Do you change the wave medicine of "remote medical treatment" that examines patients on smartphones and tablets?

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Alternas Japan

2017/08/02 (Wed) 10:15 Delivery

Even if your doctor and the patient are far away, you can use smartphones, tablets, personal computers, etc. to provide medical treatment.Such "remote medical treatment" has become familiar.Not only in depopulated areas where doctors are seriously short, but recently it has spread in urban areas.It is a non -smoking outpatient clinic for busy business people, or by parent and child on pediatrics.For patients, the burden on the hospital and the waiting time can be reduced, and doctors have a great advantage.Is the "advantage x advantages" true?I visited the medical site.(Special feature editorial department)

In the stricken area of the Great East Japan Earthquake

After the Great East Japan Earthquake in March 2011, the Municipal Odaka Hospital in Minamisoma City, Fukushima Prefecture fell into a serious situation whether medical staff could be continued.Although the outpatient department has resumed three years ago, the situation has not improved significantly.Among them, the "remote medical treatment" introduced in May this year is becoming a great help.

Nurse visit and tablet terminal.It is said that she started her medical treatment with that combination.What kind of medical treatment is?First of all, please take a closer look at this video (about 8 minutes).At the beginning, Tomeno Kato, 92, appears, and a scene of talking with a doctor through a tablet appears.What kind of exchange is being done?

92 -year -old women on tablets without resistance

In early June, when he visited the interview, Mr. Kato responded to the postcard and the doctor's interview through the tablet terminal.I don't think I'm very 90 years old.The doctor asked, "How are you doing?"There was also a smile.

Koji Fujii (62) of Odaka Hospital (62) is behind the tablet.He actively moved to the introduction of remote medical treatment, and felt responding to "a breakthrough method."Face on the screen and compete with your face and face.If you look away with your eyes, you will know the situation.Therefore, it is also an opportunity to ask a doctor's attitude as a doctor.

Even at Roppongi Clinic, Tokyo

The Shin Roppongi Clinic is near Roppongi Hills.Literally, it is in the middle of the big city.It is said that this hospital with psychiatry, psychosomatic medicine, and internal medicine is also embarking on "remote medical treatment."According to Seirai Kurita (37), the subjects include depression medical treatment and non -smoking outpatients.It's for business people who are busy with work and can't come to the hospital.

Reservations are completed on the smartphone or tablet screen.Doctors wait at the clinic during the reservation time.The patient uses the function of the video phone to receive a consultation.Payment is a credit card.There is no more concept of "hospital".

President Kurita says.

"People who are difficult to motivate treatment will continue to receive treatment. I think that is the role and role of remote medical treatment."

In many cases, non -smoking outpatients stop visiting the hospital on the way and frustrated treatment.However, according to Director Kurita, in the clinic, most patients with non -smoking outpatients will use remote medical treatments and will receive around 80 % of the programs for all four programs."There are many voices of patients who have been continued because of this (remote medical treatment), and I think that around 80 % is quite high."Twenty to 30 % of psychiatric patients are remote treatment.

"The face of the patient who comes in the consultation room and the face of a patient who is receiving medical treatment (using remote medical treatment) is still different."Unlike when you meet at a hospital, you can easily see your usual situation and face.That is the advantage of remote medical treatment."Instead of noticeable or palpation, you will also get new medical information."

Remote medical treatment, expanding in various places

Until a while ago, remote islands were mainly remote islands and landscapes.What spread to urban areas was triggered by the Ministry of Health, Labor and Welfare's "clerical contact" document published in 2015."It can provide online medical treatment to patients suffering from hay fever in a busy business person living in urban areas", and since then, companies that provide remote medical treatment platforms such as online reservations and credit card payments.There are a series of entry.

About 10 companies are developing and selling remote treatment apps.When the Special Editorial Department reported on the four major companies, about 900 medical institutions were provided by four companies.MRT (Tokyo), a medical venture company from the University of Tokyo School of Medicine, says, "Approximately 350 medical institutions have been introduced, mainly in the Kanto region."The largest medley in the industry (Tokyo) says, "In June, the introduced medical institution exceeded 500."

And these waves are also becoming an ally of parents who are busy raising children.

Parents who are raising children

Rei Iwai (33) and Yuzu -chan (2) Parents and children of Nakano -ku, Tokyo use a smartphone to ask a pediatric doctor to consult medical consultation.Why is it online medical consultation?

"If you go to the hospital (actually)," says Iwai."Most of the time (even if there is a fever), I often go home without being able to consult about various things. However, in the case of pediatrics online, I can give various answers."

The online consultation partner is Naoya Hashimoto (32), a pediatrician.He belongs to the "Pediatrics Online" based in Chiyoda -ku, Tokyo.The homepage was opened last May.He started remote medical consultation using the TV telephone function of the smartphone, but he felt a light day, but he felt a response.

Dr. Hashimoto says.

"Pediatrics are crowded, so if you come (patients) 100 people a day, we will treat them in 2-3 minutes per person."Parents who are raising children are always worried about their child's health, but is such a medical treatment?In particular, if you are raising your first child, many parents fly to pediatrics even if they have mild symptoms.I wanted to change this situation.

Pediatric Online is a membership service of 3980 yen per month, and is now registered by about 30 pediatricians.If you become a member, you can consult 10 minutes at a time as many times as you want.Users spread all over the country, and can be used from overseas, such as the United States and Brazil.

"Having a simple contact will be a good channel that brings out questions about your mother's anxiety and children's health," said Hashimoto.I was too busy, I couldn't see my child properly, and as a result, my mothers were not able to resolve the anxiety.It may be a clue to the solution to such a paddy as a pediatrician.

Dr. Hashimoto also feels that.

In Isumi City, Chiba Prefecture, a depopulated area of pediatric medicine

Finally, let's introduce another example.Isumi City, Chiba Prefecture.It is said that there is no other pediatric specialty facility at a 15 -kilometer radius of the "Sotobo Children's Clinic", which will open there.It is a typical depopulated area of pediatric care.

This pediatrics introduced remote medical treatment about a year ago."There is a guide to online medical treatment (from a company that provides a remote medical treatment system), and this will greatly change the form of community medicine. I thought intuitively."

"It's not explosive, but (users) are definitely increasing. There are about 100 patients so far, and we are examining about 20 people a month while alternating between online and normal medical treatment."

Under the current medical insurance system, the rewards are lower than normal face -to -face treatment, and the more the percentage increases, the lower the number of medical institutions."The current situation is taken out by the hospital side. It will be difficult to spread as it is."

However, the environment is gradually starting to be prepared.In early June, the "Future Investment Strategy 2017" was decided, and the remote medical treatment was evaluated by the next revision of the next medical treatment.The system is in line with the actual situation, and the system is in place.

Does "remote" save medical depopulation

Remote medical treatment is proceeding in both urban and county.How far will the flow change the medical form?For example, Dr. Fujii of Odaka Hospital introduced at the beginning.That feeling is hot.

"Even if you are in Tokyo, you can get on a consultation of a patient in Odaka. Nurse, caregiver, and doctors can share medical data and incorporate remote medical treatment in that cooperation, and advanced and friendly visit medical treatment and visit care.You can do it. I want to named it the Kotaka style. It can be a very groundbreaking method. I think there is a base. "

Same video as in the sentence

[制作協力]Alternas Japan[写真]撮影：子安充雄、Alternas Japan

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