IMPACT without booking a doctor’s appointment. And again,

IMPACT OF TELEMEDICINE IN THEHEALTH SECTORCHAPTER ONE: INTRODUCTIONThehealthcare sector substantially has developed over the years thanks to the conveniencebrought by the current technologies advancements.

Nevertheless, there are stillmany difficulties that the industry has to deal with, especially when it comesto accessibility, provision and convenience of services both for the patientsand the medical providers.One ofthe answers the medical profession and the health sector have brought up to dealwith these issues is telemedicine. What is telemedicine? It is the remotediagnosis and treatment of patients by means of telecommunications technology.

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Besidesfrom bringing patients and medical providers together via various modes ofcommunication, telemedicine also supplies a way for health care professionalsto consult with other physicians.Earlier on, telemedicine was commonly usedto provide a connection to doctors working with a patient in one location tospecialists elsewhere. This was of great advantage to rural or hard to reach placeswhere specialists aren’t easily and readily accessible. Throughout the nextseveral decades, the equipment necessary to conduct remote visits remainedexpensive and complex, so the use of the approach, while growing, was limited.The increased use of the internet broughtwith it significant changes for the telemedicine practices.

The risen use ofsmart devices into the global market, capable of high-quality video. More so, consequentiallythe growth of today’s telemedicine is the rising mobile (smartphones) health field.With the various mobile health applications, new mobile medical devices thatare user-friendly and patients are starting to use technology to observe andtrack their health. Basic home-use medical devices that can take signs andsymptoms, and diagnose ear infections, monitor glucose levels, or measure bloodpressure, lets patients gather needed medical information for use by the doctorto perform diagnosis, without booking a doctor’s appointment. And again, asmore patients get signup to using technology to help manage their health status,they also will be more open to alternative ways to get attention – throughtelemedicine. CHAPTER 2: METHODOLOGYHavingexplored the nature and purpose of qualitative research, this article exploresdata collection techniques used in qualitative research. There are a variety ofmethods of data collection in qualitative research, i.e.

observations, textualor visual analysis (e.g. from books or videos) and interviews (individual orgroup). However, the most common methods used, particularly in healthcareresearch, are interviews and focus groups.Qualitative research interviewsThereare three types of research interviews: structured, semi-structured andunstructured. Structured interviews are, verbally administered questionnaires,in which a list of predetermined questions are asked, with little variation andwith no scope for follow-up questions to responses that warrant further clarity.

Conversely,unstructured interviews do not reflect any preexisting theories or ideas and areperformed with little or no format. Such an interview may simply start with anopening question and will then progress based, primarily, upon the initialresponse. Semi-structuredinterviews consists of several key questions that help to shape the areas to bediscovered, but also allows the interviewer or interviewee to diverge in orderto follow up an idea or response in more detail. This interview format is usedmost frequently in healthcare, as it provides participants with some guidanceon what to talk about, which many find helpful.  Thepurpose of research interviewsThe aimof the research interview is to explore the views from various individuals onspecific matters. Qualitative methods, such as interviews, are believed to enlightenus on social phenomena than would be obtained from purely quantitative methods,such as questionnaires. Interviews are, therefore, most appropriate wherelittle is already known about the study phenomenon or where detailed insightsare required from individual participants. They are also particularlyappropriate for exploring sensitive topics, where participants may not want totalk about such issues in a group environment.

TheinterviewWhendesigning an interview schedule it is imperative to ask questions that arelikely to yield as much information about the study phenomenon as possible andalso be able to address the aims and objectives of the research. In aqualitative interview, questions should be open-ended (i.e., require more thana yes/no answer), neutral, sensitive and understandable. It is usually best tostart with questions that participants can answer easily and then proceed tomore advanced topics. This can help put respondents at ease, build upconfidence and rapport and often generates rich data that subsequently developsthe interview further.Thelength of interviews varies depending on the topic, researcher and participant.However, on average, healthcare interviews last 20-60 minutes.

