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1. Telehealth Telemedicine Telehealth is not trying to re-invent the wheel. It just makes the wheel run more smoothly. Hosted by Dr.Tereza Madoyan

2. Telehealth While telehealth isn’t really a type of healthcare facility, it is worth mentioning in its potential for serious growth in the coming years. Telehealth, telemedicine and remote healthcare can represent a digital type of healthcare facility. Telehealth refers to the use of electronic communication technology to facilitate long-distance health care and health education. Many people lack easy access to physicians and specialty clinics. Whether through their physical location, physical ability, living situation or transportation choices, many patients have a hard time getting to a medical practitioner face to face.

3. Those patient limitations, the push to lower costs in healthcare, and new technological capabilities have all come together to motivate  telehealth applications. This might look like live video conferencing between patient and physician. Or a patient with an illness might wear a device to allow remote monitoring from their medical team. For quick consultations, telehealth can be an ideal option even for patients with easy access to their doctors. When the patient log into a web-based service, the doctor or nurse practitioner can prescribe medications, suggest home care strategies or recommend additional medical care.

4. What is telehealth? Telehealth is the use of digital information and communication technologies, such as computers and mobile devices, to access health care services remotely and manage your health care. These may be technologies you use from home or that your doctor uses to improve or support health care services.

5. The goals of telehealth, also called e-health or m-health (mobile health), include the following: Make health care accessible to people who live in rural or isolated communities. Make services more readily available or convenient for people with limited mobility, time or transportation options. Provide access to medical specialists. Improve communication and coordination of care among members of a health care team and a patient. Provide support for self-management of health care. primary care clinic may have an online patient portal. These portals offer an alternative to email, which is a generally insecure means to communicate about private medical information. A portal provides a more secure online tool to do the following: Communicate with your doctor or a nurse. Request prescription refills. Review test results and summaries of previous visits. Schedule appointments or request appointment reminders. If your doctor is in a large health care system, the portal also may provide a single point of communication for any specialists you may see.

6. Some clinics may provide virtual appointments that enable you to see your doctor or a nurse via online videoconferencing. These appointments enable you to receive ongoing care from your regular doctor when an in-person visit isn't required or possible. Other virtual appointments include web-based "visits" with a doctor or nurse practitioner. These services are generally for minor illnesses, similar to the services available at a drop-in clinic. Some large companies provide access to virtual doctors' offices as a part of their health care offerings. When you log into a web-based service, you are guided through a series of questions. The doctor or nurse practitioner can prescribe medications, suggest home care strategies or recommend additional medical care. Similarly, a nursing call center is staffed with nurses who use a question-and-answer format to provide advice for care at home. A nursing call center doesn't diagnose an illness or prescribe medications. While these services are convenient, they have drawbacks: Treatment may not be coordinated with your regular doctor. Essential information from your medical history may not be considered. The computer-driven decision-making model may not be optimal if you have a complex medical history. The virtual visit lacks an in-person evaluation, which may hamper accurate diagnosis. The service doesn't easily allow for shared doctor-patient decision-making about treatments or making a plan B if an initial treatment doesn't work.

7. Remote monitoring A variety of technologies enable your doctor or health care team to monitor your health remotely. These technologies include: Web-based or mobile apps for uploading information, such as blood glucose readings, to your doctor or health care team Devices that measure and wirelessly transmit information, such as blood pressure, blood glucose or lung function Wearable devices that automatically record and transmit information, such as heart rate, blood glucose, gait, posture control, tremors, physical activity or sleep patterns Home monitoring devices for older people or people with dementia that detect changes in normal activities such as falls

8. Benefits of telehealth Telehealth can create the right place and time to connect with teen's pediatrician. There are so many changes during this stage of their lives. Setting up a telehealth visit is a great way to get healthy guidance for the road ahead. It's best not to wait until something is wrong to seek care. This way, you'll be ahead if your teen hits a bump or two. Flexibility:  No travel time means appointments can fit into busy schedules without having to drive or use public transportation. Comfort:   If your teen is nervous at the doctor's office, visiting with them by video or phone might help break the tension. Support:   The doctor could talk with your teen about issues they struggle with such as healthy eating, staying focused changes in their mood, or more private concerns like sexual health, relationships, and potential substance use. Confidentiality:  The telehealth visit is secure. It's not recorded and not shared with anyone. Independence:   Teens and young adults can have important one-on-one time with the doctor in as quiet a space as possible at home or school. You can help by creating a quiet, private space within your home where your teen can talk with their doctor.

9. Doctors talking to doctors Doctors can also take advantage of technology to provide better care for their patients. One example is a virtual consultation that allows primary care doctors to get input from specialists when they have questions about your diagnosis or treatment. The primary care doctor sends exam notes, history, test results, X-rays or other images to the specialist to review. The specialist may respond electronically, conduct a virtual appointment with you at your doctor's office, or request a face-to-face meeting. These virtual consultations may prevent unnecessary in-person referrals to a specialist, reduce wait times for specialist input and eliminate unnecessary travel.

10. Personal health apps A multitude of apps have been created to help consumers better organize their medical information in one secure place. These digital tools may help you: Store personal health information. Record vital signs. Calculate and track caloric intake. Schedule reminders for taking medicine Record physical activity, such as your daily step count.

