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BARRIERS TO CARE

WHAT STANDS IN THE WAY OF BROADER USE OF VIDEO OVER THE INTERNET TO EVALUATE PATIENTS?  ELIZABETH TRACEY REPORTS

Using video over the internet has been shown to be practical and efficacious in evaluating a number of health conditions.  Ray Dorsey, a neurologist at Johns Hopkins, has been using such technology to diagnose and manage patients with Parkinson’s disease and other movement disorders, but says barriers remain.

DORSEY:  Why isn’t this happening today and why can’t I call up and get a physician at Johns Hopkins or anywhere else to care for me right now in my home?  And we’d love to do that and that’s our vision.  There are a couple of challenges: reimbursement.  I don’t think the federal government or private payers have quite moved as fast as technology is moving and this has hindered adoption.  Medicare pays about $100 for a follow up visit in clinic, people are paying up to that much for transportation costs to come see us in clinic and sometimes more.  Why can’t we have reimbursement policies that are more patient centered and really provide care to individuals in the best setting for them?    :35

At Johns Hopkins, I’m Elizabeth Tracey.


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