{"id":13049,"date":"2017-04-28T18:46:01","date_gmt":"2017-04-28T18:46:01","guid":{"rendered":"http:\/\/phosdev.com\/todaysveterinarypractice\/?p=13049"},"modified":"2022-02-12T16:51:29","modified_gmt":"2022-02-12T16:51:29","slug":"editors-notethe-doctor-will-see-now","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/practice-management\/editors-notethe-doctor-will-see-now\/","title":{"rendered":"The Doctor Will See You Now"},"content":{"rendered":"

We may fear the future that technology can bring into our daily lives, but what is already here is probably around to stay. It\u2019s been roughly 40 years since telemedicine was introduced into human healthcare, and for many purposes, its exponential progress has been embraced and accepted. Its role in veterinary medicine has been slower to evolve, partly because of some different challenges when using remote-access capabilities in daily practice. An advisory panel for the AVMA recently released a report on telemedicine; however, at this stage, the report is for informational purposes, not a policy statement.1<\/sup><\/p>\n

So what is this technology, and should we embrace it or fear it?<\/p>\n

The American Telemedicine Association briefly defines telemedicine<\/em> as \u201cthe remote delivery of healthcare services and clinical information using telecommunications technology [that] includes a wide array of clinical services using internet, wireless, satellite, and telephone media.\u201d2<\/sup> This broadly encompasses much of what we already do and accept: telephone consultations with colleagues, telephone updates with owners, and remote imaging3<\/sup> and ECG interpretation services, to name a few. The AVMA advisory panel defines telemedicine as \u201cthe use of medical information exchanged from one site to another via electronic communications to improve a patient\u2019s clinical health status.\u201d1<\/sup><\/p>\n

Based on these definitions, we could simplistically divide telemedicine into consultation services (teleconsulting), which assist us with decisions about diagnosis and care, and diagnostic services, which at the extreme can directly offer a medical diagnosis from a remote situation. The former is widely accepted\u2014for example, a consultant may provide advice about a particular case. The latter seems fraught with complications and lacks the \u201chands-on\u201d approach that so many of us feel uncomfortable without. Surely just \u201cseeing\u201d is not enough to believe?<\/p>\n

\u201c We must always tell what we see. Above all, and this is more difficult, we must always see what we see.\u201d \u2014Charles Peguy<\/em><\/p><\/blockquote>\n

Many feel certain that the correct use of telemedicine can enhance animal health by facilitating communication, diagnostics, treatment, and education.4\u20137<\/sup> In the field of human medicine, telemedicine has become successful because of its convenience and accessibility, enabling the provision of healthcare in remote, underserved areas. Some healthcare plans now even include access to a doctor via video call; however, there are some very clear guidelines and laws defining this interaction. The healthcare provider must be licensed in the state where the patient resides; an established doctor-patient relationship must exist; and it must be clear to the patient that the healthcare provider is indeed qualified! All of these requirements are included in the AVMA\u2019s advisory panel recommendations.<\/p>\n

The question that the use of videoconferencing prompts is, can an accurate diagnosis can ever be achieved \u201cover the phone\u201d? In human medicine, videoconferencing has intuitive benefits, including convenience, reduced costs, and improved access to specialists. Long-term study of these benefits is limited, but it is suggested that outcomes are at least as good as those achieved through traditional models of healthcare delivery.8<\/sup><\/p>\n

So why do we fear this technology? Possibly we fear where it all could lead. The fast growth of telemedicine has legal and ethical standards struggling to catch up. This is where we need to be careful\u2014the rules of the game don\u2019t change because a consultation occurs electronically rather than face to face. The standards of care and laws of healthcare provision do not change, but with appropriate oversight, the continued advancement, implementation, and acceptance of this technology could help veterinary medicine augment animal health and welfare. We will see!<\/p>\n","protected":false},"excerpt":{"rendered":"

Can the appropriate application of telemedicine in veterinary medicine enhance animal care and welfare?<\/p>\n","protected":false},"author":16,"featured_media":13056,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":19,"footnotes":""},"categories":[350],"tags":[],"class_list":["post-13049","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-may-june-2017","column-editors-letter","clinical_topics-practice-management"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"\nThe Doctor Will See You Now | Today's Veterinary Practice<\/title>\n<meta name=\"description\" content=\"Can the appropriate application of telemedicine in veterinary medicine enhance animal care and welfare?\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta 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