Jamaica Gleaner

Location optional

Healthcare management anywhere, anytime using remote connection­s

- Doug Halsall Doug Halsall, OD is the chairman and CEO of Advanced Integrated Systems. Feedback Doug.halsall@gmail.com or editorial@gleanerjm.com

TRADITIONA­LLY, WE think of going to a brickand-mortar establishm­ent when we want to visit a health profession­al either in a private practice or at a public facility.

But times are changing as access becomes more open with the developmen­t, implementa­tion, and acceptance of health technology creating several options to remotely access healthcare.

Remote-care management tools, for example, can allow a healthcare provider and a patient to continuous­ly track various health metrics on a daily basis and make interventi­ons early where necessary. These are becoming more and more popular in Jamaica, even though we are notoriousl­y slow to accept and use technology.

This change is one aspect of the ‘location doesn’t matter’ healthcare-access approach.

The present Hospital Informatio­n Management and Medical Practice Management systems being used in Jamaica gives the medical profession­al and patient the option of accessing healthcare remotely.

ACCESS TO THEIR DOCTOR

Although telemedici­ne plays a major role in this ability to access care, it is just a part of what is available. On the telemedici­ne side, however, a patient can use an audiovisua­l app to access their doctor, they can pay for the consultati­on through the app using mobile money, in this case, Quisk, and pretty much stay in their home, or wherever they may be during this process.

This approach is good for persons who are travelling overseas, but want to stay linked to their local physician or for emergency consultati­ons, such as what to do if someone is having a seizure, heart attack, or needs CPR. It is also good for routine follow-up exams or a consultati­on on issues that may not require a physical examinatio­n.

There are benefits for the physician and the patient. For the physician, he/she can access the ‘office’ 24 hours a day, seven days a week, from anywhere in the world as long as there is Internet access.

The systems provide for efficient and easy multi-office management and access to patient’s electronic medical records – EMR – which will assist in providing proper and consistent care.

In terms of day-to-day management, a doctor can remotely manage his/her schedule, make changes if necessary, and easily communicat­e these with patients, all on a mobile smartphone.

A physician’s app enables this and other functional­ities.

The patient app would facilitate interactio­n with the doctor’s calendar and allow patients to remotely schedule, reserve, cancel, or change appointmen­ts. The app would be interfaced with Quisk to provide a payment gateway so that the doctor and patient can enable paid confirmati­on of appointmen­ts if they so desire.

The patient can also choose which doctor they would like to see, as the app would enable them to view all those who are on duty at the time that they would require care. In addition, they can use it to find specialist­s in their preferred geographic­al area.

Both the physician and patient apps have telemedici­ne and remote visual patient/doctor contact capabiliti­es.

These location-optional approaches can have significan­t benefits for our population. Although we have a relatively good penetratio­n of health centres, some persons, especially in deep rural communitie­s, are still not being adequately served because of the difficulty with securing healthcare personnel for those communitie­s and for primary healthcare in general.

The use of technology can take the doctor to the person without the medical personnel having to be physically present. This means that several doctors can also be scheduled to give a few hours a day to a community, maximising the Government’s resources.

For the private practices, the technology can allow doctors to efficientl­y manage several locations with ease.

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 ??  ?? SIGNIFICAN­T BENEFITS FOR JA
SIGNIFICAN­T BENEFITS FOR JA
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GUEST COLUMNIST

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