2021 Ikibazo cyo guhanga udushya: Telemedicine ihindura uburyo bwo kwita kubaganga n'ibitaro gakondo

Urashobora gukoresha terefone yawe igendanwa kugirango ucuruze ububiko, gutumiza imodoka nziza, kugemura ibicuruzwa, akazi ko kubaza, gutumiza ibiryo byafashwe, no gusoma igitabo cyose cyasohotse.
Ariko mu myaka ibarirwa muri za mirongo, inganda imwe - ubuvuzi - yubahirije cyane imyubakire gakondo yumubiri muburyo bwo kugisha inama imbonankubone, ndetse no kubitaho bisanzwe.
Itangazo ryihutirwa ry’ubuzima rusange ryashyizwe mu bikorwa muri Indiana no mu zindi ntara nyinshi mu gihe kirenga umwaka byatumye abantu babarirwa muri za miriyoni bongera gutekereza ku kuntu bakora byose, harimo no kuvugana n’abaganga.
Mu mezi make gusa, umubare w’itumanaho rya terefone na mudasobwa wagize munsi ya 2% y’ubwishingizi bw’ubuvuzi muri 2019 wiyongereyeho inshuro zirenga 25, ugera ku rwego rwo hejuru muri Mata 2020, bingana na 51% by’ibisabwa byose.
Kuva icyo gihe, ubwiyongere bukabije bwa telemedisine muri sisitemu nyinshi zita ku buzima bwagiye bugabanuka buhoro buhoro kugera ku kigero cya 15% kugeza kuri 25%, ariko biracyari kwiyongera cyane mu mibare kuva mu mwaka ushize.
Dr. Roberto Daroca, umuganga w’ububyaza n’umugore muri Muncie akaba na perezida w’ishyirahamwe ry’ubuvuzi rya Indiana yagize ati: “Bizaguma hano.”Ati: “Kandi ndatekereza ko ari byiza rwose ku barwayi, ni byiza ku baganga, kandi ni byiza no kwitabwaho.Iki ni kimwe mu bintu byiza bishobora kubaho. ”
Abajyanama benshi n'abashinzwe ubuzima bavuga ko izamuka ry'ubuvuzi busanzwe - atari telemedisine gusa, ahubwo ko no gukurikirana ubuzima bwa kure ndetse no ku zindi nzego za interineti mu bijyanye n'ubuvuzi - bishobora guteza ibibazo byinshi, nko kugabanuka kw'ibiro by'ubuvuzi ndetse no kwiyongera kwa mobile ibikoresho byubuzima hamwe na monitor ya kure.
Ishyirahamwe ry’abaganga ry’Abanyamerika ryatangaje ko biteganijwe ko miliyari 250 z’amadolari y’Amerika y’ubuvuzi muri Amerika zishobora kwimurwa burundu kuri telemedisine, bingana na 20% by’amafaranga akoreshwa n’amasosiyete y’ubwishingizi bw’ubucuruzi na leta mu gusura abarwayi, ku biro no mu buzima bw’umuryango.
Isosiyete ikora ubushakashatsi Statistica iteganya ko, cyane cyane, isoko mpuzamahanga rya telemedisine rizava kuri miliyari 50 z'amadolari ya Amerika muri 2019 rikagera kuri miliyari 460 z'amadolari ya Amerika mu 2030.
Muri icyo gihe kandi, dukurikije imibare yatanzwe n’ikigo cy’ubushakashatsi cyitwa Rock Health, abashoramari batanze inkunga ingana na miliyari 6.7 z’amadolari y’Amerika yo gutangiza ubuzima bw’ikoranabuhanga muri Amerika mu mezi atatu ya mbere ya 2021.
McKinsey na Co, ikigo kinini cy’ubujyanama gifite icyicaro i New York, basohoye uyu mutwe utangaje muri raporo y'umwaka ushize: “Ukuri kwa miliyari 2.5 z'amadolari nyuma ya COVID-19?”
