Distance Health Services Organization in University Hospitals: The Case of a Public University Hospital

Year 2024, Volume: 9 Issue: 3, 303 - 319

Nevzat Devebakan , Ramazan Erdem

https://doi.org/10.31201/ijhmt.1553640

Abstract

In today's globalized healthcare market, it has become a necessity for healthcare organizations to strive to provide the healthcare services needed by their target audience with modern medical technology and software, regardless of physical space, country and/or geography. In fact, although distance health services and tele-medicine applications are not new applications, they have been increasingly used by healthcare organizations due to the physical transmission feature of the New Coronavirus Disease (Covid-19) or corona pandemic. The aim of this study is to analyze the legal dimension of Distance Health Services (DHS) in a public university hospital, the path to be followed to obtain a “Distance Health Service Activity Permit Certificate”, the characteristics, quantity and qualifications of the human resources to provide health services, the physical structure of the areas to be served and the information technologies, information systems to be used, the ministry audit criteria related to the pricing, invoicing and refund methods of health service fees, and to contribute to the structuring stages of distance health services of similar health institutions.

Keywords

Distance Health Services, Tele-Medicine, Hospital, E-Health, Tele-Health

References

• Ahmad, I., Asghar, Z., Kumar, T., Li, G., Manzoor, A., Mikhaylov, K., … & Harjula, E. (2022). Emerging technologies for next generation remote health care and assisted living. IEEE Access, 10, 56094-56132. https://doi.org/10.1109/access.2022.3177278
• Ak, B. (2009). “Health Informatics in Turkey, a Personal Evaluation and an International Success Story: CorTTex”, XI. Academic Informatics Conference Proceedings, 11-13 February 2009, Harran University, Şanlıurfa.
• Alvarado, M., Kum, H., Coronado, K. G., Foster, M., Ortega, P., & Lawley, M. (2017). Barriers to remote health interventions for type 2 diabetes: a systematic review and proposed classification scheme. Journal of Medical Internet Research, 19(2), e28. https://doi.org/10.2196/jmir.6382
• Behar, J. A., Liu, C., Kotzen, K., Tsutsui, K., Corino, V. D. A., Singh, J., … & Clifford, G. D. (2020). Remote health diagnosis and monitoring in the time of covid-19. Physiological Measurement, 41(10), 10TR01. https://doi.org/10.1088/1361-6579/abba0a
• Binu, S., Misbahuddin, M., & Paulose, J. (2019). A signature-based mutual authentication protocol for remote health monitoring. SN Computer Science, 1(1). https://doi.org/10.1007/s42979-019-0010-3
• Bonfiglio, S. (2013). A business perspective., 251-276. https://doi.org/10.1007/978-1-4614-8842-2_9
• Bonica, G. M., Johns, R. W., & Jadvar, H. (2024). Telehealth and telemedicine. Clinical Nuclear Medicine, 49(7), 644-647. https://doi.org/10.1097/rlu.0000000000005254
• Caner, A., Karaoglan, D., & Yaşar, G. Y. (2018). Utilization of health‐care services by young children: the aftermath of the turkish health transformation program. The International Journal of Health Planning and Management, 33(3), 596-613. https://doi.org/10.1002/hpm.2504
• Carey, T. A., Sirett, D., Russell, D., Humphreys, J. S., & Wakerman, J. (2018). What is the overall impact or effectiveness of visiting primary health care services in rural and remote communities in high-income countries? a systematic review. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-3269-5
• Della Mea, V. (2001). what is e-health (2): the death of telemedicine?. Journal of Medical Internet Research, 3(2), e22. https://doi.org/10.2196/jmir.3.2.e22.
• Iqbal, S. and Khan, N. (2017). Effectiveness and future prospects of telemedicine/remote health care management applications in Pakistan. Mehran University Research Journal of Engineering and Technology, 36(4), 807-818. https://doi.org/10.22581/muet1982.1704.06.
• Kazley, A., McLeod, A., & Wager, K. (2012). Telemedicine in an international context: definition, use, and future., Menachemi, N. and Singh, S. (Ed.) Health Information Technology in the International Context (Advances in Health Care Management, Vol. 12), Emerald Group Publishing Limited, Leeds, pp. 143-169. https://doi.org/10.1108/S1474-8231(2012)0000012011
• Köksal, A. (2007). Hacettepe Years, A Flower of Revolution Blooming in the 44th Year of the Republic, (1st Edition). Hacettepe University Publications.
• Kose, I., Rayner, J., Birinci, Ş., Ülgü, M. M., Yılmaz, İ., & Güner, Ş. (2020). Adoption rates of electronic health records in Turkish hospitals and the relation with hospital sizes. BMC Health Serv Res, 20, 967 (2020). https://doi.org/10.1186/s12913-020-05767-5
• Kuh, Z. (2019). A research on the digital divide in the use of health services, Süleyman Demirel University, Institute of Social Sciences, Department of Health Management, Master's Thesis, Isparta.
• Liu, X., Fan, J., Guo, Y., Dai, H., Xu, J., Wang, L., … & Hu, W. (2022). Wearable smartwatch facilitated remote health management for patients undergoing transcatheter aortic valve replacement. Journal of the American Heart Association, 11(7). https://doi.org/10.1161/jaha.121.023219
• Özsarı, H. (1998). General information note on health projects and health information systems studies, Modern Hospital Management, 2(6), 15.
• Reddy, S., Orpin, V., Herring, S. E., Mackie-Schneider, S., & Struber, J. (2017). Use of clinical guidelines in remote australia: a realist evaluation. Journal of Evaluation in Clinical Practice, 24(1), 152-158. https://doi.org/10.1111/jep.12772
• Republic of Turkey Ministry of Health (2022). Regulation on the provision of remote health services, 10 February 2022 (resmigazete.gov.tr), Access Date: 10.08.2024.
• Republic of Turkey Ministry of Health Digital Hospital, https://dijitalhastane.saglik.gov.tr/?_Dil=1, Access Date: 10.08.2024
• Sullivan, P. S. and Aral, S. O. (2022). The dynamic remote health system: determinants, consequences, and implementation frameworks. Sexually Transmitted Diseases, 49(11S), S7-S11. https://doi.org/10.1097/olq.0000000000001652
• T. C. Sağlık Bakanlığı Bilgi Sistemleri Genel Müdürlüğü (2021). https://sbsgm.saglik.gov.tr/TR-77430/dr-e-nabiz-muayeneye-basladi.html
• WHO (2010). Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth. WHO Library Cataloguing-in-Publication Data. https://iris.who.int/handle/10665/44497
• WHO (2011). New Horizons for health through mobile technologies. In Global Observatory for Health Series; World Health Organization: Geneva, Switzerland, 2011.
• Wu, Y., Zhao, P., Li, W., Cao, M., Du, L., & Chen, J. (2019). The effect of remote health intervention based on internet or mobile communication network on hypertension patients. Medicine, 98(9), e14707. https://doi.org/10.1097/md.0000000000014707
• Yeretnova, Y. and Sertakova, Е. (2021). The specifics of rural school in Russia: historical and pedagogical analysis. Proceedings of the Conference on Current Problems of Our Time: The Relationship of Man and Society (CPT 2020). https://doi.org/10.2991/assehr.k.210225.055