Ungasebenzisa ifowuni yakho ephathwayo ukurhweba izitokhwe, odola imoto yodidi, ukulandelela ukuhanjiswa, imisebenzi yodliwano-ndlebe, iodolo yokutya, kwaye ufunde phantse nayiphi na incwadi epapashiweyo.
Kodwa kangangamashumi eminyaka, ishishini elinye-ukhathalelo lwempilo-libambelele kakhulu kwimodeli yesakhiwo sobuso ngobuso, nakwindlela yokhathalelo lwesiqhelo.
Isibhengezo sonxunguphalo lwezempilo yoluntu esiye saphunyezwa e-Indiana nakwamanye amazwe amaninzi ngaphezulu konyaka sinyanzelise izigidi zabantu ukuba ziphinde zicinge ngendlela abazenza ngayo zonke izinto, kuquka ukuthetha noogqirha.
Kwiinyanga nje ezimbalwa, inani leefowuni kunye neekhompyuter zokubonisana ezibalelwe ngaphantsi kwe-2% yamabango e-inshurensi yezonyango zizonke ngo-2019 liye lenyuka ngaphezu kwamaxesha angama-25, lafikelela kwincopho ngo-Epreli ka-2020, libalelwa kwi-51% yawo onke amabango.
Ukusukela ngoko, ukukhula okugqabhukileyo kwe-telemedicine kwiinkqubo ezininzi zokhathalelo lwempilo kuye kwehla kancinci ukuya kuluhlu lwe-15% ukuya kwi-25%, kodwa iselunyuko olukhulu lwedijithi enye ukusuka kunyaka ophelileyo.
"Iya kuhlala apha," watsho uGqr Roberto Daroca, ugqirha wokubelekisa kunye nogqirha wabasetyhini eMuncie kunye nomongameli we-Indiana Medical Association.“Kwaye ndicinga ukuba ilunge ngokwenene kwizigulana, ilungile koogqirha, kwaye ilungile ekufumaneni ukhathalelo.Le yenye yezona zinto zibalaseleyo ezinokuthi zenzeke. ”
Uninzi lwabacebisi kunye namagosa ezempilo aqikelela ukuba ukunyuka kweyeza elibonakalayo-kungekhona kuphela i-telemedicine, kodwa kunye nokubeka iliso kwimpilo ekude kunye neminye imiba ye-Intanethi kwishishini lezempilo-kunokukhokelela ekuphazamisekeni ngakumbi, njengokuncipha kwemfuno yendawo yeofisi yezonyango kunye nokunyuka kwefowuni. izixhobo zempilo kunye neemonitha ezikude.
I-American Medical Association yathi kuqikelelwa ukuba i-US $ 250 yezigidigidi kukhathalelo lwezempilo lwase-US inokudluliselwa ngokusisigxina kwi-telemedicine, ibalwa malunga ne-20% yenkcitho yeenkampani ze-inshurensi zorhwebo kunye ne-inshurensi karhulumente kwizigulane ezingaphandle, i-ofisi kunye notyelelo lwempilo yosapho.
Inkampani yophando i-Statistica iqikelela ukuba, ngakumbi, imakethi yehlabathi ye-telemedicine iya kukhula ukusuka kwi-50 yeebhiliyoni zeedola zaseMelika ngo-2019 ukuya phantse kuma-460 eebhiliyoni zeedola zaseMelika ngo-2030.
Kwangaxeshanye, ngokwedatha evela kwifemu yophando ye-Rock Health, abatyali-mali banikezela ngerekhodi ye-US $ 6.7 yebhiliyoni kwinkxaso-mali yokuqalisa impilo yedijithali e-United States kwiinyanga ezintathu zokuqala zika-2021.
UMcKinsey kunye ne-Co., inkampani enkulu yokucebisa esekwe eNew York, yapapasha lo mxholo utyhafisayo kwingxelo kunyaka ophelileyo: "Inyani ye-2.5 yeebhiliyoni zeedola emva kwe-COVID-19?"
UFrost & Sullivan, enye inkampani yokubonisana esekelwe eSan Antonio, eTexas, iqikelela ukuba ngo-2025, kuya kubakho "tsunami" kwi-telemedicine, kunye nesantya sokukhula ukuya kwii-7 amaxesha.Uqikelelo lwayo lubandakanya: i-sensor-friendly-friendly sensors kunye nezixhobo zokuxilonga ezikude ukufumana iziphumo ezingcono zonyango lwesigulane.
