Ibyiza byo gukurikirana abarwayi kure ni byinshi

Binyuze kuri podcast, blog, na tweet, aba influencers batanga ubushishozi nubuhanga kugirango bafashe ababateze amatwi kugendana nubuhanga bugezweho bwubuvuzi.
Jordan Scott numuyobozi wurubuga rwa HealthTech.Numunyamakuru wa multimediya ufite uburambe bwo gutangaza B2B.
Abaganga benshi kandi barabona agaciro k'ibikoresho na serivisi bya kure byo gukurikirana abarwayi.Kubwibyo, igipimo cyo kurera kiraguka.Nk’uko ubushakashatsi bwakozwe na VivaLNK bubitangaza, 43% by’abaganga bemeza ko iyakirwa rya RPM rizaba rihuye n’ubuvuzi bw’indwara mu myaka itanu.Ibyiza byo gukurikirana abarwayi kure kubaganga harimo kubona byoroshye amakuru y’abarwayi, gucunga neza indwara zidakira, ibiciro biri hasi, no kongera imikorere.
Ku bijyanye n’abarwayi, abantu barushijeho kunyurwa na RPM n’izindi serivisi zita ku buhanga, ariko ubushakashatsi bwakozwe na Deloitte 2020 bwerekanye ko 56% by’ababajijwe bemeza ko ugereranije n’ubujyanama bw’ubuvuzi kuri interineti, babona kimwe Ubwiza cyangwa agaciro k’ubuvuzi.Abantu basura.
Dr. Saurabh Chandra, umuyobozi wa telemedisine mu kigo cy’ubuvuzi cya kaminuza ya Mississippi (UMMC), yavuze ko gahunda ya RPM ifite inyungu nyinshi ku barwayi, harimo kubona uburyo bwiza bwo kwivuza, kuzamura umusaruro w’ubuzima, ibiciro biri hasi, ndetse no kuzamura imibereho.
Chandra yagize ati: "Umurwayi wese urwaye indwara idakira azungukirwa na RPM."Abaganga b’amavuriro bakurikirana abarwayi bafite indwara zidakira, nka diyabete, hypertension, kunanirwa k'umutima, indwara zidakira zifata ibihaha, na asima.
Ibikoresho byubuvuzi bya RPM bifata amakuru yumubiri, urugero rwisukari yamaraso hamwe n umuvuduko wamaraso.Chandra yavuze ko ibikoresho bya RPM bikunze kugaragara ari metero ya glucose yamaraso, metero yumuvuduko, spirometero, nubunini bupima bishyigikira Bluetooth.Igikoresho cya RPM cyohereza amakuru binyuze muri porogaramu igendanwa.Ku barwayi badafite ubumenyi-buhanga, ibigo byubuvuzi birashobora gutanga ibinini hamwe na porogaramu ishoboye-abarwayi bakeneye gusa gufungura tablet no gukoresha ibikoresho byabo bya RPM.
Porogaramu nyinshi zishingiye kubacuruzi zirashobora guhuzwa nubuzima bwa elegitoroniki, bikemerera ibigo byubuvuzi gukora raporo zabo bwite zishingiye ku makuru cyangwa gukoresha amakuru mu kwishyuza.
Dr. Ezequiel Silva III, inzobere mu bijyanye na radiyo mu kigo cy’amafoto cya Radiologiya ya Texas y’Amajyepfo akaba n'umwe mu bagize ishyirahamwe ry’ubuvuzi ry’Abanyamerika ry’ubuvuzi rya Digital Medical Payment Advisory Group, yavuze ko ibikoresho bimwe na bimwe bya RPM bishobora no guterwa.Urugero ni igikoresho gipima umuvuduko w'amaraso ku barwayi bafite ikibazo cy'umutima.Irashobora guhuzwa na sisitemu ya digitale kugirango imenyeshe umurwayi uko umurwayi ameze kandi icyarimwe abimenyeshe abagize itsinda ryita kubuzima kugirango bashobore gufata ibyemezo byuburyo bwo gucunga ubuzima bwumurwayi.
Silva yerekanye ko ibikoresho bya RPM na byo ari ingirakamaro mu gihe cy’icyorezo cya COVID-19, bigatuma abarwayi batarwaye cyane bapima urugero rwuzuye rwa ogisijeni mu rugo.
Chandra yavuze ko kurwara indwara imwe cyangwa nyinshi zidakira zishobora gutera ubumuga.Kubadafite uburyo bwo kwivuza buhoraho, uburwayi bushobora kuba umutwaro wo kuyobora.Igikoresho cya RPM cyemerera abaganga kumva umuvuduko wamaraso wumurwayi cyangwa urwego rwisukari rwamaraso nta murwayi winjiye mubiro cyangwa aterefona.