Interviews canbe performed on a one-off or, if change over time is of interest, repeatedbasis, for example exploring the psychosocial impact of oral trauma on participantsand their subsequent experiences of cosmetic dental surgery.  Focus groupsFocusgroups share many common features with less structured interviews, but there ismore to them than merely collecting similar data from many participants atonce. A focus group is a group discussion on a particular topic organized forresearch purposes. This discussion is guided, monitored and recorded by aresearcher (sometimes called a moderator or facilitator).When focus groups are usedFocusgroups are used for generating information on collective views, and themeanings that lie behind those views.

They are also useful in generating a richunderstanding of participants’ experiences and beliefs. Suggested criteria forusing focus groups include:·                    As a standalone method, for research relating togroup norms, meanings and processes·                    In a multi-method design, to explore a topic orcollect group language or narratives to be used in later stages·                    To clarify, extend, qualify or challenge data collectedthrough other methods·                    To feedback results to research participants.ModeratingModeratinga focus group looks easy when done well, but requires a complex set of skills. Themoderator should facilitate group discussion, keeping it focused withoutleading it. They should also be able to prevent the discussion being dominatedby one member, ensure that all participants have ample opportunity tocontribute, allow differences of opinions to be discussed fairly and, ifrequired, encourage reticent participants.

 ConclusionInterviewsand focus groups remain the most common methods of data collection inqualitative research, and are now being used with increasing frequency indental research, particularly to access areas not amendable to quantitativemethods and/or where depth, insight and understanding of particular phenomenaare required. The examples of dental studies that have employed these methodsalso help to demonstrate the range of research contexts to which interview andfocus group research. CHAPTER 3: LITERATURE REVIEWMD.comTelemedicine.Book doctor appointments 24/7 and see adoctor on your smartphone or tablet from the privacy of your home or officewith Telemedicine!Skip crowded waiting rooms (and theirgerms), request appointments anytime, and prevent the costs of missed appointmentswith automated email/SMS reminders — get started now to enjoy privacy,convenience and access to doctors at your fingertips.

AdvaitTelemedicineAdvait telemedicine is an app whichallows patients to have access to their doctors 24/7 365 days.This app links a patient with hisdoctor and the patient can send voice messages, text messages take picturesfrom the camera and send those pictures using the app to the doctor. The doctorcan also reply to the voice messages and text and view those pictures sent bytheir patients.The app is a 2 way communication toolsfor the patients and their doctor.ChironHealthIs a website that promotes telemedicineto patients has never been easier. It promotes video visits to your patientswith personalized campaigns.

Custom web pages and automated email notificationsallow you to announce your new service and keep patients informed abouttelemedicine in in your practice.It has the following key products:HIPAA-Compliant: Secure video overpeer-to-peer connection and a signed BAA for each client;   Co-Pay Collection: Accurate paymentdetermination is processed through our insurance Rules Engine and depositedinto your account; Patient Notifications: Once an appointment is scheduled,patients automatically receive an email to set up account and join appointment;Clinical Protocols: Customized telemedicine formula specific to your practice –Know exactly when and how to use telemedicine; Custom Patient Marketing: Easilymarket to patients about telemedicine with custom in-office and onlinematerials; Streamlined Patient Workflow: Automated appointment reminder emailsand an experience that mimics the in-office workflow with a virtual waitingroomCHAPTER 4: FINDINGS AND OBSERVATIONHow isTelemedicine impacting patients and providers? As a fast-growing field in thehealthcare sector, telemedicine shows a lot of promise in solving various difficultiesthat health professionals and patients are facing today. Supplying a range of advantagesfor both patients and medical providers, it offers:Pros of TelemedicineAdoptingthe latest telemedicine initiatives can help your practice achieve numerousbenefits.

