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Megatrend Telemedicine

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Megatrend Telemedicine
Megatrend Telemedicine

Video: Megatrend Telemedicine

Отличия серверных жестких дисков от десктопных
Video: Exploring AV Technologies for Healthcare and Telemedicine 2023, January

The E-Health Act set the course at the beginning of the year: All health care providers should be better networked, patient data should be available more quickly. The aim is to achieve the best possible treatment result for every patient. The Bundesverband Gesundheits-IT - BVITG eV welcomes this in any case. “The law is an important milestone in the networking of the healthcare system. At the same time, there are still a few points that need to be considered in the future,”explains Managing Director Ekkehard Mittelstaedt and at the same time warns not to forget about interoperability when setting up the necessary telematics infrastructure. After all, the industry is ready to take on this topic.

Additional information on the subject of Xxxxxx definition of telemedicine by the Federal Ministry of Health

“Telemedicine makes it possible to offer, for example, diagnostics, consultation and medical emergency services despite the spatial separation using audiovisual communication technologies. In the future, telemedicine, especially for rural areas, can become part of medical care."

To the BMG glossary

Telemedicine remains a political issue

But first of all, it should be noted that telemedicine remains a political issue. Katrin Altpeter (SPD), Minister of Labor and Social Order, Family, Women and Seniors of the State of Baden-Württemberg, immediately after the entry into force of the E-Health Act: “We are already well positioned in the field of telemedicine.

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Now it is a matter of combining quality and cost-effectiveness.”The state should therefore provide funding“not according to the watering can principle”, but in close coordination with the telemedicine coordination office, said the minister. It is important to involve science, business, top performers and patients in the process. "I am sure that one or the other demand will end up in politics," the politician expects corresponding homework.

According to Günther Oettinger, EU Commissioner for Digital Economy and Society, this homework cannot begin early enough: "The digital revolution is pervading all areas of society and economy." On the whole, however, Europe is lagging behind the development, especially towards the USA and China. "Before 2020, it will be decided who will be the winners and who will be the losers", Oettinger expects and calls for a "smart digital strategy with European foresight".

Does the new IT security law answer the question of adequate security systems?

How long will Germany remain on the threshold of digital medicine 4.0? Peter Fey, industry expert at the law firm Dr. Wieselhuber & Partner, and directs the focus on data security: "Not only the electronic data storage, but also the networking of medical devices repeatedly raises the question of adequate security systems." a high safety standard is essential, especially in the medical field.

Nevertheless: The real weak point lies in outdated IT infrastructures of clinics and doctors. “Urgent investments have been postponed for years or not made at all. By 2020, the investment backlog is estimated at around 7 billion a year,”explains the lawyer. The first step towards secure digital medicine must therefore be the modernization of IT systems by the user. Once this has been done, telemedicine can be understood as a response to a lack of medical care.

The examples of successful telemedicine projects are increasing

Meanwhile, the examples of successful telemedicine projects are increasing. The professional association of pediatricians (BVKJ) and the Barmer GEK recently improved the treatment of adolescents with chronic and rare diseases using a specially developed telemedicine system. Since then, pediatricians have been able to consult a pediatric specialist online with Päd-Expert in order to confirm unclear diagnoses and to coordinate treatment. "This enables us to optimize medical care, especially in the country, and save our youngest insured persons from having to travel long distances and waiting times," explains Dr. Mani Rafii, board member of the Barmer GEK, and at the same time advocates a stronger use of telemedical applications."Telemedicine must have a concrete added value for the patient, prove it in a basic evaluation and meet the highest data protection requirements," he also links conditions to this.

Additional information on the interview Interview: "Six out of ten Germans had surgery from a distance"

The digital association Bitkom recently published the results of a study on telemedicine. In an interview with Devicemed, Julia Hagen, consultant for health and pharma at Bitkom, explains what is behind the numbers.

Are Germans ready for telemedicine?

Telemedicine is of great interest to Germans. According to a Bitkom survey, one in five would have their health status monitored by telemedicine if necessary, another 39 percent can imagine that. That is almost six out of ten Germans who are open to telemonitoring. The advantages are clear: Chronically ill people no longer have to go to the clinic or practice, but could conveniently transmit their values ​​from home. This saves time, costs and nerves, so the bottom line is a big plus in quality of life. Six out of ten Germans are also open to the fact that operations are supported by specialists from afar. For example, an overseas expert can be switched on during a complicated operation and give advice to the colleague performing the task.

How do you explain that, on the other hand, according to the survey, only 33 percent would attend the doctor's online consultation hours?

Given that the online consultation hour has not yet been introduced, 33 percent is quite a bit. But in fact, the value could be even higher if some reservations were removed. According to our survey, there is a fear that the risk of mistreatment increases because there is no physical examination. In addition, the relationship between doctor and patient suffers. The online consultation hour is misunderstood here. It is not intended to replace personal contact and physical examination, but to complement it - where the physical examination is not or not yet necessary. Both doctors and patients know very well from daily practice that these cases are numerous.

What technologies must the medtech manufacturers provide to be successful in the telemedicine market?

Medtech manufacturers should focus on interoperability with their technology. Stand-alone solutions limit the benefits of telemedical offerings. Instead, there is an orientation to treatment processes across, for example, doctor's office, hospital and nursing home. In addition, each telemedical application should take into account the needs of the patient and the different service providers.

Peter Reinhardt asked the questions.

"They are fulfilled with Päd-Expert," assures Dr. Thomas Fischbach, President of the BVKJ. When transferring inquiries from one doctor to another, the patient's personal data are separated from the medical data prior to encrypted transmission and stored on various servers in Germany. (For further examples see p. 45)

The economic viability of telemedicine has been proven

However, the establishment of telemedicine must also be proven to be cost-effective. Prof. Dr. Oliver Schöffski from the Chair of Health Management at the Friedrich Alexander University Erlangen-Nuremberg examined the Evocare telemedicine treatment in regular care as early as October 2015. As the first regular form of treatment for telemedicine, it was approved three years ago after the efficacy had been proven (SGB VI, X). Since then, approved service providers have received remuneration for each therapy unit performed. "In order for patients to be able to use telemedicine, the income side of the service provider must first be regulated," explains Schöffski. Only when clinics can bill for their telemedicine servicesthe new supply options will establish themselves nationwide.

In Schöffski's business analysis, the income situation of a clinic was now considered about eight months after the project started. Result: The revenues of the new department are additive to the usual monthly revenues of the rehabilitation clinic and significantly increase its turnover. Regular operations showed positive profitability with a gross margin of up to 16 percent. "For the first time, clinic operators now have valid figures as a basis for making decisions about operating their own telemedicine departments," explains Dr. Achim Hein as general representative of the Evocare telemedicine cooperative.

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