Introduction to Telehealth and Telepharmacy

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Questions and Answers

What does the prefix 'tele-' generally imply in healthcare terminology?

  • The integration of health data into personal devices
  • Health services provided from a distance (correct)
  • The delivery of services by in-person contact
  • The use of extensive medical research

Which of the following best defines the term telehealth?

  • The use of telecommunications technology to deliver health care remotely (correct)
  • A method of health treatment that requires physical presence
  • An online platform for health education and resources
  • Health services provided through in-person consultations

What is a primary benefit of utilizing telepharmacy services?

  • Elimination of the need for licensed pharmacists
  • Reduced costs and improved access to medications (correct)
  • Increased necessity for in-person visits
  • Enhanced physical examination of patients

Which of the following is NOT a type of telepharmacy service?

<p>In-person pharmacy consultations (B)</p> Signup and view all the answers

What emerging areas does digital health encompass?

<p>Advanced computing sciences like big data and artificial intelligence (C)</p> Signup and view all the answers

What does Medication Therapy Management (MTM) primarily focus on?

<p>Medication reviews and adherence support (D)</p> Signup and view all the answers

Which of the following is NOT included in patient counselling and education?

<p>Remote monitoring of health conditions (C)</p> Signup and view all the answers

In chronic disease management via telepharmacy, pharmacists typically do NOT:

<p>Prescribe medications in-person (A)</p> Signup and view all the answers

What is one major benefit of integrating telepharmacy with Electronic Medical Records (EMR)?

<p>Enhanced access to patient data (A)</p> Signup and view all the answers

A common barrier to providing telepharmacy services is:

<p>Lack of studies in specific regions (C)</p> Signup and view all the answers

Which statement about eHealth literacy among primary care patients in Malaysia is true?

<p>Patients showed lack of skills in distinguishing low vs high-quality OHI. (D)</p> Signup and view all the answers

What role does AI play in the future of telepharmacy?

<p>It is expected to have an important role. (A)</p> Signup and view all the answers

Which of the following best describes telepharmacy?

<p>A part of the broader term 'telehealth' providing improved patient care. (B)</p> Signup and view all the answers

Flashcards

e-Health

The use of ICT in supporting health and health-related fields.

Telehealth

The use of telecommunications and virtual technology to deliver healthcare outside of traditional healthcare facilities.

Digital Health

A broad term encompassing e-Health and emerging areas like big data, genomics, and artificial intelligence in healthcare.

Remote Dispensing

Involves using automated dispensing systems and telecommunication technologies to dispense medications under a licensed pharmacist's supervision.

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Telepharmacy Counseling

A type of telepharmacy that focuses on providing medication information, counseling, and monitoring patients remotely.

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Medication Therapy Management (MTM)

A type of telepharmacy service that includes comprehensive medication reviews, reconciliation, adherence support, and patient education.

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Patient Counseling & Education

A telepharmacy service that provides instructions on medication use, side effects, lifestyle modifications, and disease management.

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Chronic Disease Management

A telepharmacy service where pharmacists remotely monitor patients' health conditions, review their medication adherence, and adjust therapy as needed.

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Electronic Medical Records (EMR) Integration

A feature that allows pharmacists to access patient data instantly, facilitating timely clinical decisions.

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E-Health Literacy

The ability to use and understand digital health information. This is essential for patients to benefit from telepharmacy.

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AI in Telepharmacy

The use of artificial intelligence in telepharmacy to automate tasks and improve efficiency. For example, AI algorithms can analyze patient data and identify potential medication interactions.

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Telepharmacy

The use of technology to provide pharmacy services remotely. This includes services such as medication dispensing, counseling, and monitoring.

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Study Notes

Introduction to Telehealth and Telepharmacy

  • Telehealth encompasses a wide range of healthcare services.
  • Telepharmacy focuses on medication care.
  • Telehealth includes remote consultations and health education.
  • Telepharmacy targets medication-related services specifically.

Key Concepts and Definitions

  • Tele- is a prefix meaning "distance" or "from afar".
  • eHealth: Uses ICT to support health and health-related fields.
  • Telehealth: Uses telecommunications and virtual technology outside traditional healthcare facilities to deliver healthcare.
  • Digital health: A broad term encompassing eHealth and mHealth, plus emerging areas like big data, genomics and AI.

Modern Telehealth Timeline

  • 1950s - X-rays over phone
  • 1959-1960 - CCTV exams
  • 1960 - tracking vitals from space
  • 1990 - Virtual consultations via internet
  • 2020 - COVID-19 care
  • 2024 - Healthee's unlimited Telehealth

Types of Telehealth/Telemedicine

  • Synchronous Telehealth: Real-time video, online discussion groups, secure texting, audio clips, and alerts.
  • Asynchronous Telehealth: File sharing, outcome tracking, email, exercise videos.

Telepharmacy Services

  • Remote dispensing: Automated dispensing systems with telecommunication technologies under pharmacist supervision.
  • Medication Therapy Management (MTM): Comprehensive medication reviews, reconciliation, adherence support, and patient education.
  • Patient counselling & education: Instructions on medication use, side effects, lifestyle modifications, and disease management.
  • Chronic disease management: Remote health monitoring, medication adherence review, and therapy adjustments.
  • Integration with Electronic Medical Records (EMR): Instant patient data access for timely clinical decisions.

Telehealth Setups

  • Settings: Hospital hub, primary care clinic, outpatient clinic, community pharmacy.
  • Case managers: Primary care physician, hypertension specialist, nurse, pharmacist.
  • Communication: Desktop, laptop, smartphone, PDA, tablet, internet of medical things (IoMT), personal area network interface.

Benefits and Barriers to Telepharmacy

  • Benefits: Improved clinical outcomes, convenience and accessibility, addressing geographic barriers.
  • Barriers: Lack of long-term efficacy, interoperability issues, usability, infrastructural barriers, lack of reimbursement, regulatory/privacy concerns, digital divides, physicians’ inertia.

COVID-19 Impact

  • The COVID-19 pandemic increased telehealth adoption, leading to higher numbers of telehealth services, assisted consultations, and direct consultations.

Successful Telehealth Implementations (Examples)

  • Diabetes: Improved glycemic control in type 2 patients.
  • Heart failure: Reduced mortality and hospital admissions.
  • Chronic lung disease: Improved lung function and symptom reduction.
  • Other conditions: Stroke, chronic kidney disease, overweight/obesity, arterial hypertension, etc.

eHealth Literacy

  • Healthcare providers and patients have shown varying levels of eHealth literacy, with some lacking skills in appraising online information or correctly using mHealth apps.

Future Directions

  • AI in telehealth will lead to personalized medication management, tailored treatment plans and minimizing adverse events.
  • Telepharmacy expansion in rural areas will improve access to medication care.

Take-Home Points

  • Telepharmacy is part of telehealth.
  • Telepharmacy is effective in improving clinical benefits and access.
  • E-Health literacy is important among patients and healthcare practitioners.
  • AI plays an important role in the future of Telepharmacy.

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