Telemedicine history

As a surprise to many that the concept of telemedicine is not that new and started actually when telecommunications got the significant part in our life. The core concept of sending data and information through over a distance has repeated itself again and again in form of written telegraphs, voice telephone calls and Radio waves. For the same reason explains why telemedicine related theoretical with telecommunication channels and related technologies. Since Alexander Graham invented and got patented the telephone 1876 and Heinrich Rudolf Hertz did their first radio wave emission the race of wired and wireless communication went to the peak. At beginning was hard and difficult to apply the same telecommunication technologies by the same devices in medical field but along decades the trials did not stop to get and involve part of wireless technologies in healthcare industry. Pennsylvania 1950’s medical staff of two medical centers they started to transmitted radiologic images data and description through telephone. Afterward some radiologists in Montreal did the same with modification to Tele-radiology system of image transmissions and exchange between hospitals. Couple of years later 1959, University of Nebraska medical staff had succeeded to transmit neurological examination to students via two way interactive television network. By 1964, they built a telemedicine platform link allowed health services provision at Norfolk State Hospital, 112 miles far from the campus. The point of explosion to work and evolve over Tele-medical communication channels moved strongly when the medical workers found that when they used data delivery channels among them and within medical work. The results got better and effort became much less than usual at the time, everything changed once they involve the remote communication channels.

After decades till now; the matter of data nature got more complicated and rich in quantities and qualities with no doubts that Tele-medicine will be new vehicle of data transmission between providers and value receivers. Many projects designed to affect and confirm the goal and practically applied with sporadic remote communities in order to do fit positioning of technology utilizations of different sorts from wired and wireless communication platform between physicians and nurses in one side and patients and care takers from other side. It was not strange that people accepted the idea quickly than had been imagined and moreover took it as new tool for survival of their family lives. They found in Tele-medicine time to talk to the GPs regularly and say what was hard instead of take days of travelling to tell them so. Medical care and consultations arrived over there with nothing to pay from your effort, money and time even if there is no full facilities medical care but at least to find a channel to ask and know what you going to do with your case.

Now the matter of sending personal medical data to Family doctor is normal and regular action repeated whenever you want to do. After occupying the web our life and work tasks which enable physicians and medical staffs to be ready and get your medical data and check with you everything throughout hours of the day. The care and communication got easier with patients especially children while the patients feel more satisfied with new technologies and started by themselves to exaggerate the role of Tele-medicine and Tele-communication in healthcare to prove somewhat that Telemedicine changed their life for better and healthier. Full health J

Telemedicine concepts and work fundamentals

Since researchers and e-health system designers found urgent need to use modern communication channels in order to serve and satisfy remote area masses particularly when central hospital for basic services not available. They found matter of reach people physically everywhere over their demands impossible to occur while their demands and regular care still on spot of interest most of the time. Some of e-health designer thought that may be make medical campaign available for while then replace it afterward by some sort of communication channels. Even this hypothesis could not meet a lot of acceptance because if we could set up a channel of communication after medical teams existence physically why not exceed the point to provide the same existence also through the same communication channel. While other researchers thought about telephone and mobile communication in cases of regular diagnostic procedures and follow up after, from many point of view it was the nearest part of work and reachable point to most of patients in remote areas and also that could determines regular needs to be physically existed in case of urgency and surgery. Before talking about the telemedicine in touch of details would like firstly to explain the concept of telemedicine and m-health:

Digital Clinic: it is the basic constituents of telemedicine communication unite and considered the main part of work patch. By digital clinic become easy to set patient movable database for farther processing and regular analytical judgments, integration of different devices and interoperability and eventually control cost effectiveness and final outcomes.

Digital patient: I guess this the difficult part and hard one to consume most of our effort with patients and masses that was briefly described by patient self measurements, patient generated data, behaviour modification and digital retention and engagement. Actually in order to create good simple steps cascades among patients that will serve most of them and teach them innovative modern channel of communications by which would be easier to contact follow up and even to monitoring the cases.

Digital device: It forms the infrastructures for the devices and communication channels thus digital simplicity, wireless and wearable devices, sensors and handheld imaging. Digital infrastructure for telemedicine and m-health look like media of data existence which serve the aim of flowing data between medical workers and patients over different levels of medical services and demands.

