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远程医疗:入门指南。

Telemedicine: a Primer.

机构信息

Department of Medical Informatics and Telemedicine, Children's Mercy, Kansas City, 2401 Gillham Road, Kansas City, MO, 64108, USA.

出版信息

Curr Allergy Asthma Rep. 2018 Aug 25;18(10):54. doi: 10.1007/s11882-018-0808-4.

DOI:10.1007/s11882-018-0808-4
PMID:30145709
Abstract

PURPOSE OF REVIEW

Due to rapid advancements in quality of real-time, interactive, audio-visual, and digital technologies as well as impressive gains in internet speed and capacity, medicine delivered over distance is happening faster than many healthcare providers and leaders can grasp.

RECENT FINDINGS

Depending on which market report you ascribe to, industry projections for the global compounded annual growth rate of telemedicine are between 13 and 27%, with valuation growing to over 20 billion US dollars in the next several years. The Mayo Clinic has reworked its entire telemedicine interest to a model with centralized operations, one virtual technology platform, standardized training, and connectedness for all of its locations. The National Quality Forum spent 2016 and 2017 formulating 70 some pages of recommendations for expanded measures to valuate telemedicine over the foreseeable future. There are so many patient experience studies indicating high satisfaction with telemedicine, that professionals in the industry accept it as fact. Telemedicine is leaving novel to the past. This short, informative piece of writing includes expert opinion and research findings about what is telemedicine, why one should practice telemedicine, and how one should approach implementation; a primer from which to grow.

摘要

目的综述:由于实时、互动、视听和数字技术的质量迅速提高,以及互联网速度和容量的显著提升,远程医疗的发展速度之快,超过了许多医疗服务提供者和领导者的理解能力。

最近发现:根据你所参考的市场报告,远程医疗的全球复合年增长率预计在 13%至 27%之间,未来几年的估值将超过 200 亿美元。梅奥诊所(Mayo Clinic)已将其所有远程医疗服务重新整合为一种模式,即采用集中运营、一个虚拟技术平台、标准化培训,并将其所有分支机构连接起来。国家质量论坛(National Quality Forum)在 2016 年和 2017 年用了两年时间制定了 70 多页的建议,以扩大对未来可预见的远程医疗的评估措施。有如此多的患者体验研究表明,患者对远程医疗非常满意,以至于业内专业人士都认为这是事实。远程医疗已经超越了新奇。这篇简短而内容丰富的文章包含了有关远程医疗是什么、为什么要进行远程医疗以及如何进行远程医疗实施的专家意见和研究结果;这是一个很好的入门材料。

相似文献

1
Telemedicine: a Primer.远程医疗:入门指南。
Curr Allergy Asthma Rep. 2018 Aug 25;18(10):54. doi: 10.1007/s11882-018-0808-4.
2
Telemedicine and telepharmacy: current status and future implications.远程医疗与远程药学:现状与未来影响
Am J Health Syst Pharm. 1999 Jul 15;56(14):1405-26. doi: 10.1093/ajhp/56.14.1405.
3
Focus on: information technology. Telemedicine legal update 2004: reimbursement, the doctor-patient relationship, teleconsultations, and the legal status of digital images.关注领域:信息技术。《2004年远程医疗法律动态:报销、医患关系、远程会诊及数字图像的法律地位》
J Drugs Dermatol. 2005 Jan-Feb;4(1):102-5.
4
Telemedicine: a new dimension in the practice of medicine.远程医疗:医学实践的新维度。
Dis Mon. 1999 Jun;45(6):197-262. doi: 10.1016/s0011-5029(99)90009-3.
5
Telemedicine and beyond.远程医疗及其他领域。
Mo Med. 2015 Mar-Apr;112(2):129-35.
6
Licensing telemedicine: the need for a national system.远程医疗的许可:建立国家体系的必要性。
Telemed J E Health. 2000 Winter;6(4):429-39. doi: 10.1089/15305620050503915.
7
Response to a telemedicine inquiry from the Florida House of Representatives and text of model act to regulate the practice of telemedicine.对佛罗里达州众议院远程医疗询问的回复以及规范远程医疗实践的示范法案文本。
Telemed J. 1995 Winter;1(4):309-19.
8
Administering a Telemedicine Program.远程医疗项目管理。
Curr Allergy Asthma Rep. 2018 Sep 15;18(11):57. doi: 10.1007/s11882-018-0812-8.
9
Telemedicine licensure in the United States: the need for a cooperative regional approach.美国的远程医疗执照:采取合作性区域方法的必要性。
Telemed J E Health. 2007 Apr;13(2):141-7. doi: 10.1089/tmj.2006.0029.
10
Emergency Medicine Telemedicine.急诊医学远程医疗
Ann Emerg Med. 2016 May;67(5):687-9. doi: 10.1016/j.annemergmed.2016.03.014.

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Assessing the Efficiency and Patient Satisfaction of Telemedicine in Managing Chronic Health Conditions.评估远程医疗在管理慢性健康状况方面的效率和患者满意度。
Glob J Qual Saf Healthc. 2025 May 8;8(3):121-126. doi: 10.36401/JQSH-24-38. eCollection 2025 Aug.
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Telemedicine for educating parents or caregivers for postoperative care of pediatric patients: a systematic review.用于教育家长或护理人员进行儿科患者术后护理的远程医疗:一项系统综述。
Front Public Health. 2025 Jul 30;13:1606211. doi: 10.3389/fpubh.2025.1606211. eCollection 2025.
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Telemedicine and public health-pearls and pitfalls.