Olu lutshintsho olugungqisayo lwenkqubo yezempilo yaseMelika.Nangona ukuqhubela phambili kwesoftware kunye nezixhobo kushukumise amanye amashishini amaninzi, kubandakanywa iivenkile ezirentisa ngeevidiyo, inkqubo ibisoloko ixhomekeke kwimodeli yayo yokubonisana yeofisi, ukufota ifilimu, iimoto ezirentwayo, amaphephandaba, umculo kunye neencwadi.
Ngokovoto lwamva nje lukaHarris, phantse i-65% yabantu baceba ukuqhubeka nokusebenzisa i-telemedicine emva kobhubhane.Uninzi lwabantu abaphandwayo luchaze ukuba lungathanda ukusebenzisa i-telemedicine ukubuza imibuzo yezonyango, ukujonga iziphumo zelebhu, kunye nokufumana amayeza kagqirha.
Kwiinyanga nje ezili-18 ezidlulileyo, oogqirha kwiZiko lezeMpilo leYunivesithi yase-Indiana, eyona nkqubo yesibhedlele inkulu, basebenzise kuphela ii-smartphones, iitafile, okanye iikhompyuter zedesktop ukubona inkitha yezigulana zikude nyanga zonke.
"Kwixesha elidlulileyo, ukuba sineendwendwe ze-100 ngenyanga, siya kuba nemihlali kakhulu," kusho uDkt. Michele Saysana, umongameli womgangatho kunye nokhuseleko kwi-IU Health.
Nangona kunjalo, emva kokuba iRhuluneli u-Eric Holcomb ebhengeze imeko kaxakeka yezempilo yoluntu ngoMatshi ka-2020, bonke kodwa abasebenzi ababalulekileyo kufuneka bahlale ekhaya kwaye izigidi zabantu bagalelwe.
Kwi-IU Health, ukusuka kukhathalelo oluphambili kunye ne-obstetrics ukuya kwi-cardiology kunye ne-psychiatry, inani lokutyelela nge-telemedicine landa rhoqo ngenyanga-ngamawaka okuqala, emva koko amashumi amawaka.
Namhlanje, nokuba izigidi zabantu zigonyiwe kwaye uluntu luvula kwakhona, i-telemedicine ye-IU Health isenamandla kakhulu.Ukuza kuthi ga ngoku ngo-2021, inani lotyelelo lwenyani lidlule kwi-180,000, apho bekukho ngaphezulu kwama-30,000 ngoMeyi kuphela.
Kutheni kuthatha ixesha elide kangaka ukuba oogqirha kunye nezigulana bathethe ngokukhululekileyo ngomboniso, ngelixa amanye amashishini amaninzi ezama ukutshintshela kwiimodeli zoshishino ze-intanethi, akucaci.
Abanye abantu kwishishini lezonyango baye bazama—okanye baphupha—ukuba babe nobuchule obungakumbi.Ngaphezulu kwenkulungwane, iinkokeli zeshishini bezityhala kwaye zityhala ukufezekisa le njongo.
Inqaku elikwiphephancwadi lezonyango laseBritani i<em>Lancet ngowe-1879 lathetha ngokusebenzisa umnxeba ukuze kuncitshiswe ukutyelelwa kweeofisi ngokungeyomfuneko.
Ngowe-1906, umyili we<em>electrocardiogram wapapasha iphepha elithi “electrocardiogram,” esebenzisa iingcingo zemfonomfono ukusasaza ukubetha kwentliziyo yomguli ukuya kugqirha kumgama oziikhilomitha eziliqela.
Ngokutsho kweNational Center for Biotechnology and Medicine, ngowe-1925, iphepha elingaphandle lephephancwadi elithi “Science and Invention” labonisa ugqirha owafumanisa ukuba kukho umntu ogulayo esebenzisa unomathotholo waza wabona isixhobo esinokwenza uhlolisiso lwevidiyo kwizigulana kumgama oziikhilomitha eziliqela ukusuka ekliniki..
Kodwa iminyaka emininzi, utyelelo olubonakalayo luye lwahlala lungaqhelekanga, phantse alubhaliswanga kwinkqubo yezempilo yelizwe.Amandla obhubhane atyhala iinkqubo ukuba zamkele itekhnoloji ngeendlela ezininzi.KuThungelwano lweMpilo yoLuntu, ngexesha lolona bhubhani lubi kakhulu, malunga ne-75% yondwendwelo lwabangaphandle ngoogqirha lwenziwa kwi-Intanethi.
