O au asiasiga masani ile tausiga fa'alesoifua maloloina e aofia ai le ave ta'avale ile falema'i po'o le ofisa, fa'atumu ni pepa, ma fa'atali mo se tasi e vala'au oe pe a sauni le tausima'i mo oe.
Ona sosoo ai lea ma le siama o le coronavirus.Na faʻafuaseʻi, e toʻatele tagata o loʻo auai i taimi atofaina i luga o le komepiuta poʻo luga o le telefoni, ma ua avea le telemedicine ma igoa o le aiga.
E ui lava o tofiga telemedicine ua sefulu tausaga le matutua, o loʻo i ai pea i luga o le pito o le soifua maloloina.Ina ua maeʻa le faʻamaʻi na le mafai ai ona tuʻuina atu auaunaga faʻafomaʻi e pei ona i ai muamua, o le telemedicine na manaʻomia, ma paʻu i le toe totogiina, tekinolosi, ma laisene na amata ona faʻaitiitia.O nisi faiga fa'afoma'i e tatau ona sui mai fa'atinoga laiti telemedicine i le 100% fa'afeiloa'iga i le po.E leʻi umi ae amata ona vaai le maʻi i se fomaʻi i le fale.E oʻo lava i totonu o le falemaʻi, o loʻo faʻateleina le fegalegaleai ma le au tausi soifua maloloina e ala i le iPad.Na taʻua e Harlan Krumholz, o se polofesa o vailaau i le Yale University School of Medicine, o mea aupito lata mai i le telemedicine e "le mafai ona mafaufauina e le tele o tagata."
Aʻo leʻi oʻo i le faʻamaʻi, na iloa e le au tausi soifua maloloina o le telemedicine e le maalofia.Ae ui i lea, ona o mafuaʻaga eseese, e aofia ai le toe totogiina o tupe, tu ma aga ma manaʻoga o maʻi, e le mafai lava e le falemaʻi ona faʻateʻaina ia lava.I le taimi muamua, o le tele o telemedicine na faia e ala i se fesoʻotaʻiga o faiga faʻalesoifua maloloina ma falemaʻi e taʻua o le "hub" model, lea o le a tuʻuina atu ai e le au atamamai ("hubs") falemaʻi laiti ma falemaʻi ("tautala") Faʻatalanoaga faʻapitoa..Mo se faʻataʻitaʻiga, e mafai e se tagata maʻi ona alu i se nofoaga faʻalesoifua maloloina lautele e vaʻai i se fomaʻi mafaufau i le selau maila le mamao.I le faʻamaʻi, o lenei faʻataʻitaʻiga ua tele lava ina suia i se faʻataʻitaʻiga tuusaʻo-i-tagata faʻatau, ae i nofoaga e faʻatapulaʻaina le bandwidth Initaneti (atonu e manaʻomia e tagata le o atu i falemaʻi lautele) ma nofoaga mamao e manaʻomia ai masini faʻapitoa Sei vagana ai falemaʻi. fanua, mo se faʻataʻitaʻiga mo gasegase e manaʻomia le suʻesuʻeina mo le stroke poʻo le fatu fatu.
O le mea e ofo ai le to'atele o tagata, o lenei suiga tele i le telemedicine ma fa'asalalauga vitiō e aoga lelei.O fa'alapotopotoga fa'alesoifua maloloina ua mafai ona tu'uina atu le saogalemu ma le mautinoa e sili atu ona lelei ma taugofie mo tagata mama'i ile fale.O lona uiga o le tele o avanoa e faigaluega ai mai le fale, e manuia ai le tele o tagata faigaluega soifua maloloina (mo se faʻataʻitaʻiga, matua ma fanau).E le gata i lea, e mafai ona vaʻaia e le tagata tuʻuina atu totonu o le fale o le maʻi, lea e mafai ona fesoasoani e malamalama atili ai i le olaga o le maʻi.
O Lauren Eberly, o se tagata suʻesuʻe suʻesuʻe i le cardiovascular medicine i le Perelman School of Medicine i le Iunivesite o Penisilevania, na taʻua se faʻataʻitaʻiga i le taimi o se asiasiga telemedicine a o talanoa ana gasegase e uiga i ana vailaʻau.Ina ua fesili Eberly e uiga i le inuina o se vailaau faapitoa, sa manatu le tagata maʻi o loo ia inuina—ae na ia faaali atu ia Eberly lana kapoti fualaau, lea e le o iai le talavai.Na manatu le maʻi o loʻo ia te ia vailaʻau uma na ia manaʻomia, ae o le mea moni e leai se vailaʻau e tasi, e ono iʻu ai i ni faʻalavelave faʻaleagaina.
