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Zomwe muyenera kuyembekezera nthawi yanu yoyamba kusankhidwa ndi telehealth

Maphunziro a Zaumoyo

Palibe amene amasangalala kupita kumaofesi azachipatala. Kodi mungakonde chiyani mukakhala mchipinda chodikirira mozunguliridwa ndi anthu odwala? Ndipo ndani akufuna kukwera mgalimoto, kapena zoyipa - mayendedwe pagulu, ndikusiya nyumba akayamba kudwala? Izi ndizowona makamaka ngati matendawa atha kupezeka mosavuta ndikuchiritsidwa pokambirana ndi omwe amapereka chithandizo chamankhwala.

Osachepera 80%, kapena kupitilira apo, pazomwe timachita monga madokotala oyang'anira ndikumvetsera, kuwona, ndi kufunsa mafunso, atero a Georgiaine Nanos, MD, MPH, dokotala ndi CEO wa Gulu Lathanzi Labwino ku California. Umu ndi m'mene timapezera matenda ambiri.

Ndizosadabwitsa kuti telehealth ikupezeka kutchuka ku United States. Ndizosavuta, ndizokwera mtengo, ndipo zimapangitsa odwala kukhala otalikirana-chinthu chomwe chili chofunikira kwambiri poteteza thanzi la anthu panthawi ya coronavirus mliri .

Kodi telehealth ndi chiyani?

Telehealth ndi njira yoperekera chithandizo chamankhwala kwa odwala patali pogwiritsa ntchito ma telefoni olumikizirana, amafotokoza a James R. Powell, MD, CEO / CMO wa Long Island Sankhani Zaumoyo . Telehealth itha kugwiritsidwa ntchito kupereka pafupifupi mtundu uliwonse wa ntchito zomwe sizikufuna kuti dokotala azinunkhiza kapena kumugwira wodwalayo. Mwambiri, telehealth imathandiza anthu kupeza chisamaliro chomwe amafunikira pothana ndi zopinga za mtunda, nthawi, kuika kwaokha, kusala, komanso / kapena kusowa kwa wodwalayo.

Telehealth itha kugwiritsidwa ntchito m'malo osiyanasiyana:

Kunyumba, ndi anthu omwe amalumikizana ndi othandizira azaumoyo
Kusukulu, kulumikizana ndi wothandizira zaumoyo kuti akalandire upangiri pakusamalira wophunzira wodwala kapena wovulala
M'zipatala, kukaonana ndi akatswiri mumzinda wina
M'malo okhalamo okalamba komanso malo osamalira anthu, makamaka omwe adatsekedwa chifukwa cha kuphulika ngati COVID-19, mankhwala, kutsatira, kuyesa, komanso magawo azithandizo
Kuyang'anira odwala kwakutali (RPM), komwe kumatumiza kuwerengera kuchokera kuzida zomwe wodwala amagwiritsa ntchito kunyumba (monga kuwunika kwa magazi, kuthamanga kwa oximeter, kapena kuwunika kwa glucose) kwa gulu lazachipatala kuti liziwunika. Izi zimalola operekera kuti atumizenso mauthenga kwa wodwalayo kapena kulumikizana kudzera pafoni. Zida za COVID-19, kuphatikiza ma stethoscopes a digito, zikupangidwira RPM.

Ena othandizira zaumoyo amakakambilani pafoni-makamaka panthawi yamatenda a coronavirus-koma kulumikizana ndi makanema kumafala kwambiri.

Ntchito zamagetsi

Telehealth imatha kupereka ntchito zingapo. Ku chipatala cha Dr. Nanos, amakambirana nkhani monga:

Kutsata kwa matenda osachiritsika
Kutsata kwakumva kupweteka
Nthendayi
Chifuwa ndi kuzizira
Kusamalira matenda ashuga
Kukambirana zotsatira za mayeso
Matenda amaso
Maulendo otsatira
Mafunso ambiri kwa dokotala
Kutsatira kwa kuthamanga kwa magazi
Kutsata kwaumoyo wamaganizidwe monga nkhawa komanso kukhumudwa
Mafunso azamankhwala, zosintha, ndi kukonzanso
Malungo atsopano
Kuleka kusuta
Ziphuphu
Kutumiza akatswiri
Mavuto a sinus
Mavuto ogona
Upangiri wogwiritsa ntchito mankhwala osokoneza bongo
Kusanza ndi kutsegula m'mimba
Kuchepetsa thupi ndi thanzi

Telehealth vs. telemedicine: Kodi pali kusiyana kotani?