Indi sosiyete ngishwanama ya Frost & Sullivan ifite icyicaro i San Antonio, muri Texas, iteganya ko mu 2025, hazaba “tsunami” muri telemedisine, hamwe n'ubwiyongere bugera ku nshuro 7.Ubuhanuzi bwarwo burimo: ibyuma byinshi byifashisha ibyuma bifata ibikoresho nibikoresho byo gusuzuma kugirango bigere kubisubizo byiza byo kuvura abarwayi.
Izi nimpinduka zinyeganyeza sisitemu yubuzima bwabanyamerika.Nubwo iterambere muri software n'ibikoresho byahungabanije izindi nganda nyinshi, harimo n'amaduka akodesha amashusho, sisitemu yamye ishingiye ku buryo bwo kugisha inama ibiro byayo, gufotora firime, Imodoka ikodeshwa, ibinyamakuru, umuziki n'ibitabo.
Ubushakashatsi bwakozwe na Harris buherutse gukorwa, abantu bagera kuri 65% barateganya gukomeza gukoresha telemedisine nyuma y’icyorezo.Abantu benshi babajijwe bavuze ko bifuza gukoresha imiti kugira ngo babaze ibibazo by'ubuvuzi, barebe ibyavuye muri laboratoire, kandi babone imiti yandikiwe.
Amezi 18 gusa ashize, abaganga bo mu kigo nderabuzima cya kaminuza ya Indiana, sisitemu nini y’ibitaro bya leta, bakoresheje gusa telefone zigendanwa, tableti, cyangwa mudasobwa ya desktop kugira ngo babone abarwayi benshi kure buri kwezi.
Dr. Michele Saysana, visi perezida w’ubuziranenge n’umutekano mu buzima bwa IU yagize ati: "Mu bihe byashize, iyo dusura 100 ku kwezi, twarishimye cyane".
Icyakora, nyuma yuko guverineri Eric Holcomb atangaje ko byihutirwa mu buzima rusange muri Werurwe 2020, abakozi bose uretse ngombwa bagomba kuguma mu rugo kandi abantu babarirwa muri za miriyoni.
Muri IU Ubuzima, kuva mubuvuzi bwibanze no kubyara kugeza umutima ndetse nubuvuzi bwo mu mutwe, umubare wabasura telemedine uragenda wiyongera buri kwezi - ibihumbi mbere, hanyuma ibihumbi icumi.
Muri iki gihe, nubwo abantu babarirwa muri za miriyoni bakingiwe kandi sosiyete ikinguka, telemedisine ya IU Health iracyakomeye cyane.Kugeza ubu mu 2021, umubare w’abasuye mu buryo bwarenze 180.000, muri bo hakaba hari abarenga 30.000 muri Gicurasi gusa.
Impamvu bisaba igihe kinini kugirango abaganga n’abarwayi bavugane neza binyuze mu kwerekana, mu gihe izindi nganda nyinshi zirihutira guhindura imishinga y’ubucuruzi kuri interineti, ntibisobanutse.
Abantu bamwe mubikorwa byubuvuzi bagerageje-cyangwa byibuze barota-kuba abantu baboneka.Mu gihe kirenga ikinyejana, abayobozi binganda basunikiraga kandi bagasunika kugera kuriyi ntego.
Ikinyamakuru cyo mu Bwongereza cy’ubuvuzi The Lancet mu 1879 cyavuze ku gukoresha terefone kugira ngo ugabanye ibiro bitari ngombwa.
Mu 1906, uwahimbye electrocardiogram yasohoye urupapuro kuri “electrocardiogram,” rukoresha imirongo ya terefone mu kohereza impiswi ziva mu mutima w'umurwayi kwa muganga ku birometero byinshi.
Nk’uko ikigo cy'igihugu gishinzwe ibinyabuzima n'ubuvuzi kibitangaza, mu 1925, igifuniko cy'ikinyamakuru “Science and Invention” cyerekanye umuganga wasuzumye umurwayi akoresheje radiyo kandi atekereza igikoresho gishobora gukora ibizamini bya videwo ku barwayi ku birometero byinshi uvuye ku ivuriro..
