Podcast
Questions and Answers
What is the primary focus of e-professionalism?
What is the primary focus of e-professionalism?
Which of the following best defines social media?
Which of the following best defines social media?
Which type of social media focuses on user-generated content sharing?
Which type of social media focuses on user-generated content sharing?
What significant benefit does social media offer to healthcare professionals?
What significant benefit does social media offer to healthcare professionals?
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How has the popularity of social media impacted healthcare communication?
How has the popularity of social media impacted healthcare communication?
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What aspect of online life has raised concerns regarding social media use?
What aspect of online life has raised concerns regarding social media use?
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Which of these is NOT a benefit of social media for health care professionals?
Which of these is NOT a benefit of social media for health care professionals?
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What role do blogs and microblogs serve in social media?
What role do blogs and microblogs serve in social media?
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What is one benefit of using social media in professional education and training?
What is one benefit of using social media in professional education and training?
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How does social media enhance learner engagement according to the content?
How does social media enhance learner engagement according to the content?
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Which of the following is a danger of social media related to e-professionalism?
Which of the following is a danger of social media related to e-professionalism?
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What ethical issue does compromising confidentiality on social media present?
What ethical issue does compromising confidentiality on social media present?
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Why might students be concerned about their social media posts?
Why might students be concerned about their social media posts?
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How can social media be effectively used in patient education?
How can social media be effectively used in patient education?
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What is a potential consequence of taking and sharing clinical interactions on social media?
What is a potential consequence of taking and sharing clinical interactions on social media?
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What is one way social media could damage the professional image of healthcare professionals?
What is one way social media could damage the professional image of healthcare professionals?
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What is one main benefit of telemedicine for healthcare professionals?
What is one main benefit of telemedicine for healthcare professionals?
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Which type of telemedicine allows for immediate patient interaction via videoconferencing?
Which type of telemedicine allows for immediate patient interaction via videoconferencing?
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What is a primary feature of remote monitoring in telemedicine?
What is a primary feature of remote monitoring in telemedicine?
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Which of the following is considered a benefit to patients using telemedicine?
Which of the following is considered a benefit to patients using telemedicine?
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What does 'store and forward' refer to in telemedicine?
What does 'store and forward' refer to in telemedicine?
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Which of the following is NOT a benefit of telemedicine for patients?
Which of the following is NOT a benefit of telemedicine for patients?
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How does tele neuropsychology exemplify interactive services?
How does tele neuropsychology exemplify interactive services?
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Which aspect of telemedicine primarily reduces the need for patients to travel?
Which aspect of telemedicine primarily reduces the need for patients to travel?
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Which medical field is least likely to utilize telemedicine?
Which medical field is least likely to utilize telemedicine?
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What is the primary communication mode in telemedicine?
What is the primary communication mode in telemedicine?
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Which of the following is an example of asynchronous communication in telemedicine?
Which of the following is an example of asynchronous communication in telemedicine?
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For which scenario is telemedicine most suitable?
For which scenario is telemedicine most suitable?
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When would a first consult in telemedicine be appropriate?
When would a first consult in telemedicine be appropriate?
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Which interaction is commonly included in telemedicine?
Which interaction is commonly included in telemedicine?
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Which application is not a recognized mode of telemedicine communication?
Which application is not a recognized mode of telemedicine communication?
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What might limit telemedicine consultations?
What might limit telemedicine consultations?
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What is essential for ensuring confidentiality and data integrity during a telemedicine consultation?
What is essential for ensuring confidentiality and data integrity during a telemedicine consultation?
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Which of the following is NOT a reason to prefer face-to-face consultations over telemedicine?
Which of the following is NOT a reason to prefer face-to-face consultations over telemedicine?
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What key element should a physician ensure at the beginning of a telemedicine consultation?
What key element should a physician ensure at the beginning of a telemedicine consultation?
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Which option best describes the importance of patient consent in telemedicine?
