INTRODUZZIONE:
Telemedicine by I've been here from the creator and I threw the theoretical foundations, the flower is all'occhello of scientific research of my work, a milestone that after the banner of new applications and media, has led to the creation of new servizzi and technologies including those of Telecommunications of the new era, and the new era with its own "world view." Everything you can read it on my book (Click: http://dottcianciminotortorici.blogspot.com/?mkt = en- ).
And unfortunately it was the scientific discipline that has had less space in these publications online, in these pages, these sites and these blog.de below, and on behalf of a more detailed work with original material of different countries, pretend to give to hear some news on its current state.
places where telemedicine has been developing a better starting point of my studies, are Ingliterra, Europe and USA where he has taken and is taking a big development and extension of its use, with new and increasingly sophisticated needs of the masses of increasingly large population.
1)-INGLITERRA:
In this case the main news we are dell'Ingliterra. Propio these days its leaders are putting in atto una riforma radicale della sanita dove alla Telemedicina li è stato assegnato un ruolo di rilievo.Il principio teorico di questa riforma consiste nel togliere alla burocrazia statale il controllo della sanita per metterlo in mano ai medici.E cosa c'è di meglio a tale scopo che il rapporto diretto fra medico-paziente anche tramite i mezzi di comunicazione a distanza di massa della NUOVA ERA.
La Gran Bretagna ha un sistema nazionale statale di salute pressa poco che universale e gratuito.Ne sono fieri gli Inglesi,pero anche si ha convertito in una gran macchina burocratica che ostacolizza una corretta gestione della pubblica sanita.L'idea è,a prescindere della differenziazione medicina pubblica-privata,mettere il controllo in mano ai medici.E in questo disegno la Telemedicina ha qualcosa da dire.
Di seguito vi faro conoscere una notizia sul "Corriere della Sera" che viene propio dall'Ingliterra e dopo un breve commento.:
Gb, sintomi e diagnosi via mail o sms
Un miliardo di sterline: tanto si risparmierebbe se gli inglesi comunicassero virtualmente con il proprio medico
MILANO - Il governo inglese dice basta alle visite mediche inutili. È infatti allo studio un progetto pilota su 6mila pazienti di lungo corso in Cornovaglia, Kent ed East London, che prevede il coinvolgimento degli stessi malati, chiamati a descrivere i sintomi e a inviarli via mail o sms al loro medico di fiducia, senza necessità di appuntamento. Sarà poi the latter to respond with the diagnosis at the end of the day or in the time between a visit to the other, again via email or SMS. A scheme that, according to those who conceived, would save more than 1 billion pounds. Public money which could therefore be used in other ways. Obviously, this type of consultation is for less serious cases. If, in fact, a clinical specialist deems less comforting, he will be to advise the patient to be examined as soon as possible.
RISK - This approach could also be applied to those who suffer from cardiovascular problems, diabetes and lung disorders, which would be asked to measure their own blood pressure, pulse Heart and blood glucose (with equipment supplied by the public assistance to all those participating in the experiment) and then send the results pr e-mail or text messages. But the idea of \u200b\u200bgovernment does not like the doctors of the British Medical Association that, on behalf of their president Laurence Buckman, have warned of the danger that doing so risks not to discover or diagnose serious diseases when it is too late to treat them . "My concern is that the patient does not realize the severity of his condition - he explained to the press Professor Buckman - and not even the doctor can do it, because he can not understand a simple message. For example, a person with a serious chest infection could mistake it for an ordinary cough. That's why the safest way to deal with patients is to see them in person and many doctors fear the consultation by email.
IN ITALY - The results of this experiment (which follows a pilot study carried out in Dundee in recent months, where patients reported via SMS to the doctor about their medical condition) will be announced in the spring. But in Italy such a scheme might work? "This way of working seems to me more and more ports to a depersonalization of the patient - explains Professor Massimo Torre, director of the Department of Endoscopic Surgery of the chest Niguarda Hospital in Milan - for the visit is essential, as well as it is the doctor-patient relationship. If a patient has a cough, I have to auscultate the lungs first and then I can give a cure. Sometimes even minor symptoms can be the indicator of something more serious and can not be entrusted to an email or sms the pretense of a correct diagnosis. As for Italy, we have the right mentality is still rooted to be visited by your doctor, so the scheme would be difficult to accept English. Should not forget the medical-legal, which would open a series of contentious and difficult to interpret solution. " Simona Marchetti24 January 2011 (last updated: January 25, 2011) ©
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ANALYSIS:
I seem ridiculous and malicious these criticisms: Telemedicine has never put as late substitutes the doctor-patient relationship will direct the branch of medicine prattica institutionalized, only wants to be helpful where they can fill a gap in medical care current complement them and if anything to improve its performance, including those derived from red tape as they are withered ecceso the advice useless, besides producing discounts for medical attention, are distorted capitalized (at the expense of the public treasury in this case ). So is the reference
unnecessarily evil intentions of Laurence Buckman to risks not to discover or diagnose serious diseases when it is too late to treat them.. "Backwards, and always care Taking into account the variations in each country, telemedicine has aim to stimulate the underlying medical advice in that segment of the population for his ignorance or lack of means to consult shortly medico.E in those cases where you already have a smooth step up the medical report the doctor-patient and controls, all things considered, the doctor put propio home sua.Chi you can say "I hurt my leg I ask the doctor?: Navigate in the office, tails, waiting for the posts of assitance, etc. are all factors together to the already listed that stimulates the patient to advice medica.Con Telemedicine can be: just an email or SMS to get a medical opinion at your fingertips.
