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Telemedicine - A Catalyst for Reviewing the Healthcare Paradigm

Telemedicine - A Catalyst for Reviewing the Healthcare Paradigm. John Erbetta DERA Malvern Tel : +441684 895600 Fax: +441684 896113 Email : jerbetta@dera.gov.uk.

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Telemedicine - A Catalyst for Reviewing the Healthcare Paradigm

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  1. Telemedicine - A Catalyst for Reviewing the Healthcare Paradigm John Erbetta DERA Malvern Tel : +441684 895600 Fax: +441684 896113 Email : jerbetta@dera.gov.uk This presentation represents the personal views of the Author and should not be taken to represent the view of either DERA or any other official body.

  2. DERA • Defence Evaluation and Research Agency • Currently a Government Agency • 12,000 staff • 8,600 Professional and Technical Staff • 3,400 Administrative and Industrial Staff • $1,500 million Funding • Strategic Outlook (20 years)

  3. Definitions • Telemedicine • To improve the delivery of health care and achieve better quality of care and health outcomes through effective and innovative use of health information • Paradigm • A Pattern - The core beliefs of an organisation

  4. Opportunities and threats Strengths and weaknesses THE PARADIGM Strategy Environmental forces Organisational Capabilities Performance From Johnson & Scholes

  5. The 3 Ages -Where are We? Partners Directing Communicating

  6. July 7, 2000 http://www.medicalpost.com/article7.html 84% of Patients want to ask their doctors questions over Internet Survey of 2,500 consumers: 58% - referrals to specialists should be available by e-mail 41% - prescriptions should be refilled over the Internet 40% - an electronic exchange would facilitate discussion of embarrassing issues with a physician. 33% - get their annual check-up on-line, 20% - get test results. 45% - use media—including newspapers, magazines, the Internet and medical journals—as their main source of medical information. One-third of internet users get on-line to confirm or dispute a physician's diagnosis.

  7. ‘Conventional approaches’ Cost Imperatives Money Telemedicine Time

  8. Trends in Healthcare • The current issue: • Current Hospitals size is a function of number of specialties and team size. • This has grown over past century - specialties narrow and centres of excellence need a large team. • Care is more easily supplied in smaller units - ‘human scale’ • Telemedicine can offer large virtual teams but distributed across a number of centres • The impact is to change the underlying paradigm

  9. Organisation Effective Management of ‘Resources’ ‘Culture’ The Telemedicine Paradigm Ensuring that Patients and Practitioners are ‘comfortable’ with new approaches Technology Technology ‘neutral’ solution Achieving Transformation

  10. Conclusions • International co-ordination • New organisation structures are needed to efficiently and effectively use resources. • Legal and regulatory barriers need careful review • Cost implications are not fully understood.

  11. “one does not forecast the future; one creates it!” • Vision • Strategy • Plans • Commitment to Change

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