Which option best describes the importance of patient consent in telemedicine?
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Which of the following is considered a critical upcoming challenge for telemedicine in patient care?
Which of the following is considered a critical upcoming challenge for telemedicine in patient care?
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What should be done to identify patients in a telemedicine setting?
What should be done to identify patients in a telemedicine setting?
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Which factor should be considered when choosing the mode of communication in telemedicine?
Which factor should be considered when choosing the mode of communication in telemedicine?
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What must a physician not do when participating in telemedicine services?
What must a physician not do when participating in telemedicine services?
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What can be a consequence of unprofessional behavior on social media for healthcare professionals?
What can be a consequence of unprofessional behavior on social media for healthcare professionals?
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Which of the following best describes tele-education within telemedicine?
Which of the following best describes tele-education within telemedicine?
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What is a common barrier to social media use for healthcare professionals?
What is a common barrier to social media use for healthcare professionals?
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What type of content on social media is most frequently associated with unprofessional behavior?
What type of content on social media is most frequently associated with unprofessional behavior?
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Which challenge is identified regarding maintaining mutual trust on social media?
Which challenge is identified regarding maintaining mutual trust on social media?
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Which of the following best captures the essence of telemedicine?
Which of the following best captures the essence of telemedicine?
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What negative impact can social media exposure have on healthcare professionals?
What negative impact can social media exposure have on healthcare professionals?
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Which of the following is NOT a service typically associated with telehealth?
Which of the following is NOT a service typically associated with telehealth?
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What does e-professionalism primarily reflect in the context of digital media?
What does e-professionalism primarily reflect in the context of digital media?
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What is a characteristic of collaborative projects in social media?
What is a characteristic of collaborative projects in social media?
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Which benefit of social media is crucial for healthcare professionals?
Which benefit of social media is crucial for healthcare professionals?
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What aspect of social media has contributed to its rapid adoption despite privacy concerns?
What aspect of social media has contributed to its rapid adoption despite privacy concerns?
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What is NOT a type of social media mentioned in the content?
What is NOT a type of social media mentioned in the content?
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Which of the following is a primary concern regarding the use of social media in the healthcare field?
Which of the following is a primary concern regarding the use of social media in the healthcare field?
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What is a defining feature of social networking sites (SNSs) in relation to healthcare?
What is a defining feature of social networking sites (SNSs) in relation to healthcare?
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Which type of telemedicine service incurs immediate patient interaction via videoconferencing?
Which type of telemedicine service incurs immediate patient interaction via videoconferencing?
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In what way has the popularity of social media affected healthcare communication?
In what way has the popularity of social media affected healthcare communication?
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What is a notable benefit of telemedicine for healthcare professionals in terms of patient data access?
What is a notable benefit of telemedicine for healthcare professionals in terms of patient data access?
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Which factor primarily distinguishes asynchronous telemedicine from other types?
Which factor primarily distinguishes asynchronous telemedicine from other types?
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How does remote monitoring in telemedicine specifically benefit patients?
How does remote monitoring in telemedicine specifically benefit patients?
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What is a significant advantage of telemedicine for patients living in underserved rural areas?
What is a significant advantage of telemedicine for patients living in underserved rural areas?
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Which statement best describes the function of store and forward telemedicine?
Which statement best describes the function of store and forward telemedicine?
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Which benefit of telemedicine primarily focuses on the educational aspect for healthcare professionals?
Which benefit of telemedicine primarily focuses on the educational aspect for healthcare professionals?
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What challenge might telemedicine face when dealing with sensitive patient information?
What challenge might telemedicine face when dealing with sensitive patient information?
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In which scenario would a follow-up consultation in telemedicine typically occur?
In which scenario would a follow-up consultation in telemedicine typically occur?
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What type of telemedicine communication is limited to urgent situations only?
What type of telemedicine communication is limited to urgent situations only?
