Batun Ƙirƙirar 2021: Telemedicine yana rushe tsarin kulawa na gargajiya na likitoci da asibitoci

Kuna iya amfani da wayar hannu don cinikin hannun jari, odar motar alatu, waƙa da isar da saƙo, yin hira, yin odar abinci, da karanta kusan kowane littafi da aka buga.
Amma tsawon shekarun da suka gabata, masana'antu ɗaya-kiwon lafiya- sun fi dacewa da tsarin tsarin tuntuɓar ginin fuskarta na jiki na gargajiya, har ma da kulawa na yau da kullun.
Sanarwar gaggawa ta lafiyar jama'a da aka aiwatar a Indiana da wasu jihohi fiye da shekara guda ya tilasta miliyoyin mutane sake duba yadda suke yin komai, gami da tattaunawa da likitoci.
A cikin 'yan watanni kaɗan, adadin shawarwarin waya da na kwamfuta waɗanda ke da ƙasa da kashi 2% na jimlar inshorar likitanci a cikin 2019 sun ƙaru da fiye da sau 25, wanda ya kai kololuwa a cikin Afrilu 2020, wanda ya kai kashi 51% na duk da'awar.
Tun daga wannan lokacin, haɓakar fashewar telemedicine a yawancin tsarin kiwon lafiya ya ragu a hankali zuwa kewayon 15% zuwa 25%, amma har yanzu yana da girma mai lamba ɗaya daga shekarar da ta gabata.
"Zai tsaya a nan," in ji Dokta Roberto Daroca, likitan mata da likitan mata a Muncie kuma shugaban kungiyar likitocin Indiana."Kuma ina ganin yana da kyau ga marasa lafiya, yana da kyau ga likitoci, kuma yana da kyau ga samun kulawa.Wannan yana daya daga cikin mafi kyawun abubuwan da za su iya faruwa. "
Yawancin masu ba da shawara da jami'an kiwon lafiya sun yi hasashen cewa haɓakar magungunan kama-da-wane-ba wai kawai telemedicine ba, har ma da kula da lafiya mai nisa da sauran fannonin Intanet na masana'antar kiwon lafiya - na iya haifar da ƙarin rushewa, kamar raguwar buƙatun sararin ofisoshin likita da haɓakar wayar hannu. na'urorin lafiya da na'urori masu nisa.
Associationungiyar Likitocin Amurka ta bayyana cewa ana kiyasin cewa dalar Amurka biliyan 250 a cikin kiwon lafiyar Amurka za a iya canjawa wuri ta dindindin zuwa telemedicine, wanda ya kai kusan kashi 20% na kudaden da kamfanonin inshora na kasuwanci da na gwamnati ke kashewa kan majinyata, ofis da ziyarar lafiyar iyali.
Kamfanin bincike na Statistica ya yi hasashen cewa, musamman, kasuwannin duniya na telemedicine za su yi girma daga dalar Amurka biliyan 50 a cikin 2019 zuwa kusan dalar Amurka biliyan 460 a cikin 2030.
A lokaci guda, bisa ga bayanai daga kamfanin bincike na Rock Health, masu saka hannun jari sun ba da rikodin dalar Amurka biliyan 6.7 a cikin kudade don fara kiwon lafiya na dijital a cikin Amurka a cikin watanni uku na farkon 2021.
McKinsey da Co., babban kamfanin tuntuɓar da ke New York, sun buga wannan kanun labarai a cikin wani rahoto a bara: "Gaskiyar dala biliyan 2.5 bayan COVID-19?"
Frost & Sullivan, wani kamfanin tuntuɓar da ke San Antonio, Texas, ya annabta cewa nan da 2025, za a yi "tsunami" a cikin telemedicine, tare da haɓaka har zuwa sau 7.Hasashensa sun haɗa da: ƙarin na'urori masu auna firikwensin mai amfani da kayan aikin bincike mai nisa don cimma ingantattun sakamakon jiyya na haƙuri.
