Ann Intern Med. 2015 Nov 17;163(10):787-9. doi: 10.7326/M15-0498. Epub 2015 Sep 8.
Telemedicine-the use of technology to deliver care at a distance-is rapidly growing and can potentially expand access for patients, enhance patient-physician collaboration, improve health outcomes, and reduce medical costs. However, the potential benefits of telemedicine must be measured against the risks and challenges associated with its use, including the absence of the physical examination, variation in state practice and licensing regulations, and issues surrounding the establishment of the patient-physician relationship. This paper offers policy recommendations for the practice and use of telemedicine in primary care and reimbursement policies associated with telemedicine use. The positions put forward by the American College of Physicians highlight a meaningful approach to telemedicine policies and regulations that will have lasting positive effects for patients and physicians.
远程医疗——利用技术进行远程医疗服务——正在迅速发展，它可能会扩大患者的就医机会，增强医患协作，改善健康结果，降低医疗成本。然而，在评估远程医疗的潜在好处时，必须考虑到其使用所带来的风险和挑战，包括缺少身体检查、州际行医和许可法规的差异，以及建立医患关系等方面的问题。本文为初级保健中远程医疗的实践和使用以及与远程医疗使用相关的报销政策提供了一些政策建议。美国医师学会提出的立场突出了一种有意义的远程医疗政策和法规方法，这将对患者和医生产生持久的积极影响。
