This new 2016 study on Telemedicine equipment, information software, and services, has 669 pages, 205 tables and figures. Worldwide markets are poised to achieve significant growth as the healthcare provider’s worldwide move to more cost efficient healthcare modalities leveraging telemedicine. Vendors are building out localized direct physician based services organizations, distribution partnerships, and e-commerce sites that support a telemedicine brand in every region.
Worldwide telemedicine markets at $7 billion in 2009 are expected to reach $24 billion by 2016. The total healthcare spending worldwide is 8.4 trillion. Telemedicine has the promise of delivering care more adequately to rich and poor people. Healthcare spending is anticipated to continue to rise as a percent of total expenditures because as people become more industrialized and have more disposable income, healthcare is a central aspect of expenditures.
Telemedicine is more cost efficient than nursing home or hospital care, every patient would rather stay at home if possible. As new telemedicine equipment and services proliferate in the U.S. and worldwide, more and more vital signs based healthcare delivery is being implemented.
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Healthcare delivery systems are moving towards a quantum shift in care delivery. Technology provides a way to sense and monitor heart disease, inflammation, infection, cancer, diabetic condition, and chronic condition status using technology. This represents a quantum shift in care diagnosis. The old methods of verbal description that the physician rarely listens to and in person visual inspection are becoming less important. The monitoring technologies and blood work are being used in combination with imaging and telemetric to provide a real time, continuous evaluation of patient condition.
This leads to care delivery by the numbers.
Few people describe themselves as old or sick—regardless of their age or health. We are moving toward care delivery by the numbers in combination with physical examination in person or over the HD TV. HD TV gives a quick, vivid image of where a person hurts and what they look like. The new sensor technology gives physicians visibility inside a person that is not available from a simple verbal description.
Telemedicine can supplement information available from a physical examination by making care delivery a available. Telemedicine is able to supplement traditional care. Telemedicine is extending monitoring into wellness tracking. The ability to visualize patient condition through blood work, monitors, sensors, imaging, and biometrics changes everything.
It is labor that is costly, not the imaging or the monitors. The automated process needs to be leveraged to reduce the labor costs by 90%, leveraging technology to provide consistent care. The systems need to be automated to the point where the patients and their families can provide accurate diagnostic information to the clinician, who by definition is the decision maker, not the care provider. The telemedicine is able to address the need to decrease labor costs.
Labor costs need to be removed from every step of the diagnostic process. The imaging machines need to be automated more. The sensing devices need to be able to take readings and send them to the automated patient record without human intervention.
New telemedicine devices do just this. Inflammation can be detected using a handheld biometric device. Cardiac symptoms can be detected automatically, just by placing a device in the proper position, no buttons to push, no screens to navigate.
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In this context, the publisher has formalized a vision of the evolution of healthcare economic models. It is looking towards the transformation of the healthcare delivery systems in response to increasing responsibility of systems administrators to deliver quality care efficiently. C-healthcare 2020® looks toward cost containment trends. These are playing out in the context of industry and professional efforts to improve the quality of care delivery:
1. Leverage automated process in the same way other industries have. Leverage cloud computing and System z mainframe computing to lower care delivery costs while improving the quality by quantum amounts.
2. Consolidate health care delivery systems in a manner that is able to achieve effective, efficient communication between caregivers.
3. Stop rewarding hospitals and physicians for over delivery of care and change. Move to care delivery systems that allow treatment of patients by the numbers combined with intelligent caring care. This is particularly true with the high cost profit center emergency room, get those costs way down.
4. Support the extended health care delivery systems that support healthy behaviors, including the acupuncture practitioners, chiropractors, and sports clubs.
5. Support Telemedicine and specialized intelligent support systems that permit leaving people in their own homes even if they cannot take care of every aspect of their life. Help old people take out the trash, sand the driveway when it snows, clean up the junk, help with the simple stuff that seems overwhelming to old people.
6. Reward families for providing care support to extended family members, these do not need to be financial rewards in every instance, maybe they are special recognition banquets and letters of commendation.
7. Implement systems that stimulate and reward patients for exercising and taking care of themselves in every way.
8. Implement computer assisted coding in a manner that allows automated transcription of physician and clinician notes into the electronic patient record; utilize the clinician notes, blood work, and diagnostic test results to provide tracking and reminding of conditions that need follow-up after a specified length of time.
9. Use patient systems that are efficient.
10. Implement telemedicine.