Ariko mu myaka myinshi, gusurwa kwakomeje kuba ibintu bidasanzwe, aho usanga nta muntu wiyandikishije muri gahunda y’ubuzima mu gihugu.Imbaraga z'icyorezo zirimo gusunika sisitemu yo gukoresha ikoranabuhanga muburyo butandukanye.Mu ihuriro ry’ubuzima rusange, mu gihe cy’icyorezo cy’icyorezo, abagera kuri 75% basuwe n’abaganga bakorewe kuri interineti.
Umuyobozi mukuru w'ikigo nderabuzima cya Telemedicine, Hoy Gavin yagize ati: "Niba nta cyorezo gihari, ndatekereza ko abatanga serivisi batazigera bahinduka."“Abandi rwose ntibazahinduka vuba.”
Muri Ascension St.
Dr. Aaron Shoemaker, umuyobozi mukuru w’ubuvuzi w’itsinda ry’ubuvuzi rya Ascension muri Indiana, yavuze ko ubu, ku baganga, abaforomo n’abarwayi benshi, ubu ari ubundi buryo bwo kuvugana.
Ati: “Biba ibikorwa nyabyo, ubundi buryo bwo kureba abarwayi”.“Urashobora kujya guhura n'umuntu ku giti cye kuva mucyumba kimwe, hanyuma icyumba gikurikira gishobora gusurwa.Iki ni cyo twese tumenyereye. ”
Ku buzima bwa Franciscan, ubuvuzi busanzwe bwagize 80% byabasuwe mu mpeshyi ya 2020, hanyuma bigaruka kuri 15% kugeza kuri 20%.
Dr. Paul Driscoll, umuyobozi mukuru w’ubuvuzi w’urugaga rw’abaganga b’aba Franciscan, yavuze ko umubare w’ubuvuzi bwibanze uri hejuru gato (25% kugeza 30%), mu gihe umubare w’ubuvuzi bwo mu mutwe n’ubundi buvuzi bw’imyitwarire ari mwinshi (hejuru ya 50%) .
Ati: “Abantu bamwe bafite impungenge ko abantu bazatinya iri koranabuhanga kandi ntibashaka kubikora.”“Ariko siko bimeze.Nibyiza cyane ko umurwayi atagomba gutwara ku biro.Dukurikije uko umuganga abibona, biroroshye gutegura umuntu vuba vuba. ”
Yongeyeho ati: “Mvugishije ukuri, twasanze kandi bidukiza amafaranga.Niba dushobora gukomeza kwita kuri 25% byitaweho, dushobora gukenera kugabanya umwanya wa 20% kugeza kuri 25% mugihe kiri imbere. ”
Ariko bamwe mubateza imbere bavuze ko badatekereza ko ubucuruzi bwabo bwugarijwe cyane.Tag Birge, perezida wa Cornerstone Cos Inc.
Ati: "Niba ufite ibyumba 12 by'ibizamini, birashoboka ko ushobora kugabanya kimwe, niba utekereza ko ushobora gukora 5% cyangwa 10% bya telemedisine".
Muganga William Bennett yahuye numurwayi wimyaka 4 na nyina binyuze muri sisitemu ya telemedine ya IU.(Ifoto ya dosiye ya IBJ)
Bamwe mu bahanga bavuga ko inkuru itazwi cyane ku buvuzi busanzwe ari isezerano ryayo ryo gutanga ubuvuzi bwuzuye, cyangwa ubushobozi bw'itsinda ry'abitanga kugira ngo baganire ku kibazo cy'umurwayi no kwita ku mpuguke mu rwego runaka (rimwe na rimwe n'abaganga babarirwa mu magana) ).Ibirometero.
Perezida w'ishyirahamwe ry'ibitaro bya Indiana, Brian Tabor yagize ati: "Aha niho mbona telemedisine igira ingaruka zikomeye."
Mubyukuri, bamwe mu baganga b’ibitaro by’ubuzima bya Franciscan bamaze gukoresha inama za videwo mu barwayi.Mu rwego rwo kugabanya kwandura virusi ya COVID-19, bashyizeho uburyo aho umuganga umwe gusa ashobora kwinjira mu cyumba cy’umurwayi, ariko babifashijwemo na tablet cyangwa mudasobwa igendanwa, abandi baganga batandatu bashobora kugira inama yo kuganira n’umurwayi kandi baza inama kubyerekeye ubuvuzi.
