Telemedicine System

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A Telemedicine System is a digital healthcare service that uses telecommunications technology.



References

2021

"TeleHealth". The Health Resources and Services Administration. 2017-04-28.</ref> It allows long-distance patient and clinician contact, care, advice, reminders, education, intervention, monitoring, and remote admissions. Shaw DK (June 2009). "Overview of telehealth and its application to cardiopulmonary physical therapy". Cardiopulmonary Physical Therapy Journal. 20 (2): 13–8. doi:10.1097/01823246-200920020-00003. PMC 2845264. PMID 20467533.</ref> [1] Telemedicine is sometimes used as a synonym, or is used in a more limited sense to describe remote clinical services, such as diagnosis and monitoring. When rural settings, lack of transport, a lack of mobility, conditions due to outbreaks, epidemics or pandemics, decreased funding, or a lack of staff restrict access to care, telehealth may bridge the gap  as well as provide distance-learning; meetings, supervision, and presentations between practitioners; online information and health data management and healthcare system integration. Mashima PA, Doarn CR (December 2008). “Overview of telehealth activities in speech-language pathology". Telemedicine Journal and E-Health. 14 (10): 1101–17. doi:10.1089/tmj.2008.0080. PMID 19119834</ref> Telehealth could include two clinicians discussing a case over video conference; a robotic surgery occurring through remote access; physical therapy done via digital monitoring instruments, live feed and application combinations; tests being forwarded between facilities for interpretation by a higher specialist; home monitoring through continuous sending of patient health data; client to practitioner online conference; or even videophone interpretation during a consult.   Miller EA (July 2007). “Solving the disjuncture between research and practice: telehealth trends in the 21st century". Health Policy. 82 (2): 133–41. doi:10.1016/j.healthpol.2006.09.011. PMID 17046097.</ref>
  1. Masson, M (December 2014). "Benefits of TED Talks". Canadian Family Physician. 60 (12): 1080. PMC 4264800. PMID 25500595

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Word Definition
Telehealth[3] 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.
Telemedicine[4] The use of telecommunications technology for medical diagnostic, monitoring, and therapeutic purposes when distance separates the users.
Telerehabilitation The use of electronic communication and information technologies to provide rehabilitation at a distance.
Consult A telehealth consultation whereby a patient's primary care provider consults with a specialist at a distant site while care remains the responsibility of the patient's primary care provider.
Encounter A telehealth event involving patient contact such as a patient being treated directly by a provider at a distant site or cases involving the patient along with providers at both the distant and originating site.
Analog Transmission A transmitted signal whose frequency is proportional to the source voltage and having limited bandwidth (eg, standard telephone).
Digital Transmission A transmitted signal whose voltage is converted to numeric values which are sent in sequential order from source to destination (eg, physiologic data).
Store-and-Forward Information that is stored in a specific format and sent to a consulting provider for a diagnosis, interpretation, confirmatory opinion, second opinion, or for any reason that the input of the consulting provider is requested.
Real Time Information sent from originating site to receiving site as it occurs rather than being stored for later transmission.
Table 1: Telemedicine Terminology.
  1. Hetherington LT. High tech meets high touch: telemedicine's contribution to patient wellness. Nurs Admin Q. 1998;2(3):75–86.
  2. Grigsby J, Saunders JH. Telemedicine: where is it and where is it going? Ann Intern Med. 1998;129:123–127.
  3. The Office for the Advancement of Telehealth (OAT) of the US Department of Health and Human Services (HHS); Health Resource and Services Administration (HRSA)
  4. Agency for Healthcare Research and Quality