Virtual care: gucukumbura ibyiza bya telemedisine

Kuvugurura kububiko bushobora gufasha amashyirahamwe yubuzima kubaka ibikorwa remezo byubuvuzi bwiza.
Doug Bonderud ni umwanditsi watsindiye ibihembo ushobora guca icyuho kiri hagati y'ibiganiro bigoye hagati yikoranabuhanga, guhanga udushya n'imiterere y'umuntu.
Ndetse hamwe numuhengeri wa mbere wa COVID-19 mugihugu hose, ubuvuzi busanzwe bwabaye umutungo wingenzi mugutanga serivise nziza kandi nziza.Umwaka umwe, gahunda za telemedisine zimaze kuba ibintu bisanzwe mubikorwa remezo byubuvuzi byigihugu.
Ariko bizagenda bite nyuma?Ubu, nkuko imbaraga zikomeje gukingirwa zitanga igisubizo gahoro kandi gihamye kubibazo byicyorezo, ni ubuhe ruhare ubuvuzi busanzwe bugira?Ese telemedisine izaguma hano, cyangwa iminsi yiminsi muri gahunda yo kwitaho?
Nk’uko Ishyirahamwe ry’Abaganga ry’Abanyamerika ribitangaza, nta gushidikanya ko na nyuma y’ibibazo byoroheje, ubuvuzi busanzwe buzakomeza mu buryo runaka.Nubwo hafi 50% byabatanga ubuvuzi bohereje serivisi zita kubuzima bwa mbere muri iki cyorezo, ahazaza h’uru rwego hashobora kuba heza aho kuba impitagihe.
Umuyobozi mukuru wa CommunityHealth, ikigo kinini cy’ubuvuzi cya Chicago ku buntu yagize ati: "Twabonye ko iyo duhatiwe kuzunguruka, dushobora kumenya neza ubwoko bw'uruzinduko (ku muntu, telefoni cyangwa gusura bisanzwe) ari byiza kuri buri murwayi."Steph Willding yavuze ko ibigo by'ubuvuzi bishingiye ku bushake.Ati: “Nubwo ubusanzwe udatekereza ko ibigo nderabuzima byubusa ari ibigo bishya, ubu 40% by'uruzinduko rwacu bikorwa binyuze kuri videwo cyangwa telefoni.”
Susan Snedaker, ushinzwe umutekano mu makuru akaba na CIO by'agateganyo wa TMC HealthCare, yavuze ko ku kigo nderabuzima cya Tucson, guhanga udushya mu buhanga mu by'ubuvuzi byatangijwe n'uburyo bushya bwo gusura abarwayi.
Yagize ati: “Mu bitaro byacu, twasuye mu rukuta rw'inyubako kugira ngo tugabanye ikoreshwa rya PPE.”Ati: “Bitewe n’ibikoreshwa bike n’igihe cy’abaganga, bakeneye kwambara ibikoresho bisabwa byo kurinda umuntu (rimwe na rimwe bigera ku minota 20), bityo twasanze inyandiko nyayo, videwo n’ibisubizo nyabyo bifite agaciro gakomeye.”
Mubidukikije gakondo byubuzima, umwanya hamwe n’ahantu bifite akamaro kanini cyane.Ibigo byita ku bageze mu za bukuru bikenera umwanya uhagije wo kwakira abaganga, abarwayi, abakozi bo mu buyobozi n’ibikoresho, kandi abakozi bose bakeneye bagomba kuba bari ahantu hamwe icyarimwe.
Dukurikije uko Willding abibona, iki cyorezo gitanga amahirwe ku bigo nderabuzima “kongera gusuzuma aho serivisi zita ku barwayi zishingiye ku barwayi ziri.”Uburyo bwa HealthHealth ni ugushiraho icyitegererezo cyo gushiraho ibigo byita kuri telemedine (cyangwa “microsite”) muri Chicago yose.
