Int J Telerehabil. 2014 Sep 3;6(1):37-9. doi: 10.5195/IJT.2014.6153. eCollection 2014 Spring.
The purpose of this document is to state the World Federation of Occupational Therapists' (WFOT) position on the use of telehealth for the delivery of occupational therapy services. Telehealth is the use of information and communication technologies (ICT) to deliver health-related services when the provider and client are in different physical locations. Additional terms used to describe this service delivery model include: tele-occupational therapy, telerehabilitation, teletherapy, telecare, telemedicine, and telepractice, among other terms. Telehealth may be used by occupational therapy practitioners for evaluation, intervention, monitoring, supervision, and consultation (between remote therapist, client, and/or local health-care provider) as permitted by jurisdictional, institutional, and professional regulations and policies governing the practice of occupational therapy. Occupational therapy services via telehealth should be appropriate to the individuals, groups and cultures served, and contextualized to the occupations and interests of clients. Important considerations related to licensure/registration, collaboration with local occupational therapists, client selection, consent to treat, professional liability insurance, confidentiality, personal and cultural attributes, provider competence/standards of care, reimbursement/payer guidelines, and authentic occupational therapy practice are discussed.
本文件旨在阐述世界职业治疗师联合会（WFOT）对使用远程医疗提供职业治疗服务的立场。远程医疗是指当提供者和客户位于不同地理位置时，利用信息和通信技术（ICT）提供与健康相关的服务。用于描述这种服务提供模式的其他术语包括：远程职业治疗、远程康复、远程治疗、远程护理、远程医疗和远程实践等。职业治疗从业者可根据管辖职业治疗实践的司法、机构和专业法规及政策的许可，通过远程医疗进行评估、干预、监测、监督和咨询（在远程治疗师与客户和/或当地医疗保健提供者之间）。通过远程医疗提供的职业治疗服务应适合所服务的个人、群体和文化，并根据客户的职业和兴趣进行情境化。文中讨论了与执照/注册、与当地职业治疗师的合作、客户选择、治疗同意、职业责任保险、保密、个人和文化属性、提供者能力/护理标准、报销/付款人指南以及真实的职业治疗实践等相关的重要考虑因素。
