Tuot Delphine S, Boulware L Ebony
Division of Nephrology, Zuckerberg San Francisco General Hospital, University of California, San Francisco, San Francisco, CA; Center for Innovation in Access and Quality, University of California, San Francisco, San Francisco, CA; and Division of General Internal Medicine, Duke University School of Medicine, Durham, NC.
Division of Nephrology, Zuckerberg San Francisco General Hospital, University of California, San Francisco, San Francisco, CA; Center for Innovation in Access and Quality, University of California, San Francisco, San Francisco, CA; and Division of General Internal Medicine, Duke University School of Medicine, Durham, NC.
Adv Chronic Kidney Dis. 2017 Jan;24(1):39-45. doi: 10.1053/j.ackd.2016.11.017.
CKD affects 13% of the US adult population, causes excess mortality, and is associated with significant sociodemographic disparities. Optimal CKD management slows progression of disease and reduces cardiovascular-related outcomes. Resources for patients and primary care providers, major stakeholders in preventive CKD care, are critically needed to enhance understanding of the disease and to optimize CKD health, particularly because of the asymptomatic nature of kidney disease. Telehealth is defined as the use of electronic communication and telecommunications technology to support long-distance clinical health care, patient and professional health-related education, and public health and health administration. It provides new opportunities to enhance awareness and understanding among these important stakeholders. This review will examine the role of telehealth within existing educational theories, identify telehealth applications that can enhance CKD knowledge and behavior change among patients and primary care providers, and examine the advantages and disadvantages of telehealth vs usual modalities for education.
慢性肾脏病(CKD)影响着13%的美国成年人口,导致额外的死亡率,并与显著的社会人口统计学差异相关。优化慢性肾脏病管理可减缓疾病进展并降低心血管相关结局。患者和初级保健提供者作为慢性肾脏病预防护理的主要利益相关者,迫切需要相关资源来增进对该疾病的了解并优化慢性肾脏病健康状况,尤其是考虑到肾脏疾病的无症状特性。远程医疗被定义为利用电子通信和电信技术来支持远程临床医疗保健、患者和专业人员与健康相关的教育以及公共卫生和卫生管理。它为增进这些重要利益相关者之间的认识和理解提供了新机会。本综述将探讨远程医疗在现有教育理论中的作用,确定能够增强患者和初级保健提供者慢性肾脏病知识及行为改变的远程医疗应用,并考察远程医疗与常规教育方式相比的优缺点。