For science, everyone has different perspectives and practices, but the purpose is to recognize the world and improve the environment and conditions for survival.
Since 2014, the US Federal Health Insurance System has encouraged and paid for telemedicine consulting services. More than three years have proved that the use of telemedicine mode provides remote monitoring for those patients with severe, not only reduces mortality in patients, but also reduces the length of hospital stay, more important it is to achieve a home monitor and recuperate. In short, the federal health insurance management agency saw that telemedicine can save money and do more!
Researchers at the Massachusetts General Hospital conducted a clinical trial looking for “how to use telemedicine to help doctors treat and manage patients. Is it better than regular models?†The project involved 56 ICU wards in 32 hospitals. The enrollment included 110,000 patients and the results of the study have been published in the CHEST journal.
“Remote care allows doctors to have better and easier ways to manage patients. The key is to improve efficiency and improve outcomes.†Because the federal government's Affordable Care Act (ACA) requires hospitals or medical institutions to avoid access to federal health care. The patient was re-admitted to the hospital for the same illness (within 30 days). Therefore, hospitals must implement remote home close monitoring and rehabilitation management for those discharged from hospitals.
To this end, the Massachusetts General Hospital has established a regional telemedicine service platform where doctors can provide telemedicine counseling services and receive appropriate service remuneration. This kind of telemedicine consultation fee is not based on the number of doctors' services. It is the signing of doctors and nurses who have received telemedicine training. They have special qualifications to undertake extra telemedicine services. This is their extra income.
Initially, doctors' enthusiasm was not very high. As federal health care reform expanded the scope of telemedicine services, community residents who were short of medical care and residents who were far away from the city or hospital could reimburse remote consulting fees, including home medical services. In this way, health care workers began to seriously consider the increase in income brought about by this new model and working methods. Because the telemedicine model truly reflects the "pay for service quality" rather than the "pay for work" mechanism.
Taking ICU telemedicine monitoring as an example, doctors and nurses on duty can monitor patients in several ICU wards from telemedicine center stations (patients are relatively stable recovery period). They can communicate and give business guidance to the nurses on duty at the remote site, avoiding the unnecessary wake-up of the doctor on duty. Because the ICU is working in shifts, the doctors on duty at the telemedicine center have clearly defined the specific conditions of each patient, how to monitor and manage them, and so on.
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