telemedicine benefits and disadvantages

Like most businesses, the strategies adopted by hospitals and clinics seem self-serving.  Yet oftentimes, the one that successfully brings a good business return in investment, are those that put the customer both front and center. Despite reluctance, digital health is one of those strategies that will greatly empower patients and drive innovations as well.

Improving the Digital Health Access

Improving healthcare access remains elusive and the Covid pandemic has made it even more difficult. The demand for care services is unlikely to dip.  For healthcare providers, adopting innovative strategies like standardized digital practices can create efficiencies and improve service deliveries that will lead to savings which could help drive costs and make care more affordable. 

As if to belabor the point on the fragmentation that has long plagued healthcare, Reddy, and Jannsens write, “the Covid-19 crisis has prepared the ground for widespread adoption of digital healthcare solutions” that requires a fundamental rethinking in the use of digital platforms around key themes that include:

• • • Information transparency.  The use of health registries to create a single source of truths for all stakeholders especially the patient reduces administrative burden as well as to enjoin patients in managing their medical care proactively.
    • Interoperability.  Holistic not siloed. Disparate patient records will remain an age-old problem as long as records remain in paper making collaboration and standardization of care difficult and costly. 
    • Claims processing.  One word. Fraud. Transparent systems that support faster validation make a whole world of difference for the operations of care providers.
    • Change from episodic to wellness-oriented care; from service-based to value-based healthcare.  These two healthcare ideals deserve an article of their own but to simplify, these are about preventive health maintenance (prevention cost way less than cure) and results-based care incentives (better, not unguaranteed, care outcomes)  both of which disrupt the payment model.

Overall, digital platforms will change care delivery models, like how telemedicine has abruptly transformed the patient visit.  The world is looking at unprecedented change caused by this pandemic and healthcare players will have important decisions to make if they are to survive, thrive, or perish in this new normal.

https://www.financialexpress.com/opinion/digital-health-mission-a-200-billion-opportunity-ndhm-will-greatly-empower-patients/2095337/

The healthcare industry is experiencing an immense paradigm shift as the world battles against the global health crisis.

Such turn of tides pressed health institutions and other concerned parties to rethink how they will carry out their duties, both to achieve more efficient outcomes and to curtail the spread of the unseen virus. In Asia alone, governments are implementing measures differing from one another, which results in contrasting ramifications, both successful and unsuccessful.

Healthcare in the PH Updates

The Philippines’ Department of Health recently issued the Administrative Order 2020-037 or the Guidelines on Implementation of Local Health Systems Maturity Levels. The order aims to provide local health units with a health information management system that can support the needs of all health care providers in the Philippines during and even post-pandemic. Among the maturity indicators is an EMR system integrated with a telemedicine service.

An account wherein a person snip-snaps on the idea of consulting to a medical professional during this dire time in the health sector is not an untold tale. The pandemic sparked fear of going outside the house, more so, of going to health facilities possibly packed with infectious pathogens.

Virtual visits through telemedicine should now be an option, especially for patients with chronic diseases and those living with immuno-compromised individuals, babies, or senior citizens. Moreover, telemedicine also helps with real-time tracking and monitoring of possible asymptomatic virus carriers.

According to healthcareitnews.com, nearly 80% of cardiology, gastroenterology, pulmonology, and respiratory physicians said that their use of virtual care technology had increased during the pandemic. More than half of which are not using telemedicine before the crisis. Furthermore, more than three-quarters of them said they would continue to use virtual care technology in the future.

The above data clearly shows how COVID heightened the demand for telemedicine services and will continue to support healthcare providers beyond the pandemic. It delivered on its promise of reducing person-to-person transmission, relieving the burden of the overworked care providers, and providing easier access to quality healthcare for patients who cannot meet their respective physicians.

Different countries around the globe have seen how telemedicine can help in reducing the threat/effects of COVID. Indonesia, for example, declared a shortage of protective gears and medical practitioners, with only three (3) doctors for every 10,000 Indonesians, and limited healthcare facilities. The government of Indonesia then directed its citizens to telehealth firms who can offer verified medical guidance, provide consultations via telephone or text, and prescribe medications and have them delivered to the patients who need them.

Vietnam, one of the few Asian countries to manage the COVID threat, also launched its first official telemedicine application as part of its valuable tools/gears in fighting the pandemic.

These case studies show how technology, particularly telemedicine, serves an important role in the global health battle. It is no longer just a band-aid solution but an inevitable future, that although in-person visits have their fair share of benefits, embedding telemedicine as an integral part of healthcare is a must-have level up – an upgrade that all care providers must consider.

It used to be that doctors were the ones doing the consult visits and by the patient bedside performing a medical consultation.  In modern times, these were replaced with the patient’s going to doctors’ offices and interaction was now happening across the desk. Factoring infection risks and patient comfort, telemedicine provides a necessary alternative — one which may soon become the norm.

The trip to the doctor, a rather uneasy experience for most people, suddenly turns to be a thing of the past.  The threat of COVID has put everyone on alert that even periodic out-patient visits have to be second-guessed in light of the risks. Unsustainability and population growth have put an end to doctors doing house calls in the same way that the threat of infection prevents people from showing up in clinics or hospitals.

Regardless of one’s attitude towards the use of technology, it is without a doubt that it has been part and parcel of the way that the practice of medicine continues to evolve.   Lab equipment and imaging machines aside, medicine and technology go hand in hand and would continue to do so. Right now, it teams up once again to bring the patient and the doctor together via a screen display.

While there are certain situations where a personal visit is warranted, the use of telemedicine presents a valuable tool in limiting the risks, especially in today’s pandemic.  Though talking to a screen would seem to replace the warmth of face-to-face interaction, the cold reality is that telemedicine provides each participant with a level of comfort by being in familiar surroundings.  Truth be told, it is probably not telemedicine that makes this interaction awkward because talking virtually with friends is certainly something most of us would look forward to.

Telemedicine and its Importance

Whether face to face or virtual, logic dictates that people heighten their guards when discussing serious topics, and talking about a health issue does fit into that category.  A smoker would certainly feel less comfortable being visited in his home by his pulmonologist because it exposes the reality that despite the advice, evidence at home would probably present more of an embarrassment.  For years, the privacy of a doctor’s office serves the patient more than the doctor.  Using telemedicine, a peek into the patient’s environment seems possible – which yields more valuable information (eg. senior citizens and home hazards like stairs, etc.) but only for those patients who have developed stronger relationships with their providers.

“In essence, COVID-19 has allowed us to lower our psychological barriers to the adoption of technology,” Professor Vishall Ahuja says. “All of a sudden, we realize we’re not as inflexible as we thought we were. We’re not as tech-adverse as we were. Necessity is the mother of invention.”