Telemedicine, Urban Style

By Blair, Keith J. | Distance Learning, January 1, 2007 | Go to article overview

Telemedicine, Urban Style


Blair, Keith J., Distance Learning


A mode of medicine traditionally reserved for patients with limited access to healthcare is now being used in urban and suburban childcare centers, and many of the centers are within a few miles of a healthcare provider. Telemedicine is bridging the gap of geography in Rochester, New York, childcare centers. A patient's physical distance from a healthcare provider is no longer the principal determinate for the mode of health care provided. Telemedicine urban style is designed to enable treatment for common medical conditions that disrupt a child's attendance at childcare. The University of Rochester Medical Center's Golisano Children's Hospital, in conjunction with TeleAtrics, Inc., deployed a telemedicine network in Rochester. The Health-e-Access telemedicine network is designed to reduce childcare and school absences resulting from illness. By making healthcare for urban and suburban children readily available, the Health-e-Access program allows childcare centers and doctors to work together to integrate telemedicine into existing day-to-day healthcare practices (Strong Health, n.d.).

WHAT IS TELEMEDICINE?

The term telemedicine derives from the Greek tele meaning "at a distance" and the word "medicine," which itself derives from the Latin mederi, meaning "healing." The American Telemedicine Association (n.d.) Web site defines telemedicine as the "the use of medical information exchanged from one site to another via electronic communication for the health and education of the patient or healthcare provider and for the purpose of improving patient care." A search of the literature reveals that telemedicine as a practice has been in place since the early 1960s. Until the mid 1960s, telemedicine was primarily conducted using land-based technology. One of the first telemedicine programs in the United States to use more advanced technology was established between Massachusetts General Hospital and Logan International Airport Medical Station in 1967. The cooperative relationship provided occupational health services to airport employees and delivered emergency care and medical attention to travelers. Physicians at Massachusetts General Hospital provided medical care to patients at the airport using a two-way audiovisual microwave circuit. Evaluation, diagnosis, and treatment of the patients were made by participating personnel and independent physician observers. Analysis was also made of the accuracy of microwave transmission. Inspection, auscultation, and interpretation of roentgenograms and microscopic images were also performed. Necessary hands-on procedures were performed by the medical station nurse-clinicians (Brown, 1995).

The practice of telemedicine has expanded to include a full spectrum of health sciences including rehabilitation occupational therapy, physical therapy, speech-language pathology, audiology, pharmacy, health promotion, dentistry, nursing, as well as medicine. The technology of telemedicine can be subdivided into four general areas: (1) medical support, training, and teleconferencing services for doctor-to-doctor consultation; (2) involves a disparate set of applications using communications for medical services such as centralized intensive care unit monitoring and shipping radiology images around the world for analysis which is also considered to be under the umbrella of telemedicine; (3) chronic care home-monitoring technology; and (4) the telemedicine which can best be described as a system platform application of telemedicine with all necessary software based workflows and system support for providing real-time and/or store-and-forward capabilities for providing acute care.

Two important factors influenced the expansion of telemedicine beyond its early applications for patients with remote access to health services using telephones or microwave circuit technology. First, the personal and professional use of highspeed, high-bandwidth telecommunications systems has become commonplace-low-cost, high-resolution, Internet-based video conferencing systems are available for purchase online or in electronic chain stores.

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Telemedicine, Urban Style
Settings

Settings

Typeface
Text size Smaller Larger
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.