Ngakhale mawuwa amagwiritsidwa ntchito mosinthana, amatanthauza njira zosiyanasiyana.

Telehealth ndi nthawi yayitali yantchito yazaumoyo yoperekedwa kutali pogwiritsa ntchito ukadaulo wolumikizirana, osangokhala pakufunsira zamankhwala.

Telemedicine ndi gawo laling'ono la telehealth lomwe limakwaniritsa zofunikira zamankhwala (ntchito yamankhwala pakati pa wodwala ndi wothandizira zaumoyo). Kwenikweni, telemedicine ili ngati kuchezera wopereka chithandizo chamankhwala, koma pafupifupi, nthawi zambiri pamisonkhano yapa kanema.

Omwe amapereka ma telemedicine akuyenera kutsatira maudindo omwewo a Health Insurance and Portability Act (HIPAA) posamalira odwala monga momwe aliri ndi chisamaliro cha wodwalayo.

Kodi ndichifukwa chiyani telehealth ndiyofunika panthawi ya mliri ngati COVID-19?

Telehealth imathandizira kukhala patali patali ndi anthu ena polola kuti anthu athanzi, kapena anthu omwe ali ndi vuto losagwirizana ndi ma coronavirus, alandire chithandizo choyambirira komanso chofulumira popanda kuchoka panyumba, atero Dr. Powell. Izi ndizofunikira ndi mabedi azachipatala ambiri komanso malo azachipatala ofunikira odwala a coronavirus.

Telehealth itha kugwiritsidwanso ntchito ngati mawonekedwe azitsulo. Ngati wodwala sakudziwa ngati matenda kapena kuvulala kumafunikira ulendo wopita kuchipatala, kapena ngakhale chipinda chadzidzidzi, kufunsa kwa telehealth kumatha kudziwa zovuta komanso ngati pakufunika chithandizo china. Ngati kukayendera nokha kapena kupita kuchipinda chodzidzimutsa kukuwoneka kuti ndikofunikira, dokotala wa telehealth atha kuyitanitsa ku ambulansi, kuchipatala, kapena kwa omwe amasamalira omwe ali ndi mayeso awo oyambira komanso chidziwitso. Kuphatikiza pakukonza chisamaliro cha wodwalayo, izi ndizothandiza makamaka pakubuka ngati coronavirus ku konzani azachipatala kwa wodwala yemwe angakhale wopatsirana.

ZOKHUDZA: Zomwe mungachite ngati mukuganiza kuti muli ndi coronavirus

Kodi inshuwaransi imaphimba telehealth?

Ambiri omwe amapereka inshuwaransi amapereka chithandizo chamankhwala, ndipo kuchuluka kwa mautumiki omwe akukhudzidwa kukuwonjezeka. Pafupifupi mayiko onse ali ndi ntchito zina za Medicaid telehealth zomwe zatulutsidwa ndi pulogalamuyi, ndipo a Medicaid ndi Medicare apanga malamulo olimbikitsa kugwiritsa ntchito telehealth panthawi yamatenda a coronavirus.

Blue Cross ndi Blue Shield zakulitsa kuchuluka kwa ma televizioni potengera mliri wa COVID-19, monganso mainshuwaransi ambiri azamalonda.

Funsani ofesi ya dokotala ngati akupereka telehealth ngati njira ina yopita kuchipatala, komanso ngati idzafotokozedwe, akutero Dr. Powell. Itanani inshuwaransi wanu kuti akufunseni za chindapusa kapena pitani pa intaneti kuti muwone phindu lanu. Atha kusinthanso masamba awo kuti athe kufotokoza yankho la mafunso anu.

