Telehealth inogona kunge iri iyo nzira inotevera yekubatsira kwevarwere vepfungwa
Vashandi vehutano vari kuwedzera kuidzidziswa nezvemamiriro avo uye marapirwo akataurwa kwavari nevanachiremba. Kunyange zvazvo chiitiko ichi zvechokwadi-uye zvakakodzera-chinosanganisira vanhu avo vanogara nemutsipa kana kurwadziwa shure, mumambure inokandwa zvakanyanya kupfuura iyo.
PaIndaneti uye panze, varwere vane marudzi ose ekuongororwa vari kutoita tsvakurudzo yakawanda, vachigovana zvimwe zvezviitiko zvavo zvezvechiremba kunze kwehofisi yechiremba uye vachishevedza ushingi huzhinji hwokuzvitaurira ivo pachavo kana vachinzwa vasingadzvinyiriri kana kuti vakamanikidzwa.
Izvi zvingave zvisina zvazvinodiwa; mamiriro ekurapa kwevarwere, kunyanya mumatambudziko ekurwadziwa kwepfungwa, anowedzera nevanhu vanotaura kuti vane vashomanana, kana varipo, zvingasarudzwa zvekununurwa.
Semuenzaniso, hazvisi zvisizvo kune vanhu vane musana, musinga, kana gumbo rakabatana nemapapiro kana kurwadziwa kwepamuviri kuti vanzwe vachirapa mishonga yakasiyana-siyana uye yakasiyana-siyana, kazhinji kanopfuura kamwe pamutambo wechirwere. Mishonga yakadaro inogona kubva pane kurapa kwepanyama uye mishonga kune injection uye chirwere.
Pasinei nehupamhi hwehusarudzo dzakaedzwa, zvakadaro, vazhinji vanoti vanoti vakabuda kubva kune avo vanoshushikana nemigumisiro isingagutsikani.
Nhamba-crunchers kubva kuSangano reUnited Healthcare Research Quality (AHRQ) yakatarisa ukama huri pakati pemasana ekutarisira kwemhepo uye kuvandudzwa mumashure nemitsipa yevarwere vane marekodhi avakadzidza. Kunyange zvazvo muvhareji wega wega wega wega wega wega wega wega wepakati pa5596 akapinda mu $ 6096 pamurwere wegore ra2005, vatsvakurudzi vaisakwanisa kururamisa izvo zvinodhura nekugadzirisa marwadzo ekurambidza kana kuvandudza kushanda kwemuviri.
Kwete izvozvo chete, asi mumakore masere kubva muna 1997 kusvika muna 2005, mari yepamusoro yekutarisira mari yakawedzera ne65 muzana, kunyange zvazvo zviitiko zvakaramba zvakanyanya zvakafanana. Maererano nevanyori veAHRQ, "pakanga pasina kuvandudza munguva iyi mukuzviongorora kwehutano hwehutano, hurema hwehutano, kushanda kwebasa, kana hutano hwehutano pakati pe [tsvakurudzo] vakapindura nematambudziko emusana."
Chimwe chiitiko pane pfungwa ndechokushandiswa kwekuongorora zvirwere zvekufungidzira-zvisina kufanira. Chidzidzo che 2017 chakabudiswa muJAMA Internal Medicine chakawana kuti mahofisi echiremba anoshandiswa nezvipatara anowedzera kushandiswa kweMRI, X-rays, CT-scans nokuda kwezviongorori zvakasiyana-siyana, kusanganisira kurwadziwa shure.
Nenzira yakawanda, kana kufungidzira kuongororwa kunopiwa kuvarwere zvisina kufanira (kureva, kana murwere asina zvirwere zvezvirwere), vanoonekwa se "vashoma-kukosha."
Chidzidzo chacho chakawana zvakare kuti vashandi vezvokurapa vanobatwa muchipatara vakaita zvimwe kutumira kune vanyori.
Kana iwe usingazivi, pamwe chete nemishandiro ekurapa, mahofisi echipatara-anowanikwa muchipatara anowanzopa rubatsiro rwekunze kune vanhu vanogara munzvimbo dziri pedyo.
Imwe Mushonga Wekuchengetedza Kwepasitiri Inopedza-Kurapa Varwere Vako Here?
