Telemedicine policies and practices in European Countries Sample Clauses

Telemedicine policies and practices in European Countries. A 2016 population survey carried out by Eurofound (50) revealed that 11% (13% in urban areas and 10% in rural areas) of the respondents had had a medical consultation over the phone or online over the last 12 months. Numbers were particularly high in some of the Nordic countries: Estonia (30%), Sweden (40%), Denmark (42%) and Finland (46%), but also in Croatia (26%). No distinction was made between phone consultations and teleconsultations (Xxxxxxx et al. 2017). In Denmark, telemedicine is specifically targeted at patients with Chronic Obstructive Pulmonary Disease (COPD) who tend to have frequent visits to a clinic (Europe Economics 2019). In Estonia, since March 2013, consultation of the family doctor with a specialist is reimbursed by the Estonian Health Insurance Fund (EHIF). The specialist provides his instructions for treatment (by e-mail or other means) and receives 68% of the normal rate for a face-to-face consultation (Xxxxx et al. 2015). Only limited use has been made of this practice (Lai et al. 2013; Xxxxx et al. 2015; Xxxxxx et al. 2017). Some national and cross-border projects exist (telepsychiatry and telemonitoring – pilot phase) but are not established as part of regular practice (Lai et al. 2013; World Health Organization 2016b). Finland has had a telemedicine strategy since 1995. Teleradiology has become regular practice and is the main telemedicine act in Finland. Most district hospitals provide teleradiology and telelaboratory services and offer teleconsultation for primary healthcare centres. These activities are partially covered by the healthcare system and the budget of the healthcare centres. Other telemedicine services provided are telepsychiatry, tele- opthalmology, teledermatology and teledentistry. Most telemedicine projects, focusing on teleconsultation and telemonitoring, were funded by public funds and EU projects (Xxxxxx et al. 2011). In Germany, according to the professional codes, diagnoses and prescriptions have to be provided after a face-to-face meeting between the patient and the physician and after an examination. Teleconsultations are possible for follow-up purposes and have been eligible for financial compensation since 2017, as have tele-expertise services (Hantson, 2019). Since the ban on tele-therapy only applies if the practising physician is a member of the German medical
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