Breaking Barriers for Accessible Health Programs: The Role of Telemedicine in a Global Healthcare Transformation

Breaking Barriers for Accessible Health Programs: The Role of Telemedicine in a Global Healthcare Transformation

Pratibha Chauhan, Alka Bali, Sapanpreet Kaur
DOI: 10.4018/979-8-3693-3661-8.ch014
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Abstract

The rapidly evolving field of telemedicine is transforming the accessibility and delivery of healthcare. This chapter delves into how telemedicine enhances healthcare access, brings treatment into patients' homes, and addresses care deficits in underdeveloped areas. It covers key facets of telemedicine, including store-and-forward methods, remote patient monitoring, and teleconsultation across various medical conditions. Significantly, telemedicine emerged as a crucial approach to adhere to social distancing norms while providing healthcare during the COVID-19 pandemic. The chapter evaluates the benefits and applications of telemedicine compared to traditional in-person consultations, focusing on cost-effectiveness, time efficiency, and its importance in areas lacking local healthcare providers. Additionally, it examines factors crucial to the successful implementation of telemedicine, such as digital readiness, the digital competency of patients and healthcare professionals, and the regulatory frameworks governing the exchange and use of medical data.
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Introduction

Telemedicine is one of the most rapidly developing fields in modern medicine. It has progressed beyond the stage of research and clinical trials to become well-established in the healthcare systems of many countries worldwide (Asim et al., 2020). Telemedicine holds immense potential to alter the way healthcare is delivered to patients, boosting access to medical care in both urban and rural areas. Broadly, it encompasses approaches for remote delivery of healthcare-related services, with the potential to shift healthcare from the doctor's office directly into the patient's home. Recognized as one of the greatest advancements in health services, telemedicine is significant not only from a technological standpoint but also culturally and socially, as it enhances access to healthcare services while simultaneously improving medical care quality and organizational efficiency. It addresses the challenges posed by socioeconomic changes in twenty-first-century healthcare systems, such as increased demands, aging populations, mobility of citizens, the need to manage large amounts of information, global competitiveness, and the need for improved healthcare provision, all within the constraints of limited budgets and spending. However, considerable impediments remain regarding telemedicine standardization, as well as its full consolidation and spread (Broens et al., 2007). Although “telemedicine” technically means “distance medicine,” it has been defined variously by writers, specialists, and government bodies:

  • The European Commission defined it as “rapid access to remote medical expertise via telecommunications and information technologies, regardless of where the patient or relevant information is located.”

  • The International Telecommunication Union defined it as “the use of telecommunications and medical technologies to provide information exchange, including data, audio, and/or visual communication, between physician and patient or healthcare professional in separate locations, for medical, healthcare, and research purposes.”

  • The World Health Organization defined it as “the delivery of health care services, where distance is a critical factor, by health care professionals using information and communication technologies for the exchange of valid information for diagnosis, treatment, prevention of disease and injuries, research and evaluation, and the continuing education of health care providers, all in the interests of advancing the health of individuals and communities.

  • The American Telemedicine Association defined it as “the utilization of medical information exchanged from one site to another via electronic communications to improve a patient's health.”

The common thread in these definitions is the use of telecommunications infrastructure to provide medical and healthcare services to patients in geographically remote, rural, or otherwise inaccessible areas. Telemedicine integrates various elements such as information and communication technologies, hardware and software technologies, and medical services, offering consumers the features or services needed for their healthcare. In essence, telemedicine includes professional and medical guidance, monitoring, treatment, diagnosis, patient education, and patient information (Alzahrani et al., 2023). Owing to the development of new technologies and the growing demand for remote healthcare services, telemedicine has emerged as a viable solution to the problem of limited access to healthcare services, especially in underserved and rural locations. It encompasses all approaches, modalities, and software used to deliver medical services through any electronic information exchange or communication, allowing for the electronic transmission and communication of medical information.

Key Terms in this Chapter

Tele-Triage: A service that evaluates the appropriate level of care needed, discusses treatment options, and provides decision-making support for health issues. It often involves prioritizing patient treatment based on medical urgency, thus alleviating the pressure on emergency departments.

Asynchronous Teleconsultation: This type of teleconsultation involves a delay in the exchange of information between the healthcare practitioner and the patient. It is often conducted using online forms or applications.

Synchronous Teleconsultation: A form of teleconsultation where both the healthcare practitioner and the patient are present simultaneously, typically via video or phone consultations.

Remote Monitoring Devices: Technological tools used in telemonitoring, such as wearables and specialized equipment like blood pressure cuffs or pulse oximeters. These devices track and relay patient health information to healthcare practitioners.

Telemedicine: The application of information and communication technology to bridge geographical barriers in delivering healthcare services, including diagnosis, treatment, prevention, research, and education.

Telemonitoring: The direct transmission of physiological data, such as heart rate, blood pressure, and oxygen saturation, to healthcare professionals using automated technological methods, enabling real-time patient monitoring and intervention as necessary.

Teleconsultation: A medical service in which patients interact remotely with healthcare specialists to determine diagnoses, treatments, or preventive measures, utilizing various communication methods such as video or telephone consultations.

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