Muri ubu buryo, abaganga bakunze kubonana na muganga mu matsinda, bakabona muganga rimwe na rimwe umunsi wose, mu buryo butunguranye, bakareba uko umurwayi ameze bakaganira mu gihe gikwiye.
Dr. Atul Chugh, inzobere mu bijyanye n’umutima ukomoka mu Bafaransa, yagize ati: “Ku bw'ibyo, twese dufite amahirwe yo gusuzuma abarwayi no kubafatira ibyemezo by'ingenzi hamwe n'inzobere zisabwa ziri mu ntoki.”
Kubera impamvu zitandukanye, ubuvuzi busanzwe buratera imbere.Intara nyinshi zorohereje imipaka ku nyandiko zandikirwa kuri interineti.Indiana yatoye itegeko mu 2016 ryemerera abaganga, abafasha b'abaganga, n'abaforomo gukoresha mudasobwa cyangwa telefoni zigendanwa kwandika imiti.
Mu rwego rwa “Itegeko ryerekeye gukumira no gukumira ruswa rya Coronavirus,” guverinoma ya federasiyo yahagaritse amategeko menshi y’ubuvuzi.Ibyifuzo byinshi byubwishingizi bwubuvuzi birasonewe, kandi ababihabwa barashobora kwivuza kure aho baba hose.Kwimuka kandi bituma abaganga bishyuza ubwishingizi bwubuvuzi ku kigero kimwe na serivisi imbona nkubone.
Byongeye kandi, Inteko ishinga amategeko ya Indiana yemeje umushinga w’uyu mwaka wongereye ku buryo bugaragara umubare w’abakora umwuga wemewe bashobora gukoresha serivisi zo kwishyura telemedisine.Usibye abaganga, urutonde rushya rurimo abahanga mu by'imitekerereze ya muntu, abashinzwe imibereho myiza y’amavuriro babifitemo uruhushya, abavuzi babigize umwuga, nibindi.
Indi ntambwe ikomeye yakozwe na guverinoma ya Holcomb yakuyeho izindi nzitizi.Kera muri gahunda ya Indiana Medicaid, kugirango yishyure telemedisine, igomba gukorwa hagati y’ibibanza byemewe, nk'ibitaro n'ibiro bya muganga.
Tabor yagize ati: "Muri gahunda ya Medicaid ya Indiana, ntushobora gutanga serivisi z'ubuvuzi ku ngo z'abarwayi."Ati: "Ibintu byarahindutse kandi ndashimira cyane itsinda rya guverineri.Bahagaritse iki cyifuzo kandi cyaragenze neza. ”
Byongeye kandi, ibigo byinshi byubwishingizi bwubucuruzi byagabanije cyangwa bivanaho amafaranga atakoreshejwe mumashanyarazi no kwagura abatanga imiti murusobe.
Abaganga bamwe bavuga ko gusura telemedisine bishobora rwose kwihutisha gusuzuma no kuvurwa, kubera ko abarwayi baba kure ya muganga bashobora kubona uburyo bwihuse bwo kugera kure aho gutegereza igice cyumunsi wikiruhuko iyo kalendari yabo ari ubuntu.
Byongeye kandi, bamwe mu barwayi bageze mu zabukuru n’abafite ubumuga bagomba guteganya imodoka yo kuva mu rugo, rimwe na rimwe bikaba ari amafaranga y’inyongera yo kwivuza ahenze.
Ikigaragara ni uko ku barwayi, inyungu nini ari uburyo bworoshye, utiriwe unyura mu mujyi ujya kwa muganga, kandi utiriwe usohokera mu cyumba cyo gutegereza ubuziraherezo.Barashobora kwinjira muri porogaramu yubuzima bagategereza umuganga mubyumba byabo cyangwa mugikoni mugihe bakora ibindi.


Igihe cyo kohereza: Jun-18-2021