Ngokusebenzisa iipodcasts, iiblogi, kunye neetweets, aba baphembeleli babonelela ngengqiqo kunye nobuchule bokunceda abaphulaphuli babo ukuba bahambisane neendlela zamva nje zetekhnoloji yezonyango.
UJordani Scott ngumhleli wewebhu we-HealthTech.Uyintatheli yemultimedia enamava opapasho lweB2B.
Bayanda abezonyango ababona ixabiso lezixhobo kunye neenkonzo zokubeka iliso kwisigulana.Ngoko ke, izinga lokwamkelwa komntwana liyanda.Ngokophando olwenziwe yi-VivaLNK, i-43% yeekliniki zikholelwa ukuba ukwamkelwa kwe-RPM kuya kuhambelana nokhathalelo lwezigulane phakathi kweminyaka emihlanu.Izibonelelo zokubeka iliso kwisigulane esikude kwiiklinikhi zibandakanya ukufikelela lula kwidatha yesigulane, ulawulo olungcono lwezifo ezingapheliyo, iindleko eziphantsi, kunye nokwandisa ukusebenza kakuhle.
Ngokubhekiselele kwizigulane, abantu bayaneliseka ngakumbi nge-RPM kunye nezinye iinkonzo zenkxaso yezobuchwepheshe, kodwa uphando lwe-Deloitte 2020 lufumene ukuba i-56% yabaphenduli bakholelwa ukuba xa kuthelekiswa nokubonisana kwezonyango kwi-intanethi, bafumana okufanayo Umgangatho okanye ixabiso lokhathalelo.Abantu bayandwendwela.
UDkt Saurabh Chandra, umlawuli we-telemedicine kwiYunivesithi yaseMississippi Medical Centre (UMMC), uthe inkqubo ye-RPM ineenzuzo ezininzi kwizigulane, kubandakanywa ukufikelela okungcono ekunyamekelweni, ukuphucula iziphumo zempilo, iindleko eziphantsi, kunye nokuphucula umgangatho wobomi.
"Nasiphi na isigulana esinesifo esingapheliyo siya kuxhamla kwi-RPM," utshilo uChandra.Oogqirha bahlala bejonga izigulana ezinezifo ezinganyangekiyo, ezifana nesifo seswekile, uxinzelelo lwegazi, ukungaphumeleli kwentliziyo, isifo semiphunga esingapheliyo, kunye nesifo sombefu.
Izixhobo zokhathalelo lwezempilo lwe-RPM zithatha idatha ye-physiological, efana namanqanaba eswekile yegazi kunye noxinzelelo lwegazi.U-Chandra uthe izixhobo eziqhelekileyo ze-RPM ziimitha ze-glucose yegazi, iimitha zoxinzelelo, i-spirometers, kunye nezikali zobunzima ezixhasa iBluetooth.Isixhobo se-RPM sithumela idatha ngesicelo kwisixhobo esiphathwayo.Kwizigulane ezingenazo i-tech-savvy, amaziko ezonyango anokubonelela ngeepilisi kunye nesicelo esinikwe amandla-izigulane kufuneka zivule ithebhulethi kwaye zisebenzise isixhobo sabo se-RPM.
Izicelo ezininzi ezisekelwe kumthengisi zinokudibaniswa neerekhodi zezempilo ze-elektroniki, ukuvumela amaziko ezonyango ukuba enze iingxelo zawo ngokusekelwe kwidatha okanye asebenzise idatha ngeenjongo zokuhlawula.
UGqr. Ezequiel Silva III, i-radiologist kwi-South Texas Radiological Imaging Centre kunye nelungu le-American Medical Association's Digital Medical Payment Advisory Group, wathi ezinye izixhobo ze-RPM zinokufakelwa.Umzekelo sisixhobo esilinganisa uxinzelelo lwe-pulmonary artery kwizigulane ezinentliziyo.Inokudityaniswa kwiqonga ledijithali ukwazisa isigulane ngemeko yesigulane kwaye ngexesha elifanayo ukwazisa amalungu eqela lokunyamekela ukuze enze izigqibo malunga nendlela yokulawula impilo yesigulane.
USilva wachaza ukuba izixhobo ze-RPM zikwaluncedo ngexesha lobhubhani we-COVID-19, zivumela abaguli abangaguli kakhulu ukuba balinganise amanqanaba abo okugcwala kweoksijini ekhaya.
UChandra wathi ukugula sisifo esinye okanye ezingaphezulu ezingapheliyo kunokubangela isiphene.Kwabo bangakwaziyo ukufikelela kukhathalelo olungaguqukiyo, ukugula kunokuba ngumthwalo wolawulo.Isixhobo se-RPM sivumela oogqirha ukuba baqonde uxinzelelo lwegazi lwesigulane okanye izinga leshukela legazi ngaphandle kokuba isigulane singene eofisini okanye senze umnxeba.
