THE telemedicine is an important tool for the health business, because it brings economics and agility in performing the exams and delivering the reports to the patients. The technology of online reports, which uses digital innovations for information exchange, can already be applied in large areas of medicine, serving the major medical specialties.
For managers of medical clinics and hospitals, who are looking for solutions to optimize processes, improve care and relationships with their clients, we have listed some medical specialties that benefit from the telemedicine telemetry application.
Distance report is possible for various medical specialties
ECG – Well known and requested by doctors of different specialties, the electrocardiogram or ECG is the exam responsible for checking the heartbeat rhythm. From this examination is possible changes (arrhythmia) and other heart diseases are diagnosed. The result is analyzed and the patient receives an ECG with report, which indicates the normal or not of the cardiac activity. Telemedicine allows delivering the ECG with report in any clinic, hospital or office, since the cardiograph is portable, and the result is sent directly from the device to the specialist medical center. Simply connect the cardiograph to the telemedicine provider system. O portable ECG device is already one of the most used in telemedicine and performs the simultaneous acquisition of 12 leads, with sampling rate of 1.2 thousand samples per second per channel.
Holter – The Holter is an electrocardiogram recorded for later reading, hence also known as long-acting electrocardiogram. It serves to monitor heart rate variations over a 24-hour period. The modern gadgets are like mini digital recorders, which records the data on a memory card, similar to that of the cameras. Some of them already allow the transmission of data through the Internet, enabling remote and real-time telemedicine evaluation.
MAP – Known as MAP, Ambulatory Blood Pressure Monitoring seeks to deepen blood pressure information, expanding the material for analysis in relation to the single reading done in the doctor’s office. To take the exam, you need special equipment: a small monitor attached to the waist region or a cuff on the patient’s arm. The device will be connected to an electronic device and for 24 hours the variations – or not – of blood pressure will be recorded. At the end of the follow-up, the data are transformed into graphs that reveal the changes and serve as a basis for preparing the report. With telemedicine, graphics can be sent directly from the device to the remote medical center.
EEG – The electroencephalogram or EEG, as it is known, is an extremely important test to detect diseases and disorders of the brain or central nervous system and vascular changes that may put the patient at risk. The test evaluates the electrical activity of the brain: by the impulses naturally generated by the neurons it is possible to evaluate the normality (or not) of the rhythm and intensity of the brain activity. It is already largely carried out with the help of telemedicine, since the equipment used for the examination can usually be connected to computers or laptops and sent directly through the internet. The images captured are sent to the telemedicine center.
Spirometry – It is the procedure by which one’s breathing and breathing capacity is measured. The evaluation allows diagnosing and monitoring the evolution of diseases, such as chronic obstructive pulmonary disease ( COPD ), asthma, bronchitis, emphysema, fibrosis among other pulmonary deficiencies. The apparatus used for the procedure will provide images that can be transmitted via USB or Bluetooth for computers or tablets that, connected, directly send the results to telemedicine services. More modern devices, generally used for telemedicine, also allow the recording of about 10,000 tests in its internal memory and still operate the battery, and can be easily recharged. Of small proportions and easy to handle, it is one of the most practical and complete of telemedicine.
Radiology and Diagnostic Imaging
X-ray – The X-ray varieties are among the most applied tests in case of injuries caused by falls, repetitive strain injuries (RSI) and other accidents. Its digital version is fully integrated with telemedicine and the images generated by the device do not require the printing of X-rays on special paper. It can be done in various parts of the human body and because of its complexity, X-rays usually require not only large special equipment, but a whole room dedicated to installation and realization. However, the use of telemedicine does not require the acquisition of a new X-ray device, since the radiological set that allows sending the information to the report centers is adapted to the existing equipment.
Tomography – An x-ray examination that captures high-definition images of specific body structures – while X-rays make only one x-ray of the site studied, tomography generates hundreds of “cuts” to be analyzed. It is indicated for the diagnosis of several diseases, from a simple headache, stroke, even tumor research. When analyzing the results of the images generated by the exam, the doctor can evaluate aspects of the neurological, musculoskeletal and cardiac functioning, among others. CT scan is an exam that can count on the advantages that telemedicine provides: doctors in different areas will be able to analyze the results and remotely, quickly and efficiently. Usually, the conventional report of this examination is delivered in 48 hours, very different from the telemedicine time, where the return happens on the same day.
