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远程医疗在全球范围内助力医疗实践获得优质医疗服务及继续医学教育。

Telemedicine for access to quality care on medical practice and continuing medical education in a global arena.

作者信息

Rafiq Azhar, Merrell Ronald C

机构信息

Department of Surgery, Medical Informatics and Technology Applications Consortium, Virginia Commonwealth University Medical School, Richmond, VA 23298, USA.

出版信息

J Contin Educ Health Prof. 2005 Winter;25(1):34-42. doi: 10.1002/chp.7.

Abstract

Health care practices continue to evolve with technological advances integrating computer applications and patient information management into telemedicine systems. Telemedicine can be broadly defined as the use of information technology to provide patient care and share clinical information from one geographic location to another. Telemedicine can lower costs and increase access to health care, especially for those who live in remote or underserved areas. The mechanism of telemedicine raises some difficult legal and regulatory issues as well since technology provides remote diagnosis and treatment across state lines resulting in unclear definitions for liability coverage. Physician licensing becomes an issue because telemedicine facilitates consultations without respect to state or national borders. With the increased access to current information and resources, continuing medical education becomes more feasible with synchronous or asynchronous access to educational content. The challenge in implementation of these unique educational tools is the inclusion for standards of practice and appropriate regulatory mechanisms to cover the audiences.

摘要

随着技术进步,医疗保健实践不断发展,将计算机应用和患者信息管理整合到远程医疗系统中。远程医疗可广义定义为利用信息技术提供患者护理,并从一个地理位置向另一个地理位置共享临床信息。远程医疗可以降低成本并增加获得医疗保健的机会,特别是对于那些生活在偏远或服务不足地区的人。远程医疗的机制也引发了一些棘手的法律和监管问题,因为技术实现了跨州远程诊断和治疗,导致责任保险的定义不明确。医师执照成为一个问题,因为远程医疗促进了不受州或国界限制的咨询。随着获取当前信息和资源的机会增加,通过同步或异步获取教育内容,继续医学教育变得更加可行。实施这些独特教育工具的挑战在于纳入实践标准和适当的监管机制以覆盖受众。

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