珍·奧利芙的父親是一名充血性心衰患者,在新冠疫情期間曾經(jīng)三次住院,每次住院都剝奪了他與家人在一起的寶貴時(shí)間,因?yàn)樵谛鹿谝咔槠陂g,醫(yī)院是不允許家屬探望的。
作為百思買健康公司(Best Buy Health)的首席技術(shù)官,奧利芙有一種發(fā)自內(nèi)心的感覺:事情本來是不必如此的。
在美國(guó)加利福尼亞州瑪麗安德爾灣舉辦的《財(cái)富》頭腦風(fēng)暴健康大會(huì)上,奧利芙對(duì)觀眾表示,日常住院治療使用的技術(shù)其實(shí)“并沒有那么復(fù)雜。我們也有設(shè)備,我們能夠通過Wi-Fi連接這些設(shè)備,我們可以建搭平臺(tái),來管理和監(jiān)控這些設(shè)備,我們還能夠設(shè)置警報(bào)功能,好知道什么時(shí)候出了狀況?!?/p>
奧利芙認(rèn)為,“在家住院”的護(hù)理模式,也就是醫(yī)護(hù)人員都通過視頻巡視和其他監(jiān)控設(shè)備來遠(yuǎn)程診斷的模式,可以改善他父親的治病體驗(yàn)和與病魔戰(zhàn)斗的意志。同時(shí)也能夠減輕病人家屬的壓力。
“如果是我爸爸在家住院的話,至少我們就可以隨時(shí)了解到他的情況?!彼f。
奧麗芙和醫(yī)療保健行業(yè)的一些領(lǐng)軍人物參加了本次大會(huì)的數(shù)據(jù)和技術(shù)小組的討論,此次活動(dòng)由通用電氣醫(yī)療集團(tuán)(GE HealthCare)承辦,由《財(cái)富》資深編輯葛繼甫(Geoff Colvin)主持。專家們表示,一些患者的護(hù)理方式已經(jīng)在發(fā)生轉(zhuǎn)變,而且用不了多久,你可能就會(huì)在身邊看見在家住院的例子。據(jù)約翰斯·霍普金斯大學(xué)醫(yī)學(xué)院(Johns Hopkins Medicine)介紹,在美國(guó),一些類似項(xiàng)目已經(jīng)存在了,它們主要由美國(guó)退伍軍人事務(wù)部(U.S. Department of Veterans Affairs)和私人醫(yī)療系統(tǒng)運(yùn)營(yíng)。
在家住院的理念能夠應(yīng)用到很多場(chǎng)景,比如術(shù)后恢復(fù)和精神病治療等等。奧利芙稱,市場(chǎng)對(duì)在家住院的需求是很大的?!耙?yàn)榇蠹叶枷氪谧约杭依?,所以商機(jī)是很大的。我們只是要改變這種文化,讓人們接受它,而且還要徹底改變一些消費(fèi)模式。”
范德比爾特大學(xué)醫(yī)學(xué)中心(Vanderbilt University Medical Center)的放射學(xué)、生物醫(yī)學(xué)信息學(xué)和心血管醫(yī)學(xué)教授J·杰弗里·卡爾醫(yī)生表示,他的醫(yī)院就在使用這種模式,監(jiān)測(cè)接受免疫療法的癌癥患者的康復(fù)情況,這種在家住院的監(jiān)測(cè)過程會(huì)長(zhǎng)達(dá)幾周。
他指出,大多數(shù)服用強(qiáng)效藥物的病人都并無大礙。“然而不幸的是,他們必須要待在醫(yī)院里?!比欢灿猩贁?shù)人會(huì)發(fā)展出有可能危及生命的并發(fā)癥。這就是為什么醫(yī)院要遠(yuǎn)程監(jiān)測(cè)他們的血壓和血氧飽和度,“以預(yù)測(cè)誰會(huì)出現(xiàn)問題?!?/p>
他還說:“我們提供的護(hù)理服務(wù)與在醫(yī)院住院是一樣的,只不過患者可以待在家里?!被颊咴谧约旱募抑酗@然更舒服,另外,醫(yī)院的床位也能夠騰出來給更需要的病人。
通用電氣醫(yī)療集團(tuán)的愛迪生AI與平臺(tái)部門(Edison AI and Platform)的總經(jīng)理維格尼什·謝蒂指出,現(xiàn)在家庭已經(jīng)逐漸成為“護(hù)理的延伸”,成為了醫(yī)療護(hù)理的一個(gè)終端,而醫(yī)院則是另一端。
專家們認(rèn)為,在家住院要想全面普及,還需要一些時(shí)間。聯(lián)邦基金(The Commonwealth Fund)稱,很多醫(yī)療服務(wù)提供商不愿意推廣在家住院,是因?yàn)閾?dān)心患者的安全和相應(yīng)的法律風(fēng)險(xiǎn),同時(shí),也不是所有醫(yī)保公司都愿意為這種非傳統(tǒng)的醫(yī)療服務(wù)買單。不過奧利芙依然堅(jiān)信,兩年后,這種護(hù)理模式將會(huì)變得更加普遍。
“醫(yī)療領(lǐng)域?qū)⒊霈F(xiàn)消費(fèi)化的趨勢(shì),總有一天, 我們之中的很多人的身體也會(huì)出問題,而我希望在家里得到照護(hù)?!彼f。(財(cái)富中文網(wǎng))
譯者:樸成奎
珍·奧利芙的父親是一名充血性心衰患者,在新冠疫情期間曾經(jīng)三次住院,每次住院都剝奪了他與家人在一起的寶貴時(shí)間,因?yàn)樵谛鹿谝咔槠陂g,醫(yī)院是不允許家屬探望的。
作為百思買健康公司(Best Buy Health)的首席技術(shù)官,奧利芙有一種發(fā)自內(nèi)心的感覺:事情本來是不必如此的。
在美國(guó)加利福尼亞州瑪麗安德爾灣舉辦的《財(cái)富》頭腦風(fēng)暴健康大會(huì)上,奧利芙對(duì)觀眾表示,日常住院治療使用的技術(shù)其實(shí)“并沒有那么復(fù)雜。我們也有設(shè)備,我們能夠通過Wi-Fi連接這些設(shè)備,我們可以建搭平臺(tái),來管理和監(jiān)控這些設(shè)備,我們還能夠設(shè)置警報(bào)功能,好知道什么時(shí)候出了狀況?!?/p>