Chandra yagize ati: "Niba hari ikimenyetso kiri ku rwego rwo hejuru cyane, umuntu arashobora guhamagara no guhamagara umurwayi akamugira inama niba agomba kuzamurwa mu kigo cy'imbere."
Igenzura rishobora kugabanya igipimo cy’ibitaro mu gihe gito kandi rikirinda cyangwa gutinza ibibazo by’indwara, nka mikorobe y’imitsi cyangwa indwara y’umutima, mu gihe kirekire.
Ariko, gukusanya amakuru yabarwayi ntabwo intego yonyine ya gahunda ya RPM.Uburezi bw'abarwayi ni ikindi kintu cy'ingenzi.Chandra avuga ko aya makuru ashobora guha imbaraga abarwayi no kubaha amakuru bakeneye kugira ngo abafashe guhindura imyitwarire cyangwa imibereho yabo kugira ngo batange ibisubizo byiza.
Muri gahunda ya RPM, abaganga barashobora gukoresha terefone zigendanwa cyangwa tableti kugirango bohereze abarwayi amasomo yuburezi yihariye kubyo bakeneye, ndetse ninama za buri munsi zubwoko bwibiryo byo kurya n'impamvu imyitozo ari ngombwa.
Chandra yagize ati: "Ibi bituma abarwayi bahabwa inyigisho nyinshi kandi bagafata inshingano z'ubuzima bwabo."Ati: “Ibisubizo byinshi byubuvuzi ni ibisubizo byuburezi.Iyo tuvuga kuri RPM, ntitugomba kubyibagirwa. ”
Kugabanya gusurwa no gushyirwa mubitaro binyuze muri RPM mugihe gito bizagabanya amafaranga yubuzima.RPM irashobora kandi kugabanya ibiciro byigihe kirekire bijyana nibibazo, nkigiciro cyo gusuzuma, kugerageza, cyangwa inzira.
Yagaragaje ko ibice byinshi bya RPM muri Amerika bidafite ubuvuzi bw’ibanze, bufasha abaganga kurushaho kugera ku barwayi, gukusanya amakuru y’ubuzima, gutanga ubuvuzi, no kugera ku kunyurwa n’abarwayi bitaweho mu gihe ababitanga bujuje ibipimo byabo.Avuga.
Ati: “Abaganga benshi b’ubuvuzi bwibanze barashobora kugera ku ntego zabo.Hariho uburyo bumwe bwamafaranga yo gusohoza izo ntego.Niyo mpamvu, abarwayi bishimye, ababitanga barishima, abarwayi barishima, kandi ababitanga barishima kubera ko amafaranga yiyongera ku nkunga ”.
Chandra yavuze ko ariko, ibigo by’ubuvuzi bigomba kumenya ko ubwishingizi bw’ubuvuzi, Medicaid n’ubwishingizi bw’abikorera bitajya bigira politiki imwe yo kwishyura cyangwa ibipimo ngenderwaho.
Silva yavuze ko ari ngombwa ko abaganga bakorana n’ibitaro cyangwa amatsinda yishyuza ibiro kugira ngo basobanukirwe neza kode ya raporo.
Chandra yavuze ko ikibazo gikomeye mu gushyira mu bikorwa gahunda ya RPM ari ugushakira igisubizo cyiza abatanga isoko.Porogaramu zitanga isoko zigomba guhuza na EHR, guhuza ibikoresho bitandukanye no gutanga raporo yihariye.Chandra arasaba inama yo gutanga isoko itanga serivisi nziza kubakiriya.
Kubona abarwayi bujuje ibisabwa ni ikindi kintu cyingenzi cyita ku miryango yita ku buzima ishishikajwe no gushyira mu bikorwa gahunda za RPM.
Ati: “Muri Mississippi hari abarwayi ibihumbi magana, ariko twabasanga dute?Muri UMMC, dukorana n'ibitaro bitandukanye, amavuriro n'ibigo nderabuzima by'abaturage kugira ngo tubone abarwayi bujuje ibisabwa ”, Chandra.Ati: “Tugomba kandi gutanga ibipimo ngenderwaho kugira ngo tumenye abarwayi bujuje ibisabwa.Uru rutonde ntirukwiye kuba ruto, kuko udashaka guheza abantu benshi;urashaka kugirira akamaro abantu benshi. ”
Yasabye kandi ko itsinda rishinzwe igenamigambi rya RPM ryabaza mbere y’ubuvuzi bw’ibanze bw’umurwayi, kugira ngo umurwayi atitabira.Byongeye kandi, kubona ibyemezo byabatanga birashobora gutuma utanga inama asaba abandi barwayi bujuje ibisabwa kwitabira gahunda.