Zomwe muyenera kuyembekezera mukasankhidwa ndi telehealth

Mofanana ndi kuchezera ofesi, adotolo awunikanso za mbiri yakale, kenako amalankhula ndi wodwalayo kuti awawunike, atero a Nishant Rao, ND, Chief Medical Officer ku Chikodi ku California. Dokotala adzafunsa mafunso azachipatala ndipo atha kufunsa zolemba zam'mbuyomu kapena kuti kuyezetsa kwina kwa labu kuchitidwe. Dokotala amatha kulemba mankhwala, omwe amatumizidwa mwachindunji ku pharmacy yolembera makalata kuti abwere kunyumba kapena ku pharmacy yakomwe wodwalayo angatenge.

Zina mwamaukadaulo a telehealth zofunika kuziganizira ndi monga:

Chida chodalirika monga foni yam'manja, piritsi, kapena laputopu yomwe imathandizira makanema / makanema
Pulogalamu, pulogalamu, kapena tsamba lawebusayiti kuti mulumikizane ndi omwe amakusamalirani
Kulumikizana kwabwino kwa intaneti kapena wifi yolimba
Mahedifoni (osafunikira, koma atha kukhala othandiza pazinsinsi komanso kutseka phokoso)

Kodi wodwala angakonzekere bwanji kusankhidwa ndi telefoni?

Musanachitike, pezani malo achinsinsi, opanda phokoso okhala ndi kuyatsa bwino. Dr.Nanos akuwonetsa kuti adalowa nawo pulogalamuyi mphindi 15 asanakonzekere. Odwala ayeneranso kuwonetsetsa kuti akudziwa choti achite ngati atachotsedwa kwa omwe akuwasamalira panthawi yoikidwayo. Wosamalirayo amatha kuyimbira wodwalayo ngati izi zichitika, chifukwa chake ndikofunikira kuonetsetsa kuti woperekayo ali ndi zidziwitso zolondola za wodwalayo.

Khalani ndi chidziwitso chilichonse chomwe wothandizirayo angafunikire, monga zotsatira zamalabu aposachedwa, kulingalira komwe kwachitika, ndi zina zambiri.

Zinthu zomwe odwala angachite pokonzekera kukaona telemedicine ndizachidziwikire mtundu wa vuto lomwe likukambidwa, atero a Fernando Ferro, MD, wamkulu wa zamankhwala Madokotala Omwe Ndi Achifundo ku Overlea ku Maryland. Ngati wodwala adwala matenda, zimathandiza ngati adawunika ndikulemba kutentha kwawo. Ayenera kukhala ndi mankhwala omwe ali nawo pafupi kuti atsimikizire ngati akumwa mankhwala omwe tidalemba mu tchati chawo. Ngati wodwalayo ali ndi matenda oopsa, ndizothandiza ngati akhala akuyang'anira kuthamanga kwa magazi kunyumba ndi chowunikira kunyumba ndikulemba zowerengedwa.

Odwala ayenera kukhala ndi mndandanda wa mafunso ndi nkhawa okonzeka ndikukhala okonzeka kuwonetsa opereka chithandizo chilichonse chomwe chikufunika kupimidwa powonekera, monga totupa.

Kodi chimachitika ndi chiyani ngati matenda sangathe kupangidwa kudzera pa telehealth?

Ogwira ntchito zaumoyo omwe akuyendera ma telehealth adzawona ngati angafunsenso zina, kuyezetsa , kapena chithandizo chofunikira. Izi zitha kuphatikizira kutumiza wodwalayo kuti akaonane ndi omwe akupereka chithandizo chamankhwala, kuwalangiza odwala kuti ayimbire 911 kapena apite kuchipatala kukalandira chithandizo chadzidzidzi, kapena kuyitanitsa mayeso a labu kapena kujambula.

Kodi mankhwala angaperekedwe kudzera pa telehealth?