Sangano rinosvika kune veSweetvier Healthism rinogona kuonekwa kuHealth 2.0, iyo yakatanga muma2000 apo inoita kuti hutachiona hwevarwere nevanotarisira avo vanoda kuyanana nevamwe kune zvinetso zvekurapa.
Mazuva ano, Utano hwakanaka, Varwere vakadai saNdimi, mapoka e-Facebook akazvitsaurira kumamiriro ezvinhu chaiwo kana marapirwo, uye dzimwe nzvimbo dzine misasa yakafanana dziri kuwedzera. Ikoko iwe ungangodaro uwana kuongororwa kwechiremba, shanduro yokuziva, cheerleading, uye comradery.
Ichokwadi, dzakawanda zvemasayiti aya akabudirira chaizvo mukuzadza gaka pakati pematare ekuongorora zvirwere chiremba anopa inshuwarisi uye zvakaitika kune varwere.
Izvo zvaiti, ramba uchifunga kuti kazhinji vanhu vanotumira pazvivako izvi havasi vashandi vezvoutano, izvo zvinoreva zvakawanda zvezivo yauchawana zvichida mamwe maonero kupfuura chokwadi.
Mamwe emasangano ari kuumbawo hukama hunokosha pakati pekufambiswa kwematare ezvinodhaka uye zvinogadzirisa zvinhu uye nhengo dzavo. Vakawanda vekupedzisira vanoshanda nesimba sevarindi vemuviri vachitaura kune vamwe vasingaverengeki vakafanana.
Kunyange zvazvo kuomerwa kwekutora chirwere chinotarisana nevarwere chiri kukwira, vazhinji vanoita basa vachiri kusarudza kubhadharwa nehuwandu hwebasa rakashandurwa. Zvakangofanana, zvigaro zve data zviriko, uye zvinoramba zvichiratidzirwa kunze, zvichipindirana pfungwa yokuti kuchengetwa kwemutsipa uye mushure kunopedza-kurapa muAmerica.
Chidzidzo che2013 chakabudiswa muJAMA chakaongorora zvinyorwa zvevanopfuura 23,000 varwere vemaperembudzi kwemakore gumi nemana pakati pe1999 na2010. Chidzidzo chacho chakawana kuti mirairo yeNSAID neTylenol yakaderera apo mitsara yemarwadzo ekunyadzisa yakawedzera. Kwete izvozvo bedzi, asi mishonga yemapiritsi ehutano yakangoita 20 muzana yezvose zvakanyorwa nevarapi.
Kuzivisa Telemedicine uye Telehealth
Mishonga inopikisa iri pfupi. Iyi itsva itsva, yakabatana minda ye telemedicine uye telehealth iri kuwana mhepo, uye kwete kwete varwere vemawere, asi kune vose.
Uyewo inonzi yakananga kumushandi wemishonga, telemedicine ndiyo tsika yekurapa nechemberi, nekushandisa izwi, video, zvinyorwa, uye data. Telehealth, kune rumwe rutivi, inoreva nguva yakazara iyo inopindirana nezvinhu zvakadai semari yevarwere, kukurudzira, nekudzivirira. Telemedicine yakasiyana nehuterevhizheni mune kuti inowanikwa mune zvekuchirapa, yakakwana neHIPPA kutevedza, zviratidzo zvekuongorora, zvirwere, uye mune dzimwe nguva, kuvhiyiwa. Iwe unogona kufungidzira telehealth sezvinhu zvakadai semapurogiramu, purogiramu yekurasikirwa kwepurogiramu yehutano hwehutano huri nani, nezvimwe zvakadaro.
Yose masimi achiripo achiri mucheche. Asi zvichienderana nezvimwe zvinhu, vatsigiri vanotenda kuti vangazopedzisira vaine chinangwa mukusimudzira unhu hwekutarisira munhu wose, uye nekuwedzerwa maitiro akawanda ekurapa anodiwa kune vanoshanda zvakaoma-kusvika-kusvika. Nharaunda dzine chido chikuru chinosanganisira maAmerica emaruwa uye nyika itsva dzichangobatwa.
