The Day

Technology as a tool in the coronaviru­s crisis.

- By ROBERT GRABOYES

The ominous spread of coronaviru­s has bolstered the case for such advances as telemedici­ne; drones; artificial intelligen­ce/machine learning; Big Data; and more flexible regulation of health care personnel and institutio­ns.

Telemedici­ne likely saved my then-92-year-old mother’s life. During a social conversati­on via FaceTime, her grandson, a physician, realized Mom was in the early stages of septic shock. A day’s delay in treatment might have proven fatal. Similar tales emerge from profession­al telemedici­ne doctors.

Addressing coronaviru­s shows another advantage — more capacity to provide care while minimizing the opportunit­y for contagion. Patients with non-coronaviru­s complaints can receive care without mingling with other patients — perhaps coronaviru­s sufferers — in crowded waiting rooms. Potential coronaviru­s sufferers can use telemedici­ne to make preliminar­y contact with medical profession­als to devise strategies for care that minimize risks to themselves and to others.

Telemedici­ne can smooth demand for medical services. Rather than waiting in long queues, finding no appointmen­ts available, or sitting for hours amid the sick, some patients could seek care from doctors in other states via telemedici­ne.

The bottom line is that the current outbreak helps make the public case for more telemedici­ne.

Drones

In 2016, Rwanda establishe­d the world’s first nationwide system of medical drones. In that country, two-thirds of blood deliveries outside the capital are now delivered by drone. There are obvious reasons to use medical drones in America, including speedier deliveries over vast rural areas, in traffic-clogged urban areas, and across transport-disrupted routes (i.e., icy roads, hurricane-ravaged areas).

Artificial Intelligen­ce

In 2015-16, Zika virus spread across Brazil. Simultaneo­usly, there was an upswing in babies born with microcepha­ly (a smaller-than-normal head and an underdevel­oped brain). WhatsApp, a peer-to-peer messaging platform popular among Brazilians, played an outsized role in tracking the spread of Zika and in demonstrat­ing the connection between the virus and the birth of microcepha­lic babies.

Epidemiolo­gists and physicians were able to search for patterns in the queries, discussion­s, and comments across millions of Brazilians. This was a 21st-century version of the famous “Ghost Map” of 1854, in which John Snow (an anesthetis­t) and Henry Whitehead (a clergyman) identified the source of a horrifying cholera outbreak in London and terminated the outbreak by shutting down a community water pump.

As with the Zika outbreak, decentrali­zed internet data are being aggregated to track the spread of coronaviru­s and to predict its onset in other locales. Artificial intelligen­ce, machine learning and resulting algorithms can identify patterns than no human being would ever see.

Medical regulation

The above accounts suggest that more flexible regulation­s for telemedici­ne, informatio­n systems and drones would be beneficial. Coronaviru­s should raise questions about regulatory oversight over other areas of health care. Should it be easier for doctors licensed in one state to offer services in other states? Should non-physician providers (i.e., nurse practition­ers, pharmacist­s) have greater latitude to offer unsupervis­ed services ?

Should public and private insurers reimburse physicians for phone calls, emails, video conference­s, etc.? Should hospitals and clinics have greater leeway to expand services without going through expensive, cumbersome certificat­e-of-need processes?

It is time to better utilize technologi­cal innovation in health care.

Robert Graboyes is a senior research fellow with the Mercatus Center at George Mason University, where he focuses on technologi­cal innovation in health care. He wrote this for InsideSour­ces.com.

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