Telemedicine definition History Types Medical specialties using telemedicine Benefits Teleconsultation definition Purposes Teleconsultation organization

1. Telemedicine History,
Teleconsultation Purposes,
and Organization
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

3. What is Telemedicine ?

4. • It is the term given to remote health care delivery and consultation
given to patient at a distance .
• A tool that makes healthcare more accessible, cost-effective, and
that increases patient engagement.
• Telemedicine allows health care professionals to evaluate,
diagnose and treat patients at a distance using
telecommunications technology.

5. Telemedicine History

6. • Telemedicine is not a new practice.
• The concept of telemedicine is dated back to the 19th century! What began
as a few hospitals wanting to reach patients in remote locations became an
integrative system across the care continuum.
• The history of telemedicine will unveil how we got to where we are today.

7. 1876
• Alexander
Graham Bell:
• Patents the
telephone and
launches the
beginnings of our
telecommunicati
on field.
1924
• Dr.Hugo
Gernsback:
• envisions the
“tele dactyl”: a
tool with robotic
fingers.
1950’s
• Medical personal
start doing
experiments with
close- circuit
television.

8. 1960’s
• Nasa takes on
telemedicine.
• Which is
researched ways to
provide HealthCare
to astronauts and
improve
telecommunication
s technology.
1970’s
• The late 70’s brought a
golden age of
telemedicine research
and expansion.
• The federal government
funded a range of
telemedicine program
to improve healthcare
access in the rural
areas.
1989-1999
• The first time a
patient was
successfully
defibrillated by
telephone.(1989)
• ATA is created as a
non-profit
organization.(1993)
• Medicare gets in the
telemedicine
game.(1999)

9. In the 20th century :
• Video chat programs and apps like skype take-off.(2000)
• ARRA helps stimulate the telemedicine sector.(2009)
• Healthcare goes mobile.(2015).
•Most people have access to basic telemedicine devices like mobile phones and computers.
•Improved accessibility, individuals in rural areas and busy urban areas can connect with a
provider with ease.
• Home-use medical devices make it possible for caregivers to monitor everything from vitals
to glucose levels. Physicians can gather essential medical information and make a diagnosis
without patients stepping foot in a doctors office.
Todays telemedicine:

10. Telemedicine Types

11. Telemedicine Types
1-live Video Conferencing:
• Tow-way audiovisual link between the patient and health care provider.
• Often used to treat common illnesses.
2-Store and forward:
• Surpasses the need for the medical practitioner to meet in person with a
patient.
• Data such as medical images or bio signals can be sent to the specialist as
needed when it has been acquired from the patient

12. Telemedicine Types
3-Remote monitoring:
• The use of connected electronic tools to recorded personal health and medical
data in one location for review by provider in other location , usually at the
deferent time
4-Real-time interactive services:
• Interactive services can provide immediate advice to patients who
require medical attention.

13. Which Medical
Specialties Can
Use
Telemedicine??

14. Medical Specialties Can Use Telemedicine
• Radiology:
A radiologist specializes in using medical imaging techniques to both
diagnose and treat disease.
• Mental health:
likely one of the most popular specialties for telemedicine,
mental health practices can increase revenue, streamline patient
flow, and provide counselling sessions from anywhere.

15. • Dermatology:
with telemedicine, patients can connect with their
dermatologist using a smartphone, tablet, or computer.
• Pediatric:
Parents can now avoid bringing their sick child out of the
house to see a doctor because of telemedicine solutions.
Medical Specialties Can Use Telemedicine

16. Telemedicine Benefit

18. Benefits to Patients:
 Access to specialized health care services to under-served rural,
semi-urban and remote areas,
 Access to expertise of Medical Specialists to a larger population
without physical referral,
 Reduced visits to specialty hospitals for long term follow-up care for
the aged and terminally ill patients.

