Lecture 5 - Telemedicine

Question 0

Define Telemedicine

Answer 0

The use of medical information exchanged from one site to another via electronic communications to improve patients health status.

Question 1

Define Telehealth

Answer 1

The use of electronic information and telecommunications technologies use to support long distance clinical health care, patients and professional health related education,public health and administration.

Question 2

Types of Telemedicine

Answer 2

Teleconsultation
Tele-education or e-learning 
Telemonitoring
Telesurgery
a. Telementoring - TeleOR Project 
b. Telepresence surgery

Question 3

Drivers of Telemedicine

Answer 3

Increasing health care costs
Shortage and maldistribution of practitioners
Alternative method of delivering health care
Improved collaboration among physicians
Increase patients satisfaction

Question 4

Benefits of telemedicine

Hints: “BAB and BRIE”

Answer 4

1. Better access to healthcare
2. Access to a better healthcare
3. Better access to information
4. Better resource utilization
5. Reduce costs
6. Improved communication between careers
7. Easier and better continuing education

Question 5

The process of telemedicine

-transmission mode

Answer 5

1. Real time
   - online teleconsultation
2. Store and forward
   - referral system

Question 6

The process of telemedicine
- hardware involved
Hint:”MT IV”

Answer 6

Multipoint system
Telemonitoring system
Imaging display system
Videoconferencing system

Question 7

Where telemedicine is applied

Hint: “G- CAPTAiN”

Answer 7

"G-CAPTAiN"
General practitioner and primary care service 
Community sector and telecare service
Acute hospital and secondary care service 
Pharmacy service 
Transport service 
Ambulatory service 
Non-government institutions

Question 8

Limitations of telemedicine
Hint: “Ona P. PALUDI”

Other administrative challenges
Hint: “waTch CNE”

Answer 8

Organizational disruption 
Poor patients-career relationship 
Poor relationship between healthcare professionals 
Additional training needed 
Low rates of utilization 
Uncertain quality of health  information 
Difficult in protocol development 
Impersonal technology 

Telecommunication infrastructure and standards
Cost effectiveness
National policy and strategy
Ethical and legal aspects