Telemedicine and Telehealth: Past, Today's and Future

Yıl 2020, Cilt: 4 Sayı: 1, 40 - 56, 30.11.2020

Berna Dilbaz , Mustafa Kaplanoğlu , Dilek Kaya

Öz

The increasing population and the number of medical education students are the main difficulties in finding sufficient specialist physicians. Especially, Telecommunication based healthcare services are routinely used in developed and developing countries. These services have many applications such as healthcare education, distance surgery, especially diabetic education andwound care, fetal heart monitoring. Video or direct conversation can sometimes be life-saving for the patient. These services can be examined under two basic headings: Telemedicine and telehealth. Telemedicine and telehealth is the one of the most important enhanging tecnologies in medicine. The term of Telemedicine is different from the telehealth. Telehealth is the use of technology to deliver health care, health information, and health education at a distance. But the purpose of telemedicine is to improve the patient’s health regardless of where they live by providing specialist services remotely. Many clinical activities can made telemedicine and telehealth. While there is less usage area until today In COVİD-19 outbreak, we understood the importance of telemedicine in public health. We directly know situations where it is difficult to reach hospitals and health institutions. Remote medical applications have been of vital importance for many patient groups such as pregnant women, cancer patients, cardiovascular system patients. Interview with the patient, obtaining patient data, consultation with other physicians, and even remote access surgeries are better understood. Telecurgery and telerobotics are the most important stages of these systems. It is a process that includes pre- and post-operative evaluation.For this reason, we think that investments of especially developed countries in remote access healthcare systems will increase even more. The most important problem is suitable patient selection and information transfer in this systems On the other hand, high cost is still one of the most important problems. In present study, we explained the past, present and future of telemedicine and telehealth.

Anahtar Kelimeler

telemedicine, telehealth, public health

Teletıp ve Telesağlık: Geçmiş, Bugün ve Gelecek

Öz

Artan nüfus ve öğrenci sayısı yeterli uzman hekimin bulunmasında en büyük zorluktur. Telekominikasyon tabanlı sağlık servisleri özellikle gelişmiş ve gelişmekte olan ülkelerde rutin olarak kullanılmaktadır. Bu servisler sağlık bakım eğitimi, uzaktan cerrahi, özellikle diyabetik hastalarda yara bakımı ve eğitimi, fetal kalp monitorizasyon takibi gibi pek çok uygulamalara sahiptir. Video veya konuşarak direk görüşme hasta için çoğu zaman hayat kurtarıcı olabilmektedir. Bu servisler temel iki başlık altında incelenebilir: Teletıp ve telesağlık. Teletıp ve telesağlık, tıpta en önemli gelişen teknolojilerden birisidir. Teletıp terimi telesağlık terminiden farklıdır. Telesağlık, uzaktan sağlık bilgileri, sağlık eğitimi ve sağlık hizmetinin sunumunda kullanılan teknolojilerdir. Teletıp amacı ise nerede olursa olsun uzmanlaşmış merkezlere uzakta yaşayan hastalara sağlık hizmeti sağlamayı amaçlar. Pek çok klinik işlem telesağlık ve teletıp ile sağlanabilir Bu güne kadar daha az kullanım alanı varken COVID-19 salgınında biz toplum sağlığı için teletıpın önemini anladık. Hastane ve sağlık kurumlarına ulaşmanın zor olduğu durumları direk olarak bilmekteyiz. Gebeler, kanser hastaları, kalp ve damar sistem hastaları gibi pek çok hasta grubu için uzaktan tıp uygulamaları hayati derecede önemli olmuştur. Hasta ile direk görüşme, hasta verilerinin alınması, diğer hekimler ile konsültasyon ve hatta uzaktan erişimli cerrahilerin önemi daha iyi anlaşılmıştır. Telecerrahi ve telerobotik bu sistemlerin en önemli aşamalarındandır. Ameliyat öncesi ve sonrası değerlendirmeyi de içeren bir süreçtir. Bu nedenle özellikle gelişmiş ülkelerin uzaktan erişimli sağlık sistemlerine yatırımının daha da artacağını düşünmekteyiz. Burada en önemli problem uygun hasta seçimi ve bilgi transferidir. Diğer yandan yüksek maliyet hala en önemli sorunlardan birisidir. Sunulan çalışmamızda telesağlık ve teletıpın geçmiş, şimdiki durumu ve geleceği açıklanmıştır.