"I le tele o auala, [le faʻaogaina o le telemedicine] o le a avea ma se tasi o itu lelei i le faʻamaʻi," o le tala lea a David Bates, faʻatonu o fomaʻi i totonu i le Brigham and Women's Hospital ma le polofesa o le soifua maloloina faiga faʻavae ma pulega i le Iunivesite o Harvard.Chen Chen Aoga o le Soifua Maloloina.
O se telemedicine mamana ma fa'atumauina faiga e mafai ona fa'aitiitia ai le fa'alavelave i totonu o le falema'i, ma fa'atagaina ai le tele o tagata gasegase e maua le tausiga ile fale ma fafo atu ole falema'i.E mafai ona fesoasoani lenei mea e mafai ai e Bates ona vavalo e faapea, i le lumanaʻi, e mafai ona faʻatutuina le tele o moega ile falemaʻi, ina ia mafai foi ona avea ma potu mo togafitiga poʻo potu tausi lautele nai lo le tasi pe sili atu.I lenei auala, o le a mafai ai e falemaʻi ona "faʻafiafia" i taimi o le maualuga o manaʻoga, e pei ona oʻo i falemaʻi Kalefonia i le taimi o faʻamaʻi.
Ae ui i lea, o le televave o le atinaʻeina o telemedicine e le atoatoa.E manaʻomia e le au tuʻuina atu ma tagata gasegase ia vave ona masani i le tekonolosi fou, ma e faigata i tagata ona faʻatautaia avanoa vitio, mafaufau pe faʻafefea ona faʻaogaina talosaga vitiō poʻo le faatumauina o se fesoʻotaʻiga Initaneti mautu.E ono misia e le au tu'uina atu fa'amatalaga e le o tautala ma isi vaega fa'apitoa o asiasiga ma'i, po'o le le fa'aalia o le lagona alofa i tu'uaiga fa'afesaga'i, e pei o le tu'uina atu o lima fa'amafanafana.O nisi fa'avae e leai ni fa'atonuga sili ona saogalemu.E le gata i lea, afai e manaʻomia e le tagata maʻi ni suʻega faʻapitoa, e le mafai ona faia i luga ole nofoaga.
I se tulaga lautele, o le faʻamaʻi ua tuʻuina atu faʻataʻitaʻiga mo le tele o faiga faʻalesoifua maloloina e faʻaaogaina telemedicine lautele.Ae ui i lea, pei o soʻo se beta version, o se faʻaleleia atili.Ina ia mafai e le telemedicine ona ausia lona gafatia atoatoa, o le a manaʻomia ai ituaiga sili atu o le auai o maʻi, e pei o le mataʻituina mamao, mo se faʻataʻitaʻiga, o se auala mo tagata e maua ai le toto toto ma isi faʻailoga taua i le fale.O loʻo aʻoaʻoina pea e le au tausi soifua maloloina e oʻo lava i nai mea laiti, e pei o le le feiloai e pei ona masani ai i taimi o asiasiga.O le telemedicine platform o le a faʻaauau pea ona faʻaleleia i tulaga o le faʻaaogaina, faʻalilolilo ma le saogalemu.
Ina ia mafai e telemedicine ona ausia lona gafatia, e tatau foi ona tatou gauai atu i ai o le a tuua.E mafai e telefoni feaveaʻi ona fesoasoani e faʻafesoʻotaʻi le vaeluaga numera, ae mo le tele o vaega, o loʻo i ai pea pa puipui i le avanoa i tekinolosi.Mo se fa'ata'ita'iga, o tagata mai fa'alapotopotoga laiti e fa'aalia i le maualalo o fua faatatau o le fa'aaogaina o alalaupapa lautele ma le maualalo o le fa'aogaina o komepiuta ma Initaneti.O tagata matutua e mafai ona maua na'o le telefoni ma e le mafai ona maua le vitio.
O se suʻesuʻega talu ai nei o tagata mamaʻi o loʻo fuafua e faia ni asiasiga telemedicine i nai masina muamua o le faʻamaʻi o le coronavirus o loʻo faʻaalia ai le tele o le le tutusa i le faʻaogaina o le telemedicine.I se tulaga lautele, o le faʻaogaina o le telemedicine (e aofia ai le telefoni ma le vitio) e maualalo i tagata matutua, Asia poʻo tagata e le o le Igilisi.E fa'apena fo'i, matutua, tama'ita'i, uliuli po'o Latino, tagata e maualalo le tulaga fa'ale-tamaoaiga e fa'aitiitiina fa'aoga vitio.
