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妇产科远程医疗咨询——一项针对波兰语女性的基于人群的研究。

Telemedicine consultations in obstetrics and gynecology - a population based study in Polishspeaking women.

作者信息

Karwowski Rafal, Gasiorowska Joanna

机构信息

Telemedicine Clinic, eDoktor24, Warsaw, Poland.

出版信息

Ginekol Pol. 2018;89(12):677-681. doi: 10.5603/GP.a2018.0114.

DOI:10.5603/GP.a2018.0114
PMID:30618035
Abstract

OBJECTIVES

Telemedicine is no longer in the realm of the future. It has already become an aspect of modern medicine. A number of countries across the world have successfully introduced telemedicine systems, which allows patients access to general healthcare and specialist consultations regardless of the distance separating patients from physicians. We aimed to evaluate the use of a telemedicine system by Polish-speaking women for the purpose of gynecological and obstetric consultations.

MATERIAL AND METHODS

Our study used a telemedicine system operated by a healthcare entity offering healthcare services. We prospectively obtained data from Polish-speaking patients (residing all over the world) who underwent teleconsultations in gynecology or obstetrics in the period between Dec. 1, 2016, and Mar. 31, 2018.

RESULTS

A total of 244 telemedicine consultations in 185 female patients were evaluated. These consultations were overwhelmingly for gynecological cases (76%). Obstetric consultations, which constituted only 24% of the total number of consultations, involved predominantly pathologies of pregnancy. The mean age of patients who used the telemedicine system was 27 years. Ten percent of the study subjects resided in a country other than Poland at the time of their consultation. Only one patient required an urgent referral for an in-person consultation at an emergency department.

CONCLUSIONS

Telemedicine consultations not only offer an easier access to the relatively difficult to obtain consultations with a specialist in the field of gynecology and obstetrics but may also be an alternative to conventional doctors' appointments, chiefly for those women who currently reside abroad or for those who seek an immediate gynecological consultation.

摘要

目的

远程医疗已不再是未来之事。它已然成为现代医学的一个方面。世界上许多国家已成功引入远程医疗系统,这使得患者无论与医生相隔多远,都能获得一般医疗保健和专科会诊服务。我们旨在评估说波兰语的女性使用远程医疗系统进行妇产科会诊的情况。

材料与方法

我们的研究使用了由一家提供医疗服务的医疗实体运营的远程医疗系统。我们前瞻性地收集了2016年12月1日至2018年3月31日期间接受妇产科远程会诊的说波兰语患者(居住在世界各地)的数据。

结果

共评估了185名女性患者的244次远程医疗会诊。这些会诊绝大多数是妇科病例(76%)。产科会诊仅占会诊总数的24%,主要涉及妊娠病理情况。使用远程医疗系统的患者平均年龄为27岁。10%的研究对象在会诊时居住在波兰以外的国家。只有一名患者需要紧急转诊到急诊科进行面对面会诊。

结论

远程医疗会诊不仅使患者更容易获得相对难以获得的妇产科专科会诊,而且对于那些目前居住在国外的女性或寻求立即进行妇科会诊的女性来说,也可能是传统医生预约的一种替代方式。

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