Medical Informatics III

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DOI :10.26650/B/ET07.2023.005.28   IUP :10.26650/B/ET07.2023.005.28    Full Text (PDF)

Virtual Intimacy with Telemedicine: A Healthcare Service That Eliminates Distances in the Pandemic

Göksel Altınışık Ergur

Telemedicine comes into question more frequently than it was before the COVID-19 Pandemic, especially in favor of erasing the distance between places as residential areas and available health facilities. The recent study aims to investigate the features and outcomes of a defined telemedicine model that performed systematically under ethical and good clinical practice principles. The point of view is determined by studying the data obtained from the patients from distant places and rural areas. Having healthcare service opportunities in the city center near the place lived will be questioned as a determinant to detain the patient from seeking remote healthcare support from a distant city. The main finding of that study is that a para-institutional model of telemedicine using video consultation results in remarkable good outcomes in terms of the high rate of accomplishment in medical evaluation and low rate of discordance to follow-ups, additionally, it is suitable to offer patient-centered service in a wide spectrum of clinical problems with the reduced necessity to in-person hospital visits. In a sense, the effectiveness of virtual closeness in telemedicine is a precursor of the expiration of the ‘distance barriers’ in many other fields. 


Keywords: Telemedicine, COVID-19, video consultation, distance, rural, health and disease sociology, medical sociology
DOI :10.26650/B/ET07.2023.005.28   IUP :10.26650/B/ET07.2023.005.28    Full Text (PDF)

Teletıp ile Sanal Yakınlık: Pandemide Uzaklıkları Yok Eden Bir Sağlık Hizmeti

Göksel Altınışık Ergur

Teletıp, özellikle hastaların yaşadığı yer ile başvuracakları sağlık kuruluşları arasındaki uzaklığı ortadan kaldırmaya yönelik yararıyla COVID-19 Pandemisinden önce olduğundan çok daha sık gündeme gelmektedir. Bu çalışma, tıbbi etik ve iyi hekimlik uygulamaları ilkeleri temelinde sistematik bir biçimde uygulanan özel bir teletıp modelinin niteliklerini ve sonuçlarını ele almayı amaçlamaktadır. Özellikle uzak yerlerde ve kırsal kesimde yaşayan hastaların verilerinin ortaya konması önem taşımaktadır. Yaşanan yere yakın bir şehir merkezinde sağlık hizmeti alabilme olanağı olmasına karşın hastaların yaşadıkları yerden uzak bir şehirden uzaktan sağlık hizmeti alma tercihinin sıklığı da araştırılacaktır. Sağlık kuruluşu üzerinden randevu alınmasına karşın bireysel inisiyatifle kurumdan bağımsız yürütülen ve video görüşme temelli bu teletıp modeline ilişkin çalışmanın ana bulgusu, tıbbi değerlendirmenin yüksek oranda sonuca vardırılabilmesi ve hastaların izlemden çıkma oranının düşük olması biçiminde ortaya konan dikkat çekici düzeyde iyi sonuçlarının olmasıdır. Ayrıca, çok geniş yelpazedeki klinik tablolarda hasta-merkezli bir sağlık hizmetinin sunulmasına, hastane başvurusu gerekliliğini azaltmaya uygun bir yöntem olduğu ortaya konmaktadır. Sonuç olarak, teletıp sayesinde sağlanan sanal yakınlık sağlık hizmetinin etkili olmasını sağlamakta, birçok başka alanda “uzaklık engellerinin” ortadan kaldırılmasına öncü olabileceği düşünülmektedir.


Keywords: Teletıp, COVID-19, video konsültasyon, uzaklık, kırsal, sağlık ve hastalık sosyolojisi, tıp sosyolojisi

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