Tele-Intensive Care and the Current Situation in Turkey, Opportunities, Restrictions
PDF
Cite
Share
Request
Review
P: 54-61
June 2021

Tele-Intensive Care and the Current Situation in Turkey, Opportunities, Restrictions

J Turk Soc Intens Care 2021;19(2):54-61
1. Dokuz Eylül Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Yoğun Bakım Bilim Dalı, İzmir, Türkiye
No information available.
No information available
Received Date: 10.02.2021
Accepted Date: 13.04.2021
Publish Date: 28.05.2021
PDF
Cite
Share
Request

ABSTRACT

Intensive care treatment needs and costs are expected to increase with the ageing population in our country and the world. Tele-intensive care unit (Tele-ICU) applications can provide an alternative solution to treat and follow up critical patients remotely. It can help use existing resources efficiently. With the Tele-ICU program, intensive care specialists will reach all intensive care beds in the country without restrictions. They will evaluate the patients’ situations with all data from electronic recording systems. However, problems with some legal regulations or terms of job descriptions, deterioration of patient-doctor, doctor-patient’s relative relationships, or some infrastructure deficiencies when using the Tele-ICU system could override the potential benefit of the new solution strategy. This review was written to inform about Tele-ICU, draw attention to opportunities, shortcomings, and limitations if Tele-ICU is applied in our country, and ensure that the necessary steps are taken to resolve these deficiencies.

