EXPLORING
       THE CURRENTS OF
  TELEMEDICINE
       Karina S. Descartin, MD
    Aerospace Medicine Research Rotation

 ...
Evolving Humans
  Evolving Medicine
+ Evolving Technology

  Telemedicine
White Paper
• What is Telemedicine?
• Brief History:
      • Aerospace Telemedicine
      • Terrestrial Telemedicine

• Ex...
Fields | Options
•   Radiology
•   Pathology
•   Orthodontics
•   Rural Medicine
•   Dermatology
•   Cardiology
•   Pediat...
Fields | Options


•   American Well
•   Hello Health
•   NASA
•   eCare
•   Echo
•   Moca
•   Cenegenics
•   Individual P...
Telemedicine
• exchange of
  medical information
  from one site to
  another
• electronic communication
• improve patient...
Telemedicine
• delivery of healthcare
• exchange of healthcare
  information across
  distances
• includes:
   diagnosis  ...
Telemedicine
•   modern
•   branch of e-health
•   communications networks
•   delivery of healthcare
•   services and med...
ATA
• 4 Key Areas of TM
Technical
     Clinical
     Human Factors
     Economic Evaluation
Technical Currents
Technical Currents
Technical Currents
Technical Currents
Technical Currents
Technical Currents
Summary | Learning
 Evolving
 Improving
 Portability
 Efficiency
 Smarter


 Interoperability
 Bandwidth
                 ...
Clinical Currents
Clinical Currents
Clinical Currents
Clinical Currents
Clinical Currents
Summary | Learning
Improved Outcomes
Reached Treatment Goals
Increased Compliance
Enhanced Understanding


Low-Touch
High ...
User Experience
Human Currents
Human Currents
Human Currents
Summary | Learning
Patient Satisfied
Physician Satisfied
Training of Patients
Patient-Centered
       Communication

Secur...
Cost
Cost Currents
Cost Currents
Summary | Learning
Identified Cost Savings
Avoid Unnecessary travel




Not in accordance with rigorous evaluation techniq...
Conclusion
• Benefits outweigh the challenges
• Technology:
   – Always evolving, more collaboration,
   – Mobile phones, ...
“Beam the ointment up, Scotty!”
Thank You
• Dr. Sharmi Watkins
for guidance, mentoring, and review of white
  paper.
• Ms. Corinne Williams
forrotation co...
References
Introduction                                                     Clinical
Burzynski SR. (2003) Gene silencing--...
References
Piron L, Turolla A; et al. (2009) Exercises for paretic upper limb   Hayn D, Koller S; et al. (2009) Mobile pho...
References
Zhang GH, Poon CC; et al. (2009) A biometric method to             López AM, Graham AR; et al. (2009) Virtual s...
References
Vuononvirta T, Timonen M; et al. (2009) The attitudes of               Latifi R, Hadeed GJ; et al. (2009) Initi...
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Exploring the Currents of Telemedicine

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Exploring the Currents of Telemedicine

  1. 1. EXPLORING THE CURRENTS OF TELEMEDICINE Karina S. Descartin, MD Aerospace Medicine Research Rotation Sharmila Watkins, MD, MPH Element Scientist, Exploration Medical Capability February 19, 2010 Wyle / NASA-JSC
  2. 2. Evolving Humans Evolving Medicine + Evolving Technology Telemedicine
  3. 3. White Paper • What is Telemedicine? • Brief History: • Aerospace Telemedicine • Terrestrial Telemedicine • Exploration: • Fields of Practice: 10 Current Examples • ATA and the 4 Key Areas of Telemedicine • Technical • Clinical • Human • Cost • Conclusion
  4. 4. Fields | Options • Radiology • Pathology • Orthodontics • Rural Medicine • Dermatology • Cardiology • Pediatric Oncology • International Medicine • Ophthalmology • Trauma/Emergency Medicine • Sea, Mountain, Other Extreme Environments, Space
  5. 5. Fields | Options • American Well • Hello Health • NASA • eCare • Echo • Moca • Cenegenics • Individual Practices
  6. 6. Telemedicine • exchange of medical information from one site to another • electronic communication • improve patients’ health status ATA, 2010 photo: Medgadget
  7. 7. Telemedicine • delivery of healthcare • exchange of healthcare information across distances • includes: diagnosis CME/CE treatment research and evaluation prevention Cipolat and Geiges, 2003 photo: AMA
  8. 8. Telemedicine • modern • branch of e-health • communications networks • delivery of healthcare • services and medical education • one geographical location to another • overcome uneven distribution • shortage of infrastructure and human resources. Sood et al. 2007 photo: Medgadget
  9. 9. ATA • 4 Key Areas of TM Technical Clinical Human Factors Economic Evaluation
  10. 10. Technical Currents
  11. 11. Technical Currents
  12. 12. Technical Currents
  13. 13. Technical Currents
  14. 14. Technical Currents
  15. 15. Technical Currents
  16. 16. Summary | Learning Evolving Improving Portability Efficiency Smarter Interoperability Bandwidth image by Zhang et al., 2009
  17. 17. Clinical Currents
  18. 18. Clinical Currents
  19. 19. Clinical Currents
  20. 20. Clinical Currents
  21. 21. Clinical Currents
  22. 22. Summary | Learning Improved Outcomes Reached Treatment Goals Increased Compliance Enhanced Understanding Low-Touch High Technology Needs Familiarization photo by Medgadget 2010
  23. 23. User Experience
  24. 24. Human Currents
  25. 25. Human Currents
  26. 26. Human Currents
  27. 27. Summary | Learning Patient Satisfied Physician Satisfied Training of Patients Patient-Centered Communication Security & Quality Concerns Physician-Centered Communication photo by Medgadget 2010
  28. 28. Cost
  29. 29. Cost Currents
  30. 30. Cost Currents
  31. 31. Summary | Learning Identified Cost Savings Avoid Unnecessary travel Not in accordance with rigorous evaluation techniques Need More! photo by Medgadget 2010
  32. 32. Conclusion • Benefits outweigh the challenges • Technology: – Always evolving, more collaboration, – Mobile phones, internet – Bandwidth, integration, interoperability • Clinical – Established good clinical outcomes – Learning technology can be a challenge – Low touch • Human – Overall satisfaction – Adoption issues, legal • Cost – Identified cost benefits – Need more in-depth economic evaluation – Need more collaboration here photo by NYTimes 2010
  33. 33. “Beam the ointment up, Scotty!”
  34. 34. Thank You • Dr. Sharmi Watkins for guidance, mentoring, and review of white paper. • Ms. Corinne Williams forrotation coordination. • Mr. Jimmy Wu • for orientation to telemedicine. • WyleandNASA-JSC forresearch opportunity.
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