I-Corps: Remote Virtual Physical Examination

远程医疗使医疗保健提供者能够远距离与患者联系，而电子健康记录则增强了患者病历的便携性和可访问性。远程医疗被认为是一种在降低成本的同时提高效率、护理质量和患者满意度的方法。在过去的十年中，远程医疗的使用迅速普及，现在正在融入医疗保健行业的几个部门，包括医院、专科部门、家庭健康机构、私人医生办公室以及消费者的家庭和工作场所。尽管目前远程医疗市场上有许多创新产品，但仍然存在重大障碍，包括医生的接受度、成本以及与医疗服务的整合。在这项提案中，该小组提议开发一个完全远程虚拟体检(VPE)系统，这是一种远程医疗平台。拟议的VPE平台是一种创新的工具，可以获取和收集患者的视听和心脏检查数据，并将其安全地传输到数据库中，以供将来访问。VPE应用程序可以分发给包括护士、助手、家庭成员或初级保健提供者在内的多名技术人员，创建了一个丰富的参与远程医疗的机会网络，改进了高质量护理的集成。建议的VPE在不同的环境中提供方便且经济高效的护理服务，打开新的患者市场并提高患者满意度。新的软件解决方案还将扩大护理提供者进入服务不足的社区的机会。该系统包括连接到计算机网络的数字处理设备，该计算机网络包括计算机可读存储设备和被配置为执行可执行指令的操作系统。该原型已经被开发和优化，可以在各种Android设备上运行。该计算机程序提供用于创建远程VPE系统的可执行指令。该软件模块有效地指导技术人员以逐步的方式以电子方式记录完整的体检，该方式可以是全面的或由卫生保健专业人员专注的。这款Android应用程序为技术人员提供了完整的视觉和听觉指导，指导他们如何根据解剖地标正确执行VPE，并可以纳入检查动作。

Telemedicine allows healthcare providers to connect with patients across distances while electronic health records enhance the portability and accessibility of patients' medical histories. Telemedicine is recognized as a method to drive down cost while improving efficiency, quality of care, and patient satisfaction. The use of telemedicine has spread rapidly in the past decade and is now becoming integrated into several sectors of healthcare industry including hospitals, specialty departments, home health agencies, private physician offices as well as consumers' homes and workplaces. Despite all of the innovative products within the telemedicine market today, significant barriers remain including physician acceptance, cost, and integration into health delivery. In this proposal, the team is proposing the development of a completely remote Virtual Physical Examination (VPE) system, a type of telemedicine platform. The proposed VPE platform is an innovative tool that acquires and collects the visual and audio as well as the cardiac examination data of the patients and transfers it securely to a database to be stored for future access. The VPE app can be distributed to multiple technicians including nurses, aides, family members, or primary care providers, creating a rich network of opportunities to participate in telemedicine with improved integration of quality care.The proposed VPE offers convenient and cost effective delivery of care in diverse environments opening new patient markets and enhancing patient satisfaction. The novel software solution will also expand access of care providers to underserved communities. The system is comprised of a digital processing device connected to a computer network comprised of a computer readable storage device and an operating system configured to perform executable instructions. The prototype has been developed and optimized to function on diverse Android devices. The computer program provides executable instructions to create a remote VPE system. The software module efficiently directs a technician to electronically record a complete physical examination in a stepwise fashion that can be comprehensive or focused by a health care professional. The Android app provides technicians with complete visual and auditory instructions on how to properly perform the VPE based upon anatomic landmarks and can incorporate exam maneuvers.