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Which of the following best describes telemedicine's application in chronic disease management?
Which of the following best describes telemedicine's application in chronic disease management?
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Who can utilize telemedicine services if a patient requires guidance?
Who can utilize telemedicine services if a patient requires guidance?
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Which mode of communication is most suitable for asynchronous telemedicine consultations?
Which mode of communication is most suitable for asynchronous telemedicine consultations?
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What is a fundamental requirement for a successful telemedicine encounter?
What is a fundamental requirement for a successful telemedicine encounter?
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In which of the following medical fields is telemedicine least likely to be utilized?
In which of the following medical fields is telemedicine least likely to be utilized?
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What primary purpose should telemedicine consultations serve?
What primary purpose should telemedicine consultations serve?
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Which of the following is a key aspect of ensuring the patient-physician relationship in telemedicine?
Which of the following is a key aspect of ensuring the patient-physician relationship in telemedicine?
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What is a necessary condition before conducting a telemedicine consultation?
What is a necessary condition before conducting a telemedicine consultation?
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Which of the following should be prioritized when identifying a patient in a telemedicine setting?
Which of the following should be prioritized when identifying a patient in a telemedicine setting?
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In what scenario is face-to-face consultation preferred over telemedicine?
In what scenario is face-to-face consultation preferred over telemedicine?
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Which communication mode is NOT typically used in telemedicine?
Which communication mode is NOT typically used in telemedicine?
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What is the purpose of securing data in telemedicine consultations?
What is the purpose of securing data in telemedicine consultations?
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Which one of these factors should be considered based on a patient's background before a telemedicine consultation?
Which one of these factors should be considered based on a patient's background before a telemedicine consultation?
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To maintain confidentiality in telemedicine, which aspect must a physician prioritize?
To maintain confidentiality in telemedicine, which aspect must a physician prioritize?
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Study Notes
E-Professionalism
- Reflects traditional professionalism paradigms manifested through digital media.
- The intersection of medical professionalism and social media is also called online professionalism or digital professionalism.
Social Media
- Online applications allowing for creation and exchange of user-generated content.
- Significant growth in social media use for linking patients and healthcare professionals, and for communication between healthcare professionals.
- Popularity has increased despite concerns about privacy, hacking, fake news, and other negative aspects of online life.
Types of Social Media
- Collaborative projects: Wikipedia
- Content communities: YouTube
- Social networking sites: Facebook
- Virtual gaming or social worlds: Second Life
- Blogs and microblogging: Blogger, Twitter
Benefits of Social Media on E-Professionalism
-
Professional networking:
- Connecting with others and sharing experiences.
- Creating communities for support.
- Facilitating student interactions, including studying and mentorship with faculty.
- Engaging discussion medium for acquiring current information.
- Faster feedback, increasing interactivity, learner engagement, confidence, and student satisfaction.
- Positively influencing learner outcomes.
-
Professional education and training:
- Acquiring knowledge from experts.
- Creating communities for learning and support.
- Improving professional knowledge through technology use in healthcare services.
- Physicians promoting their services.
-
Patient education and health promotion:
- Social networking sites suitable tools for patient education and raising public health awareness.
Dangers of Social Media on E-Professionalism
-
Loosening accountability:
- Eroding public trust with poor quality information.
- Damaging professional image, especially as employers check social media profiles of candidates.
-
Compromising confidentiality:
- Ethical and legal issue.
- Posting pictures, videos, or audio recordings of patients or clinical interactions breaches confidentiality.
Benefits of Telemedicine
-
Healthcare professionals:
- Improved diagnosis and treatment strategies.
- Continued education and training.
- Access to computerized patient data (offline and real-time).
-
Patients:
- Early diagnosis and treatment.
- Early disease detection.
- Access to specialists in rural and remote areas.
- Reduced travel expenses.
- Reduced visits to specialty hospitals.
- Reduced burden of morbidity.