"Ukuba nasiphi na isalathisi sikwinqanaba eliphezulu kakhulu, umntu unokufowuna kwaye aqhagamshelane nesigulana kwaye acebise ukuba ngaba kufuneka baphuculwe kumboneleli wangaphakathi," utshilo uChandra.
Ukubeka iliso kunokunciphisa izinga lokulaliswa esibhedlele kwixesha elifutshane kunye nokuthintela okanye ukulibazisa iingxaki zesifo, ezifana ne-microvascular stroke okanye isifo senhliziyo, kwixesha elide.
Nangona kunjalo, ukuqokelela idatha yesigulane akuyona injongo yodwa yeprogram ye-RPM.Imfundo ngomonde yenye icandelo elibalulekileyo.U-Chandra uthi ezi nkcukacha zinokuxhobisa izigulane kwaye zibanike ulwazi olufunekayo ukubanceda batshintshe indlela abaziphatha ngayo okanye indlela yokuphila ukuze benze iziphumo eziphilileyo.
Njengenxalenye yenkqubo ye-RPM, oogqirha banokusebenzisa ii-smartphones okanye iipilisi ukuthumela izigulane iimodyuli zemfundo ezithile kwiimfuno zabo, kunye neengcebiso zemihla ngemihla kwiintlobo zokutya ezidliwayo kwaye kutheni ukuzivocavoca kubalulekile.
"Oku kwenza ukuba izigulane zithole imfundo eninzi kwaye zithathe uxanduva lwempilo yazo," kusho uChandra.“Iziphumo ezininzi ezilungileyo zonyango zisisiphumo semfundo.Xa sithetha ngeRPM, akufuneki siyilibale le nto. ”
Ukunciphisa ukutyelelwa kunye nokulaliswa esibhedlele nge-RPM kwixesha elifutshane kuya kunciphisa inkcitho yezempilo.I-RPM inokunciphisa iindleko zexesha elide ezinxulumene neengxaki, ezifana neendleko zokuvavanya, uvavanyo, okanye iinkqubo.
Wabonisa ukuba iindawo ezininzi ze-RPM e-United States zingenalo ababoneleli bezononophelo eziphambili, okwenza ukuba oogqirha bafikelele kwizigulane, baqokelele idatha yezempilo, babonelele ngolawulo lwezonyango, kwaye bafezekise ukwaneliseka ukuba izigulane zinyamekelwa ngelixa ababoneleli behlangabezana nezalathi zabo.Uthi.
“Abaninzi nangakumbi oogqirha bokhathalelo olusisiseko bayakwazi ukufikelela usukelo lwabo.Kukho inkuthazo ethile yezemali ukuhlangabezana nezi thagethi.Ke ngoko, izigulana zonwabile, ababoneleli bonwabile, izigulana zonwabile, kwaye ababoneleli bonwabile ngenxa yokwanda kwenkuthazo yemali, “Utsho.
Nangona kunjalo, amaziko ezonyango kufuneka aqaphele ukuba i-inshurensi yonyango, i-Medicaid kunye ne-inshurensi yangasese ayisoloko inemigaqo-nkqubo yokubuyisela okanye imilinganiselo yokubandakanywa, uChandra uthe.
USilva uthe kubalulekile ukuba oogqirha basebenze nesibhedlele okanye amaqela okuhlawula iofisi ukuze baqonde ikhowudi yengxelo echanekileyo.
U-Chandra uthe umngeni omkhulu ekuphumezeni isicwangciso se-RPM kukufumana isisombululo esihle somthengisi.Izicelo zababoneleli kufuneka zidibanise ne-EHR, zidibanise izixhobo ezahlukeneyo kwaye zivelise iingxelo ezinokwenziwa ngokwezifiso.U-Chandra ucebisa ukukhangela umthengisi obonelela ngenkonzo yomthengi esemgangathweni.
Ukufumana izigulane ezifanelekileyo yenye ingcamango enkulu kwimibutho yezempilo enomdla wokuphumeza iinkqubo ze-RPM.
“Kukho amakhulu amawaka ezigulana eMississippi, kodwa sizifumana njani?Kwi-UMMC, sisebenza nezibhedlele ezahlukeneyo, iiklinikhi kunye namaziko ezempilo oluntu ukufumana izigulane ezifanelekileyo, "utshilo uChandra.“Kufuneka sicebise ngemigaqo yokubandakanywa ukuze kubonwe ukuba zeziphi izigulana ezifanelekileyo.Olu luhlu akufunekanga lube mxinwa kakhulu, kuba awufuni ukukhuphela ngaphandle abantu abaninzi kakhulu;ufuna ukunceda abantu abaninzi.”