If we take the particular case we are talking dell'Ingliterra to avoid "unnecessary consultations" (which in the end by all the vast majority of medical claims), which after all are having a withered red tape as mentioned, and therefore abolished (in Britain and everywhere) is not in detriment of the Report for improving the doctor patient but is well optimized, making it even more narrow and intense as well as efficient.
No doctor wants to treat a cancer with telemedicine, but then again the purpose, of course, there is no substitute and complementary medicine, to make better and more utile.Chi must realize the severity of his ignorance and bad intention is this person who does not recognize spirit doctor.
Similar words could say about the application of telemedicine in Italy: I believe that these opinions do not reflect the true state of public medicine in Italy: no risk to the patient because despersonalizazzione Telemedicine repeat never, ever sostitoira the direct relationship with the doctor . But this is something to be said that the Doctor evidentementente Massimo Torre does not know: despersonalizazzione talking about what could be worse than the istituzionalizazzione the patient and the illness as a result of burocratizazzione medicine? The patient goes on to be a number in a folder clinica anzi che una persona di carne e ossa con un nome e cognome sul versante organizzativo.E sul versante tecnico per il medico,data la dinamica burocratica, il malato passa ad essere un "fegato cirrotico" anzi che fulano di tale con una storia personale,una famiglia,sogni e piani di vita che ha caduto nell'alcolismo per tale o quale causa.Questo non è despersonalizzazione?Smette di essere una persona umana caduta in disgrazia per passare ad essere "il fegato del letto 9","la neoplasia del reparto x",ecc,ecc.
"Buonissima" perche umanizzante la riforma Brittanica,e buono il ruolo della Telemedicina senza dubbi,male intenzionata la critica di Torres,oltre a inoperante perche di fronte alla istituzionalizazzione difficilmente si possa fare drawing on these criticisms despersonalizazione.Stia calm Torres also because Telemedicine sostitoira not the doctor-patient relationship, and will complement the intesifichera making it more efficient and better quality human on the close direct relationship. As the
said that in Italy "is still rooted in the right mindset to be visited by his doctor" I can not but smile, if it were not tragic it would be comico.Questo Doctor pretends to mock the reader?: Italy we had a system of free universal public health (such as Brittani if \u200b\u200byou want) until it was Berlusconi who has taken apart and became a privatized system, semi-public, but what "mentality to be examined by a doctor di fiducia" mi parla?Per caso non ha visto le Suore,i Preti e i Medici litigare fra di loro alla porta degli Ospedali ad ogni ingresso per vedere quanti soldi ha, e di conseguenza in quale stanza verra ingressato(ogni una ha prezzo diverso),e quale medico lo prendera in cura?(anche loro hanno differente quotazioni).Si signori, perche in Italia in un Ospedale pubblico oggi per farsi guarire forse dovra pagare.Vergogna deve provare Torres come medico a diffendere questo sistema: altro che fiducia,che sono in pochi quelli che ancora nei medici e nel sistema c'è l'hanno.
Per quanto riguarda agli aspetti medici-legali:da sempre il progresso ha posto quesiti nuovi alla convivenza umana e sempre le leggi si sono adeguati.Perche non dobbiamo dimenticare that is not the law would improve the man who changed the company but reverse is to be lucid and sensitive to changes that will take and will understand its essence in order to better leggiferarli does not want to disappear as a valuable tool GIUSTIZZIA.
purposely in the next note of this newspaper Corriere della sera called Pasquino, you will see more clearly the certainty of these concepts.
