This document discusses telemedicine, including its history, current uses, and future potential. It explores telemedicine across technical, clinical, human, and economic dimensions. Key points covered include how telemedicine has improved healthcare access and outcomes in various medical specialties. Challenges addressed relate to technology needs, user training, and the need for more rigorous cost-benefit analyses. The conclusion is that telemedicine's benefits now outweigh challenges as the field continues to evolve through improved collaboration and mobile technologies.
1. EXPLORING
THE CURRENTS OF
TELEMEDICINE
Karina S. Descartin, MD
Aerospace Medicine Research Rotation
Sharmila Watkins, MD, MPH
Element Scientist, Exploration Medical Capability
February 19, 2010
Wyle / NASA-JSC
2. Evolving Humans
Evolving Medicine
+ Evolving Technology
Telemedicine
3. White Paper
• What is Telemedicine?
• Brief History:
• Aerospace Telemedicine
• Terrestrial Telemedicine
• Exploration:
• Fields of Practice: 10 Current Examples
• ATA and the 4 Key Areas of Telemedicine
• Technical
• Clinical
• Human
• Cost
• Conclusion
4. Fields | Options
• Radiology
• Pathology
• Orthodontics
• Rural Medicine
• Dermatology
• Cardiology
• Pediatric Oncology
• International Medicine
• Ophthalmology
• Trauma/Emergency Medicine
• Sea, Mountain, Other Extreme Environments, Space
5. Fields | Options
• American Well
• Hello Health
• NASA
• eCare
• Echo
• Moca
• Cenegenics
• Individual Practices
6. Telemedicine
• exchange of
medical information
from one site to
another
• electronic communication
• improve patients’ health status
ATA, 2010
photo: Medgadget
7. Telemedicine
• delivery of healthcare
• exchange of healthcare
information across
distances
• includes:
diagnosis CME/CE
treatment research and evaluation
prevention
Cipolat and Geiges, 2003
photo: AMA
8. Telemedicine
• modern
• branch of e-health
• communications networks
• delivery of healthcare
• services and medical education
• one geographical location to another
• overcome uneven distribution
• shortage of infrastructure and human resources.
Sood et al. 2007
photo: Medgadget
9. ATA
• 4 Key Areas of TM
Technical
Clinical
Human Factors
Economic Evaluation
27. Summary | Learning
Patient Satisfied
Physician Satisfied
Training of Patients
Patient-Centered
Communication
Security & Quality Concerns
Physician-Centered Communication
photo by Medgadget 2010
31. Summary | Learning
Identified Cost Savings
Avoid Unnecessary travel
Not in accordance with rigorous evaluation techniques
Need More!
photo by Medgadget 2010
32. Conclusion
• Benefits outweigh the challenges
• Technology:
– Always evolving, more collaboration,
– Mobile phones, internet
– Bandwidth, integration, interoperability
• Clinical
– Established good clinical outcomes
– Learning technology can be a challenge
– Low touch
• Human
– Overall satisfaction
– Adoption issues, legal
• Cost
– Identified cost benefits
– Need more in-depth economic evaluation
– Need more collaboration here
photo by NYTimes 2010
34. Thank You
• Dr. Sharmi Watkins
for guidance, mentoring, and review of white
paper.
• Ms. Corinne Williams
forrotation coordination.
• Mr. Jimmy Wu
• for orientation to telemedicine.
• WyleandNASA-JSC
forresearch opportunity.
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