Monday, 3 September 2018

Telemedicine Licensing: Why It Is Needed

By Diane Hayes


Telemedicine is a bigger concept than cybermedicine. It refers to the practice of medicine through different modes of communication such as telephone, electronic mail, facsimile among others. In simple terms, it can be described as the use of communication equipment by medical practitioners to reach patients at different locations. It can involve the use of infrastructures such as physical equipment that is used to capture the process, transmit and store, process and display data. Cybermedicine is limited to the practice of medicine online. The potential benefits of telemedicine are great. This has made the need for telemedicine licensing greater as legislators move to adopt the old laws to the new practice.

The old laws have been restricting the practice of medicine by a physician to a specific region. This was usually where the physician applied for the license. One of the legal issues that have been raised is whether a different license should be issued to physicians practicing telemedicine. This is mainly because it allows a physician to offer medical services to a patient in another part of the world. Medical laws are restricted to the area of the license and a physician can only practice medicine if the patient is within the same geographical area.

However, the laws do not stop medical practitioners seeking and offering consultations to fellow practitioners in other regions. This has been done as long as the primary responsibility of the patient remains with the physician seeking the consultation.

A lot of changes have happened as a result of the introduction to telemedicine. The doctor-patient relationship has changed dramatically. The roles that the health practitioners play are also changing. They are therefore required to adapt to the new system and accommodate the changes it brings. This has made some doctors feel threatened as they have lost control.

The old legislation and licensing powers made physicians have control over their services and the best procedures and treatments they could give to their patients. With the modern systems, this has shifted. The duty of care is now open-ended where there are no limits as to where the diagnosis, treatment and care stop.

In Telemedicine the responsibility for the financial costs and who should pay them is yet to be factored in. Patients also have a say in which diagnosis and treatment they prefer. This has made the health practitioners uneasy in their relationship with their patients and they feel left out.

This especially happens when patients reject the opinion of the physicians who are looking out for their best interests. The patients are now more informed and are taking responsibility in deciding their own treatment. Telemedicine fits in well with this arrangement where the role of the physician now evolves to mentoring, educating the patient, offering evidence to support the treatment option.

It is therefore important that the legislators, physicians, and relevant medical organizations work together to streamline the practice, come up with new guidelines and protocols. With their involvement, the safety of the patient and the practitioner is put into consideration. The environment around telemedicine can then change and allow little or no resistance to new developments from any of the parties especially the practitioners. A level of trust can be achieved that will also help the practitioners feel supported in their new roles.




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