Keywords: Telemedicine, intensive care, Tele-ICU

References

1
Scurlock C, D’Ambrosio C. Telemedicine in the intensive care unit: state of the art. Crit Care Clin 2015;31:187-95.
2
Neuman T, Goldstein B. Managing the ICU from Afar: Telemedicine. In: Oropello JM, Pastores SM, Kvetan V, editors. Critical Care [online]. New York, NY: McGraw-Hill Education; 2018. Available from: http://accessmedicine.mhmedical.com/content.aspx?aid=1136418710
3
Becker CD, Yang M, Fusaro M, Fry M, Scurlock CS. Optimizing Tele-ICU Operational Efficiency Through Workflow Process Modeling and Restructuring. Crit Care Explor 2019;1:0064.
4
Wilcox ME, Adhikari NK. The effect of telemedicine in critically ill patients: systematic review and meta-analysis. Crit Care 2012;16:127.
5
Kahn JM, Cicero BD, Wallace DJ, Iwashyna TJ. Adoption of ICU telemedicine in the United States. Crit Care Med 2014;42:362-8.
6
Lilly CM, Zubrow MT, Kempner KM, Reynolds HN, Subramanian S, Eriksson EA, et al. Critical care telemedicine: evolution and state of the art. Crit Care Med 2014;42:2429-36.
7
Lilly CM, Mickelson JT. Evolution of the Intensive Care Unit Telemedicine Value Proposition. Crit Care Clin 2019;35:463-77.
8
Davis TM, Barden C, Dean S, Gavish A, Goliash I, Goran S, et al. American Telemedicine Association Guidelines for TeleICU Operations. Telemed J E Health 2016;22:971-80.
9
Udeh C, Udeh B, Rahman N, Canfield C, Campbell J, Hata JS. Telemedicine/Virtual ICU: Where Are We and Where Are We Going? Methodist Debakey Cardiovasc J 2018;14:126-33.
10
Fuhrman SA, Lilly CM. ICU Telemedicine Solutions. Clin Chest Med 2015;36:401-7.
11
Lilly CM, McLaughlin JM, Zhao H, Baker SP, Cody S, Irwin RS, et al. A multicenter study of ICU telemedicine reengineering of adult critical care. Chest 2014;145:500-7.
12
Kindle RD, Badawi O, Celi LA, Sturland S. Intensive Care Unit Telemedicine in the Era of Big Data, Artificial Intelligence, and Computer Clinical Decision Support Systems. Crit Care Clin 2019;35:483-95.
13
Gajic O, Afessa B, Hanson AC, Krpata T, Yilmaz M, Mohamed SF, et al. Effect of 24-hour mandatory versus on-demand critical care specialist presence on quality of care and family and provider satisfaction in the intensive care unit of a teaching hospital. Crit Care Med 2008;36:36-44.
14
Wallace DJ, Angus DC, Barnato AE, Kramer AA, Kahn JM. Nighttime intensivist staffing and mortality among critically ill patients. N Engl J Med 2012;366:2093-101.
15
Wilcox ME, Chong CA, Niven DJ, Rubenfeld GD, Rowan KM, Wunsch H, et al. Do intensivist staffing patterns influence hospital mortality following ICU admission? A systematic review and meta-analyses. Crit Care Med 2013;41:2253-74.
16
Williams D Jr, Lawrence J, Hong YR, Winn A. Tele-ICUs for COVID-19: A Look at National Prevalence and Characteristics of Hospitals Providing Teleintensive Care. J Rural Health 2021;37:133-41.
17
Al-Saadi MA, Wright JU, Masud FN. Tele-ICU: A key to residents’ role in the intensive care unit during COVID-19 pandemic. Clin Teach 2020;17:551-2.
18
T.C. Sağlık Bakanlığı, Sağlık Bilgi Sistemleri Genel Müdürlüğü [Internet]. Available from: http://sbsgm.saglik.gov.tr/
19
de la Torre-Díez I, López-Coronado M, Vaca C, Aguado JS, de Castro C. Cost-utility and cost-effectiveness studies of telemedicine, electronic, and mobile health systems in the literature: a systematic review. Telemed J E Health 2015;21:81-5.
20
Mackintosh N, Terblanche M, Maharaj R, Xyrichis A, Franklin K, Keddie J, et al. Telemedicine with clinical decision support for critical care: a systematic review. Syst Rev 2016;5:176.
21
Chen J, Sun D, Yang W, Liu M, Zhang S, Peng J, et al. Clinical and Economic Outcomes of Telemedicine Programs in the Intensive Care Unit: A Systematic Review and Meta-Analysis. J Intensive Care Med 2018;33:383-93.
22
Yoo BK, Kim M, Sasaki T, Melnikow J, Marcin JP. Economic Evaluation of Telemedicine for Patients in ICUs. Crit Care Med 2016;44:265-74.
23
Lilly CM, Motzkus C, Rincon T, Cody SE, Landry K, Irwin RS, et al. ICU Telemedicine Program Financial Outcomes. Chest 2017;151:286-97.
24
Genel Nüfus Sayımı Sonuçları, 2007-2017 ve Nüfus Projeksiyonları 2018-2080 Türkiye İstatistik Kurumu https://tuikweb.tuik.gov.tr Erişim tarihi: Mayıs 25, 2021.
25
TÜİK, S.H.İ., Türkiye İstatistik Kurumu www.tuik.gov.tr.
26
Subramanian S, Pamplin JC, Hravnak M, Hielsberg C, Riker R, Rincon F, et al. Tele-Critical Care: An Update From the Society of Critical Care Medicine Tele-ICU Committee. Crit Care Med 2020;48:553-61.
27
American Telemedicine Association [Internet]. [cited 2021 Jan 26]. Available from: https://www.americantelemed.org
28
Hawkins HA, Lilly CM, Kaster DA, Groves RH Jr, Khurana H. ICU Telemedicine Comanagement Methods and Length of Stay. Chest 2016;150:314-9.
29
Herasevich V, Subramanian S. Tele-ICU Technologies. Crit Care Clin 2019;35:427-38.
30
Resmi Gazete 23.06.2002/24794. https://www.resmigazete.gov.tr/eskiler/2002/06/20020623.htm Erişim tarihi: Mayıs 25, 2021.
31
T.C. Sağlık Bakanlığı, Sağlık Hizmetleri Genel Müdürlüğü. Sağlık İstatistikleri Yıllığı 2018.
32
Doğramacı YG. Teletıp, Sağlık Turizmi ve Uzaktan Sağlık Hizmetleri: Mesafeli Sözleşmeler. İstanbul Hukuk Mecmuası 2020;78:657-710.
2024 ©️ Galenos Publishing House