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Overview of Telemedicine


Today’s health care professionals are developing and using new concepts in telecommunications-based health care delivery systems, or telehealth.This new area of health care delivery is enhancing the way practitionerFamily practice physician with patients’ access needed specialty care and consultation. Telemedicine is enhancing health care dramatically, from delivering care to the patient to providing access to health care not previously available to many of our nation’s geographically isolated population groups.

Many of our health programs have entered into the world of telemedicine from the grass roots level. Initially, many telemedicine activities were limited to providers who were technically ‘savvy’ and willing to venture into new, uncharted health care delivery modalities. Today, with more user friendly systems now being installed to assist the provider in accessing his more specialized counterparts (radiologists, dermatologists, psychiatrists, ophthalmologists, and others), today’s general practitioners are becoming more aware of and interested in new tools to link his/her practice to specialists at a geographic distance through newly developed telecommunications equipment. Many practitioners are finding themselves purchasing, installing, utilizing, and improving their care delivery, pioneering their own programs yet they are unaware of existing telemedicine activities. 

The Department in 1998 recognized that many practitioners who were interested in telehealth and telemedicine had no idea what other practitioners were doing to reduce patient isolation from specialty medical care (diabetes management, specialty eye care, heart and circulation care, wound care, post surgery care, etc). DHHS indicated that many programs using telemedicine to address these needs were proliferating in isolation of other programs without even themselves knowing what was or was not working. Consequently, DHHS conducted a survey and inventory known as the Federal Telemedicine Directory (1998).With the prices of telecommunications and medical technology dropping significantly, as well as the maturation of the world wide web, we are seeing in Indian Country health programs installing and benefiting from telemedicine. However, there is no coordinated effort to bring programs together to share ‘lessons learned’ with other existing or new programs to understand what is being installed and their effectiveness in addressing geographic isolation and enhancing health delivery effectiveness. 

The IHS has thus become a clearinghouse for dispensing and sharing information about telemedicine related activities in Indian country. Telemedicine is diminishing geographic and economic barriers and providing real value to Native Americans and Alaskan Natives.

 

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This file last modified: Friday June 22, 2001  6:22 AM