Willding yagize ati: “Ibi bigo biherereye mu mashyirahamwe asanzwe, bituma biramba ku buryo budasanzwe.”Ati: “Abarwayi barashobora kugera ahantu runaka mu gace batuyemo kandi bakakira ubufasha bwo kwa muganga.Abafasha mubuvuzi barashobora kugufasha gukora imibare yingenzi nubuvuzi bwibanze, no gushyira abarwayi mucyumba cyo gusurwa ninzobere. ”
CommunityHealth irateganya gufungura microsite yambere muri Mata, hagamijwe gufungura urubuga rushya buri gihembwe.
Mubikorwa, ibisubizo nkibi byerekana ko hakenewe ibigo byubuvuzi kugirango bumve aho bashobora gukoresha neza imiti ya telemedisine.Kuri CommunityUbuzima, gukora imvange-yumuntu / telemedisine yerekana ibintu byumvikana kubakiriya babo.
Snedaker yagize ati: "Kubera ikoreshwa ry'ikoranabuhanga mu buvuzi, impirimbanyi z'imbaraga zarahindutse."Ati: “Utanga ubuvuzi aracyafite ingengabihe, ariko mu byukuri ibyo umurwayi akeneye.Nkigisubizo, uwabitanze numurwayi bazabyungukiramo, biganisha kumibare yimibare yingenzi.
Mubyukuri, uku gutandukana hagati yubwitonzi n’ahantu (nkimpinduka nshya mumwanya nu mwanya) bitanga amahirwe yo gufashwa kudasanzwe.Ntibikiri ngombwa ko umurwayi nuwabitanga aba ahantu hamwe icyarimwe.
Politiki yo kwishyura hamwe n'amabwiriza nayo arahinduka hamwe no kohereza ubuvuzi busanzwe.Kurugero, mu Kuboza, Ikigo gishinzwe ubuvuzi na Medicaid cyasohoye urutonde rwa serivisi zita kuri telemedine y’icyorezo cya COVID-19, cyaguye cyane ubushobozi bw’abatanga serivisi zo kwita ku bisabwa bitarenze ingengo y’imari.Mubyukuri, ubwaguke bwagutse butanga serivisi zishingiye kubarwayi mugihe bikiri inyungu.
Nubwo nta cyemeza ko ubwishingizi bwa CMS buzajyana no kugabanya umuvuduko w’icyorezo, byerekana ko serivisi zidahwitse zifite agaciro k’ibanze nko gusura umuntu ku giti cye, iyi ikaba ari intambwe y'ingenzi igana imbere.
Kubahiriza bizagira uruhare runini mugukomeza ingaruka za serivisi zubuzima busanzwe.Ibi birumvikana: uko amakuru menshi y’abarwayi ikigo cyubuvuzi gikusanya kandi kibika kuri seriveri zaho no mu gicu, nubugenzuzi bwinshi bufite kubijyanye no kohereza amakuru, gukoresha, no gusiba amaherezo.
Minisiteri y’ubuzima n’ibikorwa bya Leta zunze ubumwe z’Amerika yagaragaje ko “mu gihe cyihutirwa cy’ubuzima rusange bw’igihugu cya COVID-19, niba serivisi z’itumanaho zitangwa mu buvuzi bw’inyangamugayo, ntibizarenga ku mabwiriza agenga amategeko ya HIPAA agenga abatanga serivisi z’ubuvuzi bafite ubwishingizi.”Nubwo bimeze bityo ariko, uku guhagarikwa ntikuzahoraho, kandi ibigo byubuvuzi bigomba gushyiraho ingamba zifatika, uburyo bwo kugenzura no gucunga umutekano kugirango harebwe niba ingaruka zo kugaruka zigenzurwa mubihe bisanzwe.
Yahanuye ati: “Tuzakomeza kubona serivisi za telemedisine na serivisi imbona nkubone.”Ati: “Nubwo abantu benshi bakunda korohereza imiti, ntibabura aho bahurira.Serivise zubuzima zifatika zizahamagarwa kurwego runaka.Garuka, ariko bazagumaho. ”
Yavuze ati: “Ntuzigere utakaza ikibazo.”Ati: “Ikintu gikomeye muri iki cyorezo ni uko ica mu nzitizi zitubuza gutekereza ku ikoreshwa ry'ikoranabuhanga.Igihe nikigera, amaherezo tuzatura ahantu heza. ”