"O loʻo matou fausiaina se faiga fou telemedicine, lea e maua ai le avanoa e foia ai le faʻafitauli," o le tala lea a Eberly."Pe a faʻatinoina, pe sili atu tekinolosi poʻo sili atu mea fou, e tatau ona tatou faʻaogaina se faʻavae ina ia mafai ai ona faʻaauau pea ona iloilo le le tutusa o fausaga ile telemedicine."
Telemedicine o le a manaʻomia le tele o tupe faʻaalu.O le Mercy Virtual Care Center, o se fa'alapotopotoga fa'afoma'i tele, sa avea ma ta'ita'i i le fesoasoani i fa'alapotopotoga e mafaufau i le tausiga fa'apitoa.E tusa ai ma le tala a Bates, e faʻaalu e le Mercy le tusa ma le 5% o ana tupe maua i luga o le telemedicine, lea e sili atu le maualuga nai lo tupe faʻaalu a isi falemaʻi ile telemedicine (tusa ma le 0.1% i le 0.2% o ana tupe maua).
Fai mai Bates: "O loʻo matou matua le faʻatupeina i (telemedicine)."“E iai lava suiga i le lumana’i, ae o le a umi se taimi.”
O le faʻaleleia atili o le telemedicine e manaʻomia ai foʻi faiga faʻavae umi ma suiga faʻatonutonu.Aʻo leʻi oʻo i le faʻamaʻi o le coronavirus, e ui lava o le telemedicine na faʻatinoina lelei i le tele o matata faʻapolofesa, e toetoe lava a leai se toe totogiina mo tupe faʻaalu telemedicine.Ina ua maeʻa ona faʻaalia le faʻamaʻi o se faʻalavelave faʻafuaseʻi mo le soifua maloloina lautele, kamupani inisiua, faʻapea foʻi ma Medicare ma Medicaid, na faʻalauteleina le telemedicine coverage.Konekeresi, malo feterale ma malo o le setete ua faʻamalieina le le faalauaiteleina o tagata maʻi ma tulafono telemedicine.Ae ui i lea, o le tele o nei suiga na tuʻuina atu mo sina taimi i taimi o faʻalavelave faʻafuaseʻi o le soifua maloloina lautele, ma e ui lava e leʻi maeʻa le faʻamaʻi, ua amata ona toe foʻi i tua.
O le mea e lelei ai, o le fua faatatau o le toe totogiina mo ituaiga uma o le soifua maloloina (faafesagaʻi, vitio ma telefoni) e tatau ona tutusa, ae le naʻo le tumau.A aunoa ma lenei tulaga tutusa, o le a matua faʻasalaina i latou o loʻo tuʻuina atu le telemedicine (e pei o telefoni i tagata faʻatauvaʻa) ona e maualalo le tau o latou toe totogiina.Peitaʻi, e iai nisi māfuaaga mo le faamoemoe.Mo se faʻataʻitaʻiga, faʻatasi ai ma le lagolago a itu e lua, o le 2021 Telemedicine Protection Act ina ua maeʻa le COVID-19 ma le Telemedicine Modernization Act of 2021 na tuʻuina atu i le Konekeresi talu ai nei.O le kovana o Massachusetts, Charlie Baker, na sainia talu ai nei se pili o le toe fuataina o le soifua maloloina, lea e manaʻomia ai le tau o le telemedicine asiasiga e tatau ona tutusa ma le tau o asiasiga faafesagai mo se vaitaimi e lua tausaga.A aunoa ma ia tulafono, o le a sili atu ma le tasi le telemedicine coverage i totonu o le atunuu.Ae e le manaʻo le au paaga e faia asiasiga telemedicine e aunoa ma le tuʻuina atu o le taua i tagata gasegase.
"O le a sailia e tagata le tali atu," o le tala lea a Krumholz.Na ia faʻailoa mai foi talu ai o tagata mamaʻi e pei o le telemedicine e masani ona asiasi i se fomaʻi, o kamupani inisiua o le a faʻaauau pea ona faʻamauina le mamafa o le telemedicine.
Joseph Kvedar, polofesa o dermatology i Harvard Medical School ma le taitaifono o le American Telemedicine Association, fai mai o se faiga faavae toe totogiina faigofie e taua tele ma le totogiina.Afai e lavelave, e ono teena e le kamupani inisiua i nisi taimi se pili, pe maua e le tagata maʻi se pili e leʻi mafaufauina.
I le faaopoopo atu i le faiga o le toe totogiina, o loʻo i ai isi vaega o faiga faʻavae e manaʻomia le faʻafouina.Mo se faʻataʻitaʻiga, o loʻo i ai nisi faʻatapulaʻaina o le mauaina o tagata mamaʻi i totonu o setete e ala ile telemedicine.E ui lava ina taua tele lenei tapula'a mo le asiasiga muamua, atonu e mana'omia le fa'amalieina o mana'oga mo pemita a le setete ina ia mafai ai ona fa'atino lelei le tulitatao.E mana'omia fo'i auaunaga tau feso'ota'iga lautele.