Types of Telemedicine
-
According to timing of information transmission:
- Real-time (interactive services): Immediate advice through videoconferencing, medical history consultations, assessments, etc. (e.g., tele neuropsychology).
- Store and forward (asynchronous exchange of relevant information): Data sent to specialists as needed (e.g., medical images, bio-signals). Common in radiology, pathology, and dermatology.
- Remote monitoring (self-monitoring or self-testing): Technological devices monitor health and clinical signs remotely, commonly used for chronic diseases like cardiovascular disease, diabetes, and asthma.
-
According to mode of communication:
- Video: Apps, video on chat platforms.
- Audio: Phone.
- Text-based: Specialized telemedicine apps, websites, internet-based systems, email, fax.
-
According to the purpose of the consultation:
- Non-emergency consult: First consultations for diagnosis, treatment, health education, or counseling; follow-up consultations on ongoing treatment.
- Emergency consult: First aid, life-saving measures, counselling, and referral advice.
-
According to individuals involved:
- Patient to physician.
- Caregiver to physician.
- Physician to physician.
- Health worker to physician.
Considerations for Telemedicine
-
Physicians should:
- Employ telemedicine when in-person presence is not possible within a reasonable timeframe.
- Build relationships based on trust and respect, allowing reliable identification of each other.
- Obtain informed consent from patients.
- Ensure confidentiality, privacy, and data integrity are not compromised.
- Ensure the patient understands advice and treatment.
- Adhere to local rules and regulations regarding telemedicine services.
-
Face-to-face consultation is preferred over telemedicine in:
- High-risk patients with complex presentations.
- Lack of access to the patient's medical records.
- Need to examine the patient.
- Uncertainty about the patient's mental capacity.
- Prescribing high-risk drugs.
-
Challenges in implementing telemedicine:
- Patient fear and unfamiliarity.
- Financial unavailability.
- Literacy rate and language diversity.
- Government support.
- Physician perspectives.
- Lack of basic amenities.
Essential Elements of Telemedicine Consultations
- Identification of physician and patient.
- Mode of communication.
- Consent.
- Patient evaluation.
- Patient management.
E-Professionalism
- Refers to traditional professionalism paradigms manifested through digital media.
- The intersection of medical professionalism and social media is also called online or digital professionalism.
Social Media
- A group of online applications that allow for the creation and exchange of user-generated content.
- There has been significant growth in social media use:
- Linking patients and health care professionals.
- Communication among health care professionals.
- Social media use has increased substantially despite controversies around privacy, hacking, fake news, and other negative aspects of online life.
Types of Social Media
- Collaborative projects (e.g., Wikipedia)
- Content Communities (e.g., YouTube)
- Social networking sites (SNSs) (e.g., Facebook)
- Blogs / Microblogs (e.g., Blogger, Twitter)
- Virtual gaming or social worlds (e.g., Second Life)
Benefits of Social Media for Health Care Professionals
- Professional networking:
- Connecting with others and sharing experiences.
- Creating communities for support.
- Enabling students to help each other with studying and interacting with faculty for advice, encouragement, and virtual mentorship.
- Public health campaigns and awareness:
- Sharing information regarding health issues.
- Promoting healthy lifestyle choices.
- Reaching broader audiences.
- Keeping up to date with latest medical advancements:
- Accessing and sharing medical research.
- Participating in online discussions with other professionals.
- Improved patient care:
- Connecting with patients.
- Providing health information and answering questions.
- Building stronger patient-physician relationships.
Blurred Professional Boundaries
- Blurred lines between professional and personal spheres of social media use.
- Concerns arise about exposure of one's private life and separating private from professional use.
Depiction of unprofessional behavior
- Unprofessional behavior is often associated with online content related to:
- Alcohol intoxication; substance or illegal drug use.
- Nudity and sexuality.
- Demeaning content about patients, peers, educators, clinical sites, or the profession as a whole.