Wannan canji ne mai girgiza ƙasa ga tsarin kiwon lafiyar Amurka.Ko da yake ci gaban software da na'urori sun girgiza wasu masana'antu da yawa, ciki har da shagunan haya na bidiyo, tsarin koyaushe ya dogara da tsarin tuntuɓar ofishinsa, ɗaukar hoto na fim, Motocin haya, jaridu, kiɗa da littattafai.
Dangane da zaben Harris na baya-bayan nan, kusan kashi 65% na mutane suna shirin ci gaba da amfani da telemedicine bayan barkewar cutar.Yawancin mutanen da aka bincika sun bayyana cewa za su so su yi amfani da telemedicine don yin tambayoyi na likita, duba sakamakon dakin gwaje-gwaje, da kuma samun magungunan magani.
Watanni 18 kacal da suka gabata, likitoci a Cibiyar Kiwon Lafiya ta Jami’ar Indiana, tsarin asibitoci mafi girma a jihar, sun yi amfani da wayoyin komai da ruwanka, kwamfutar hannu, ko kwamfutocin tebur kawai don ganin yawancin marasa lafiya a kowane wata.
"A baya, idan muna da ziyarar 100 a wata, za mu yi farin ciki sosai," in ji Dokta Michele Saysana, mataimakin shugaban inganci da aminci a Lafiya ta IU.
Koyaya, bayan Gwamna Eric Holcomb ya ayyana dokar ta-baci ta lafiyar jama'a a cikin Maris 2020, duk sai dai ma'aikata masu mahimmanci dole ne su kasance a gida kuma miliyoyin mutane sun shigo.
A Kiwon Lafiyar IU, daga kulawa na farko da na mata masu haihuwa zuwa ilimin zuciya da tabin hankali, yawan ziyartar telemedicine yana ƙaruwa kowane wata-dubbai na farko, sannan dubunnan dubbai.
A yau, ko da miliyoyin mutane sun yi alurar riga kafi kuma al'umma na sake buɗewa, IU Health's telemedicine yana da ƙarfi sosai.Ya zuwa yanzu a cikin 2021, adadin ziyarce-ziyarcen ya zarce 180,000, wanda akwai sama da 30,000 a cikin watan Mayu kadai.
Dalilin da ya sa ake ɗaukar dogon lokaci don likitoci da marasa lafiya su yi magana cikin kwanciyar hankali ta wurin nunin, yayin da sauran masana'antu da yawa ke yunƙurin canzawa zuwa samfuran kasuwancin kan layi, ba a sani ba.
Wasu mutane a cikin masana'antar likitanci sun gwada-ko aƙalla sun yi mafarkin-zama mafi kama-da-wane.Fiye da karni guda, shugabannin masana'antu sun yi ta yunƙurin cimma wannan buri.
Wata kasida a mujallar kiwon lafiya ta Burtaniya The Lancet a shekara ta 1879 ta yi magana game da yin amfani da tarho don rage ziyarar ofis da ba dole ba.
A shekara ta 1906, mai ƙirƙira na'urar motsa jiki ya buga takarda akan "electrocardiogram," wanda ke amfani da layukan tarho don watsa bugun jini daga aikin zuciyar majiyyaci zuwa likita mai nisa mil.
Bisa ga Cibiyar Nazarin Halittu da Magunguna ta Ƙasa, a cikin 1925, murfin mujallar "Kimiyya da Ƙirƙira" ya nuna wani likita wanda ya gano majiyyaci ta hanyar rediyo kuma ya yi tunanin na'urar da za ta iya yin gwajin bidiyo a kan marasa lafiya da ke da nisan mil da yawa daga asibitin..
Amma shekaru da yawa, ziyartan kama-da-wane sun kasance da ban mamaki, ba tare da yin rajista ba akan tsarin kiwon lafiyar ƙasar.Sojojin da ke fama da cutar suna tura tsarin yin amfani da fasahar ta hanyoyi da dama.A cikin Cibiyar Kiwon Lafiyar Jama'a, yayin mummunan bala'in cutar, kusan kashi 75% na ziyarar marasa lafiya da likitoci suka yi ana gudanar da su ta kan layi.