Anahtar Kelimeler

Teletıp, telesağlık, halk sağlığı

Kaynakça

• Agarwal R, Levinson AW, Allaf M, Makarov D, Nason A, Su LM.(2007) The RoboConsultant: telementoring and remote presence in the operating room during minimally invasive urologic surgeries using a novel mobile robotic interface. Urology,70:970e974.
• Augestad M, Han H, Paige J, Ponsky T, Schlachta MC Dunkin and Mellinger J.(2017) Educational implications for surgical telementoring: a current review with recommendations for future practice, policy, and research. Surg Endosc. Oct;31(10 ): 3836e3846.
• Banaee H, Ahmed M.U and Loutfi A.(2013) Data mining for wearable sensors in health monitoring systems: A review of recent trends and challenges. Sensors, 13, 17472–17500.
• BASIS. PEAK—The Ultimate Fitness and Sleep Tracker. Available online: https://www.mybasis.com/ (accessed on 15 April 2017).
• Bernard Fong, A.C.M Fong and C.K. Li. Telemedicine Technologies Information Technologies in Medicine and Digital Health. Second Edition.2020 John Wiley & Sons Ltd.
• Bowersox JC, Cordts PR and LaPorta AJ. (1998) Use of an intuitive telemanipulator system for remote trauma surgery: an experimental study. J Am Coll Surg.186(6): 615e621.
• Byrne JP and Mughal MM. (2000) Telementoring as an adjunct to training and competence-based assessment in laparoscopic cholecystectomy. Surg Endosc.14: 1159e1161. Challacombe B, Patriciu A, Glass J, Aron M, Jarrett T, Kim F and Dasgupta P.(2005) A randomized controlled trial of human versus robotic and telerobotic access to the kidney as the first step in percutaneous nephrolithotomy. Comput Aided Surg.10(3):165e171.
• Chan M, Esteve D, Fourniols J.Y, Escriba C and Campo E.(2012) Smart wearable systems: Current status and future challenges. Artif. Intell. Med. 56, 137–156
• Cheah W, Lee B, Lenzi J and P MY Goh. (2000) Telesurgical laparoscopic cholecystectomy between two countries. Surg Endosc 14, 1085.
• Chen CH, Young TH, Huang CH, Chang HH, Chen CL, Chien HF and Cheng NC.(2014) Patient-centered wound teleconsultation for cutaneous wounds: a feasibility study. Ann Plast Surg 72(2):220-4.
• Cubano M, Poulose BK, Talamini MA, Astosek LE, Lentz R, Nibe R and Mendoza-Sagaon M.(1999) Long distance telementoring: a novel tool for laparoscopy aboard the USS Abraham Lincoln. Surg Endosc. 13:673e678.
• Datta N, MacQueen IT, Schroeder AD, Wilson JJ, Espinoza JS, Wagner JP and Chen D.(2015) Wearable technology for global surgical teleproctoring. J Surg Educ. 72(6):1290e1295.
• Davis MC, Can DD, Pindrik J, Rocque BG and Johnston JM.(2016) Virtual interactive presence in global surgical education: international collaboration through augmented reality. World Neurosurg. 86:103e111.
• Doolittle GC, Harmon A, Williams A, Allen A, Boysen CD, Wittman C and Carlson E.(1997) A cost analysis of a teleoncology practice. J Telemed Telecare.3(1_suppl):20-22.
• Fabrizio MD, B R Lee, D Y Chan, D Stoianovici, T W Jarrett, C Yang and Kavaussi LR.(2000) Effect of time delay on surgical performance during telesurgical manipulation. J Endourol. 14(2):133e138.
• Ferrándiz L, Ojeda-Vila T, Corrales A, Martín-Gutiérrez FJ, Ruiz-de-Casas A, Galdeano R and Moreno-Ramirez D.(2017) Internet-based skin cancer screening using clinical images alone or in conjunction with dermoscopic images: a randomized teledermoscopy trial. J Am Acad Dermatol.76(4):676–82.