"Ukuba akukho bhubhane, ndicinga ukuba ababoneleli abaninzi abanakuze batshintshe," utshilo uHoy Gavin, umlawuli olawulayo weCommunity Health Telemedicine.Ngokuqinisekileyo abanye abayi kutshintsha kungekudala.
E-Ascension St. Vincent, inkqubo yezempilo yesibini ngobukhulu, ukususela ekuqaleni kobhubhane, inani lokutyelela nge-telemedicine liye lenyuka lisuka ngaphantsi kwe-1,000 kuyo yonke i-2019 ukuya kwi-225,000, kwaye emva koko lehla ukuya kwi-10% yalo lonke utyelelo namhlanje malunga.
UGqr Aaron Shoemaker, igosa eliyintloko lezonyango kwi-Ascension Medical Group e-Indiana, uthe ngoku, koogqirha abaninzi, abongikazi kunye nezigulane, le yindlela enye yokunxibelelana.
“Iba ngumsebenzi wokwenyani, yenye indlela yokujonga izigulana,” utshilo.“Ungaya kuhlangana nomntu buqu kwigumbi elinye, kwaye igumbi elilandelayo linokuba lundwendwelo olubonakalayo.Yile nto siyiqhelileyo sonke.”
KwiMpilo yaseFrancisca, ukhathalelo lwenyani lwabalelwa kwi-80% yalo lonke utyelelo ngentwasahlobo ka-2020, emva koko lwabuyela kuluhlu lwanamhlanje lwe-15% ukuya kuma-20%.
Ugqirha uPaul Driscoll, umlawuli wezonyango weFranciscan Physician Network, uthe umlinganiselo wokhathalelo oluphambili uphezulu kancinci (25% ukuya kwi-30%), ngelixa umlinganiselo wengqondo kunye nolunye ukhathalelo lwezempilo lokuziphatha luphezulu kakhulu (ngaphezu kwama-50%). .
“Abanye abantu banexhala lokuba abantu baza kuboyika obu bugcisa kwaye bangafuni kuyenza,” utshilo.“Kodwa akunjalo.Kulula ngakumbi ukuba isigulana singaqhubeli ukuya eofisini.Ngokwembono kagqirha, kulula ukulungiselela umntu ngokukhawuleza.”
Wongeze ngelithi: “Enyanisweni, sikwafumanise ukuba iyasongela imali.Ukuba sinokuqhubeka ne-25% yokhathalelo lwenyani, sinokudinga ukunciphisa indawo ebonakalayo nge-20% ukuya kwi-25% kwixesha elizayo. "
Kodwa abanye abaphuhlisi bathi abacingi ukuba ishishini labo lisongelwa kakhulu.U-Tag Birge, umongameli we-Cornerstone Cos. Inc., inkampani ye-real estate yase-Indianapolis, uthe akalindelanga ukuba izenzo zonyango ziqale ukunika amawaka eemitha ezikwere zeofisi kunye nendawo yekliniki.
"Ukuba unamagumbi ovavanyo ali-12, mhlawumbi unganciphisa elinye, ukuba ucinga ukuba ungenza i-5% okanye i-10% ye-telemedicine," watsho.
UDkt William Bennett wadibana nesigulane esineminyaka eyi-4 kunye nomama wakhe ngokusebenzisa inkqubo ye-telemedicine ye-IU Health.(Ifoto yefayile ye-IBJ)
Ezinye iingcali zithi ibali elincinane elaziwayo malunga neyeza elibonakalayo lisithembiso salo sokubonelela ngononophelo olubanzi, okanye ukukwazi kweqela lababoneleli ukuba bahlangane ukuze baxoxe ngemeko yesigulane kunye nokubonelela ngononophelo kunye neengcali kwicandelo elithile (ngamanye amaxesha kunye namakhulu oogqirha ).Iimayile kude.
“Apha kulapho ndibona i-telemedicine inefuthe elikhulu,” utshilo uBrian Tabor, umongameli woMbutho wase-Indiana Hospital.