奧利芙認(rèn)為,“在家住院”的護(hù)理模式,也就是醫(yī)護(hù)人員都通過視頻巡視和其他監(jiān)控設(shè)備來遠(yuǎn)程診斷的模式,可以改善他父親的治病體驗(yàn)和與病魔戰(zhàn)斗的意志。同時(shí)也能夠減輕病人家屬的壓力。
“如果是我爸爸在家住院的話,至少我們就可以隨時(shí)了解到他的情況?!彼f。
奧麗芙和醫(yī)療保健行業(yè)的一些領(lǐng)軍人物參加了本次大會(huì)的數(shù)據(jù)和技術(shù)小組的討論,此次活動(dòng)由通用電氣醫(yī)療集團(tuán)(GE HealthCare)承辦,由《財(cái)富》資深編輯葛繼甫(Geoff Colvin)主持。專家們表示,一些患者的護(hù)理方式已經(jīng)在發(fā)生轉(zhuǎn)變,而且用不了多久,你可能就會(huì)在身邊看見在家住院的例子。據(jù)約翰斯·霍普金斯大學(xué)醫(yī)學(xué)院(Johns Hopkins Medicine)介紹,在美國(guó),一些類似項(xiàng)目已經(jīng)存在了,它們主要由美國(guó)退伍軍人事務(wù)部(U.S. Department of Veterans Affairs)和私人醫(yī)療系統(tǒng)運(yùn)營(yíng)。
在家住院的理念能夠應(yīng)用到很多場(chǎng)景,比如術(shù)后恢復(fù)和精神病治療等等。奧利芙稱,市場(chǎng)對(duì)在家住院的需求是很大的?!耙?yàn)榇蠹叶枷氪谧约杭依铮陨虣C(jī)是很大的。我們只是要改變這種文化,讓人們接受它,而且還要徹底改變一些消費(fèi)模式?!?/p>
范德比爾特大學(xué)醫(yī)學(xué)中心(Vanderbilt University Medical Center)的放射學(xué)、生物醫(yī)學(xué)信息學(xué)和心血管醫(yī)學(xué)教授J·杰弗里·卡爾醫(yī)生表示,他的醫(yī)院就在使用這種模式,監(jiān)測(cè)接受免疫療法的癌癥患者的康復(fù)情況,這種在家住院的監(jiān)測(cè)過程會(huì)長(zhǎng)達(dá)幾周。
他指出,大多數(shù)服用強(qiáng)效藥物的病人都并無大礙?!叭欢恍业氖?,他們必須要待在醫(yī)院里?!比欢灿猩贁?shù)人會(huì)發(fā)展出有可能危及生命的并發(fā)癥。這就是為什么醫(yī)院要遠(yuǎn)程監(jiān)測(cè)他們的血壓和血氧飽和度,“以預(yù)測(cè)誰會(huì)出現(xiàn)問題。”
他還說:“我們提供的護(hù)理服務(wù)與在醫(yī)院住院是一樣的,只不過患者可以待在家里。”患者在自己的家中顯然更舒服,另外,醫(yī)院的床位也能夠騰出來給更需要的病人。
通用電氣醫(yī)療集團(tuán)的愛迪生AI與平臺(tái)部門(Edison AI and Platform)的總經(jīng)理維格尼什·謝蒂指出,現(xiàn)在家庭已經(jīng)逐漸成為“護(hù)理的延伸”,成為了醫(yī)療護(hù)理的一個(gè)終端,而醫(yī)院則是另一端。
專家們認(rèn)為,在家住院要想全面普及,還需要一些時(shí)間。聯(lián)邦基金(The Commonwealth Fund)稱,很多醫(yī)療服務(wù)提供商不愿意推廣在家住院,是因?yàn)閾?dān)心患者的安全和相應(yīng)的法律風(fēng)險(xiǎn),同時(shí),也不是所有醫(yī)保公司都愿意為這種非傳統(tǒng)的醫(yī)療服務(wù)買單。不過奧利芙依然堅(jiān)信,兩年后,這種護(hù)理模式將會(huì)變得更加普遍。
“醫(yī)療領(lǐng)域?qū)⒊霈F(xiàn)消費(fèi)化的趨勢(shì),總有一天, 我們之中的很多人的身體也會(huì)出問題,而我希望在家里得到照護(hù)?!彼f。(財(cái)富中文網(wǎng))
譯者:樸成奎
Jean Olive’s father, a congestive heart failure patient, was hospitalized three times during the pandemic. Each stay robbed him of precious time with family members, who were not allowed to visit.
Olive, the chief technology officer at Best Buy Health, had a visceral feeling: Things didn’t need to be this way.
Technology used during routine hospitalizations “is not all that complex,’” she told audience members at Fortune’s Brainstorm Health conference in Marina del Rey, Calif. “We have devices, we can connect devices through Wi-Fi, we can build platforms, we can manage and monitor those devices, we can set alerts and know when there’s a differentiation.”
