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Published Online: 26 November 2008

Telehealth: The Promise of New Care Delivery Models

Publication: TELEMEDICINE and e-HEALTH
Volume 14, Issue Number 9

Abstract

Telehealth possesses a significant potential to revolutionize healthcare delivery processes by challenging some of the long-held assumptions about healthcare delivery and by creating innovative alternative models. Those assumptions relate to the location-linked nature of healthcare and its episodic nature. Telehealth can challenge the assumption that healthcare is inextricably linked to the provider’s location. Numerous models involving such approaches as interactive videoconferencing and store-and-forward technologies already exist. Telehealth also challenges the episodic nature of care. One example is provided by the models evolving from the convergence of three technologies: remote monitoring, electronic health records, and clinical decision support systems. Telehealth-based models of care can also lead to a reduced demand for services and greater efficiencies in the care process. These telehealth-enabled care delivery models have the potential to reduce the costs of care, improve quality, and mitigate provider shortages. However, the achievement of these goals is not straightforward. The current healthcare financing system is not designed to support such new models, and the existing healthcare culture is deeply ingrained within workflow processes and provider attitudes. A great deal of work remains to be done before the benefits of telehealth-based care delivery models are fully realized. Change is inherently risky but we must have the courage to assume the risk in order to create telehealth-driven innovations that lead to better and more cost-effective medical care for all.

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Published In

cover image Telemedicine and e-Health
TELEMEDICINE and e-HEALTH
Volume 14Issue Number 9November 2008
Pages: 964 - 967
PubMed: 19035808

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Published online: 26 November 2008
Published in print: November 2008

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Stuart M. Speedie
University of Minnesota, Minneapolis, Minnesota.
A. Stewart Ferguson
Alaska Native Tribal Health Consortium, Anchorage, Alaska.
Jay Sanders
The Global Telemedicine Group, McLean, Virginia.
Charles R. Doarn
Center for Surgical Innovation, Department of Surgery, University of Cincinnati, Cincinnati, Ohio.

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