远程医学通过5种方式降低医疗费用
2012-08-05 16:01:23   来源： 丁香园   作者：  评论：0 点击：

1、5 ways telemedicine is driving down healthcare costs

远程医学通过5种方式降低医疗费用 。

2、 Telemedicine and mHealth have the potential to help the healthcare system meet the Institute of Healthcare Improvement's triple aim to simultaneously increase the quality of care, improve the health of populations and reduce the per capita cost of care.
远程医疗和移动医疗有可能来帮助医疗系统达到医疗保健改良的三重目标：即在提高医疗护理质量的同时，增进人群的健康状况和降低人均医疗护理的费用。

3、"Collectively, investments in telemedicine and mHealth have great potential to reduce healthcare system costs," said Adam C. Powell, president of Payer+Provider Syndicate, a consulting firm that uses techniques from health services research to bring about change in the health insurance and hospital industries.
由付款人和供应商联合组成的一个在健康服务研究中使用医学技术给健康医疗保险和医院产业带来了巨大变革的咨询公司，它的董事长Adam C. Powell说：“总的来说,在远程医疗和移动医疗方面的投资对于降低医疗系统的费用有着巨大的潜力。”

4、 A 2011 study by Anna Sommers and Peter Cunningham released by the National Institute for Health Care Reform found that hospital readmissions within a month of discharge have cost over $16 billion each year. Telemedicine can be used to reduce readmissions and other adverse events at a cost that is less than the cost of the problems themselves.
由Anna Sommers 和Peter Cunningham 2011年在国立的医疗保健改革协会上发表的一篇研究显示：医院每月让病人出院，再重新接纳，这样每年要花费超出160亿美元。远程医疗能够用来降低重新接纳和其他不良事件的费用，那种花费会少于因他们自身的问题所需的费用。

5、Powell recently outlined the five ways that telemedicine can play an important role in decreasing overall healthcare spending.
Powell 最近介绍了五种方式让远程医疗能够在降低整体医疗费用方面发挥着重要的作用。

6、 1. Use of remote analysis services. Remote analysis services, like telepathology and teleradiology, can contribute to lower cost and higher quality care as they enable highly trained professionals to work as a pooled resource. Use of these remote services enables low-volume providers to have around the clock coverage at a lower cost. In smaller facilities, there may not be sufficient volume to keep a pathologist or radiologist fully occupied. Telemedicine enables fractional employment.
第一、使用远程分析服务。远程分析服务能够像远程病理学和远程放射学一样，有助于降低成本和提供更高质量的护理，正如它们能够使训练有素的专业人员来充当储备资源库一样。使用这些远程服务能够使低产供应商全天候的处在一个较低消耗的范围内。在较小的医疗设备中，未必有足够的量来充分的让每一个病理学家或放射科医生就业。而远程医疗可以使部分人就业。

7、 2. Remote monitoring technologies. Remote monitoring technologies are enabling patients to be monitored on an ambulatory basis when they previously may have needed to be monitored as inpatients. Given the high cost of providing inpatient services, though, moving some forms of observation to an outpatient basis substantially reduces the costs borne by the healthcare system.
第二、远程监控技术。作为住院病人，当他们之前可能需要被监测的时候，远程监控技术能够在门诊的基础上对患者进行监测。 由于医疗系统提供给住院病人的服务，需要花费很高的费用，然而在门诊的基础上，以某种形式的流动性的观察大大降低了医疗系统所承担的费用。

8、 3. mHealth monitoring technologies. The use of mHealth monitoring technologies reduces the cost of complications due to chronic disease. For instance, an increase in body weight due to fluid retention is often a sign that someone may soon need to be hospitalized due to heart failure. Disease managers with access to daily weight information may be able to help a person experiencing fluid retention get the care they need before a crisis occurs. Averting crises both improves the quality of care and lowers costs.

第三、移动医疗监控技术。使用医疗监控技术能降低因慢性疾病引起的并发症所需的费 用。例如，由于体液潴留导致的体重增加往往是某人可能很快会因心力衰竭需要住院的迹象。疾病的管理者可以得到患者每日的体重信息，进而能够帮助一个正在经 历体液潴留的患者在危机来临之前得到一个他们必要的照护。避免危机的同时，既提高了医疗护理的质量，也降低医疗所需的费用。

9、4. At-home triage services. At home triage services facilitated by televisits with nurses and primary care physicians reduces the unnecessary (and expensive) use of emergency room visits.
第四、在家里进行的分诊服务。在家里进行的通过视频与护士和初级保健医生进行的分诊服务可以减少不必要的(同时也是昂贵的)去急诊所需的费用。

10、 5. Telemedicine appointments. By offering telemedicine appointments, providers can reduce the amount of their unused capacity that goes to waste. Many services allow providers to start or stop accepting patients based upon their current availability. As this capacity would otherwise not produce any revenue, providers are able to provide remote patient visits at a rate that is lower than the one they normally offer. This in turn reduces system costs by enabling patients to receive care at a lower price point.

第五、远程医疗预约。通过提供远程医疗预约，供应商可以减少被浪费的未被使用的药物的产量。根据他们当前的可用性，多种服务项目允许供应商开始接受或停止接受患者。由于这种产量低于他们通常所提供的，而且不会产生任何的收益，供应商能够以一定的速度远距离的探望病人。这种通过以一个较低的价格不仅使患者得到了护理，而且反过来又降低了系统的费用。