Equipment (PPE), that may be scarce
In addition, there are well-known advantages of Tele-Med:
- Faster response and more frequent consultations, contributing to a higher quality of treatment
- Reduced costs for society (although Tele-Med itself may be adding costs rather than save on costs)
However, the increased costs for the health sector itself have been for long a factor that has weighted negatively on the development and wide-scale application of Tele-Med. Furthermore, industry has not enough aimed for standardization of equipment for use in Tele-Med.
Tele-Med has been developing in areas with low population density and hence transport complications, such as distances and adverse weather conditions, e.g. Norway, Sweden, Scotland, etc.
The COVID-19 pandemic has, however, shown more generally to local authorities and ‘smart cities’ the need to develop Tele-Med solutions for daily use, and not only for epidemic / pandemic, natural and not so natural disaster situations, and transport complications.
What is required
As a minimum, what is needed is an application
- providing extended video conferencing and imaging capabilities and
- giving access to local equipment at the side of the user /patient (hereafter User), and
- giving sufficient access and control to the health care provider (hereafter Provider)
In more detail:
- A federating application providing Communication and Remote Access to Devices (CRAD-APP),
- With secure access to the patient health record (EHR), and
- Controlling a secure person-to...
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Topics
Saturday, September 12 2020
Reflections on Tele-Medicine / Tele-Health
Thursday, February 15 2018
Blockchain for patient-centric Health Care
Saturday, January 6 2018
The false promise of anonymity in Health Care research
Friday, December 1 2017
Summary of Workshop Ecosystem for Healthcare Data
Monday, November 20 2017
Workshop: Towards a European Ecosystem for Health Care Data
Wednesday, November 15 2017
Final report Workshop Health Care Data 25 Oct 2017
Wednesday, October 18 2017
CORE - Connected & Open Research Ethics for mHealth research