Izvozvo zvakati, ziso rejhiri rinotarira burgeoning telemedicine munda rinoratidza kuti zvibereko zvehutano zvinokonzerwa nekushandiswa kweiyo nzira yekuendesa ndeyehutano hwakasiyana. Vapi vanobata zvekugadzirwa nehurumende havasi kutevera nguva dzose mazano ekurapa, izvo zvinoratidza hutano hwakagadzirirwa kune vanachiremba nevamwe vashandi. (Kuchengetedza, izvi ndezvechokwadi kune vanopa mazano avo vanobata mumba; asi kutevera mazano emakiriniki ingangove pfungwa yakanakisisa iyo inobatsira vose vanopa mbiri uye varwere vavo, hazvisi izvo zvinodiwa nemutemo.)
Wedzera kune izvi kuti havasi vose vanoona nezvekugadzira magetsi vanotaura vachigutsikana nehanya kwavo, uye iwe unogona kuona kuti mamwe mabasa anofanira kuitwa mu telemedicine uye telehealth minda.
Semuenzaniso, gore ra2017 rakabudiswa mu JRSM Open rakawana kuti chirwere chisingaperi chemwoyo varwere vakaona chiremba wavo kuburikidza ne telemedicine system vanongotaura kugutsikana kwepakati pezviitiko. Kwete izvozvo chete, asi zvakagadziriswa munyaya iyi zvakanga zvisinganzwisisiki, uye basa racho rakakundikana kusvika kune varwere avo vangangodaro vaida kuchengetwa.
Chimwe chidzidzo 2017, chakabudiswa mu Front Frontmacology chakaratidza kuti, nokuda kwezvose zvayo zvose zvakanaka, telemedicine inogona kusakwanisa kununura hutano hwakagadziriswa huri nani. Vatsvakurudzi vakakoniwa kuwana uchapupu hwakakwana hunokurudzira telemedicine kune vane chirwere cheshuga vanodikanwa kudzora glycemic index.
Telemedicine muSpine Care Industry
Asi kune vanhu vane marwadzo emutsipa uye shure, pane zvishoma zvishoma zvetariro. Kana kutsvakurudza kwepakutanga kune chero chinoratidza, varwere vezvemagetsi nemutsipa vanorema vanogona kufamba zvishoma pane avo vanoona mamwe maitiro evarapi vezvokurapa kuburikidza newebhu web browser.
Kubva muna 2017, vatsvakurudzi vanoverengeka vari kukurudzira zvirongwa zvema telemedicine sezvinoparidzirwa kune-munhu. Somuenzaniso, chidzidzo che 2017 chakabudiswa mu Journal of Physical Medicine nekudzorerazve vakaona kuti varwere vasuruvara vakarwadziwa mumutsipa vakawana kuponeswa kwakanaka kwehutano, kuvandudza muviri nekushanda zvakanyanya kumusha purogiramu yekurovedza muviri pane avo vakaita rwendo kuti vaone chiremba wavo munhu.
Chimwe chidzidzo, uyu achitarisa telemedicine nokuda kwekunzwa kurwadziwa kwakanyanya, akauya nemigumisiro yakafanana. Chidzidzo chacho chakabudiswa mumagazini yaApril 2017 yeSpine Journal.
Kubva pakutsvakurudza uku, kwaiwanwa kuti apo telemedicine haisi iyo yose, kugumisa zvose maitirwo emitambo e-Utano vatsigiri vangada kuti iwe uzvitende, ndechokuti mune zvenyika inochengetwa, inoita kuti ive yega yekuderedza marwadzo uye / kana kuremara kune vanhu vane chirwere chisingaperi chisingarware shure.
Izvozvo zvakati, vanyori vanonyorera kuti kubva muna 2017, telehealth "inopedzerwa," kunyange sechirevo chekuchengetedza kwemazuva ose.
Chimwe chezvinhu zvinotyisa muhurukuro yepamusoro-mishonga yepamusoro yepineti inotarisana nekufungidzira kwekufungidzira, kubvunza mibvunzo yakawanda sei semhando dzakasiyana dze "mafirimu" iwe unonyatsoda kubhadhara kusangana kwemashure ? Kana kuti, kuenda kunechiremba kunorwadziwa kumashure zvinongoita kuti urongwa hweMRI ?
Uchapupu hunotungamirirwa nekliniki hunoti kwete-kuti kunze kwekuti iwe uine zviratidzo zvehutano zvinogona kureva dambudziko rakakomba , mafirimu uye kuongororwa kwezvirwere kazhinji hazvidi kuti chiremba aite musana wechirwere.