Olive believes “hospital at home” care—in which doctors, nurses, and other specialists do “rounds” to the houses of patients, who are monitored remotely via video and diagnostic equipment—could have improved her dad’s experience, as well as his morale. It would have also eased the minds of his family members.
“At least with my dad, we would have known what was going on with him,” she said.
Olive and other healthcare leaders on the conference’s data and technology panel, moderated by Fortune senior editor at large Geoff Colvin and hosted by GE HealthCare, said the shift of care for some patients is already underway—and that such an experience will be coming to a community near you soon. In the U.S., some programs already exist, run by the U.S. Department of Veterans Affairs and private health systems, according to Johns Hopkins Medicine.
The concept could be applied to a variety of settings, from post-op to psychiatric care. The demand, she said, is significant, “because people want to stay in their home. There’s so much opportunity. We just have to change the culture, get the adoption, and really try to change some of the payer models.”
Dr. J. Jeffrey Carr, professor of radiology, biomedical informatics, and cardiovascular medicine at Vanderbilt University Medical Center, said his hospital is using the model to monitor cancer patients prescribed immunotherapy over several weeks.
Most patients on the potent drugs will be fine, and “it’s unfortunate they would have to stay in the hospital,” he said. A few, however, will develop life-threatening complications. That’s why the hospital monitors their blood pressure and oxygen saturation remotely, “to try to predict who’s going to have problems.”
We “really provide the same care that we have in the hospital, but in the home,” he said. The patients are more comfortable there—and hospital beds are freed up for patients with more dire needs.
Home is increasingly being seen as an “extension of care,” forming one end of a continuum of care, with the hospital at the other end, Vignesh Shetty, senior vice president and and general manager of Edison AI and Platform at GE HealthCare, said.
Wide implementation of the hospital at home concept will take time, according to the panelists. Providers have pushed back with concerns about patient safety and legal risks, and not all insurance systems want to pay for the unorthodox service, according to The Commonwealth Fund. Olive, however, believes that two years from now, such care will be much more common.
“There’s going to be a consumerization of healthcare,” she said. “There will be a point when many of us go in having issues and say, ‘I want to be managed at home.’”