It was not imaginable ever that solution has gave patients remote monitoring and diagnosis through mobile and later through web over PC screens by cloud data service provision directly with medical staffs.  Moreover all of these services when patient still there in living place with unmentionable effort of own side. The work does not get and run that fast but took decades throughout process of evolving and progress to the form we have known at our present. There are still opportunities for development and additional modification for existed tools could be better if they change for better and may be the best in near future. Full health J

Medical services in remote areas

Among cascade of medical care currents and introduced services there are category of people naturally according to their geographical distribution. They can’t get the same equal medical care and services even with full existence of technologies and service infrastructures. The point here is not how advanced the technologies involved to work and serve those patients but what kind and how fast delivery channels going to be ready to give them proper attention and feasible level of care acceptance. For those who born and lived somewhile part of their life in remote rural areas, they know what I mean by delivery channels of service while difficulties surrounded the area to be reached. People and patients in remote rural areas used to struggle to get the minimum of medical services and with unpunctual schedules of delivery. As mentioned before people never care about technical issues and work problems they want to achieve health welfare and see their families sound through good medical value provision. For instance; people who live on the islands found it difficult to move getting attach back of any central hospitals while medical staffs and nurses found the same problem when they have to move there for some medical campaigns and medicines provision issues. Almost the same problem if the village surrounded by highlands or mountains and in case of absence of any medical center or hospital the same consequences would be about services.

Researchers began long ago to find a solution for remote rural areas and even for isolated islands to give appropriate level of medical services. In old times that was hard to find lowest level of medical care and most of separate campaigns dependent to serve them for short period of time and then leave the population in such areas without any medical services after. Later; modern life played significant role to safe them some sort of services at least for children and women with much less for chronic cases and zero for emergency and urgent situations. After e-health services and digital medicine facilities started to invade most of countries and government work routines. The problem owns different opportunities for better solutions might be the best and make most of parties satisfied. Medical diagnosis sessions and talking to medical workers was handling easily through many of communication channels whether innovative or conventional but still physical move of medical nurses and physicians in case of emergency and acute cases not available till now.

Numerous needs of remote public aggregates got more and more with different and modern life pattern of living; mothers need more care and children become more sensitive to environment and weather changes up or less the situation became different than their patience with no medical care got fragile to tolerate or stay ahead the same. Reasonable percent of village and remote population left the villages and have got to emigrate the farms to get modern lifestyle they prefer to live while elderly citizens prefer to stay in nature and far away from city rush and crowd life. The next post is going to discuss how e-health solve most of this problems in details and what transformation carried out on theirs to find the medical values they were looking for and as long as they was dreaming to get them in easy way. Full health J

Clinical Document Architecture (CDA)

CDA is documentary system formed to use certain standards of documents delivery and exchange texts between different e-health departments. Among most of data transfer and delivery protocols CDA is one of the most popular because its comprehensive nature including wide range of accessibility and readability figures. It formed mainly from XML-mark up based standards for exchange of different kind clinical information. The nature of medical work has different forms of texts and informed data moreover, in most situations, there are clinical or specific information related to group of patients. Delivery process and transferred files were a burden at beginning of health technologies era due to the difference in delivery protocols among stakeholders and their work systems with authorized receivers. After trials to get the optimum documentary standards and then CDA solve the problem and polarized the whole procedure to get linear pathways toward aimed target of maximize the benefits of documentary transfers.

CDA documentary system is formed from three main layers to reach optimum texts readability and processing; first layer is considered the header architecture which derived from RIM in order to build up rest of the documentary operating layers. The second layer of CDA architecture is the body of the formatted texts that play the core database of e-health texts and associated informed documents which would be delivered daily between different working platforms of other stakeholders. The body layer enables data transferring without further processing or additional transformation. The significance of body importance lies in being architecture of data bank and final processed formed delivered information which serve and play the awaited role of delivery, storage and then retrieval of documentary texts on demands. Some questions rose up to ask what is difference than other former explained protocols of medical data delivery?!.

Actually there is no difference of the work purposes and final targets but the only meaning difference in the procedure of data architecture and delivery among other e-health platforms. Where there is not opportunity for other systems to serve and process documentary texts, CDA is the fit one for this mission and do the role of architecture and delivery effectively with no interoperability in-between steps. 

