Over 70% of cardiologists are concentrated in the metropolitan area and given the alarming numbers of cardiovascular disease risk, the relevant open telemedicine opportunities for early diagnosis and prevention anywhere in the country.
Cardiology is without doubt one of the largest medical specialty of population health significance, is that the numbers are truly alarming, considering so that hypertension in Chile has a prevalence of 37%, focusing over 75% in older adults, while for them it is 40% and only 20% is under control.
In this scenario adds about 25% of the obese population, 40% to 88% overweight and sedentary, all factors in the cardiovascular health of a community and the efforts in the line of prevention , struggling with disastrous results history on their backs.
Telemedicine has shown a double benefit: the early diagnosis of patients with cardiovascular risk and the construction of virtual teams working between general practitioners and specialist advisers at a distance.
While public health displays various measures and strategies in the primary care level, in order to keep under control and early detection and timely, the pathologies that may determine vascular disease or cardiac risk, the Chilean Society of Cardiology also doing their own to develop and update recommendations its professionals on the inclusion of new best practices, including the incorporation of information and communication technologies for better diagnosis, treatment and control of people. According to Dr. José Luis Vukasovic, president of the Chilean Society of Cardiology and Vascular Surgery (2010-2012), ensures that specialists in this area have an "open mind" and a favorable disposition toward telemedicine as a way to bring cardiac care to patients everywhere, and to advise general practitioners in remote areas of the country, considering that 70 % of cardiologists are concentrated in the metropolitan area, reducing the chances of effective access within.
What has represented for the cardiology practice the emergence of information technology in health care, remote diagnosis and treatment?
marks a milestone in the history of our specialty. ICT have played a leading role in terms of helping to determine the appropriate management of acute myocardial infarction, since in the frame of the boom, all the national hospital should have a good handle on this table in the ER, ie, they must apply immediately an electrocardiogram to determine the need for drug treatment or invasive management of some sort.
All electricity is sent to a central telemedicine, where telediagnostican simultaneously. Also provide recommendations for patient management and act as consultants within a digitized system that features world experts in cardiology and radiology, giving birth to a highly diagnostic reliable.
In my opinion, telemedicine has a double benefit: the early diagnosis of heart attacks or arrhythmias and communication of general practitioners with a specialist, which helps to enrich their knowledge, creating true multidisciplinary teams in a virtual dimension.
What paradigms are broken and which new ones have arisen over the doctor-patient relationship?
experts believe that today we face a more informed patient, mainly for access to the Internet, where information on diseases and high-level specialists, which means that their attitude is very different from the past. The Patient 21-century challenges diagnostic tests and medical treatments, but I think it enhances the physician-patient relationship, the more dynamic and communication helps the expeditious and permanent. Open a new line of disease management.
ICT advances allow today `s doctor-patient interaction after consultation in person, either through email, chat or text messages, helping to resolve outstanding questions about reactions or new medical history , and pass on both people and preserves the reliable link between the person and their doctor.
"The Patient 21-century challenges diagnostic tests and medical treatments, but I think it enriches doctor-patient relationship. "
Are remote technologies a plus clinical care or loss in the quality of herself?
certainly think that adds value to clinical care. Telemedicine allows patient monitoring and adherence to treatment increases. Have contributed a lot, example is the implementation of electronic medical record as an advance, as it addresses the patient's overall appearance and provides a comprehensive view about their consultations with specialists, expanding their knowledge of drug treatments so they can anticipate adverse reactions by the interaction of several drugs. In addition, increases the speed of understanding of the clinical course, promotes patient care within the system in motion and has enormous potential for analysis aimed at evaluating the quality of medicine delivered (with reliable data to date, fast and legible).
What is today the main weaknesses of today care tools, diagnostics and remote monitoring?
say that lack of preparation by physicians to understand and accept the potential which lies in the same technologies. I also believe that much remains to be resolved in identifying responsibilities of participating physicians in the areas of telemedicine, for example.
all know there are highly qualified specialists who participate in what is remote diagnostics and remote assistance, however I believe we should identify them and give them a responsible role within the chain. I also think it is important that the patient is informed respect for the confidential handling of data, and to endeavor to maintain the doctor-patient relationship for the pair is identified in the long term.
Finally, I believe we all seek and expect greater access to reliable technologies in various centers in the country to popularize the high quality care and preserve the data with appropriate protocols to be reviewed and updated periodically.
What is the perception of the trade today on the weakening of physical link between the medical center (workplace) and the doctor, to implement telework? Is it a point valued positively or negatively by the guild?
is highly valued on the condition that safeguards the confidentiality of the doctor-patient relationship as well as safety and respect. We are open to incorporate technologies that maintain humane practice professional.
What is your position in employment law and health? Is it now covers the different edges involved in this new form of care? What the legislation proposes changes in your guild?
I think it is a developing subject and as we advance in the management of issues such as confidentiality of information, excellent specialist's report, the responsibilities of each actor in the chain and good patient management.
has sought to keep the primary focus of the patient, maintaining the bond of trust and achieving a lasting identification between patient and physician. What
is the attitude of patients and if there is confidence in the diagnosis, control and remote assistance? What are your fears? What is the attitude we take?
Telemedicine is currently concentrated in the emergency department and in this respect I think you have shown great contribution in this area driving test faster, resulting in more timely diagnosis. In this regard, we have not noticed any resistance, and that telemedicine does not alter the patient's relationship with his doctor, but a complement to other specialists.
Where is the limit on the incorporation of IT in clinical care?
The limit will rise to the moment when the patient does not perceive a close and trusting relationship with your primary care, affecting their perception of safety. In this sense, the physician should always be the agent responsible for channeling information from your patient, so as to ensure a close and personal, ensuring that there is always the possibility to interact and answer questions of the patient.
cardiologists Are today's car Chilean IT innovation? What line?
Absolutely. We have joined with enthusiasm and believe that the results have been very favorable in the treatment evidence based medicine, there are many achievements in prevention and there is still much to be done. Countries like Spain are ahead of us in incorporating ICT 'is telemedicine initiatives, with excellent results in controlling chronic diseases, where the English Society of Cardiology has shown significant advances in prevention of hypertension, ambulatory monitoring and remote monitoring that surely will become a lesser term replicated in developing countries. Preventive health is an investment cost-effective at reducing mortality rates for cardiovascular events and thus compromise, I think it is a line Intelligent progress in public health policy.
The Chilean Society of Cardiology Cardiologists has 560 members and estimates there are about 200 more specialists in the exercise of this discipline, gradually increasing the number. These statistics improve projections of national health, but advocates a better distribution and better trained in telemedicine programs that help democratize access to cardiology consultations in every corner of Chile.
cardiology today is enriched with new strategies in the line of preventive health, imaging and the use of new technologies that help not only in the treatment and diagnosis, but also in identifying biomarkers that reveal the genetic profile of those with higher coronary risk and the application of technology, robotics and endovascular methods, expanding the field of specialty and about a reality that never imagined a few decades ago. Today, the technologies were no longer the exclusive privilege of world powers, and have moved at an incredible rate, universalizing access to the benefit of humanity ... take advantage of it!.
Source: Medical Informatics Journal
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