• Fundamentals of Telemedicine and Telehealth.(2020) Shashi Gogia. Academic Press. 1st Edition. ISBN: 978-0-12-814309-4.
• Guo J, Guo S, Tamiya T, Hirata H and Ishihara H.(2016) A virtual reality-based method of decreasing transmission time of visual feedback for a tele-operative robotic catheter operating system. Int J Med Robot. 12(1):32‐45.
• Hanley EJ, Miller BE and Herman BC.(2005) Stereoscopic robotic surgical telementoring: feasibility and future applications. Presented at annual meeting of American Telemedicine Association, Denver, Colorado, April 17, 40.
• Janetschek G, Bartsch G and Kavoussi L.(1998) Transcontinental interactive laparoscopic telesurgery between the United States and Europe. J Urol. 1998;160(4):1413.
• Johnson A, Yang F, Gollarahalli S, Banerjee T, Abrams D, Jonassaint J and Shah N.(2019) Use of Mobile Health Apps and Wearable Technology to Assess Changes and Predict Pain During Treatment of Acute Pain in Sickle Cell Disease: Feasibility Study. JMIR Mhealth Uhealth. Dec 2;7(12):e13671.
• Krehel M, Schmid M, Rossi R.M, Boesel L.F, Bona, G.L and Scherer L.J.(2014) An optical fibre-based sensor for respiratory monitoring. Sensors 14, 13088–13101.
• Latifi R, Hadeed GJ, Rhee P, O'Keeffe T, Friese RS, Wynne JL and Judkins D.(2009) Initial experiences and outcomes of telepresence in the management of trauma and emergency surgical patients. Am J Surg;198(6):905-10.
• Lee BR, Caddedu JA, Janetschek G, Schulam P, Docimo SG, Moore RG, et al.(1998) International surgical telementoring: our initial experience. Stud Health Technol Inform. 50:41e47.
• Li J, Wilson LS. (2013) Telehealth trends and the challenge for infrastructure. Telemed J E Health 19(10):772-9.
• MedTech Impact of Wellness (2018). Forces Driving The Growth Of Wearable Medical Device Market. Retrieved December 26, 2018, from: https://www.healthworkscollective.com/forcesdriving-the-growth-of-wearable-medical-device-market/.
• M. MOOV NOW™. Available online: http://welcome.moov.cc/ (accessed on 15 April 2017). Biodevices, S.A. VitalJacket®. Available online: http://www.vitaljacket.com/ (accessed on 15 April 2017).
• M. M. Özbilen, E. Yiğit, H. Işıker and M. Kaplanoğlu, "Course of unborn baby's heart by wireless baby tracking system," 2013 8th International Conference on Electrical and Electronics Engineering (ELECO), Bursa, 2013, pp. 376-379, doi: 10.1109/ELECO.2013.6713865.
• Marescaux, J., Leroy, J., Gagner, M, Rubino F, Mutter D, Vix M and Smith MK.(2001) Transatlantic robot-assisted telesurgery. Nature 413, 379–380.
• Muir J. Telehealth: the specialist perspective.(2014) Aust Fam Physician 43(12):828-30.
• Muir J and Lucas L. Tele-dermatology in Australia.(2008) Stud Health Technol Inform 131:245-53.
• Muller-Barna P, Hubert GJ, Boy S, Bogdahn U, Wiedmann S, Heuschmann PU and Audebert HJ.(2014) TeleStroke units serving as a model of care in rural areas: 10-year experience of the TeleMedical project for integrative stroke care. Stroke 45(9):2739-44.