The last layer is observational layer that serves role of structured observational data layers to perform in better way and exaggerate the rightness of operation among receivers and their platforms. Some researchers define the last one as indicator for operational efficiency and performance measurement. Although somehow they seem right in their definition about it but from own viewpoint there is analytical integrated role wrap the functionality of head and body under one data current serve different purposes and goals without interruption to minor operations of each on separate basis. This analytical role work as  indicator to match and figure the operational correctness. Full health J

Why it is so simple?

I would like in this post to explain something different than what used to do; being good writer or editor never related to how hard your readers struggle to get your idea and reach your purpose. As much as your idea  had been understood properly first and then got introduced in understandable way that will make reader enable to catch the idea and get the full impact of their reading time. Markets packed and full of books by deeply hard effort to get what the writer exactly wanted to give and how such convoluted procedures in order to show that author is out of pack with touch of uniqueness. Actually the opposite always true that when narrative way is simple and less complicated which mean that anyone even out of work field or career could clearly understand it. Being with or against are not going to change the matter of fact because understandable writing texts are the main object of mine while being hard or difficult that not to show anyone that am good writer. Most of people who used to read in regular basis know that very well and to give them a book with no purpose than sophisticated packed pages that means they waste their life time particularly if they are from people category who seriously want to learn something new everyday.  Being simple it does not mean you are beginner ever and being understandable never mean also that you have not meaning and words pool to express more. Just wanted it clear simple message get to reach to those who academically involved or even not.

Albert  Einstein said once…‘Any intelligent fool can make things bigger and more complex….It takes a touch of genius – and a lot of courage to move in the opposite direction’….

‘If you can’t explain it simple, you don’t understand it well enough’….Also said.

If Albert Einstein failed to persuade you that such simplicity is everything in science I guess there is no one on this earth can actually do for you. That for sure does not mean people do not go for better and more self improvement but should be steadily and regularly over writing topics and according to level of difficulty of the written text. Whatever your belief and your preferable school in text narration whether complexity or simplicity might be right from your point of view but also and on the level of rightness others still feel right to express themselves in the way they prefer to do and with whom they like to be with. Packed posts and convoluted data layers are not our blogger main object and will never be; simplicity is my first target and how to deliver hard tough information in simple understandable short posts that enable everyone even school children to get and understand the idea and with that purpose I get what I have wanted from this blogger.

As philosophy behind simplicity depends mainly on our lifestyle that differed for long decades along; people got more rush in life and less patient to digest hard tough information without simplification. Intense feeling of demands and daily requirements make most of people hard to figure out what behind reality and appearance. Because life got rush and competition everywhere they own full of excuses in such behaviour which make them scattered and distracted to pay excessive attention about academic avenues in short time particularly in details. When they get them in simple way you give them what they are looking for but appropriately matching their fast lifestyle whether that covers most of public knowledge or not but still simplicity owns touch of difference toward people who really care about knowledge and improvement. Full health J

LOINC code standards

We talked before about HL7 and other health ethics and operation legislations but what interesting about LOINC that it is not only work standards of medical field but also code for analysis and work results.  In order to start the story from beginning we need first to know more and defined it in details. LOINC is a code standards for identifying medical laboratory measurements and observations, it differs than SNOMED CT because the last dealing with systematized nomenclature of medicine while LOINC adaptable to be analytical tool of laboratory observations and measurements. Moreover; more specified to deal with results and set the practical comparisons between them. Under excessive demands to get electronic database for clinical figures of laboratory measurements; LOINC first developed 1990 not only as a protocol and standards of laboratory results analysis but also exceeded to reach and set up integrated databases wrap most of clinical information inside one working code. Later approved by American Clinical Laboratory Association to extend the spectrum of data unites to include over laboratory measurements code of work nursing diagnosis, nursing intervention, outcome classifications and patient care data sets.

Logical Observation Identifiers Names and Codes (LOINC) applied as universal code of laboratory terms and measurements worked as related resource to HER. The core functions of LOINC basically to assist in the process of electronic exchange and gathering clinical results with deniable hands over diagnosis processes. Clinical results such as laboratory tests, clinical observations, researches figures with clinical results. I would like to mention here something really interesting about LOINC that it is not linear codes of work. It has two main part clinical and laboratory; clinical part of LOINC close to clinical reports and documents with clinical results analysis between them. This code system owns the ability to help medical workers and practitioners to get any information demanded over a period of time from many topographical areas with enough analysis and measurements whether in laboratory results or in clinical reports.  