本文引用的文献

1
Sustainable Telemedicine: Designing and Building Infrastructure to Support a Comprehensive Telemedicine Practice.可持续远程医疗:设计和构建基础设施,以支持全面的远程医疗实践。
Telemed J E Health. 2018 Dec;24(12):1021-1025. doi: 10.1089/tmj.2017.0291. Epub 2018 Apr 16.
2
Effect of the School-Based Telemedicine Enhanced Asthma Management (SB-TEAM) Program on Asthma Morbidity: A Randomized Clinical Trial.基于学校的远程医疗增强哮喘管理(SB-TEAM)方案对哮喘发病率的影响:一项随机临床试验。
JAMA Pediatr. 2018 Mar 5;172(3):e174938. doi: 10.1001/jamapediatrics.2017.4938.
3
Telehealth and patient satisfaction: a systematic review and narrative analysis.
远程医疗与公共卫生——要点与陷阱
World J Methodol. 2025 Jun 20;15(2):100632. doi: 10.5662/wjm.v15.i2.100632.
4
Application of artificial intelligence in myopia prevention and control.人工智能在近视防控中的应用。
Pediatr Investig. 2025 Mar 18;9(2):114-124. doi: 10.1002/ped4.70001. eCollection 2025 Jun.
5
Awareness and attitude of using telemedicine among diabetic; a cross-sectional survey in Asser region, Saudi Arabia.沙特阿拉伯阿西尔地区糖尿病患者对远程医疗的认知与使用态度;一项横断面调查
J Family Med Prim Care. 2025 Feb;14(2):541-548. doi: 10.4103/jfmpc.jfmpc_1695_23. Epub 2025 Feb 21.
6
Digital Health Interventions for Informal Family Caregivers of People With First-Episode Psychosis: Systematic Review on User Experience and Effectiveness.数字健康干预措施对首发精神病患者非正规家庭照顾者的影响:用户体验和有效性的系统评价。
JMIR Ment Health. 2024 Nov 28;11:e63743. doi: 10.2196/63743.
7
Use of commercially available wearable devices for physical rehabilitation in healthcare: a systematic review.商业可用可穿戴设备在医疗保健中的物理康复应用:系统评价。
BMJ Open. 2024 Nov 7;14(11):e084086. doi: 10.1136/bmjopen-2024-084086.
8
Towards implementing telemedicine in Tunisia: A knowledge, attitude and practice study among medical doctors.迈向突尼斯的远程医疗实践:医生的知识、态度和实践研究。
F1000Res. 2024 Aug 20;12:1025. doi: 10.12688/f1000research.138320.2. eCollection 2023.
9
Breaking down barriers to bariatric care: a qualitative study on how telemedicine could transform patient experiences in a Swiss monocentric setting.突破肥胖症治疗障碍:一项定性研究,探讨远程医疗如何改变瑞士单中心环境中的患者体验。
BMJ Open. 2024 May 20;14(5):e083142. doi: 10.1136/bmjopen-2023-083142.
10
Lessons From the Field From a Volunteer Telehealth Ambassador Program to Enhance Video Visits Among Low-Income Patients: Qualitative Improvement Study.实地经验教训:来自一个志愿者远程医疗大使项目以增加低收入患者视频就诊率的定性改进研究
JMIR Form Res. 2024 Apr 15;8:e49993. doi: 10.2196/49993.
远程医疗与患者满意度:系统评价与叙述性分析
BMJ Open. 2017 Aug 3;7(8):e016242. doi: 10.1136/bmjopen-2017-016242.
4
Telemedicine is as effective as in-person visits for patients with asthma.远程医疗对于哮喘患者与当面就诊一样有效。
Ann Allergy Asthma Immunol. 2016 Sep;117(3):241-5. doi: 10.1016/j.anai.2016.07.012.
5
Sustaining and Expanding Telehealth: A Survey of Business Models from Selected Prominent U.S. Telehealth Centers.维持和扩展远程医疗:对美国部分知名远程医疗中心商业模式的调查
Telemed J E Health. 2017 Feb;23(2):137-142. doi: 10.1089/tmj.2016.0023. Epub 2016 Aug 2.
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Synchronous telehealth for outpatient allergy consultations: A 2-year regional experience.门诊过敏咨询的同步远程医疗:为期 2 年的区域性经验。
Ann Allergy Asthma Immunol. 2016 Jun;116(6):571-575.e1. doi: 10.1016/j.anai.2016.03.028. Epub 2016 Apr 19.
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Telehealth to improve asthma control in pregnancy: A randomized controlled trial.远程医疗改善妊娠哮喘控制:一项随机对照试验。
Respirology. 2016 Jul;21(5):867-74. doi: 10.1111/resp.12773. Epub 2016 Mar 31.
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TeleAllergy: a new way to manage asthma.远程过敏:一种管理哮喘的新方法。
J Allergy Clin Immunol Pract. 2015 Mar-Apr;3(2):302-3. doi: 10.1016/j.jaip.2014.10.013.
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Use of specialty OB consults during high-risk pregnancies in a Medicaid-covered population: initial impact of the Arkansas ANGELS intervention.在 Medicaid 覆盖人群中,高危妊娠期间使用专科 OB 咨询:阿肯色州 ANGELS 干预的初步影响。
Med Care Res Rev. 2012 Dec;69(6):699-720. doi: 10.1177/1077558712458157. Epub 2012 Sep 4.
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The taxonomy of telemedicine.远程医疗的分类学。
Telemed J E Health. 2011 Jul-Aug;17(6):484-94. doi: 10.1089/tmj.2011.0103. Epub 2011 Jun 30.