• Nguan C, Miller B, Patel R, Luke PPW and Schlachta CM.(2008) Pre-clinical remote telesurgery trial of a da Vinci telesurgery prototype. Int J Med Robot Comput Assist Surg. 4:304e309. Nguan CY R, Morady C, Wang D, Harrison D, Browning R and Rayman P.(2008) Robotic pyeloplasty using internet protocol and satellite network-based telesurgery. Int J Med Robot. 4(1):10‐14.
• Patel TM, Shah SC and Pancholy SB.(2019) Long Distance Tele-Robotic-Assisted Percutaneous Coronary Intervention: A Report of First-in-Human Experience. EClinicalMedicine. ;14:53‐58.
• Phillips JD and Withrow K. Virtual Interactive Presence: An Operative Feasibility Study.(2012) Otolaryngology – Head and Neck Surgery. 147(2 Suppl):P143–P143.
• Pruitt LD, Luxton DD and Shore P.(2014) Additional clinical benefits of home-based telemental health treatments. Prof Psychol Res Pract 45(5):340-6.
• Qardio Inc. QARDIOCORE. Available online: www.getqardio.com (accessed on 15 April 2017).
• Santamaria N and Kapp S.(2013) TeleWound care: providing remote wound assessment and treatment in the home care setting: current status and future directions. Smart Homecare Technol TeleHealth 1:35-41.
• Serper M and Volk ML. Current and Future Applications of Telemedicine to Optimize the Delivery of Care in Chronic Liver Disease.(2018) Clin Gastroenterol Hepatol. 16(2):157‐161.
• Shenai MB, Tubbs RS, Guthrie BL and Cohen-Gadol AA.(2014) Virtual interactive presence for real-time, long-distance surgical collaboration during complex microsurgical procedures. J Neurosurg. 121(2):277–284.
• Shenai MB, Dillavou M, Shum C, Ross D, Tubbs RS and Shih A.(2011) Virtual interactive presence and augmented reality (VIPAR) for remote surgical assistance. Neurosurgery.68(1 Suppl Oper.):200–207. discussion 207.
• Sterbis JR, Hanly EJ, Herman BC, Marohn MR and Broderick TJ, Shih SP, et al.(2008) Transcontinental telesurgical nephrectomy using the da Vinci robot in a porcine model. Urology. 71:971e973.
• Syduzzaman M, Patwary S.U, Farhana, K, Ahmed S.(2015) Smart textiles and nano-technology: A general overview. J. Text. Sci. Eng. 5, 1000181.
• Tanaka Y, Ueda Y, Okazawa A and Kimura T.(2017) 'Smartscopy' as an alternative device for cervical cancer screening: a pilot study. BMJ Innov. 3(2):123‐126.
• Thomas J and Kumar P.(2013) The scope of teledermatology in India. Indian Dermatol Online J 4(2):82-9.
• Yilmaz T, Foster R and Hao Y.(2010) Detecting vital signs with wearable wireless sensors. Sensors. 10, 10837–10862.
• World Health Organization. Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth: Geneva, Switzerland World Health Organization, 2010 pp 93.
• Yamamato D. (2014). Assessment of the Feasibility and Cost of Replacing In-Person Care with Acute Care Telehealth Services. http://connectwithcare.org/wp-content/uploads/2014/12/Medicare-Acute-Care-Telehealth-Feasibility.pdf.
• Zephyr Performance Systems. BioHarness™ 3. Available online: http://www.zephyranywhere.com/ products/bioharness-3 (accessed on 15 April 2017).
• Zhao D, Ma L, Ma C, Tang J and Liao H. (2016) Floating autostereoscopic 3D display with multidimensional images for telesurgical visualization. Int J Comput Assist Radiol Surg. 11(2):207e215.
• Zvornicanin E, Zvornicanin J and Hadziefendic B. (2014) The use of smart phones in ophthalmology. Acta Inform Med 22(3):206-9.