Palsbo S E, Bauer D
Manag Care Q. 2000 Autumn;8(4):56-64.
Recent advances in telecommunications technology are leading to new developments in postacute and rehabilitative care. For about $400 per patient and a telephone hookup, physicians and therapists can provide ongoing, direct care to patients at remote clinics or in their homes. The lack of large-scale randomized controlled trials demonstrating clinical and cost effectiveness in rehabilitation and telemedicine has precluded many payers from reimbursing for services. Guidelines for best use do not currently exist, yet the benefits for payers, providers, and patients could be substantial. Telerehabilitation could become an important modality to MCOs seeking to extend the continuum of postacute care to nonclinical settings.
电信技术的最新进展正推动急性后期和康复护理领域取得新的发展。每位患者只需约400美元并连接一部电话，医生和治疗师就能为偏远诊所或家中的患者提供持续的直接护理。由于缺乏大规模随机对照试验来证明康复和远程医疗的临床效果及成本效益，许多支付方都拒绝为相关服务报销费用。目前还不存在最佳使用指南，然而对支付方、医疗服务提供者和患者而言，潜在益处可能十分巨大。对于那些寻求将急性后期护理的连续性扩展到非临床环境的管理式医疗组织（MCO）来说，远程康复可能会成为一种重要的模式。
