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The Future of Health Care In A Networked World

Jay H. Sanders, MD

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Telemedicine

What’s In A Name?

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What Is It?Is defined by what it does

notWho Does It

orWhat Does It

orWhere it is Done

orWhen it is Done

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What Is A Store and Forward Consultation?

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The Portfolio of Point-Of-Care Access Technologies

Phone

Fax

VTC

IP

PACs

PDA/MDA/Video Phone

Multi-Media Platforms

Sensors

Cyberfiles

Robotics

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The Portfolio of Telemedicine Applications

Rural/Urban/Global

Education

Corrections

Military

Maritime

Public Health

EMS

ICU

Space

Home/Worksite

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We Must Bring The Examination Room To

the Patient!

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IF

“Home is where the heart is…”

THEN

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We Must Migrate From A System Based On Episodic

Or Periodic Evaluation

To

One That Provides Continuous Assessment!

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We Must Bring The Office To The Practitioner!

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We Must Bring The Collective Expertise Of The

Practitioner To The Patient’s Bedside!

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It May Be Data

But

Is It Knowledge?

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The Name Game…

Telematics

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We Must Encourage/Expect/Require Patients To Be Their Own Primary Care Provider!

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Food Doesn’t Cause Obesity,

People Do!

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We Must Explore Unique Health Care

Environments

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Corporate Health

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Homeland Security:

Intellectual Naiveté

Or

Societal Opportunity

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We Must Learn From and Collaborate With

Other Service Industries

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Never Underestimate One Of The Most Powerful Of

Human Instincts…

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Resistance To Change

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“That it will ever come into general use, notwithstanding its value, is extremely doubtful because its beneficial application requires much time and gives a good bit of trouble, both to the patient and to the practitioner because its hue

and character are foreign and opposed to all our habits and associations”

The London Times, 1834

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The subject:

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“This ‘telephone’ has too many shortcomings to be seriously

considered as a means of communications. The device is

inherently of no use to us.”

Western Union internal memo, 1876

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Do not go where the path may lead.

Go instead where there is no path,

And make a trail

Ralph Waldo Emerson

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