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远程医疗为手术患者提供了全面的治疗方法。

Telehealth provides a comprehensive approach to the surgical patient.

机构信息

Thomas Jefferson University, Department of Surgery, 1015 Walnut Street, Curtis Building, Suite 620, Philadelphia, PA, 19107, USA.

Thomas Jefferson University, Department of Surgery, 1015 Walnut Street, Curtis Building, Suite 620, Philadelphia, PA, 19107, USA.

出版信息

Am J Surg. 2019 Sep;218(3):476-479. doi: 10.1016/j.amjsurg.2018.09.020. Epub 2018 Sep 21.

Abstract

BACKGROUND

This study describes telehealth use within the Department of Surgery in a large urban academic medical center and its role in diverse surgical patients.

METHODS

We performed a retrospective descriptive study of video telehealth visits conducted by an academic urban surgery department from February 2017 to November 2017. We report our experience in accordance with the National Quality Forum recommended domains of access, experience and effectiveness.

RESULTS

Six hundred and fifty-five (655) video telehealth encounters were performed during the study period: 152 were immediate postoperative visits, 424 were established patient visits, and 79 were group sessions. Our 30-day readmission rate of the post-operative visits was very low (4 of 152). One hundred and forty-one (141) patient survey responses show very high satisfaction and time savings.

CONCLUSIONS

Our results demonstrate a single institution's successful experience in offering telehealth to surgical patients in an urban setting.

摘要

背景

本研究描述了一家大型城市学术医疗中心外科部门的远程医疗使用情况及其在不同外科患者中的作用。

方法

我们对 2017 年 2 月至 11 月期间由一所学术城市外科部门进行的视频远程医疗访问进行了回顾性描述性研究。我们根据国家质量论坛推荐的访问、体验和效果领域报告了我们的经验。

结果

在研究期间进行了 655 次视频远程医疗访问:152 次是术后即时访问,424 次是已建立的患者访问,79 次是小组会议。我们术后 30 天的再入院率非常低(152 次中有 4 次)。141 份患者调查回复显示非常高的满意度和节省时间。

结论

我们的结果表明,一家机构在城市环境中为外科患者提供远程医疗服务的成功经验。

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