Since 1994 LOINC became official standards of US Federal Government system for electronic exchange of clinical health information. LIONC facilitate the transferring data and medical in electronic form between departments and divisions with facility to get these data from different areas not only working or aimed one. Above academic and professional effects and benefits of LOINC code standards, it creates complete integrator of medical databases for electronic health record and also medical researcher authorities in future. The working clinical figures and reports became easier to be gotten and transfer among hospitals, clinics departments and even with regular feedbacks to medical authorities when demanded. By LOINC laboratory medical results conveyed to be integrated from different sources to form some available database help patients and research purposes. At present; LOINC became trade mark and icon of clinical and laboratory measurements with efficient laboratory standards of work. Full health J

Public Skepticism about Healthcare systems

Beside all of healthcare barriers and problems there are some other side about public opinions and discussions regarding medical system in regard. This point remind me some words belong to Henry Ford...’If I had been asked people what they wanted, they would asked horses to be faster’’. His defined the subconscious level of people thoughts and how they always refer the traditional solutions even for new problems. Many of us resist by nature the changes and when that changes touch our lives, the self resistance come out huge. For sure there some could overcome this feelings and tame self talks of suppressions.  But still there is a question why most of people resist the matter of change and how far their inner intestines play in front of any new. The simple answer about this question lied in both way how their raised and what their lifestyle is?!. When community citizens brought up to be independent and owned reasonable space of privacy and thinking way in which reflect later over their lives in form of likable feelings with adventure and new life experiences. But unfortunately not all people raised the same way that could prevent them to see every new as dangerous and every modified old even as new. Some could push self doubts about new life experience to face and find the courage to ask and try while others could not easily do in front of fast and tough life changes. For those who still waiting the answer why people afraid new and changes; people actually do not afraid but they in deep real sensual perception they afraid the unknown, that is really all. Unknown in which pushing most of people accept what they are never liked and accept what even have been imagined to happen. From their traditional horizon tunnel unknown is considered source of uncomfortable feelings of insecurity while for me is considered big source of opportunities that might be never realized before.

Hard to persuade people easily with modern healthcare systems especially when they do not use even all of capabilities and systems gates, but on other side easier somehow to gave them quick result to calm their insecurity that conform afterward with their level of safety life they looked for. Exactly people safety and security are the main door of public persuasion that serve the changes acceptance and build likable desire to live new time of trial. Public criticise excessive modern solutions of healthcare while others feel agreeable with. The point here whether you are with or against that should definitely well known. Every change point of people life needs some sort of acclimatization followed by regular habits came next to enjoyable feeling to try and take risk. These steps of human acclimatization phenomena form backbone of medical system lovers and acceptors. Enjoyable feelings of trying each new actually mask the underlying fear of unknown whatever this unknown is. It does not mean completely disappearance of self worries regarding the medical results but at least at the minimum surge of it.

It is really difficult to find setbacks of working system from beginning; it means most show out after real trials and long hours of work. Although people hardly care about technical issues in routine way of thinking but they prefer to link the results with strength of systems. we who admit setbacks but never admit stop improvement and development, once public trusted who standing behind the innovation could that lead to calm every doubts about it later. Full health J

Patient physician confidentiality

In the era of technologies and data sharing; the matter of patient data privacy went more out under light of doubts here and confirmation about nothing was wrong there. The real fact about the matter is seriously not that simple to know or even judge among jungles of data models and data processing methodologies. But at least after your finish this post somehow you would be able to identify and define where the crash points of data privacy are and also where the safe ones to deal calmly with. If we are talking about privacy and confidentiality should first know the difference and how it somewhat carries numerous effects on the way we see the whole issue. When we talk about matter of privacy in a way which close to legal rights of citizen that differ according to living place and legal system already followed over. Moreover; there are still some variances between provinces or states in some countries that differ with nature of needs and lifestyle of each state.

