. Telemedicine Definition 7 Telemedicine is the delivery of health care and sharing of medical knowledge over a distance using telecommunications systems. For messages containing important medical advice, patients should be instructed to acknowledge messages by sending a brief reply. Warner Slack has reasonable opinions on the practice of medicine--whatever helps patients live happier, healthier lives is good medicine; whatever interferes with patients' health is bad; and the more knowledge and control put into patients' hands, the better. Telemedicine Just as with Cybermedicine there are many varied definitions as to what constitutes Telemedicine.
Contrary to popular misconception, the computer is misapplied and under-used in medical and behavioral health care. · Request that patients use autoreply feature to acknowledge reading provider's message. Over the past 40 years, he has focused his research on the use of computers to improve communication in the field of medicine and to empower both patients and doctors for better health care. · Configure automatic reply to acknowledge receipt of messages. Slack explains how computers have allowed doctors to network, gain quick and easy access to all the latest technical information, and review medical information. Telemedicine Definition 5 At the simplest level, telemedicine is all health care practised at a distance, ranging from the telephone call to remote surgery. The influence of the computer on medical care is just starting.
The text argues that competing interests as well as managerial, political and technical barriers have resulted in the misapplication and under-utilization of computer technology in health care settings. Slack's answer is clear: the human physician. The problem is not too much computerization,? Patients should know who besides addressee processes messages during addressee's usual business hours and during addressee's vacation or illness. Describe security mechanisms in place. Provide instructions for when and how to escalate to phone calls and office visits.
More specifically, telemedicine is the provision of health care consultation and education using telecommunication networks to transfer information. Cybermedicine presents a compelling argument for the use of computers for initial diagnosis and assessment, for crucial decisions in the course of treatment, and for self-care, research, prevention, and? A new reply message should be sent out upon completion of patient's request for prescription refills, records transfer, and other transactions. Warner Slack updated his definition of cyber-medicine in 1999. In addition, out-of-the-office replies should be activated on any e-mail account that will not be serviced by staff or covering physicians during an absence that exceeds the established e-mail response time. Now, in his first book, the man Newsweek dubbed? Cybermedicine will satisfy your curiosity, challenge your perception, andperhaps-or better yet hopefully-make you more than a little angry.
The definitions contain similar elements; in the long term, these distinctions will become unnecessary as purchasers of healthcare services are contracting for a continuum of services that extends from health promotion, disease prevention and curative treatments through to palliative care. · Request that patients put their name and patient identification number in the body of the message. · Do not use unencrypted wireless communications with patient-identifiable information. · Establish turnaround time for messages. E-mail software should be configured to send automatic replies in response to all incoming messages from patients. This is similar to giving advice in a book or magazine and is most unlikely to give rise to a claim of negligence.
Indemnify the health care institution for information loss due to technical failures. · Indicate whether the office staff or nursing staff will triage messages, or whether mail addressed to the provider's private account will be read exclusively by the addressee. E-Health is an emerging field at the intersection of medical informatics, public health and business, referring to health services and information delivered or enhanced through the Internet and related technologies. · Where specific advice is offered, for example by e-mail, a duty of care will be established. It involves combining traditional medical care with the efficiency of current telecommunications technology to deliver health care on a global scale.
Medico-Legal and Administrative Guidelines · Consider obtaining patient's informed consent for use of e-mail. Cybermedicine and the clinician -- Cybermedicine in the hospital -- Cybermedicine in the care of the patient -- How well does it work? · Use password-protected screen savers for all desktop workstations in the office, hospital, and at home. Extra care must be taken. Telemedicine Definition 3 Telemedicine - the use of advanced telecommunications technologies to exchange health information and provide healthcare services across geographic, time, social and cultural barriers. Information about medical matters, once handed down to patients from on high if at all , is now available to anyone who learns the fundamentals of a search engine. Cybermedicine is filled with real-life examples from patients, practitioners, and health care institutions and offers convincing evidence that computers can provide doctors with an invaluable extension of their clinical resources as well as the means for transferring more control to the patient. Itemize terms in Communication Guidelines.
From the Inside Flap: For more than thirty years, Warner Slack has been a founding father and pioneer in the research, development, and application of computers in medicine. Not only should all doctors, patients, and health care administrators read this book, they should discuss it with each other. But, there are barriers to this journey in the hospital administrators, hospital committee, the hospital computing systems and costs, as discussed in the Modern Times section. · E-mail from providers should include a footer signature file that invites patients to escalate communication to a phone call or office visit, should they feel that e-mail is insufficient. This convention will facilitate redirection of messages. From the Foreword by Ralph Nader? · Protocols for the use of e-mail and the internet should be drawn up and records of communications with patients should be kept. With the myriad of definitions, it will be interesting to watch and see which if any of these definitions for Cybermedicine stick.
· Never use patient's e-mail address in a marketing scheme. Clinical havens of the future will be decentralized, small, conveniently located within residential areas, and staffed by skilled, humanistic clinicians who run the facility in consultation with a board of directors that includes patients and prospective patients. Also, establish with whom the physician may share a patient's e-mail message and under what circumstances, such as when consulting with another physician. · Commit policy decisions to writing and electronic form. ? · Print all messages, with replies and confirmation of receipt, and place in patient's paper chart. And even in treatment itself, preliminary interviews through computer forms have made patients feel more at ease, led to greater insights, and evoked feelings of being more in control.