Proposal Development
Significant / Background Draft
Kristopher Durham
Wake Forest School of Medicine
CRM β 712
Dr. Elizabeth Jensen
2/11/2022
TELEMEDICINE IMPLEMENTATION IN EMS
Telemedicine can be interpreted as the use of telecommunications like messaging, audios, videos and systems by doctors or clinicians for treating the patients, especially in areas where mobility is delayed, such as remote places. Telemedicine helps drop-shipping the services related to health and diseases. The concerned medic takes the details of the patients, and then the patient is refe
ed to the physician or doctor. Telemedicine helps reach the patients in places where they cannot be dealt with in person by the physician. If there is scope of meeting the patient, it takes a lot of efforts, and time consumption is also a problem. Hence, telemedicine in EMS especially helps the clinician reach the patient without even going out of the hospital. The important goal is to provide timely treatment to the patients without delay, and telemedicine in EMS makes it easy for the health care department and physicians to improve patient outcomes. The conditions related to
ain stroke and heart attacks, myocardial infarction, need timely action to yield potential benefits to the patients, which is the priority of telemedicine in EMS (Nichole Bosson 2019.
The problems to be addressed when implementing Telemedicine in EMS: -
Hindrance to healthcare accessibility: - Feasibility to the health care: - As health care is everybodyβs need and right, since a few years, the need for better healthcare has been increasing, as well as demanding. When someone talks about rural healthcare facilities, there is a scarcity of healthcare providers in such areas. Therefore, the facilities must be provided for health professionals to put out their services in a good way and on time. Usually, rural areas face this problem of dis-connectivity from the care giver (Laditka &Probst, XXXXXXXXXXAlso, it has been noticed that more the area is Arcadian, more is the problem of reaching them for health services. This could be reduced if a few unconventional substitutes are
ought, such as paramedics, nurses, and assistants of doctors, instead of always forcing clinicians to come on to the field.
Efficiency to understand about the health-related issues: - Apart from other hurdles, encompassing the health issues is also one of the roadblocks towards a healthy environment. People in rural areas, due to the low literacy rate and poverty, are unable to relate their problem with the health care departments. They also lack understanding of their disease when a physician gives significant delineation regarding the specified health issues.
Distance gap: - Distance can be taken as a vital ba
icade for rural citizens. If the authorities look into the matter to shorten the distance between the healthcare departments and the patients, it will solve the problem. (Buzza et al., 2011)
Freightage: - The distance, traveling and transportation are all interlinked. If one ba
ier is taken care of, then all the other ba
iers would be resolved.
Journey Problems: - One more blockade in accessing rural healthcare covers the traveling needs of the person within the rustic environment of rural areas. The patient and his/her family must travel a long distance to meet their required medical facilities.
Approaches to address: - To effectively implement the conscientious proposal of Telemedicine, few approaches have been put forth: -
1. Assembling a serviceable squad: It requires a team of medics, paramedics and a group leader, and a proper plan to execute.
2. An assorted book of ordinance must be made to keep the realm more intact and workable.
3. The telecommunications used for services must be examined for dependability, feasibility, indemnification, and substantiation
4. Motivate patients to provide feedback.
5. Assess the findings and swap the troubled issues with the easy ones to make the assistance convenient.
Stakeholder Interviews: -The discussions with the stake holders helped better understand the matter and availability of telemedicine in rural background areas. The crucial problems are
Receptiveness,
Uneconomical and Apprehension.
The connectivity: - The connection between rural areas and medical facilities is frail, and thus seeking medical care becomes not so a good experience for rural citizens (Latifi et al., XXXXXXXXXXThe incongruity of the issue is that rural people have to wait for long hours even after reaching the medical centers. Thus, Telemedicine would definitely help reach out early, without causing patients to suffer. With the assistance of Govt. and other helping organizations, replacing the telemedicine services in places where clinicians in person would help them with appropriate healthcare facilities. To make the telemedicine successful, the internet connections must be full fledging in rural areas. This is possible if the Govt does proper funding. and all the different financial supports are put together (Napi et al., XXXXXXXXXXPatients should be taught to operate the video calls and conferences with the doctors, and a special group of attendees must be kept always ready to respond to patients on time from telemedicine emergency rooms. (Lilly et al., 2019).
Strategist: - The collaborator and the vital partners are key members in initiating and implementing the telemedicine. A strategic has all the information about the Govt. laws and regulations and which can help implement it in EMS and 911 functioning.
Funding: - For any program to run successfully without any glitches, funds are required. Although telemedicine is the most essential requirement for patients, it requires a lot of financial help. To make EMS and 911 services, along with telemedicine, depends on various factors, such as volume of people in that region, the place, the distance, and the policies of those places.
Guidance and awareness: - People, especially rural citizens, need assistance, guidance, and information of telemedicine to
ing the telemedicine in their areas and use it effectively. Without the knowledge of it, its use is impossible. It can be made possible if such groups are made.
Standards: - The intrinsic and essential criteria to make telemedicine approach a success are to maintain the quality aspects and contentment up to the mark, along with the continued financial help.
Reexamine or follow out: - Regular reviewing the telemedicine system in EMS or 911 is as important as using telemedicine for patient care, without which telemedicine might lose its value.
The continual growth and imperishable telemedicine: - Once the telemedicine is
ought in community, its maintenance and growth must be taken care of. Itβs not an easy job to keep it going. Proper planning and implementation of the plan must be done since the start of the telemedicine in EMS and 911, so that it wonβt cause sustainable issues during its later phase.
Conclusion: - There is indestructible confirmation about the positive effects of telemedicine on patients and their treatment. Nevertheless, there are provocations in the execution of telemedicine in EMS or 911 due to many factors like finances, laws, and regulations, understanding of telemedicine by the patients, and a proper steadfast group that can work continuously for telemedicine implementation. Hence, it can be concluded that although telemedicine is abundant, it is still uncertain to make it happen. (Sharifi Kia 2022)
REFERENCES:-
Β· Bosson, N XXXXXXXXXXTelemedicine to improve outcomes for patients with acute myocardial infarction.Β Heart,Β 105(19), XXXXXXXXXX.
Β· Sharifi Kia, A., Rafizadeh, M., & Shahmoradi, L XXXXXXXXXXTelemedicine in the emergency department: an overview of systematic reviews.Β Journal of Public Health, 1-15.
Β· Kim, Y., Groom
idge, C., Romero, L., Clare, S., & Fitzgerald, M. C XXXXXXXXXXDecision support capabilities of telemedicine in emergency prehospital care: Systematic review.Β Journal of medical Internet research,Β 22(12), e18959.
Β· Napi, N. M., Zaidan, A. A., Zaidan, B. B., Albahri, O. S., Alsalem, M. A., &Albahri, A. S XXXXXXXXXXMedical emergency triage and patient prioritisation in a telemedicine environment: a systematic review.Β Health and Technology,Β 9(5), XXXXXXXXXX.
Β· Lilly, C. M., & Mullen, M XXXXXXXXXXCritical care surge management: A role for ICU telemedicine and emergency department collaboration.Β Critical Care Medicine,Β 47(9), XXXXXXXXXX.