According to the statistics of the Ministry of the Interior, Taiwan has broken through 14% of the elderly population in April 2018 and officially entered the advanced society. The increase in the elderly population will be accompanied by an increase in the proportion of chronic diseases. A fixed time to return to the clinic, but for the elderly, it is quite inconvenient to go to the hospital every time to see a doctor. If you can combine the two ends through the power of technology, it is bound to have a demand.
With the revision of relevant regulations and the availability of technology, most people believe that the use of telemedicine as a bridge between medical teams and patients has arrived; for example, computed tomography (CT), magnetic resonance imaging (MRI), Or X-ray film and other image information, all benefit from the breakthrough of transmission technology, can be easily passed to the doctor to view.
Regulatory revision of remote medical application field expansion
In the past, in order to improve the shortage of medical resources in mountainous areas, outlying islands, and remote areas, the government only opened up patients in these areas and was able to obtain long-distance medical services by means of telephone calls. However, with the increase of chronic diseases in China, the demand for telemedicine has gradually received the attention of the public.
Therefore, on May 11th, the Ministry of Health and Welfare issued the "Communication Clinic Treatment Method" to relax the care of telemedicine and its service model. Wei Fu believes that the wide range of telemedicine applications can not only overcome geographical obstacles, but also become an important tool for improving the efficiency of care and the sustainability of care in the future.
"In terms of medical care, the introduction of telemedicine services is inherently necessary." Xie Mingjia, medical director of Changhua Christian Hospital, believes that through the intervention of technology, the future chronic disease care system can be continuous and complete.
In the past, chronic patient care required patients to go back every 3 months, but each time they returned to see the doctor, the time was only 5 minutes, and the time spent talking with the teacher was only 5 minutes; in other words A chronic patient waited for 3 months and was only taken care of by the medical team for 10 minutes, while the remaining 99.5% of the time patients had to take care of themselves.
"Wait can sometimes be a kind of maiming." Xie Mingjia explained that in the past medical situation, if there is no intervention through technology, some patients will have to endure the three-month review time even if they are not comfortable. If you are willing to see a doctor, the initial illness will become a big problem. With telemedicine, if the patient has any doubts or discomfort in the future, they can directly contact the telemedicine platform. The medical team communicates.
In addition to the continuous care of chronic patients, telemedicine tracking of discharged patients will also be a major focus; in fact, 14 days after discharge from the hospital is a large observation; Wei Fu pointed out that if patients Re-hospitalization within 14 days after completion of treatment (discharge) means that the hospital may need to strengthen the inpatient care, or the patient fails to follow the doctor's advice after discharge, do self-health care, or other reasons lead to unstable medical treatment. If the medical team can control the patient's follow-up after discharge from telemedicine, or permit a significant reduction in the patient's readmission rate.
In addition, excluding patients with acute and severe illnesses, the general public did not care even after the annual routine health check, even if there were several red characters; Xie Mingjia said that this is because there is no medical team after the health check. Provide this type of sub-health people for follow-up and support; if it is from the perspective of preventive medicine, telemedicine can further promote the health of the sub-health people.
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