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3 The Evolution of Telehealth: Where Have We Been and Where Are We Going?
Pages 11-16

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From page 11...
... One of the landmark publications of the past couple of decades, Crossing the Quality Chasm, stated, "information technology must play a central role in the redesign of the health care system if a substantial improvement in quality is to be achieved" (IOM, 2001, p.
From page 12...
... Traditionally, chronic disease has been managed through an episodic office-based model rather than a care management model, which uses frequent patient contact and regular physiologic measurement. More than a decade ago, the VA developed a care management program that offered personalized education, monitoring, and feedback at home from a remote disease management support team.
From page 13...
... For example, in ophthalmology and optometry, nonmydriatic cameras can be used to perform retinal screenings in diabetics without needing to dilate the eyes; this has increased screening rates. Teledentistry has been used to by dental hygienists and dentists to improve access to oral health care.
From page 14...
... By the late 1990s, studies showed that teleradiology reduced transports for head injuries out of rural areas and that the availability of teleconsultation with a radiologist significantly affected diagnosis and treatment plans. Telepathology Telepathology is less common than teleradiology, but digitization of pathology slides is becoming much more common.
From page 15...
... CONCLUDING REMARKS Nesbitt concluded that advanced telecommunication and information technologies have a role to play in transforming the health care system. Evidence-based models facilitated by these technologies can improve access to and quality of health care across the geographic and economic spectrum.


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