Disruptive Innovation: The Future of Healthcare?

Abstract

The traditional face-to-face doctor-patient relationship is the core of conventional medical practice. One key aspect of this changing relationship is the increasing dependency on asynchronous data collection in clinical consultations. Such electronic communications and data streams may be numeric, text-based, audio, digitized still pictures, video and radiologic, as well as emanating from multiple medical devices. While asynchronous medicine may be established in specialties like radiology and dermatology, there is little research regarding the use of asynchronous medicine in areas of medicine that traditionally rely on the physical doctor-patient interaction such as primary care, internal medicine, geriatrics, and psychiatry. The practice of psychiatry stands out as a discipline that is highly dependent on the quality of the physical meeting between the doctor and the patient, yet even in this specialty it is possible to utilize asynchronous medicine for some types of psychiatric consultations. Asynchronous medicine has the potential to be significantly disruptive to our current healthcare processes, as well as more clinically and economically efficient.

Requisitos para utilização de cybertutor com agentes comunitarios de saúde

“…Furthermore, during all the videoconference, they reported the discourses of those CHWs, justifying their reasons for not participating in the study. This collective discourse highlights how the CHWs concluded that basic computer knowledge mental conceptions of everything in the world 21,22 . In this regard, the motivational stimulus e quite relevant, and if the community is not motivated or retro-fed, there is a high risk of withdrawal from the course.…”

Analytic turnaround time study for integrated reporting of pathology results on electronic medical records using the Illuminate system

“…Radiologists using systems such as Illuminate were able to improve workflow, improve patient care, improve patient safety and cut costs [19][20][21][22][23][24][25]. This was primarily related to their improved ability in gathering information across hospital systems and providing instant access to relevant patient history and results of prior procedures to make better-informed decisions in less time.…”

Transcultural Psychiatry Made Simple—Asynchronous Telepsychiatry as an Approach to Providing Culturally Relevant Care

“…Asynchronous telemedicine has made it possible for a doctor in one location to get expert advice on a diagnosis and treatment plan from specialists around the world without the need for the doctor and the patient to be connected together in real time. 11,12 The inclusion of health information technology into the general medical field has allowed for the development and broad use of asynchronous medicine where patient information, such as pictures and written documents, is securely stored (e.g., in an electronic medical record) and later securely forwarded to a consulting specialist or party for review. This technology has been well received in many fields such as pathology, dermatology, and cardiology [13][14][15][16][17] and has recently been used in psychiatry 18-20 but has not been used with translation across languages in any discipline.…”