Virtual Medicine Department, UMass Memorial Health Care, Worcester, MA.
Emory Critical Care Center, Emory Healthcare, Atlanta, GA.
Nurs Outlook. 2020 Jan-Feb;68(1):5-13. doi: 10.1016/j.outlook.2019.06.005. Epub 2019 Jun 18.
Telehealth is an acknowledged strategy to meet patient healthcare needs. In critical care settings, Tele-ICU's are expanding to deliver clinical services across a diverse spectrum of critically ill patients. The expansion of telehealth provides increased opportunities for advanced practice providers including advanced practice nurses and physician assistants; however, limited information on roles and models of care for advanced practice providers in telehealth exist. This article reviews current and evolving roles for advanced practice providers in telehealth in acute and critical care settings across 7 healthcare systems in the United States. The health system exemplars described in this article identify the important role of advanced practice providers in providing patient care oversight and in improving outcomes for acute and critically ill patients. As telehealth continues to expand, additional opportunities will lead to novel roles for advanced practice providers in the field of telehealth to assist with patient care management for subacute, acute, and critically ill patients.
远程医疗是满足患者医疗需求的公认策略。在重症监护环境中，Tele-ICU 正在扩大规模，为各种不同病情的重症患者提供临床服务。远程医疗的扩展为高级执业医师提供了更多的机会，包括高级执业护士和医师助理；然而，关于远程医疗中高级执业医师的角色和护理模式的信息有限。本文综述了美国 7 个医疗系统中急性和重症监护环境中远程医疗中高级执业医师的当前和不断发展的角色。本文所述的医疗系统范例确定了高级执业医师在提供患者护理监督和改善急性和重症患者结局方面的重要作用。随着远程医疗的不断扩展，更多的机会将为远程医疗领域的高级执业医师带来新的角色，以协助管理亚急性、急性和重症患者的患者护理。
