Tele-care
improves treatment of chronic disease, reduces cost of care delivery, lets baby
boomers age gracefully in their homes, and supports remote delivery of care
worldwide. Tele monitoring is evolving more sophisticated ways of monitoring
vital signs in the home, thus protecting people in a familiar, comfortable
environment. The improvements in care delivery relate to leveraging large information
sources that permit understanding what care works for what conditions.
Tele-care
systems server markets are anticipated to grow because they represent a way to
steer patients with a particular clinician to those most expert in treating
that particular condition. Tele-care is not yet to the point where it is able
to be used effectively to implement changes that represent significant
improvements in overall healthcare delivery, they are largely confined to being
used in the treatment of chronic conditions.
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The aim of
tele-care systems that will grow markets significantly is if the tele-care is
used to prevent the onset of chronic conditions of CHF and diabetes through
interventional medicine, wellness programs, and simply intelligent nutrition
and exercise programs implementation. Is this the task of the hospitals? Or,
are well ness programs meant to be implemented elsewhere? In any case,
tele-care represents the delivery mechanism for the programs.
Statins
have a warning label that indicates that patients who take these drugs risk
mental deterioration and diabetes. Is this what we want for our people? Or are
there wellness programs that provide alternatives. These are issues confronting
hospitals, physicians, clinicians, big pharma, and patients everywhere. We are
all patients; the task is to figure out good tele-care systems that work to
implement wellness programs before the onset of chronic conditions.
Under this
scenario, the local physician and specialist becomes the expert in ordering the
correct diagnostic tests, not just any test they can think of, but a proper
test that is recommended by the expert systems and by the expert clinician. In
this manner the out of control testing costs in the US can be controlled. There
will need to be some law changes, there will need to be some adoption of
protections for the expert doctors, but when decisions are backed by standards
of care instantiated as tele health servers we begin to have a rational, very
effective health care delivery system.
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