But anyway; matter of privacy more close to legal rights and if it invaded sometimes under certain conditions or legal demands to do some investigations that hard to be achieved without. Confidentiality is something completely different and far away in meaning and concept applications from privacy. In order to give you the meaning as been built in my mind let me first give you more hind about privacy and privacy invasion. When government and may be some authorized institutions related to government want to invade citizen privacy that must be under umbrella of civil laws of citizenship and with declared the mission to be performed with end of invasion in compliance with legal instructions. This invasion may be included everything someone doing daily and some calls and personal moves or meetings. This defined the picture of invasion to personal privacy of someone demanded by certain authorities to know more about his or her life. 

Confidentiality is sharing the personal data and critical information of someone to third parties without any notifications or announcements. Without determination of time; beginning or ending the mission and above all lack of intention regarding the purposes. Actually that makes confidentiality more risky that any invasion of personal privacy not defined over a period of time and for declared reasons. Lack of intentions make it open used tool for many who could not handle matter of responsibility toward some job capabilities particularly in medical field and with therapists. People by nature like to know what is hidden and enjoyable to reach what is hard to catch. That may with regular working data and fit more to be with funny matters than personal information with medication history of patients. As mentioned before that some psychologically individuals still not fit to occupy some sort of job titles and many end his/her career with disasters because they could not separate self-intentions away from work duties. Curiosity is considered the main promoter for them while showing the ability to do and invade others confidentiality became habits among work mates. Invasion of patient confidentiality still need more restraints in front of medical workers especially for those who take it easy matter when they dealing and process patient personal data. Full health J

Preventive medicine

If the traditional medicines are dealing with diseased individuals and provide them with proper care that in form of curative medication, the preventive medicine actually dealing with diseases free society members and try to push them far from disease spot and other factors that may affect their performance as a citizen in future. It has happened before to talk about preventive cares in modern healthcare systems and its consequences over community members but in this post talking about preventive medicine as a whole strategy of medication. In deed preventive cares and preventive received values are considered direct reflect to the preventives medicine fundamentals and working integrating principles. The time we realize how much preventive medicine valuable than professionally remedy to diseased patients, the same time we could minimize the risk of infections and pervasion of numerous epidemics. In regular circumstances; medicines and medicaments are dealing with intact society member owns already health problem whether infection or metabolic disorder.  But many of us do not know that getting preventive services and health promotional aspects, that perform and pour double fold benefits into healthcare systems which have been seen or not yet.

This talk might be not fit properly and meet happiness of therapeutic industries CEOs when they watch charts of daily sales. But on other hand there are vast kind of work and business segments could be served either. Many of medical firms and corporations they are working by sales oriented and sales leading work than market development strategies or raising customer needs. The first takes time as advantage while second taking whole future opportunities as a market cream. Discussion of preventive medicine from business perspective and work horizon orbits is more exciting to many and for me as well. How preventive medicine could open many segments and develop new markets for future than only dealing with existed patients who waited for perfect medicaments. It sounds a bit weird to know that dealing with intact society to protect them from disease invasions more profitable than just to introduce efficient medicines.

Along my journey with pharmaceutical industries and tracking their sales records for years found that; many of them could not overcome and eliminate seasonal variations of services. The real truth is no one could even do while preventive strategies such as; vaccinations, preventive medicines , awareness  and promotion campaigns enable a lot of stakeholders to get aimed plan records with massive effects over people and sound patients loyalty toward certain category of services. Preventive medicine and preventive regulations are the waves of services should be introduced when there are no acute diseases existed anymore. The real problem that most of medicines firms used to work with certain strategies and fortunately for some reasons they succeeded and for this reason they repeat them again and again for decades to get the same results awaited. Herbal trading companies make big revenues, vaccines manufacturers and distributors make huge profits, health and medical apps make also reasonable market shares. All of them they walk and run over preventive medicine frames with almost no chemical medicines to give. In gene therapy; epigenetic drugs working to use epigenome-influencing techniques particularly with chronic and inherited disordered diseases, the idea that there are substitutions serve society health welfare instead waiting for them to be diseased.