 1.                 More Convenient and Accessible Patient CareAccordingto a recent Cisco global survey, 74% of patients prefer easy access tohealthcare services over in-person interactions with providers.2.                 Healthcare Cost SavingsRemoteanalysis and monitoring services and electronic data storage significantlyreduce healthcare costs, saving money for you, your patients, and insurancecompanies. 3.                 Extended Specialist and Referring PhysicianAccessWithtelehealth, patients in rural or remote areas benefit from quicker and moreconvenient access to specialists.

These patients go through longer appointment travelsand have trouble accessing lifesaving consultations for specific illnesses orchronic care plans.4.                 Increased Patient EngagementWhenpatients are committed to improve their healthcare goals, it aims to lowercosts and better healthcare service. 5.                 Better Patient Care QualityTelemedicineoffers ways to improve patient-centered approaches. This is critical to patientcare quality. Patients can address healthcare issues quickly with real-time careconsultations and learn about treatment alternatives quickly. A new study showsthat telemedicine patients score lower for depression, anxiety, and stress, andhave 38% fewer hospital admissions.

   Cons of TelemedicineWhiletelemedicine shows no limit to its growth over the upcoming decades or so andhas clear benefits, it still poses some technical and practical difficulties inthe health sector.1.                 Technical Training and EquipmentRestructuringIT staff responsibilities and purchasing equipment cost demanding. Training iscrucial to building an effective telemedicine system. Physicians, specialists andother medical staff require training on the new systems to ensure a solid ROI.

On top of that, your staffing requirements may decrease.2.                 Reduced Care ContinuityKeepingup with patients’ records and visits will be difficult due to patients usingtelemedicine services from a variety of medical specialist.

This makes it hardfor specialists to provide health services as maintaining patients’ details isthe primary core for any health institution.3.                 Fewer In-Person ConsultationsKeepingin touch and regular patient visits to the clinic is a common activity inhealth institutions. This is a recent development in the industry and it willtake time to adjust. Although telemedicine is a good alternative and the way togo.4.                 Tricky Policies and Reimbursement RulesLaws andpolicies always tend to take lots of time to be implemented. Such as thehealthcare laws and rules may lag and take time to come into place.

Hence thisdelays technological advancements in the health sector as technologycontinuously evolves very fast as compared to the implementation of therelevant policies.  CHAPTER 5: RECOMMENDATIONS1.     Improving patient assessment and reviewImprovingthe process by which to assess and review telemedicine users to improveefficient use of resources via sites is important. Methods for improvementinclude additional information from clinicians referred to them for assessment.

2.     Improving service deliverySomesites aimed at improving the monitoring and triage of telemedicine patients’process. Each using their own standardization, and therefore targeting elementsof their service for improvement.3.

     Improving data sharing and accessSiteswork on improving sharing of data and access. Knowing that solutions to solvethe interoperability issues between monitoring software and electronic patientrecord systems were not available.4.     Raising awareness of telemedicineSpreadingof information to raise awareness to telemedicine and related ideas for actionfor medical teams to use telemedicine, working closely with related groups andcommissions; hosting events to boost telemedicine usage.5.     Improving evaluation of telemedicineEvaluationand further research to understand telemedicine consequences was agreed upon.

Dividedopinions on the rationale of investments in telemedicine.6.     Securing financial investment for telemedicineLong-terminvestments were recommended as to secure future investments in the healthsector via telemedicine focused on establishing relationships with technologyproviders. Short-term funding was just a barrier.The short-termfunding of telemedicine was identified as a barrier to implementation.

Tosecure future investment, participants focused on establishing relationshipswith technology providers and local decision-makers; scoping out the potentialof new technologies that were available; and identifying the needs of users andclinicians that could be addressed with telehealth. Only one site was able tosecure financial investment during the study timeframe, and in two sites therewere real concerns about the future of telehealth.REFERENCESinfinithealthcare.com…en.oxforddictionaries.com List of AbbrROIIT


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