The Changing Role of Telehealth: Is Virtual Care the New ... · The Changing Role of Telehealth: Is...
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The Changing Role of Telehealth: Is Virtual Care the New Paradigm?
John Whyte, MD, MPH
Chief Medical Officer, WebMD
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Definitions
Telemedicine• The use of electronic information
and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, public health and health administration.
Telehealth• Telehealth is different from
telemedicine because it refers to a broader scope of remote healthcare services than telemedicine. While telemedicine refers specifically to remote clinical services, telehealth can refer to remote non-clinical services, such as provider training, administrative meetings, and continuing medical education, in addition to clinical services.
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Physician Visits
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Who’s Using It?
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Specialty Use
• Psych, Gastroenterology are using telemedicine most often.
• Heme/Onc, OB/GYN and Pediatrics are using it least often.
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Delaying Care
• Heart attacks and stroke cases down
• Cancer screening down >80%
• Lab Tests Reduced
• Prescriptions Not Refilled
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Acceleration and Adoption
• Regulatory Changes
• Platform (e.g. Facebook, Skype, Google Hangout, Zoom)
• Medical Licensure and Residence of Patient
• Payment Policies = “equivalent”
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Pros
• Convenient
• Saves Times
• “Safer” for everyone?
• Greater Access to Specialists
• Quicker Diagnosis
• More choice
• Cheaper?
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Cons
• Technical Training/Comfort
• Equipment
• Continuity
• Loss of “personal touch”
• Limited exam
• Miss “non-verbal” cues
• Cost?
• Trust
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How Can You Make A Telemedicine Visit A Success?
Good internet connection --- Test before “call”
Camera position
Quiet place, well-lit
Make an appointment and be on time
Write down questions
Have someone with you
Recognize telehealth limitations
Check health insurance
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“The Future”
• How long going to last?
• Role of Trackers/Sensors
• Remote Patient Monitoring
• Artificial Intelligence
• Robotics
• Cybersecurity
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Televet !
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