Eventually; this post take the topic slightly from straight academically definitions and terminology about preventive medicine but in the same time put our feet over new road of discoveries and innovations. Road not only touch the human being when they got diseased but also walk together in parallel steps in healthy mindset of exaggerate the health welfare parameters before the problem attacking us.  Full health J

Healthcare systems with children

The story of children with medical care is much more than this post but undoubtedly; they form a compact part of health care values receivers. The point here about children as a segment or market fragment that would forced by massive purchase power behind their needs and demands, these power make them continuous propeller of the medical markets and associated services for sure after women. Indeed; it would not be easily implanted in mind that their medical values are considered the fast and most movable part of healthcare markets.  What make their padding thicker and favourable propagated seasonal wave of their demands and medical requirements such as vaccination and seasonal illness. Children in our language is clear and defined for those who less than legal age and still in school times. But in healthcare market there are many of embedded sub-segments children healthcare market than our definitions.

Neonates and paediatrics medicine are completely different life of study while inside for each there are many specific specialities service the same ages of children. While kids and teenage are much similar to our ages and could clearly talk and describe what they are feeling and enumerate what have been happened. Moreover; there are some cases of medical treatment better and preferable to be served in synergism between them. Calm down!. We are not going to discuss medical issues here but just a hint about it and what are going on or how it works. The key here about children medical care and curing values that they are carefully watched by their families and in other words; many eyes focus and watch their health status from different angel of view. All of us remember how much we were under control and observation in childhood time by parents and relatives and even sometimes friends and neighbours. Whatever how good you were in life and how far you did well everything had been done was precisely watched and evaluated by them.  The times changed and life rush out fast than before but still the same family priceless assets are their own children____propably, that makes pushing forces of medical service toward children grew strongly to fit and accommodate their needs.

The core of medical services of children in modern healthcare systems started from vaccination and infectious remedies for infants till following up and medical check episodes which regularly carried out in schools from time to time. Almost become ever hard at all to figure out and identify diseased kid among crowds under shadow of modern scanning health techniques. The histories and life times under medical practitioner hand fingers might be help greatly to know the cause and reasons of illness. Some researchers defined the quality of healthcare systems depending mainly on how long the distance between children and health services they are. The quality of their own lives make them fit enough to overcome health needs and any transient weakness life along. Many also believe that quality of medical care lies in health welfare they have and enjoy.  

Although medical care of diseased child is must and society responsibilities still preventive medicine to prevent diseases is considered overall nation duty. In many situations preventive medicine work as a shelter for their health from any unexpected deviation may take some of their joy away. Fortunately, researchers still work on the best optimum model of preventive medicine that fit and keep children far from therapeutic care. Preventive medicine begins with their vaccination till health promotion and health promotional campaigns. In order to improve their and put them always over optimum of healthy life and performance. Full health J

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Healthcare systems with women

Women occupy wide part of any society and with different ages build astounding internal healthcare market segment inside the society. The fast impact of their healthcare demands make them strong big sales promoters in front of any medical values offered. It not surprise to know the real whirlpool of healthcare system depending mainly on women care demands and later following up. Good news we are not going to discuss psychological purchases pattern of women in this post but at least as a hint would like to refer that women in nature use medical care system three folds more than men. Because their demand to care about themselves and their children with high tendency to live beautiful healthy life. For those who do not believe me I advise to go for while to stand couple of minutes inside any near hospital then you will figure out how far healthcare systems funded by women than men. Women specialities of healthcare divided merely between Gynaecology, Obstetrics and paediatrics in addition to chronic cases of elderly patients. Inside these three main categories there are some branched specialities according medical specialist such as surgery and endocrinology and many others. Some countries plastic surgery occupy big segment of work and achieve unprecedented revenues as Brazil. Anyway; women is the master player of healthcare much more than men in any community aggregates.

Medical providers found the matter of leading women toward certain values offered is much easier than leading group of men. Because they care much regarding their health, they are looking for every opportunity to get better values. It means easier to persuade them about any new. The opposite for men; traditional pattern and hard to change and only go to healthcare system in acute and emergency situations. Even their chronic cases sometimes do not get the full care and enough interest.

Savvy medical providers know these facts about society demographical distributions and targeting each by suitable and enough number of services cover all their needs. Women by nature are sensitive to the quality of medical values that they used to get from the providers. With talkative good communicative medical staff they will like what providers offer and how to handle their demands. Some academic researchers measure the efficiency of medical services through the quality level of women offered values. The summary of this point if providers want to build strong high standards care system with enough quality to compete, preferable to be targeted and forced by women medical care. They will help to build the system by high demanding nature of their purchase ability plus lead the quality to reach optimum thresholds covering society care needs overall.