Inde! Nthaŵi zambiri, mankhwala atsopano ndi atsopano angalembedwe kudzera pa telehealth, ngakhale uku ndi koyamba kwa wodwalayo ndi wothandizira. Dr. Powell akuwonjezeranso kuti poyankha vuto la COVID-19, Drug Enforcing Administration (DEA) yasintha malingaliro okhudza kupereka mankhwala olamulidwa kudzera pa telehealth kapena patelefoni.

Woperekayo amatumiza mankhwala kwa a ntchito yobereka kunyumba kapena ku pharmacy. Mankhwala odzazidwa amatayidwa kunyumba kwa wodwalayo, kutumizidwa, kapena kupezeka kukamutenga ku pharmacy, kutengera kusankha komwe wodwalayo angasankhe.

ZOKHUDZA: Kodi ndingafike bwanji kuti ndikulembereni?

Kodi maubwino ena a telehealth ndi ati?

Kupezeka. Odwala ambiri amakhala ndi zopinga zikafika pakuchezera chithandizo chamankhwala. Kaya ndi chifukwa chakulemala, kutalika kwakumtunda / kukhala kumidzi, kapena zovuta zamayendedwe, odwala ambiri amatha kulandira chithandizo chamankhwala kudzera pa telehealth yomwe mwina sakanatha nayo.
Kugwiritsa ntchito mtengo. Odwala amasungira ndalama zoyendera komanso nthawi yoyendera, komanso ndalama zonse zothandizira zaumoyo chifukwa chopeza bwino chithandizo.
Kupezeka mwachangu kwa nthawi zosankhidwa. Chisamaliro chimapezeka nthawi iliyonse pamene wodwala ali ndi nthawi, ndipo dokotala ali ndi kagawo. Pali zosankha zina pomwe simuchepetsedwa ndi malo.
Kusinthasintha. Odwala ndi othandizira sayenera kulumikizana munthawi yeniyeni. Zithunzi za zinthu zowoneka monga zotupa, zambiri monga kuwerengetsa magazi, kapena mafunso a wodwala atha kutumizidwa kwa woperekayo nthawi iliyonse. Wothandizirayo amatha kuwunikiranso zaumoyowu, kutumiza mafunso kapena zinthu zina kwa wodwalayo, kapena kutumiza malangizo asanakwane nthawi yoikidwiratu.
Kuchepetsa kuchepa kwa matenda. Wodwalayo sawululidwa kwa ena omwe atha kukhala opatsirana, monga momwe angakhalire kuchipatala, ndipo othandizira azaumoyo samadziwika ndi omwe angatenge matenda.

Kodi ndi ziti zina mwazolephera za telehealth?

Pali zovuta zingapo monga kupwetekedwa mtima, kusamalidwa kwa bala, kupuma movutikira, komanso kutuluka mwazi komwe sikungathe kuyendetsedwa paulendo wa telemedicine, atero Dr. Nanos.

Kuyesedwa monga ntchito yamagazi ndi ma X-ray kumafunikanso kusankhidwa mwa-munthu kuti achite, ngakhale atha kuyitanidwa kudzera pa telehealth.

Kodi tsogolo la telehealth ndi lotani?

Mliri wapano waonjezera kugwiritsa ntchito mankhwala a telemedicine, ndipo ndikukhulupirira kuti adzagwiritsidwa ntchito kwambiri pambuyo pa mliri kuposa kale, akutero Dr. Ferro.

Mabungwe azaumoyo monga American Hospital Association (AHA) amalimbikitsa kuti ntchito zantchito zanthambi zikukulirakulira komanso ntchito zina zantchito yantchito yolipirira inshuwaransi.

Ngakhale vuto la COVID-19 lisanachitike, kugwiritsa ntchito telehealth kudakulirakulira. Momwe njira zothandizira zaumoyo zikupitilira kuphatikiza ukadaulo wowerengera komanso ukadaulo wa matelefoni, odwala akhoza kuyembekezera kulandira chithandizo chamankhwala kuchokera kunyumba zawo.