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2)-FRANCE, EUROPE AND USA:
If these changes in distance medical care, telemedicine, dell'Ingliterra seem "despersonalizzanti", "dangerous", so what of France where he was authorized by law "a medical WEB" and even recipes distance. (Yes, I speak of "medical" because it is obvious that telemedicine is more closely the relationship with the patient's doctor and not the reverse.) Or what about the rest of Europe or the USA where the use of telemedicine and now we see the first normale.Ma the note with a brief summary of France, of Europe and the U.S. also in the Corriere della Sera:
Cure
Webcam and mail with the recipes, if the doctor visit on the Internet in France
A decree authorizing the new type of consultation. Italian digital short: do not take off certificates online
LONDON - France has just authorized by decree, medical visits via the web. The first online consultations will start in 2011: Patients will be able to talk with their doctor through posts and, thanks to a web-camera built into the computer, and even see his face, why not show them, if visible, the signs of the disease. Of course, there is no direct relationship with the patient, of course, your doctor may put a hand on the belly of the patient or auscultate the heart and lungs or 'feel' the effects of the famous "33 says," but according to the French Minister of Health, Roselyne Bachelot, the experiment may have several advantages: first of all, overcoming the lack of doctors in more remote. According to the French measure, only physicians practicing in France, will offer a tele and instructions will be sent by mail or mail, to the patient or pharmacist.
The idea of \u200b\u200bthe virtual tour may be debatable, especially in a country like ours, where they already are struggling to take off the certificates of illness online (now a technical committee will be held between unions and the Ministry of Health doctors on the subject), where Health care is free, computer literacy is still low and the doctor-patient relationship rather than heard. We telemedicine is not widespread and is limited to projects scattered, patchy in the area. A very different situation from that of other European nations, where the e-health is, in many cases, regulated by law, and especially from the United States where there are even sites online medical consultation fee, such as American Well. In countries where Dr. Internet works, the benefits to patients and the community, are already documented by a series of searches. Tele-care of children of atopic eczema (a form of skin allergy that causes itching and pain), for example, saves time mothers and dermatologists: according to a Norwegian research, a diagnosis via web takes less than five minutes ( Ten, if in addition to a written message is also sent photos of the injury, while a normal visit will take about twenty), avoid long waiting lists and the prescribed treatment has always proved to be appropriate.
The Danes, however, have thought of a 'digital service' for Older people with chronic problems such as diabetes, respiratory diseases, heart disorders: These patients may have trouble reaching a medical clinic also a few kilometers away, while the Internet and web-room are at your fingertips. But the rest of Denmark is one of most European countries that use telemedicine. The more reluctant to care for patients telematics seem to physicians, even those Americans who, more than others, are familiar with the health technology and even use blogs to discuss the more complicated clinical cases. A survey of specialists in an intensive care unit of the University of Texas, where patients were monitored 24 hours on 24 specialists 'outside' via the Web, showed that doctors did not like this system, however beneficial to the sick, and lived as a dangerous interference in the relationship between doctor and patient. Adriana
Bazziabazzi () corriere.it, October 28 2010 ©
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-ANALYSIS:
I could say that this news arrived from France is all right to me and makes me feel proud of my creation, the rule of Acceptance and development reached in the Telemedicine mondo tutto(e anche in Italia perche no?)
C'è poco d'aggiungere:questa legge Francese oltre a produrrermi sodisfazione in quanto la Telemedicina è stata accolta come "cosa di stato" rispecchia i miei concetti e anche la mia sperienza.Concretamente ho avuto occasione di gestire una malata di mente che abita in Francia e questa "gestione" si inserisce nei principi generali di questa legge.(Anche io ho rifiutato prenderla in cura a distanza respingendo il pagamento ovvio,perche oltre al fatto che non era di prescrizzione medica la mia gestione,non avevo io le specificita socio-culturali locali per stabilire un buon rapporto medico-paziente.Pero ho avuto occasione di esserle di aiuto e di farmi esseguire le prescrizzioni)