As everything owns positive and negative; minimize the values offered to men not the best solution if we ask them to increase their participation in healthcare arena. Instead exaggerate their awareness and let health promotional campaigns do their roles and work harder to get their perception in the spot of interest. Learing and awareness highlighting make a lot with men than showing quality and standards. From men psychology nature and as a man can tell that the best time for them when things are done and this is the key). When care providers take the men that simplicity of the system covering hidden burden convolution that will change the vague piles of complexity inside men head. Thus they will find joining healthcare is easier and more convenient than before so, this is their point for engagement. Full health J

Healthcare and chronic diseases

Healthcare system own different segments cause pouring of cash current into budget panel. Chronic diseases and their following up with patients is one of them and considered the consistent revenue for long time. Savvy pharmaceutical enterprises always build chronic portfolios matching different ages and numerous human disorders with chronic package always. The matter of chronicity is not new subject in healthcare but how to manage and handle patient needs according to modified lifestyle still from time to time come over table of discussion. In order to define the chronic disorder is metabolic setback in one or different groups of enzymatic reactions whether deficits or hyperactivity or sometime totally absent of the reactive necessary enzyme. The first wide fame disorder is Diabetes mellitus but here will not discuss the disease than putting it as a template of chronic management policy and effective model of patient administrative figures. Patients with chronic disorder or chronic disease in case of infection needs particular method of management and constant care policy give them evidence and subconscious confidence that everything under control and remove any physiological burden of being different or weird than others in their own lifestyle.

The beautiful about modern healthcare systems and chronic cases that every patient history already existed over his gate of electronic health record what actually makes the process of following chronic case enjoyable of both patient and medical practitioner. Chronic flow is look like reservoir to healthcare revenues in case of seasonal fluctuation of acute and out-visits. People also enjoying and wait the time of chronic follow up because they most in need to feel reassurance that everything going to be normal again soon. This feeling of hope exploded under the effect of good patient management and how convenient they become after clinic visit time.  

By modern innovative solutions and more patient participation and self empower to take care of yourself after getting full awareness toward chronic disease. That got help most of patients to overcome any negative feelings regarding the matter of normal life convenience. Thus build good strong market segment following the rules and tapping to reach the point of optimisation. My private viewpoint that the extension in the market horizontally is much better and carries many benefits than blowing it up by massive services and inflated cost expenses which exhaust the patient and his own insurance budget he would have been funding. It could be better for primary health providers to know that chronic cases management more profitable than acute and emergency cases. Most of them build tailed sales indirectly and all of us know when our relatives prefer certain hospital or clinic by name and ask their friends to go there just because they had a good experience before.

Chronic diseases and chronic management policy is essential backbone of every healthcare system. Moreover; without would be hard and almost impossible to build and perform efficiently in care field. There is a point here to those who want to increase any kind of sales. Many of inexperienced marketers and sales persons in different careers working hard to focus enough in the same deal neglecting that when you give the customer good and fit value. You are not only get good deal but also going to earn and build potential client loyalty and open subconscious opportunities to get the friends and relatives as well plus good reputation for enterprise itself. Full health J

Investment opportunities in healthcare

Wealth among people is the first concern and will always be, and with women wealth is representing some sort of security, confidence and steady lifestyle. In ancient time wealth was not only measured by money; was also by wives and servants and exceed that to be by number of animals sometimes.  Wealth among countries determined in near past according to natural resources stocks they owned while in most recent form of weather has become only in form of money which represented in financial term of multiple cash flows that pouring in that society. Levels of cash flows are seriously matter among countries starting from student rents and regular purchases of tourists for sure with VAT and end with big exportation deals to other countries. Whether small or big amount of money still the same concept of work and the same process procedures. In business fields cash flow tool called vehicle and there are many wealth and cash flow vehicles involved in order to create positive cash flow even on the level of personal incomes. Some tangible assets such as lands or rents while other intangible assets which some wide part among healthcare systems and intelligence communication process. Nowadays it is hard to identify and determine the whole picture which one can serve well the end yield and reach the aimed financial purposes. Along yield differs according to sort of market and nature of country business cycles.