19. Benefits to Physicians:
 Improved diagnosis and better treatment management
 Access to computerized, comprehensive data (text, voice, images
etc.) of patients – offline as well as real time
 Quick and timely follow-up of patients discharged after palliative
care
 Continuing education or training through video conferencing
periodically

20. Hospital and Insurance Benefits:
 Significant reduction in unnecessary visits & hospitalization
for specialized care at tertiary hospitals,
 Earlier discharge of patients leading to shorter length of stay in
hospitals,
 Increase in the scope of services without creating physical
infrastructure in remote hospitals

21. What is
Teleconsultation?

22. • Teleconsultation, sometimes referred to as remote
consultation or telehealth, refers to interactions that
happen between a clinician and a patient for the
purpose of providing diagnostic or therapeutic advice
through electronic means.

23. Tele-consultation
Purposes

24. • The goal of teleconsultation is to omit geographical
and functional distance between two or more
geographically separated health care providers.

25. • No transportation time or costs.
• No need to take time off of work.
• Eliminate child or elder care issues.
• On-demand options.
• Access to Specialists.
• Less Chance of Catching a New Illness.
• Less Time in the Waiting Room.
• Better Health.

26. TELECONSULTATION
ORGANIZATION
E d i t C o m p a n y H e r e

27. STEP ONE

28. PATIENT IN
Patient visits OPD
Local Doctor checks up
Patient receives treatment
and is not referred to
telemedicine system
Patient referred to the Telemedicine system (some
special investigations may be suggested)
Patient visits Telemedicine data-entry console.
Operator enters patient record, data and images
of test results, appointment date is fixed for
online telemedicine session
OUT
OUT
Offline Data
transfer
from Nodal
Centre

29. STEP TWO

30. Patient 1
Patient 2
Patient 3
Patient 4
.
.
.
IN
Online video conference
& tele-consultation for
patients between local
doctors at the nodal
hospital and specialist
doctors at the referral
hospital
OUT
Patient queue

31. International Society for
Telemedicine and eHealth
(ISfTeH)
ISfTeH is an organization determined to
facilitate the “international dissemination
knowledge and experience in
and eHealth and providing access to
recognized experts in the field worldwide

32. International Council of
Nurses (ICN) Telenursing
Network
ICNTelenursing network strives to,
educate, support and collaborate with
nurses and nurse supporters from across
the globe who have an interest in
telenursing with the goal of improving the
timeliness, quality and access of a broad
range of healthcare services

33. The Office for the
Advancement of Telehealth
(OAT)
OAT in the Federal Office of Rural Health
Policy (FORHP) promotes the use of
telehealth technologies for health care
delivery, education, and health information
services to promote and improve telehealth
services in rural areas, including: the
Telehealth Grant Network Program, Rural
Veterans Health Access Program, and the
Telehealth Resource Centers Grant Program.

34. Sehhaty
Examples in KSA
937 Call Center
‫قريبون‬

35. A platform for health
practitioners aimed at
providing channels of
communication between health
practitioners of various
specialties and provide services
that facilitate their work and
raise the level of services
provided to patients.

36. • VSee. 2020. What Is Telemedicine?. [online] Available at:
<https://vsee.com/what-is-telemedicine/#1> [Accessed 23 December
2020].
• doxy.me. 2020. The History Of Telemedicine - Doxy.Me.
[online] Available at:
<https://doxy.me/en/blog/2019/05/history-of-
telemedicine-
2/https://doxy.me/en/blog/2019/05/history-of-
telemedicine-2/> [Accessed 23 December 2020].
• Hirslanden.com. 2020. Telemedicine - Remote
Consultation. [online] Available at:
<https://www.hirslanden.com/en/international/additi
onal-
services/telemedicine.html?gclid=CjwKCAiA8ov_BRAo
EiwAOZogwYJcKAooIKwY3ay1ymYYNI88fVjKLzXUoSxyC
GlBAkrh96QdOxukHhoCyZEQAvD_BwE> [Accessed 23
December 2020].
• Chiron Health. 2020. Telemedicine Related Associations
And Agencies. [online] Available at:
<https://chironhealth.com/definitive-guide-to-
telemedicine/telemedicine-resources/associations-
agencies/> [Accessed 23 December 2020].

37. DONE BY:
MUNIRAH ALDAWSARI
LUJAIN ALENZY
ETEDAL HAWSAWI
HUDA ALABSI
SALMA ALENZI