Spánková telemedicína

Title in English Sleep Telemedicine
Authors

LUDKA Ondřej

Year of publication 2022
Type Chapter of a book
MU Faculty or unit

Faculty of Medicine

Citation
Description Standards of care for sleep telemedicine services should mirror those of traditional office visits, including all aspects of diagnosis and treatment decisions. Sound clinical judgment should always be exercised when determining the extent of telemedicine applications in the diagnosis and treatment of specific patients with sleep disorders. Live interactive telemedicine for sleep disorders, when used in a manner consistent with the principles outlined in this document, should be recognized and reimbursed in a manner that is competitive or comparable to traditional in-person visits. The roles, expectations, and responsibilities of providers involved in providing sleep telemedicine, including providers at home and remote sites, should be clearly defined. The practice of sleep telemedicine should aim to support a model of care in which sleep specialists, patients, primary care providers, and other members of the health care team focus on increasing the value of health care delivery in a coordinated manner. During the process of providing telemedicine care, relevant technical standards should be followed, both at the original and remote locations, and should also meet legislative standards. There are methods that aim to improve the utility of telemedicine and should be explored, including the use of patient and provider resources, complementary testing, and complementary technologies. Quality assurance processes should be in place for telemedicine care delivery models that aim to capture process measures and patient/provider experiences with the models used. The use of telemedicine services and their equipment should be in accordance with strict professional and ethical standards in order not to violate the intent of the telemedicine interaction and at the same time to improve the overall access of patients to care and its quality. Time for data management, quality processes, and other aspects of care delivery related to telemedicine should be recognized in value-based care delivery models. When billing for telemedicine services, it is recommended that patients, providers, and other service providers understand payer reimbursements and that the process be financially transparent. The use of telemedicine in sleep medicine is likely to expand as rapidly as telemedicine in general; however, further research into their impact and results is needed.

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