Question

Using outside research sources, describe the similarity and differences between telehealth and telemedicine in the health care provider workplace. What are the positive and negative aspects of telehealth nursing? What impact is telehealth reimbursement in the current environment having on the long term development and implementation of telehealth initiative within a physician provider or health care or hospital setting? What is your outlook for continued usage and success/failure of telehealth after the current pandemic slows? Support your theory with financial analysis and data.

Answer 1

1)The innovation of technology is happened faster in the field of medicine .Telehealth and telemedicine is the latest technology in medical field .The telehealth and telemedicine both are working by the use of electronic technologies for provide health care services to the patient. The telehealth and telemedicine are interchangeable and these two are different technologies.

Difference between telehealth and telemedice

Telehealth

:telehealth have broader area of scope:in telehealth provide health care services at wider area including,electronic communication, management, information and statistics reading.

:telemedicine is the subset of telehealth.

:provide direct patient care at some time.

:provision of remote-non clinical service .

Telemedicine

:telemedicine have narrowed scope in health care system

:it focused only in the remote clinical service .

:provision of health care services include disease treatment and diagnosis.

:E-consultation encourage physician to physician consultation.

2)positive and negative aspects of telehealth nursing

Use of telehealth technology in providing nursing care to patients is considered as it is best method to provide quality health care services. This technology provide benefits to the nurse and patient and some risks are there.

Positive aspects of telehealth nursing

:it is convenient for patient and nurse___by providing telehealth nursing service, the both personnel are use this by their own convenient. And it help to provide care at fast.

Cost effective ___it help to save money to reduce cost for travelling.

:increase access to nursing services___even the patient from remote areas have get nursing services through telehealth nursing. Increase access to health care is one of the greater advantageous of telehealth.

:increse patient engagement ___this technology allow more engagement of patient in health communication and patient also aware about their health conditions .

:vedioconference allow face to face communication between nurse and patient .

:it help to reduce the burden of staff shortage

Negative aspects of telehealth nursing

:technology barrier___poor knowledge and skills to Operate technology among nurses and patient is a big problem in telehealth nursing.

:reduce continuity of care___the patient seek care from different health care personal and result in breaks in continuity of care .

:reimbursement issue

:it is not good for every situation ,the individual who need urgent care is treating in hospital environment is essential to prevent complication.

3)Reimbursement issue is the greatest problems in telehealth technologies. The major portion of people who seek medical care through telehealth is not getting adequate reimbursement .And no evidence that the health care system reduce the cost for care. Some of the companies provide reimbursement and others are not providing that. The reimbursement problems is mainly due to geographic and originating site restrictions, provider restrictions and service restriction. Lot of policies are arise to reduce cost for this health care. The national rural heath association bring policy for reduce the barrier of telehealth and provide policy recommendation to Increase access to care. However the reimbursement is limited to the non metropolitan areas .

4)use of telehealth in current pandemic like covid -19

The covid 19 is one of the pandemic now we affect. The application of telehealth providing health care services during this pandemic is effective in provide comprehensive care to patients.

Advantages of telehealth in pandemic

:telemedicine consultation reduce the risk of spread of virus

:bringing gap between people, physician and health care system .

:provide care for every needy .Patient .

:it help to reduce spread of infection.

:provide care for other ailments and decrease visit to the hospital for high risk patient .

:minimize risk to health care worker

:help to provide treatment for chronic disease

:reduce cost for healthcare services .

Risk associated with telehealth in pandemic

:testing and diagnosing of disease is essential for decreasing spread of infection. Through telehealth services the testing is limited.

:we can not determine the clinical course through telehealth .

:most of the hospital are not well equipped and lack of hardware.

:can not provide treatment for high risk and dangerous patient. This type of patient need direct patient care

Continued use of telehealth will result in poor reimbursement and poor financial management happened.