Mugihe iyemezwa rya RPM rigenda rirushaho gukundwa, hari n'ibitekerezo byimyitwarire mubaganga.Silva yavuze ko kwiyongera kwubwenge bwubuhanga, kwiga imashini, hamwe na algorithms yimbitse ikoreshwa kumakuru ya RPM bishobora kubyara sisitemu, usibye gukurikirana physiologique, ishobora no gutanga amakuru yo kuvura:
“Tekereza glucose nk'urugero rw'ibanze: niba glucose yawe igeze ahantu runaka, irashobora kwerekana ko ukeneye urwego runaka rwa insuline.Ni uruhe ruhare umuganga abigiramo?Dukora ubu bwoko bwibikoresho bidashingiye kubitekerezo byabaganga Ese ibyemezo biranyuzwe?Niba usuzumye porogaramu zishobora cyangwa zidashobora gukoresha AI hamwe na algorithm ya ML cyangwa DL, noneho ibyemezo bifatwa na sisitemu ikomeza kwiga cyangwa ifunze, ariko ishingiye kumyitozo yamahugurwa yashyizweho.Hano hari bimwe mubitekerezo byingenzi.Nigute tekinoroji hamwe ninteruro bikoreshwa mukuvura abarwayi?Mugihe iryo koranabuhanga rimaze kumenyekana, umuryango w’ubuvuzi ufite inshingano zo gukomeza gusuzuma uburyo bigira ingaruka ku kwita ku barwayi, uburambe, ndetse n’ibisubizo. ”
Chandra yavuze ko Medicare na Medicaid bishyura RPM kuko bishobora kugabanya ikiguzi cyo kuvura indwara zidakira mu gukumira ibitaro.Icyorezo cyagaragaje akamaro ko gukurikirana abarwayi kure kandi bituma leta ya leta ishyiraho politiki nshya y’ibihe byihutirwa by’ubuzima.
Mu ntangiriro y’icyorezo cya COVID-19, Ikigo gishinzwe ubuvuzi n’ubuvuzi (CMS) cyaguye ubwishingizi bw’ubuvuzi bwa RPM bugashyiramo abarwayi bafite uburwayi bukabije n’abarwayi bashya kimwe n’abarwayi bariho.Ikigo cy’Amerika gishinzwe ibiribwa n’ibiyobyabwenge cyasohoye politiki yemerera gukoresha ibikoresho byemewe na FDA bitemewe kugira ngo bikurikirane ibimenyetso by’ingenzi mu bidukikije.
Ntabwo byumvikana amafaranga azahagarikwa mugihe cyihutirwa kandi azagumana nyuma yihutirwa rirangiye.Silva yavuze ko iki kibazo gisaba kwiga neza ibisubizo mu gihe cy'icyorezo, uko umurwayi yitabira ikoranabuhanga, n'ibishobora kunozwa.
Ikoreshwa ryibikoresho bya RPM rirashobora kwagurwa kugirango hirindwe uburyo bwo gukumira abantu bafite ubuzima bwiza;ariko, Chandra yerekanye ko inkunga itaboneka kuko CMS itishyura iyi serivisi.
Inzira imwe yo gushyigikira neza serivisi za RPM nukwagura ubwishingizi.Silva yavuze ko nubwo uburyo bwo gutanga serivisi bufite agaciro kandi abarwayi bamenyereye, ubwishingizi bushobora kuba buke.Kurugero, CMS yasobanuye muri Mutarama 2021 ko izishyura ibikoresho bitangwa mugihe cyiminsi 30, ariko igomba gukoreshwa byibuze iminsi 16.Ariko, ibi ntibishobora guhura nibyifuzo bya buri murwayi, bigashyira amafaranga mukaga ko kutishyurwa.
Silva yavuze ko uburyo bwo kwita ku gaciro bushingiye ku gaciro bufite ubushobozi bwo gutanga inyungu zimwe na zimwe ku barwayi no kugera ku bisubizo byujuje ubuziranenge kugira ngo hagaragazwe imikoreshereze y’ikoranabuhanga rya kure ry’abarwayi n’ibiciro byaryo.


Igihe cyo kohereza: Jun-25-2021