"Idan babu annoba, ina tsammanin yawancin masu samar da kayayyaki ba za su taɓa canzawa ba," in ji Hoy Gavin, babban darektan Telemedicine na Kiwon Lafiyar Al'umma."Wasu kuma tabbas ba za su canza ba da wuri."
A cikin Ascension St. Vincent, tsarin kula da lafiya mafi girma na biyu a jihar, tun farkon barkewar cutar, yawan ziyartan telemedicine ya karu daga ƙasa da 1,000 a cikin 2019 zuwa 225,000, sannan ya ragu zuwa 10% na duk ziyarar yau game da.
Dokta Aaron Shoemaker, babban jami'in kula da lafiya na Ascension Medical Group a Indiana, ya ce yanzu, ga yawancin likitoci, ma'aikatan jinya da marasa lafiya, wannan wata hanya ce ta tuntuɓar.
"Ya zama ainihin aikin aiki, wata hanya ce ta kallon marasa lafiya," in ji shi."Za ku iya zuwa saduwa da wani da kai daga daki ɗaya, sannan ɗakin na gaba zai iya zama ziyarar gani da ido.Wannan shi ne abin da muka saba.”
A Lafiya na Franciscan, kulawar kama-da-wane ya kai kashi 80% na duk ziyarce-ziyarcen a cikin bazara na 2020, sannan ya koma 15% zuwa 20% na yau.
Dokta Paul Driscoll, babban darektan kula da lafiya na Cibiyar Likitoci ta Franciscan, ya ce adadin kulawar farko ya dan kadan (25% zuwa 30%), yayin da adadin masu tabin hankali da sauran kula da lafiyar halayya ya fi girma (sama da 50%). .
"Wasu mutane suna damuwa cewa mutane za su ji tsoron wannan fasaha kuma ba sa son yin ta," in ji shi.“Amma ba haka lamarin yake ba.Ya fi dacewa ga majiyyaci kada ya tuƙi zuwa ofis.Daga wurin likitan, yana da sauƙi a shirya wani da sauri.”
Ya kara da cewa: “A gaskiya, mun kuma gano cewa yana ceton mu kudi.Idan za mu iya ci gaba da kulawa ta 25%, muna iya buƙatar rage sararin jiki da kashi 20% zuwa 25% a nan gaba."
Amma wasu masu haɓakawa sun ce ba sa tunanin an yi wa kasuwancinsu barazana sosai.Tag Birge, shugaban Cornerstone Cos. Inc., wani kamfani na mallakar gidaje na Indianapolis, ya ce baya tsammanin ayyukan likita za su fara ba da dubban murabba'in murabba'in ofis da filin asibiti.
"Idan kuna da dakunan gwaji 12, watakila za ku iya rage ɗaya, idan kuna tunanin za ku iya yin 5% ko 10% telemedicine," in ji shi.
Dokta William Bennett ya sadu da wani mara lafiya mai shekaru 4 da mahaifiyarsa ta hanyar tsarin telemedicine na IU Health.(Hoton fayil na IBJ)
Wasu ƙwararrun sun ce labarin da ba a san shi ba game da likitanci shine alƙawarin da ya yi na ba da cikakkiyar kulawa, ko kuma ikon ƙungiyar masu ba da sabis don taruwa don tattauna yanayin majiyyaci da ba da kulawa da kwararru a wani fanni (wani lokaci tare da daruruwan likitoci). ).Miles nesa.
"Wannan shi ne inda na ga telemedicine yana da tasiri sosai," in ji Brian Tabor, shugaban kungiyar Asibitin Indiana.