Magnetic Resonance Imaging – It is an examination used for diagnostic imaging that portrays through the use of magnetic field the appearance of the organs in high definition. Like tomography, it can be performed on different parts of the body: pelvis, abdomen, chest, skull, spine, knees, shoulders, hands, feet, etc. What differs it from the tomography is the advantage of not using ionizing radiation to obtain the results. One of the most advanced diagnostic imaging techniques, magnetic resonance imaging requires a high degree of specialization and differentiation among medical professionals who are able to read the information captured by the devices. For many clinics, the high cost of resonance equipment, coupled with the monthly disbursement of one or more specialist physicians in the establishment plan, renders the procedure impracticable from the point of view of providing the service. Telemedicine helps to reduce the cost of the operation, outsourcing the elaboration of the reports.
Mammography – It is one of the tests that helps to diagnose the tumors in the breasts. The quality of the images generated in this evaluation, with sharpness and contrast, allows a good visualization of the mammary structures, enlarging the diagnoses and the possibilities of treatment and cure. The use of telemedicine technology assists not only in the transmission of information and reports, but also because of its digital characteristic, it also enhances the quality of the images obtained, making it easier to read and diagnose.
Visual acuity – The exam is one of the eye evaluation tests. It detects the degree of fitness of the eye to perceive the spatial details, that is, whether or not the person can discriminate the shape and contour of objects. Briefly, the exam specifies whether or not the vision is working normally. With telemedicine, the visual acuity exam can be easily applied by technicians and nurses at any clinic, nursing or hospital in the country, and sent digitally to ophthalmologists to remotely diagnose. When done with the help of optometers, the operation is further streamlined and the results are digitally captured and sent to telemedicine services, avoiding errors in recording information and rework. It is also possible to perform several tests with characters in sequences and colors varied in the Snellen scale.
Visual acuity, Spirometry, X-ray, Mammography and MAPA- Occupational medicine is a medical specialty that deals with the health of employees of a company or institution. Under labor law, there are a number of care organizations need to have to care for their employees. Among these are examinations before hiring, during the day and after resignation. These are the occupational exams. In this list we can highlight visual acuity, spirometry, X-ray, mammography and ABPM, but depending on the risk to which the worker is exposed, other assessments such as EEG and ECG should also be done. All of them, as we have seen, can be carried out with the support of telemedicine.
How it works
In general, telemedicine facilitates the exchange of medical information through the Internet, using practical and safe technological tools. One of its great facilities is the sending of the results of the exams directly from the devices in which they were performed to a specialist medical center – as is the case with Telemedicine Portal , which integrates its services to almost 90% of the devices used in the country. These professionals remotely evaluate the information and return it with online reports on the same day.
We have already briefly mentioned how telemedicine can be applied to the exams prescribed by various medical specialties. But the technology for sending remote reports has even more features that can facilitate and improve the conduct of examinations and optimize internal procedures in the health area.
- Decrease in costs – Having doctors of different specialties just to layoff the exams is a cost that can be avoided. With a service of distance reports, the clinic counts on a team of specialists online and always at disposal, reducing the costs with the hiring of personnel.
- Agility – Again, the team of doctors available full time is a key point. As soon as they receive the examinations, the experts deliver the report on the same day. In urgent cases, this time limit may be reduced to one hour. With the award in hand, the patient has the possibility to return to his doctor and soon start the treatment.
- Precision – The team of specialists is composed of qualified professionals and reference in their specialties. In addition, in some telemedicine companies, physicians are artificial intelligence to help them identify alterations in the exam, based on the comparative images and the patient’s history, stored in the system.
Now that you are familiar with some of the major medical specialties in which telemedicine can be applied and the benefits it provides, it is now possible to think about the deployment of the technology in your clinic or hospital. If you have any questions about operation, equipment and exams, leave a comment or contact . Portal has a team ready to serve you!