O se tasi o fesili autu e ave ai le telemedicine o le: O afea e talafeagai ai mo tagata e tuʻuina atu le vaʻai i tagata mamaʻi nai lo le vitio?Faʻalagolago i manaʻoga o le tagata maʻi, o nisi vaega e pei o le psychiatry atonu e fetaui lelei mo le tulitatao faʻapitoa.Ae ui i lea, ona o le manaʻomia o meafaigaluega faʻapitoa, o isi tagata (mo se faʻataʻitaʻiga, vaʻai se fomaʻi mo le vaʻaia poʻo le faʻalogo) ua leai.
I le aotelega, o loʻo i ai pea faʻafitauli e leʻi foia e faʻalapotopotoga faʻalesoifua maloloina, e aofia ai le faʻaogaina lelei o latou fausaga faʻaletino ma le faʻavasegaina o tagata gasegase.Ae o nei faafitauli e mafai ona foia.O le mea taua o le telemedicine o loʻo i ai ma o le a faʻaauau pea ona tuʻuina atu i tagata le taua tele.
“O le a tatou vaai atu i lona tuputupu a’e.E tele lava mea e tatau ona aʻoaʻoina, ae o se taimi fiafia lenei.”Fai mai Krumholz.
Faʻafouina Mati 1, 2021: Ua toe faʻafouina lenei tusiga e atagia ai o Joseph Kovdal o loʻo avea nei ma taʻitaʻifono o le American Telemedicine Association.
O le Future Tense o se paaga a Slate, New America ma Arizona State University, faʻapitoa i le suʻesuʻeina o tekonolosi faʻalauiloa, faiga faʻavae lautele ma sosaiete.
E fa'alagolago Slate i fa'asalalauga e lagolago ai a tatou fa'asalalauga.Afai e te fa'atauaina a matou galuega, fa'amolemole fa'agata lau poloka fa'asalalauga.
E ala i le auai i le Slate Plus, o le a e lagolagoina la matou galuega ma maua mea faʻapitoa.Ma o le ae le toe vaai i lenei savali.
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(e.va'aia =! 0 , SetTimeout(function() {e.trigger(“faaalia”, fou r(“faaalia”,t))},15)): (!N || i1 &&(h + = e(r, Math.floor(! n / o), i-1,o)),, h}, this.getVerticallyVisiblePixels = f, this.getViewportHeight = galuega(){ Toe fo'i t.innerHeight ||e.documentElement.clientHeight ||e.body.clientHeight}, this.getViewportWidth = galuega() {return t.innerWidth ||e.documentEle ment.clientWidth ||e.body.clientWidth}, lenei .isElementNotHidden = u, this.isElementInViewport = galuega(n){var i = n.getBoundingClientRect();toe fo'i i.top> = 0 && i.left> = 0 && i.bottom = o.umi) toe fo'i {faia: moni};toe fo'i {maea: leai, taua: o [i ++]};}, e: galuega e (_e) {totogi _e;}, f: F};} Togi se TypeError fou("Taumafai le aoga e toe fa'afo'i mea e le-iterable. \nIna ia mafai ona fa'aogaina, e tatau ona i ai se [Symbol.iterator]() meafaitino e le'i fa'avasega. ”)} var masaniMaea = moni, didErr = sese, sese;toe faafoi {s: galuega s() {it = o [Symbol.iterator]();}, n: galuega n() {var step = it.next( );masaniFa'auma = step.done;toe fo'i i le la'a;}, e: galuega e(_e2) {didErr = moni;sese = _e2;}, f: galuega f() {taumafai {afai(! masaniMaea && it.return! = null) it.return();}Mulimuli ane {pe a (didErr) togi sese;}}};} galuega _unsupportedIterableToArray (o, minLen) {afai (!o) toe fo'i;afai (ituaiga o ===” manoa “) toe faafoi _arrayLikeToArray(o, minLen);var n = Object.prototype.toString.call(o).slice(8, -1);pe afai (n === “mea” && o.fausiaina) n = o .constructor.name;afai (n === “Map” || n ===” Set”) toe faafoi Array.from (o);pe afai (n === “Fefinauaiga” || /^(?:Ui| I)nt(?:8|16|32)(?:Clamped)?Array$/.test(n)) toe faafoi _arrayLikeToArray(o, minLen);} galuega _arrayLikeToArray(arr, len){if(len = = null || len> arr.length) len = arr.length;Mo (var i = 0, arr2 = fou Array(len); i
Taimi meli: Mati-02-2021