A zahiri, wasu likitocin asibitin Franciscan sun riga sun yi amfani da taron tattaunawa na bidiyo a zagayen marasa lafiya.Don rage kamuwa da cutar ta COVID-19, sun kafa wata hanya inda likita ɗaya kawai zai iya shiga ɗakin majiyyaci, amma tare da taimakon kwamfutar hannu ko kwamfutar tafi-da-gidanka, wasu likitocin shida za su iya yin taro don yin magana da majiyyaci kuma shawara game da kulawa.
Ta haka ne likitocin da suka saba ganin likita a rukuni-rukuni, kuma suna ganin likita a kaikaice a tsawon yini, kwatsam, suna ganin yanayin da majiyyaci ke ciki, su kuma yi magana da gaske.
Dokta Atul Chugh, wani likitan zuciya daga Franciscans, ya ce: "Saboda haka, dukanmu muna da damar bincika marasa lafiya da yanke shawara masu mahimmanci tare da kwararrun da ake bukata a hannu."
Saboda dalilai daban-daban, magungunan kama-da-wane suna haɓaka.Jihohi da yawa suna da annashuwa na ƙuntatawa akan rubutun kan layi.Indiana ta zartar da wata doka a cikin 2016 da ke ba likitoci, mataimakan likitoci, da ma'aikatan jinya damar amfani da kwamfutoci ko wayoyin hannu don rubuta magunguna.
A matsayin wani ɓangare na "Dokar Rigakafin Coronavirus da Ba da Amsa Kammala Dokokin Kulawa," gwamnatin tarayya ta dakatar da wasu ƙa'idodin telemedicine.Yawancin buƙatun biyan inshora na likita an yi watsi da su, kuma masu karɓa na iya samun kulawa ta nesa ko da inda suke.Matakin ya kuma baiwa likitoci damar cajin inshorar likitanci daidai gwargwado da ayyukan ido-da-ido.
Bugu da kari, Majalisar Dokokin Jihar Indiana ta zartar da wani kudiri a wannan shekarar wanda ya kara yawan masu yin lasisin da za su iya amfani da ayyukan dawo da kudaden telemedicine.Baya ga likitoci, sabon lissafin ya hada da masana ilimin halayyar dan adam, ma'aikatan jin dadin jama'a masu lasisi na asibiti, masu aikin jinya, da sauransu.
Wani babban yunkuri na gwamnatin Holcomb ya kawar da wasu cikas.A baya a karkashin shirin Indiana Medicaid, don mayar da kuɗin telemedicine, dole ne a yi shi tsakanin wuraren da aka amince da su, kamar asibiti da ofishin likita.
"A karkashin shirin Medicaid na Indiana, ba za ku iya ba da sabis na telemedicine ga gidajen marasa lafiya," in ji Tabor.“Al’amarin ya canza kuma ina godiya sosai ga tawagar gwamnan.Sun dakatar da wannan bukatar kuma ta yi aiki.”
Bugu da ƙari, yawancin kamfanonin inshora na kasuwanci sun rage ko kawar da kudaden aljihu don telemedicine da kuma fadada masu samar da telemedicine a cikin hanyar sadarwa.
Wasu likitoci sun ce ziyarar ta telemedicine na iya hanzarta gano cutar da magani, saboda marasa lafiya da ke da nisa da likitan yawanci suna samun saurin shiga nesa maimakon jira rabin rana lokacin hutun kalandar su kyauta.
Bugu da ƙari, wasu tsofaffi da nakasassu marasa lafiya dole ne su shirya motar motar da za ta bar gida, wanda wani lokaci ya zama ƙarin farashi don magani mai tsada.
Babu shakka, ga marasa lafiya, babban fa'ida shine dacewa, ba tare da yin tuƙi ta gari zuwa ofishin likita ba, kuma ba tare da yin rataya a cikin ɗakin jira ba.Za su iya shiga cikin app ɗin lafiya kuma su jira likita a cikin ɗakin su ko kicin yayin yin wasu abubuwa.


Lokacin aikawa: Juni-18-2021