Ngapha koko, abanye oogqirha besibhedlele saseFrancisca Health sele beyisebenzisile inkomfa yevidiyo kwimijikelo yezigulana.Ukunciphisa ukuchanabeka kwintsholongwane ye-COVID-19, baye bamisela inkqubo apho ugqirha omnye kuphela onokungena kwigumbi lesigulana, kodwa ngoncedo lwethebhulethi okanye ilaptop, abanye oogqirha abathandathu banokuba nentlanganiso yokuthetha nesigulana kwaye. bonisana malunga nenkathalo.
Ngale ndlela, oogqirha abadla ngokubona ugqirha ngokwamaqela, baze bambone ugqirha manqaphanqapha imini yonke, ngequbuliso, babona imeko yomguli baze bathethe ngexesha lokwenyani.
UGqr. Atul Chugh, ugqirha wentliziyo osuka kwiFranciscans, wathi: “Ngoko ke, sonke sinethuba lokuhlola abaguli size sibenzele izigqibo ezibalulekileyo sihamba neengcali ezifunekayo.”
Ngenxa yezizathu ezahlukeneyo, iyeza lenyani liyakhula.Amazwe amaninzi aye akhulula izithintelo kwimimiselo ye-intanethi.I-Indiana yawisa umthetho ngo-2016 ovumela oogqirha, abancedisi boogqirha, kunye nabongikazi ukuba basebenzise iikhomputha okanye ii-smartphones ukumisela amayeza.
Njengenxalenye yoMthetho “woThintelo lweCoronavirus kunye neMpendulo eyoNgezelelweyo yoLwabiwo-mali,” urhulumente wobumbano wanqumamisa inani lemithetho ye-telemedicine.Uninzi lweemfuno zentlawulo ye-inshorensi yezonyango ziyayekwa, kwaye abamkeli banokufumana ukhathalelo olukude nokuba bahlala phi.Le ntshukumo ikwavumela oogqirha ukuba bahlawule i-inshurensi yezonyango ngexabiso elifanayo njengeenkonzo zobuso ngobuso.
Ukongezelela, i-Indiana State Assembly yadlulisela umthetho oyilwayo kulo nyaka owandisa kakhulu inani labasebenzi abanelayisensi abangasebenzisa iinkonzo zokubuyisela i-telemedicine.Ukongeza koogqirha, uluhlu olutsha lukwabandakanya iingcali zengqondo, oonontlalontle bekliniki abanelayisenisi, abanyangi bomsebenzi, njl.
Elinye inyathelo elikhulu likarhulumente waseHolcomb lisuse eminye imiqobo.Ngaphambili phantsi kwenkqubo ye-Indiana Medicaid, ukubuyisela i-telemedicine, kufuneka yenziwe phakathi kweendawo ezivunyiweyo, ezifana nesibhedlele kunye neofisi kagqirha.
“Ngaphantsi kwenkqubo yase-Indiana yeMedicaid, awukwazi ukubonelela ngeenkonzo zetelemedicine kumakhaya ezigulana,” utshilo uTabor.“Imeko itshintshile kwaye ndibulela kakhulu kwiqela lerhuluneli.Baye basinqumamisa esi sicelo kwaye siyasebenza.”
Ukongeza, iinkampani ezininzi ze-inshurensi zorhwebo ziye zanciphisa okanye zaphelisa iindleko eziphuma epokothweni ze-telemedicine kunye nokwandisa ababoneleli be-telemedicine ngaphakathi kwenethiwekhi.
Abanye oogqirha bathi ukutyelelwa kwe-telemedicine kunokukhawuleza ukuxilongwa kunye nonyango, kuba izigulane ezihlala kude nogqirha zihlala zikwazi ukufikelela ngokukhawuleza zikude endaweni yokulinda isiqingatha sosuku xa ikhalenda yabo ikhululekile.
Ukongezelela, abanye abalupheleyo nabanesiphene bafanele balungiselele ukuba iveni iphume ekhaya, nto leyo maxa wambi iba ziindleko ezongezelelekileyo zonyango lwezamayeza olubiza imali eninzi.
Ngokucacileyo, kwizigulana, inzuzo enkulu kukulungela, ngaphandle kokuqhubela edolophini ukuya kwiofisi kagqirha, kwaye ngaphandle kokuhlala kwigumbi lokulinda ngokungapheliyo.Bangangena kwi-app yezempilo kwaye balinde ugqirha kwigumbi labo lokuhlala okanye ekhitshini ngelixa besenza ezinye izinto.
Ixesha lokuposa: Jun-18-2021