|
As noted in the section on the history
of telehealth, telemedicine is
now widely viewed as a subset of telehealth. Other aspects of telehealth,
as seen below, include telehomecare, minimally intrusive telemonitoring,
and the challenge of actually providing teletherapy. Also related, but
typically considered seperately, is web-based e-health and electronic
healthcare
records (EHR's).

From an engineering perspective on the process of interaction, each
of the above differ. Conventional telemedicine often uses hub-spoke networks
with videoconferencing rooms, with clinicians at either side involved
in, for instance, a teleconsultation. Telehomecare often involves a lower-bandwidth
connection, often between a client in the home (and perhaps their caregiver)
in contact with a telenurse (or some other clinician). Telemonitoring may be mostly unobtrusive within mimimal interaction (e.g., automated
cardiac function, weighing, activity level) or involve planned televisits.
Teletherapy involves direct therapeutic intervention across a distance.
Another term is health telematics: the study
of intelligent, effective strategies for transporting and utilizing health-related
information
and/or healthcare
services. It combines telehealth and medical informatics, and is especially
commonly used in Europe.
Types of Telehealth Processes (Tele-encounters):
- Teleconsultation -- A nice medical/legal
term that suggests communication across distance in which there is
an expert consultant who provides some sort of service.
- Teleconferencing -- The process of 2 or
more people interacting across a distance, supported via telecommunications.
- Tele-education -- The process of education/training
at a distance (for example, education represents one of the key professional
activities of a visiting home health nurse).
- Telemonitoring (interactive) -- The process
of monitoring health status at a distance. Involves interactive conferencing,
and perhaps the transmission of data (e.g., vital sign recordings).
- Telemonitoring (unobtrusive) -- The process
of unobtrusive sensing of personal health status, or of the environment.
- Telesupport/Televisit -- Interactive support,
e.g. via a tele-nurse. Depending on the protocol, the "patient" and/or
the provider of support may initiate the call.
- Tele-evaluation -- Systematic professional
evaluation at a distance, e.g. by a physician, therapist, nurse, rehabilitation
engineer, or other health professional.
- Teleassessment -- Systematic assessment
of health status by a healthcare professional, often more targeted
that an evaluation. Normally would need to be interactive.
- Telediagnosis -- The process of performing
diagnosis at a distance. This has legal implications, and thus for
instance, the FDA might have concerns if there is a "lossy" nature
to data transfer (e.g., via a data compression-then-decompression process).
- Telecompliance -- The process of providing
support, encouragement and education at a distance (like a personal
coach), so as to enhance compliance with health maintenance (e.g.,
taking medication) or home self-therapy (e.g., a prescribed exercise
program); perhaps one of the best uses of telehealth infrastructure.
- Teletherapy -- The process of actual therapeutic
intervention at a distance. For instance, physical/occupational or
psychological/psychiatric therapy. Ideally, there would be built-in
objective telemonitoring that related to performance and outcomes measures.
- Telecoaching -- The process of providing
coaching at a distance, for instance through a combination of interactive
sessions that report progress and provide instruction on technique
or modify a training program.
- Telementoring -- The process providing
mentorship across a distance, for instance interactively guiding another
clinician through a procedure.
- Teleplay -- Interactive, exploratory "games" that
can have built-in therapeutic and/or monitoring capabilities. Interface
device parameters (e.g., for alternative mouse) could be adjusted (remotely)
by therapist depending on the patient's progress.
- e-health -- Typically refers to use of the Internet as a resource
for obtaining health information.
Example of telehomecare:

|
for quiz,
be able to provide the telehealth diagram, and name at least 5 types of
telehealth processes |