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Telemedicine in different health specialities 31.12.2020
1. Dr. Shazia Iqbal
Assistant Professor
Director of Medical Education Unit
Faculty of Medicine
Alfarabi College of Medicine, Riyadh
siqbal@alfarabi.edu.sa
View my Linkedin Profile
https://orcid.org/0000-0003-4890-5864
Telepharma
cy
Teledermatolo
gy
Telecardiology
4. An article in the American Journal of Medical Research defines telepharmacy as
"… the delivery of pharmaceutical care to outpatients at a distance through the
use of telecommunication and other advanced technologies.”
5. The American Pharmacists Association noted, "Just like
telemedicine has been essential during the COVID-19
crisis, the same can be said for telepharmacy." We
recently highlighted how telepharmacy is making a
difference during the health crisis.
6. 1. Medication Adherence.
Clinical Pharmacist Shortage.
Pharmaceutical Counselling Activity:
Home drug delivery (HDD).
2. Remote Education and Handling of
“Special Pharmacies”:
Medical Staff Training and Patient
Education.
Remote Surveillance of Anti-Neoplastic
Medication Preparation.
Control of Medicine Chests in Seagoing
Vessels
7. 3. Prescription and Reconciliation of Drug Therapies:
Remote prescription checking.
Medication reconciliation checking.
Drug dispensing supervision by pharmacy staff.
A Telepharmacy Robotic Supply Service (TPRSS).
8. The adoption of telepharmacy can represent a solution to the problem of
pharmacist shortage and can contribute to guarantee a proper pharmaceutical
assistance in underserved areas.
9. the cooperation between public and
private sectors as well as scientific
institutions and academia is of
paramount importance to obtain
relevant results and an effective
improvement in healthcare.
20. Telecardiology is a modern medical practice, which uses the power of
telecommunications to achieve remote diagnosis and treatment of heart disease.
This includes coronary heart disease, chronic and acute, as well as arrhythmias,
congestive cardiac failure and sudden cardiac arrest.
21. Pre-Hospital:
Recent advances in telecardiology have allowed for rapid and
reliable remote ECG interpretation. Using a specialized hand-
held ECG unit the user takes a 12-lead ECG in the usual
manner.
22. In addition to the 12-lead ECG device, there is
also a 1-lead variant. These devices are available
in the form of a watch which may be worn on the
wrist quite comfortably for long periods at a
time.
23. In-Hospital:
It consists in the exchange of medical information across hospitals, aimed at
improving patient outcomes. In-hospital telecardiology has been used with
increased frequency between rural small hospitals and tertiary care
centeres
24. Post-Hospital:
Post hospital telecardiology is an integrated approach that involves the
patient, the family, the GP and specialized cardiac centers. Real-time
transmission of objective data (physiological data and biological signals) in
association with personal data given by the patient is a new approach to the
problem.
25. Empowering GPs
Reducing referrals to secondary care
Reducing missed diagnoses
Reducing door-to-balloon time
26. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2966883/
https://journals.sagepub.com/doi/abs/10.1177/1357633X16689432
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2966883/
https://www.scielo.br/scielo.php?pid=S0066-
782X2020000100130&script=sci_arttext
Telecardiology:
Telepharmacy:
Baldoni, S., Amenta, F. and Ricci, G., 2019. Telepharmacy services: present status and future
perspectives: a review. Medicina, 55(7), p.327.
Teledermatology:
Pasquali DP. Teledermatology and its Current Perspective. Indian Dermatology Online Journal.
2020 January; PMCID: PMC7001387(13).
Coustasse A. Use of Teledermatology to Improve Dermatological Access in Rural Areas.
PubMed.Gov National Library of Medicine. 2019 February; PMID: 30741608(11).
32. What are the 2 systems applied in teledermatology?
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Editor's Notes
Pre hospital telecardiology allows for the use of Ecg outside of the hospital through the use of hand held ecg unit , The device encodes the ECG into sound and, at the touch of a button, plays this over a telephone line to the telecardiology service. This sound is decoded electronically and displayed as a full 12-lead ECG on screen at the telecardiology center. It can then be immediately interpreted by cardiologists and specialist nurses. Within minutes, an oral report is provided by telephone. A full written report is then sent to the general practice by email or fax. This is also stored securely at the telecardiology center, meaning that future ECGs from the same patient can be compared and contrasted with ease.
The patient can then activate a recording at the touch of a button. This recording is stored on the watch, and may be transmitted electronically to the telecardiology center via a device kept at the GP's practice.
telecardiology enables remote cardiologists to guide the sonographer, conduct timely diagnosis and propose effective therapeutic strategies for patients in rural areas where professional cardiologists are rarely accessible
Telemonitoring allows the follow up of patients for long periods. Indeed, telemonitoring and teleassistance through nurse, specialists and GPs can constitute a disease management program.