Informatics 10: Telemedicine Flashcards
1
Q
Telehealth
A
-the use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, public health and health administration
2
Q
e-Health
A
-use of the internet for the transmission of medical information
3
Q
telemedicine
A
- use of information and telecommunications technologies to exchange clinical information
- IT
4
Q
telehealth (TH)
A
- results of that exchange
- umbrella
5
Q
modes
A
- radio- interference
- TV- expensive
- telephone
- internet- most powerful but not credible
6
Q
popularity of telemedicine
A
- rising cost of healthcare worldwide -> new strategies (telemedicine) to prevent readmissions
- shortage of primary care physicians
- rise in chronic diseases and aging of population
- improved collaboration among physicians and disparate healthcare organizations
- raises patient satisfaction when it results in better access to specialty care
7
Q
patient portal secure messaging
A
- pros:
- asynchronous
- able to attach photos
- response can be formatted with template
- could use VoIP
- audit trail is available
- cons:
- not as personal as live visit
- usually not connected to EHR or other enterprise information but may be in the future
8
Q
telephone
A
- pros:
- widely available, simple and inexpensive
- real time
- cons:
- not asynchronous
- unstructured
- no audit trail
- only real time
9
Q
audio-video
A
- pros:
- maximal input to clinician
- can include review of x-rays, etc.
- perhaps more personal than just messaging
- cons: currently, most expensive in terms of networks and hardware, but that is changing
10
Q
telemedicine transmission modes
A
- store and forward
- real time
- remote monitoring
11
Q
store and forward
A
- images or videos are saved and sent later asynchronous communication
- imaging results
12
Q
real time
A
- a specialist views video images transmitted from a remote site and discusses the case with another physician
- requires more sophisticated equipment -> two way interactive telemonitors -> the specialist is able to see
- synchronous communication
13
Q
remote monitoring
A
-monitor patients at home, in a nursing home or in a hospital for personal health information or disease management
14
Q
telemedicine categories
A
- televisits
- teleconsultations: teleradiology, teledermatology, teleneurology, telepharmacy
- telemonitoring:
- telerounding: hospitals inpatients
- telehomecare: monitoring physiological parameters, activity diet, etc. at home -> smart homes
15
Q
sensors
A
- weight
- blood pressure
- glucose
- oximeter
- spirometry
- temperature
- medication tracker
- PT/INR
- motion detectors/chair and bed sensors
- fitness