Kwakhona wancoma ukuba iqela lokucwangcisa i-RPM liqhagamshelane nomniki-nkonzo oyintloko wesigulane kwangaphambili, ukwenzela ukuba ukuthatha inxaxheba kwesigulane kungamangalisi.Ukongezelela, ukufumana imvume yomboneleli kunokubangela ukuba umboneleli acebise ezinye izigulane ezifanelekileyo ukuba zithathe inxaxheba kwinkqubo.
Njengoko ukwamkelwa kwe-RPM kuya kuthandwa ngakumbi nangakumbi, kukwakho nokuqwalaselwa kokuziphatha kuluntu lwezonyango.USilva uthe ukwanda kokusetyenziswa kobukrelekrele bokwenziwa, ukufundwa komatshini, kunye ne-algorithms yokufunda enzulu esetyenziswa kwidatha ye-RPM inokuvelisa inkqubo enokuthi, ngaphandle kokubeka iliso kwi-physiological, inokubonelela ngolwazi lonyango:
Cinga ngeglucose njengomzekelo osisiseko: ukuba inqanaba leglucose lifikelela kwinqanaba elithile, lisenokubonisa ukuba ufuna inqanaba elithile le-insulin.Yiyiphi indima edlalwa ngugqirha kuyo?Senza ezi ntlobo zezixhobo ezizimeleyo kwigalelo likagqirha Ngaba izigqibo zanelisekile?Ukuba ucinga ngezicelo ezinokuthi okanye zingasebenzisi i-AI nge-ML okanye i-DL algorithms, ke ezi zigqibo zenziwa yinkqubo eqhubeka nokufunda okanye itshixelwe ngaphakathi, kodwa ngokusekwe kwiseti yedatha yoqeqesho.Nazi ezinye iingqwalasela ezibalulekileyo.Zisetyenziswa njani ezi teknoloji kunye nonxibelelwano kukhathalelo lwesigulana?Njengoko obu bugcisa buxhaphake ngakumbi, abezonyango banoxanduva lokuqhubeka nokuvavanya indlela ezichaphazela ngayo ukhathalelo lomguli, amava kunye neziphumo. "
U-Chandra uthe i-Medicare kunye ne-Medicaid ibuyisela i-RPM kuba inokunciphisa iindleko zokunakekelwa kwezifo ezingapheliyo ngokuthintela ukulaliswa esibhedlele.Lo bhubhani uqaqambise ukubaluleka kokujongwa kwezigulane ezikude kwaye wakhuthaza urhulumente wobumbano ukuba azise imigaqo-nkqubo emitsha yeemeko zikaxakeka zempilo.
Ekuqaleni kobhubhane we-COVID-19, amaZiko eMedicare kunye neeNkonzo zeMedicaid (CMS) andise i-inshorensi yezonyango ye-RPM ukubandakanya izigulana ezinezigulo eziqatha nezigulana ezitsha kunye nezigulana ezikhoyo.I-US Food and Drug Administration ikhuphe umgaqo-nkqubo ovumela ukusetyenziswa kwezixhobo ezivunyiweyo ze-FDA ezingabonakaliyo ukubeka iliso iimpawu ezibalulekileyo kwindawo ekude.
Akukacaci ukuba zeziphi izibonelelo eziya kurhoxiswa ngexesha likaxakeka kwaye eziya kugcinwa emva kokuba imeko kaxakeka iphelile.USilva uthe lo mbuzo ufuna uphononongo ngononophelo lweziphumo ngexesha lobhubhane, impendulo yesigulana kwitekhnoloji, kunye nokuba yintoni enokuphuculwa.
Ukusetyenziswa kwezixhobo ze-RPM kunokwandiswa ekunakekeleni ukukhusela abantu abaphilileyo;nangona kunjalo, uChandra wabonisa ukuba inkxaso-mali ayifumaneki ngenxa yokuba i-CMS ayibuyisi le nkonzo.
Enye indlela yokuxhasa ngcono iinkonzo zeRPM kukwandisa ukhuseleko.USilva uthe nangona imodeli yentlawulo-ngenkonzo ixabisekile kwaye izigulane ziqhelene nazo, ukhuseleko lunokuncipha.Umzekelo, iCMS yacacisa ngoJanuwari 2021 ukuba iya kuhlawulela ukuthengwa kwezixhobo zingadlulanga iintsuku eziyi-30, kodwa mayisetyenziswe ubuncinane iintsuku eziyi-16.Nangona kunjalo, oku akunakuhlangabezana neemfuno zesigulana ngasinye, kubeka ezinye iindleko emngciphekweni wokungabuyiswa.
USilva uthe imodeli yokhathalelo olusekelwe kwixabiso inamandla okwenza ezinye izibonelelo ezisezantsi kwizigulane kunye nokufezekisa iziphumo eziphezulu zokuqinisekisa ukusetyenziswa kwetheknoloji yokuhlola isigulane esikude kunye neendleko zayo.
Ixesha lokuposa: Jun-25-2021