- Discriminatory content.
- Profanity, aggressive, or bullying content towards coworkers.
- Posting pictures from holidays, nightclubs, and photos wearing swimwear or underwear have been reported.
- Alcohol consumption and smoking have also been published online by health professionals.
Legal Issues
- Unprofessional behavior on social media can have legal consequences for healthcare professionals, potentially affecting their credibility and licensure.
- There is ongoing debate about whether medical regulatory bodies should monitor the social media activities of health care professionals.
Barriers to Social Media Use for Healthcare Professionals
- Lack of:
- Time.
- Knowledge or technical skills.
- Previous education.
- Supportive institutional social media policies.
- Difficulty developing and sustaining mutual trust on social media.
Telemedicine Definition
- Practicing medicine over a distance, using telecommunication systems or video-conferencing tools to transmit patient data, documents, and other information for diagnosis and treatment recommendations.
Telehealth
- Can refer to remote non-clinical services like tele-training, tele-education, tele-monitoring, and tele-support.
Benefits of Telemedicine
For Healthcare Professionals
- Improved diagnosis and treatment strategies.
- Continued education and training.
- Access to computerized comprehensive data of patients, both offline and in real-time.
For Patients
- Early diagnosis and treatment.
- Early detection of disease.
- Access to expertise of medical specialists.
- Quick and timely follow-up of discharged patients.
- Access to specialized health care services in rural and remote areas.
- Reduced travel expenses.
- Reduced visits to specialty hospitals.
- Reduced burden of morbidity.
Types of Telemedicine: Classification
By Timing of Information Transmitted
- Real-Time (Interactive Services): Immediate advice provided to patients who require medical attention through videoconferencing. Examples include tele-neuropsychology.
- Store and Forward (Asynchronous Exchange of Relevant Information): Data like medical images or bio signals are sent to specialists when needed, bypassing in-person appointments. Common in fields like radiology, pathology, dermatology.
- Remote Monitoring (Self-Monitoring or Self-Testing): Technological devices monitor patient health and clinical signs remotely. Extensively used in managing chronic diseases like cardiovascular disease, diabetes mellitus, and asthma.
By Mode of Communication
- Video (e.g., telemedicine facility, apps, video on chat platforms)
- Audio (e.g., phone)
- Text-based (e.g., telemedicine smartphone apps, websites, internet-based systems, email, fax)
By Purpose of Consultation
- Non-Emergency Consult: First consult for diagnosis, treatment, health education, or counseling. Can be either the first contact between physician and patient or a follow-up consult more than 6 months after the last appointment.
- Emergency Consult: Limited to first aid, life-saving measures, counseling, and referral advice.
By Individuals Involved
- Patient to physician.
- Caregiver to physician.
- Physician to physician.
- Health worker to physician.
Key Considerations for Telemedicine
- Telemedicine should be employed primarily when a physician cannot be physically present within a safe and acceptable time period.
- The patient-physician relationship must be based on mutual trust and respect. Reliable identification is essential.
- Informed consent must be obtained from the patient.
- Patient confidentiality, privacy, and data integrity must not be compromised.
- The physician must ensure the patient understands the advice and treatment provided.
- Physicians participating in telemedicine services must adhere to local rules and regulations.
Conditions Where Face-to-Face Consultation is Preferred
- High-risk patients with complex presentations.
- Lack of access to the patient’s medical records.
- Need to examine the patient.
- Uncertainty about the patient’s mental capacity.
- Prescribing high-risk drugs.
Barriers to Telemedicine
- Patient fear and unfamiliarity.
- Financial unavailability.
- Literacy rate and diversity in languages.
- Government support.
- Perspective of medical practitioners.
- Lack of basic amenities.
Elements to Consider Before a Telemedicine Consultation
- Identification of physician and patient.
- Mode of communication.
- Consent.
- Patient evaluation.
- Patient management.
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