Healthcare still without any similar competitors on the top of business vehicles for wealth and the prices of medical care and services in USA will fast going to tell you why. The best information of healthcare investment opportunities that not clear for public especially the patients, may they never even thought about it. The matter here directly related to people medical care, the point to do anything to be in good health and get proper care makes everyone neglects any big financial rewards the investors would get from investments. There are ten big categories of investment in healthcare and all of them highly liquid business, it means build and create consistent positive cash flow.

General hospital groups, Specialist hospitals, Polyclinics, Specialist clinics, Primary care clinics, Diagnostic facilities and laboratories, telemedicine, pharmaceutical distributors and retailers, medical schools and nursing schools.

In these ten categories; there are many sub-categories according to nature of society and demographic distribution of population mass. Whatever; you have a experience in working with some of them or not still most of them be able to create and build high liquid market full of variations and demands.

May some of you ask why the healthcare market owns this unique feature above other vehicles and how to build the same in any other investment wheel?!. Regarding the first part of question; healthcare works and deal with community health welfares whether chronic or acute market segments. Subsequently; when the human health would be threatened, it does not a matter of how much it cost to pay and be fit in life again. Undoubtedly; behind the real picture some unnecessary medicines and investigations and sometimes surgical operations but does not matter ever if I be myself again. In additional to lack of medical knowledge for most of ordinary people and regular citizen that will never think there was something in-between with private healthcare sector and providers. Picture is not that dark, good is good everywhere as long as there is a touch of humanity with providers and role of country to follow and check over their works. Full health J

Patient safety concerns_2

Among piles of patient regulations and standards I considered the ECRI institute safety concerns of the patient is the simple concise valuable ones. That discussed patient safety recommending with feasible exaggerate direct impact over them and also integrate the indirect related stakeholders to service and fall in the patient lap of service later. In other meaning uncover other setbacks in favourable of patient purpose. In order to turn the wheel forwardly a bit to explain how safety wraps many axises of work issues whether digitally, electronically and even in communication process. Traditional regulations formerly discussed the topic over the patient; it means researchers were working on safety process over the patient only while gave other supportive procedures less interest. The core thinking point engaged the concept to adapt and motivate any supportive task to be more innovative and much effective than regular and that what our reader going to find in the rest of patient safety concerns below:

6.  Failure to Conduct Independent Double Checks Independently; It means here double checking following the announced data and registered information of any patient without any personal or learned bias of work tasks. In my opinion is like double keeping accounting of business field as first medical staffs followed by second to check double and take the decisions independently.

7. Opioid-Related Events; the point here to be sure that physicians and prescribers aware with safety and medical legal regulations of opioid containing remedies. ‘’The use and the prescribing of opioids has significantly increased in recent years’’ says Stephanie Uses, PharmD, MJ, JD, patient safety analyst, ECRI Institute ‘’that’s one of the reasons opioid safety has become more of an issue.” According to the U.S. Department of Health and Human Services’ National Action Plan for Adverse Drug Event Prevention

8. Inadequate Reprocessing of Endoscopes and Surgical Instruments; instruments and devices in medical field are a big burden for good processing and appropriate preparation. Far from any details autoclaved instruments with antiseptic dressing over them during operations are the apex of hygienic safety and perfect methodology with medical tools especially reused category. While disposable ones would be away once their mission already over. Some instrument needs certain steps of cleaning and sterilization which takes may sometimes hours and overnight sometimes.

9. Inadequate Patient Handoffs Related to Patient Transport; “Transporting a patient within the hospital to another clinical setting or between units within the facility presents risk of harm to the patient and, depending on the needs of the patient, can be an unsettling experience for nurses charged with caring for the patient, and for the transporter,” says Kelly Graham, BS, RN, patient safety analyst at ECRI Institute. May be it sound subjective topic of discussion but seriously is crucial ligament of medical care and patient management. Handling inanimate objects can keep them safe and clean but with human-being carries additional sort of psychological impact particularly with diseased and senile community individuals. This psychological impact have many roles in acclimatization of medical care and moreover build intimacy and direct loyalty among society and their care systems.

10.  Medication Errors Related to Pounds and Kilograms; it seems weird title at beginning but when you know that many of surgical operations and anaesthesia doses depending mainly on patient weights and body durability to overcome and recovery fast from deep anaesthetic surge. Errors and defeated to register proper patients weight is unaccepted to happen under any condition because simply sometimes would be fatal when all surgical medicines and associated doses adjusted in compiled with it. Full health J