Zvechokwadi, chidzidzo che2011 chakabudiswa muAnalals of Internal Medicine , Chou, et al, akagumisa kuti chiitiko chekufungidzira hachibatanidzi nekliniki inobatsira zvinobatsira. Asi vanachiremba vazhinji vanoenderera mberi vachivarayira varwere vavo vane unyoro kusvika kuenzanisa marwadzo emusana.
Inogona kutora telemedicine rubatsiro here?
Ndine urombo, kwete. Kunyange zvazvo kusina kutsvakurudza kwakawanda kwave kuedzwa pane iyi nyaya, imwe yedzidzo, yakabudiswa mumagazini yaMarch 2016 yeTelmedicine neE-Health, yakawana kuti telemedicine madzinza madzimai akarayira nhamba yakafanana yemavhidhiyo sevashandi ve-office, iyo yaiva pakati pe79 ne 88 muzana yevarwere vakaona.
Shoko Rinobva
Zvichida ikozvino, tava kudzokera kukwereti imwechete. Nyanzvi uye kuisa vanhu zvakafanana vakaziva kwemazana emakore kuti kuramba vakashanda ndicho chinonyanya kukosha kwehutano hwekare hunopera, kunyange mumamiriro ezvinhu anoda kurapwa.
Kunyanya, kugadzirwa kwepelinha nekusimbiswa kwepfungwa zvakaratidzwa kakawanda mune zvidzidzo zvekutsvakurudza.
Somuenzaniso, chidzidzo che2001 chakawana kuti mushure memakore maviri kusvika matatu, varwere vaivimba nekutarisira kurapwa voga vaipfuura kaviri vangave vachiona kudzokorora kwedambudziko ravo kana vachienzanisa nevaya vakatanga purogiramu yezvidzidzo zvakanyatsogadzirirwa mamiriro avo ezvinhu kuwedzera kune zvekurapa.
Saka, kurovedza kurairirwa kubva kumunhu anokwanisa kujekesa uyo anonzwisisa mamiriro ako ezvinhu akadzoka angave ari kubhedharira kwakanakisisa kwekununurwa nemarwadzo-kana iwe uchivaona paIndaneti kana kuchipatara.
> Sources:
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> Dario, A. Kubudirira kweTehealth-based Interventions kune vanhu vane Low Back Pain. Wakapona. April 2071. https://www.fotoinc.com/news-updates/effectiveness-telehealth-low-back-pain
> Gialanella, B., Home-Based Telemedicine muVarwere vane Chronic Neck Pain. American Journal of Physical Medicine & Kuvandudza: May 2017. http://journals.lww.com/ajpmr/Abstract/2017/05000/Home_Based_Telemedicine_in_Patients_with_Chronic.8.aspx
> Hides, J., et et. al. Mirefu kwenguva yakareba yehutano hwakanyatsogadzirisa maitiro ekutanga-episode pasi painorwadziwa shure. Wakapona. June 2001. https://www.ncbi.nlm.nih.gov/pubmed/11389408
> Kruse, C., uye. al. Kubudirira kweteremedicine mukuchengetedzwa kwechirwere chemwoyo chisingaperi - kurongeka kwakarongeka. JRSM Open. March 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5347273/
> Lee, S., et. al. Telemedicine yekutungamirirwa kweGlycemic Control uye Clinical Outcomes ye Type 1 Chirwere cheshuga Mellitus: Ongororo yeChirongwa uye Meta-Kuongorora kweRandomized Controlled Studies. Front Pharmacol. May 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5447671/
> Mafi, J., et. al. Sangano Rokutarisira Nheyo Nyaya Inoshandiswa Nzvimbo Nekugovana Nehutano hweKutarisira Kwekukosha Kwazvo muUnited States. Jama Internal Med. June 2017. https://www.ncbi.nlm.nih.gov/pubmed/28395013
> Mafi, J., et. al. kuipa kwematambudziko muhutano nekurapa bnack marwadzo. JAMA Intern Med. Sept. 2013. https://www.ncbi.nlm.nih.gov/pubmed/23896698
> Uscher-Pines, L, et et. al. Kutsvaga uye Unhu Hwokutarisira muIndaneti-ku-Consumer Telemedicine. Telemedicine uye e-Health. March 2016. http://online.liebertpub.com/doi/10.1089/tmj.2015.0079