11. The potential of telehealth Technology has the potential to improve the quality of health care and to make it accessible to more people. Telehealth may provide opportunities to make health care more efficient, better coordinated and closer to home. Research about telehealth is still relatively new , but it's growing . For example, studies have shown that both telephone-based support and telemonitoring of vital signs of people with heart failure reduced the risk of death and hospitalization for heart failure and improved quality of life. The limitations of telehealth While telehealth has potential for better coordinated care, it also runs the risk of fragmenting health care. Fragmented care may lead to gaps in care, overuse of medical care, inappropriate use of medications, or unnecessary or overlapping care.

12. Changes in the way that health care is delivered during this pandemic are needed to reduce staff exposure to ill persons, preserve personal protective equipment (PPE), and minimize the impact of patient surges on facilities. Healthcare systems have had to adjust the way they triage, evaluate, and care for patients using methods that do not rely on in-person services. Telehealth services help provide necessary care to patients while minimizing the transmission risk of SARS-CoV-2, the virus that causes COVID-19 , to healthcare personnel (HCP) and patients. While telehealth technology and its use are not new, widespread adoption among HCP and patients beyond simple telephone correspondence has been relatively slow.  Before the COVID-19 pandemic, trends show some increased interest in use of telehealth services by both HCP and patients. However, recent policy changes during the COVID-19 pandemic have reduced barriers to telehealth access and have promoted the use of telehealth as a way to deliver acute, chronic, primary and specialty care.

13. Telehealth services can be used to: Screen patients who may have  symptoms of COVID-19  and refer as appropriate Provide low-risk urgent care for non-COVID-19 conditions, identify those persons who may need additional medical consultation or assessment, and refer as appropriate Access primary care providers and specialists, including mental and behavioral health, for chronic health conditions and medication management Provide coaching and support for patients managing chronic health conditions, including weight management and nutrition counseling Participate in physical therapy, occupational therapy, and other modalities as a hybrid approach to in-person care for optimal health Monitor clinical signs of certain chronic medical conditions (e.g., blood pressure, blood glucose, other remote assessments) Engage in case management for patients who have difficulty accessing care (e.g., those who live in very rural settings, older adults, those with limited mobility) Follow up with patients after hospitalization Deliver advance care planning and counseling to patients and caregivers to document preferences if a life-threatening event or medical crisis occurs Provide non-emergent care to residents in long-term care facilities Provide education and training for HCP through peer-to-peer professional medical consultations (inpatient or outpatient) that are not locally available, particularly in rural areas

14. A few years back, telemedicine was viewed as cutting edge and experimental in India. However, today it is presently developing as a revolutionary tool for convenient and specialized healthcare, especially for patients in remote areas with limited access to standardized healthcare services. India needs to view its various economic and social challenges as open doors for renewal and development. Technology is set to have an unprecedented impact on healthcare in building the foundation blocks towards a holistic healthcare ecosystem. The idea of virtual healthcare has been around before the world was struck by the pandemic posing an utter challenge to India's traditional healthcare system.

15. Telehealth is emerging as a viable option to improve efficiency, enhance resilience, and anticipate risks. Even the government emphasizes the use of ICT to bring an ocean of progress in the medicine sector. Telemedicine is the roadmap for substantial healthcare arising from the effective fusion of information and communication technology (ICT) with Medical Science. In a developing nation like India with a different population of more than 135 crores, there is substantial inequitable distribution of healthcare services. In addition, a large share (~ 68.84%) of the population of Indians resides in rural areas (with minimal healthcare services), whereas 75% of doctors are based on cities.The woeful doctor-patient ratio, i.e., one doctor for 1,000 people is in India . The data propose that India has one specialist for every 1445 people.

16. The present-day telehealth with no special training utilizes existing processing gadgets like cell phones, cameras, wearable biosensors for clinical information, which made it simpler to use. In rural India , a bunch of healthtech start-ups are now endeavoring to build up a useful telehealth framework.

17. Telemedicine service needs to be expanded to rural areas: Modi Telemedicine service needs be expanded in rural areas as it has played a big role for patients in home isolation, Prime Minister Narendra Modi said on Monday,17 May 2021 in wake of gradual shift of covid-19 pandemic from urban to rural India.

18. Specifically, in the Indian scenario of low doctor to patient ratio, telehealth can be a new frontier to navigate from COVID-19 pandemic mode to "new normal." Perhaps, this could be a slide back to conventional medical healthcare facilities. The healthcare burden on the country is gigantic, and online consultation platforms can fulfill the healthcare needs. The Telehealth adoption will reduce the cost of the nation's healthcare system. Clinical professionals can screen many patients and thus lessen the specialists' burden, performing remote counsels when required. Non-emergency patients can be easily treated and monitored online, thus saving time. While telehealth will have far-reaching advantages, it will offer much-needed access to healthcare services in rural areas. Telehealth become a critical asset, minimizing the direct human to human exposure, with fewer chances to get contaminated, reducing the risk of coronavirus transmission amidst pandemic. At present, telehealth is an approach to overcome the shortage of numerous essential goods and services, from masks and hand sanitizers to tele-ICU.