Pero voglio dire ancora due parole sul solito ritornello dello stato di mancanza di progresso della Telemedicina in Italia:non è essatamente come descrive la situazione questo giornale.Non è vero essatamente che in Italia la sanita sia gratuita.L'ho gia spiegato.L'alfabetizzazione informatica non è tanto scarsa come vuole farla apparire questo pasquino.Molto ne ho parlato gia in occasione della pretesa "breccia digitale della banda larga" fra diverse regione di Italia e del resto dell'Europa:questo altro non è che l'abbituale vittimismo all'italiana,un succedaneo dell'oscurantismo e della diffidenza che ogni idea di progresso scientifico produce nel nostro ipocrita perbenismo.Una abnormita,tutta Italiana di taluni Italiani che pero non rispecchia la realta.E tanto meno reflects reality, "the feeling," doctor-patient relationship "in health care today: the false hypocrisy in this regard I should mention that giornalista.Fantasie.E propio Italy (in Milan and I was present) the influence of my concepts was the first country in the world to Telemedicine (after the experience of creation, of course) spent their early years were the last decade, been a particularly hot and affosa led the Milanese to escape to the sea leaving the poor old people alone to house. propio asset was the municipality of Milan to take care of the old ones by telephone in the throes of dehydration in a chiammato service hotline. (1) I have been reading this experience and have read the book and pagine.Telemedicina in these precarious TELEMEDICINE early if you want but in the end: decisive was the concept that I developed recently. In this regard
accuracy: as you read about in my book Telemedicine the first instance I worked for the telephone and in that moment I had overlooked, but without rejecting the medical care through internet.Pero there is to say also that in that when the number of PCs installed were scarce and tral'altro INTERNET used "elliptical". Mobile phones were also scarce and only had service through voce.Oggi NEW ERA (Telemeicina and then) the difussione of mobile telephones and massive and universal, they have to perfect the integration of other means of expression at a distance (room and medical kit among other things), and the changes the Internet has made to abandon the use elliptical to switch to be in operation on mobile phones, a mass medium in fact. (The PC has not been fixed and wired essential and needed is less). So today Telemedicine is another thing with a promissory future: indeed, as I told in the book, telemedicine and Medicine futuro.E despite some reluctance Alun colleagues, and obscurantism to 'Italian sodisfatto progress and I am proud of my creation.
finish using two notes of the same newspaper that will better illustrate what I mean when I say blinds and distrust of scientific advances, including new technologies della Telecomunicazione.
(1)Non dobbiamo confondere questo servizzio Milanese con quello da me diretto durante la creazione della Telemedicina che portava(casualmente?) lo stesso nome.Ne dobbiamo confondere questo nome con quello dei servizzi religiosi Francesani identicamente chiamati TELEFONO AMICO"che pero nulla c'entra ne con la TELEMEDICINA ne con la scienza.Queste "COINCIDENZE" inoltre sono stati ogetto di dispute legali che ho documentato in queste pagine.Vedi cua:
http://cianciminotortorici.spaces.live.com/blog/cns!59921AB7F02EF297!528.entry
http://cianciminotortorici.spaces.live.com/?mkt=it-it
-DUE NOTE:
EPILOGUE: On-
document of the 5 senses: we have already mentioned the Telemedicine does not pretend to present replace the doctor-patient relationship, then so are the benefits of telemedicine transcendent and important though sometimes there are 5 senses is not the end mondo.Parafraseando bureaucracy would say: there is no worse than that medical work is not done, as claimed by this reactionary obscurantism good postulant, transvestite Progreso. On-POPE
what to say?: We know of his progress and urged rejection of science, and then hear him speak telecommunications guardia.E puts me in a lot more lights my alerts when I hear young people: the Catholic church has no moral authority to lead the young people after the scandalous pedoflia, generalized universale.E no less doctrinaire after the transformations of this pope has elevated to the category of sacred love Agapit and abolished the institution of the heavenly purgatory, warned that young RESPONSIBILITY observance of ethics in this life on earth. (Neo-liberalism?)
In this context I have no interest in doing a thorough analysis, particularized and careful of his words about young people on the means of dell'attegiamento NEW ERA.Non authorities will recognize them on the scientific perspective on what it ethics and morality, and less on the religious, as mentioned before.: only say that his analysis of religious and moral dangers of the Virtual tarde.La come a long fight against the virtual and the reason of my being reformed opera.Ho Internet and telecommunications, giving rise to a new era of human relationships and socio-cultural political banner of resistance to VIRTUALITA.Non is his "found" the critique of ethics and morality to the virual and is merely going along my street with his views. I have defeated the virtual, and the network are one of the inclines consequences of a natural way of relating to non-virtual humans through technological means. There comes a time later and runs on the wrong road here has no authority (again at risk of tire) it religious or scientific, or moral its ethics.
I posted some reader comments to this article and how some of them would prefer to see the pope more than she can talk politics, take his risponsabilita if you dare to speak to the entire company network and virtual, NEW ERA in short, an area that does not belong, and in fact there has been a persistent opponent, in the name of a faction religiosa.Non I would like my work as a bust of Galileo to Copernicus, ends in the gardens of the Vatican or the Cathedral of Poland propio to justify the persecution of followers of the new era in the hands of those who have been fierce enemies and permanet: "Hands off the new era" in the name of the scientific spirit and also in the name of the spirit of Holiness che la sua carica dovrebbe ispirare e infondere ai giovani:in nome di SANTO PADRE,giu le mani.
A conto d'altro materiale promesso gia,metto fine a questo post.
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