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[肾脏病学中的电子健康:关于远程肾脏病学的一项法国调查]

[e-Health in nephrology: 1 French survey on telenephrology].

作者信息

Citarda Salvatore, Camarroque Anne-Laure, Seret Guillaume, De Laforcade Louis, Bureau Côme, Caillette-Beaudoin Agnès, Bertocchio Jean-Philippe

机构信息

Club des jeunes néphrologues, 2, rue du bourg l'abbé, 75003 Paris, France; Calydial, Centre Associatif LYonnais de DIALyse, 51, rue Yvours, 69540 Irigny, France.

Calydial, Centre Associatif LYonnais de DIALyse, 51, rue Yvours, 69540 Irigny, France.

出版信息

Nephrol Ther. 2019 Nov;15(6):452-460. doi: 10.1016/j.nephro.2019.06.001. Epub 2019 Oct 19.

Abstract

The number of new patients with chronic kidney diseases strongly increases while the one of nephrologists does not: this is developing new challenges, in which e-health will take a special part. This field is poorly investigated: so, we developed a dedicated survey. Telenephrology is a new approach that includes all what nephrologists can do in their routine practice: especially, telehealth with teleconsulting, telesurvey, and helpline. We also studied their relationship with m-health. The questionnaire was developed and validated by members from the Club des Jeunes Néphrologues and the Société Francophone de Néphrologie, Dialyse et Transplantation: it was then broadcast to all french nephrologists, thru web media. From June to July, 2017, we collected 175 answers: they represented all kinds of practices of the profession. Results show that French nephrologists are connected: most of them are present on social network(s) and/or uses connected objects, mostly for personal reasons. They communicate a lot, between them and/or with patients, mainly via email. Computerized medical records are mostly used in the follow-up of patients on renal dialysis or with chronic kidney diseases. Most of French nephrologists are satisfied by telenephrology but there are still obstacles to its deployment: mainly, technical, administrative, and/or billing difficulties. All should be taken into account to help telenephrology developing. In conclusion, French nephrologists are yet connected but they really need more help again to face new challenges raised by e-health.

摘要

慢性肾病新患者的数量大幅增加,而肾病专家的数量却没有相应增长:这带来了新的挑战,电子健康将在其中发挥特殊作用。这一领域的研究较少:因此,我们开展了一项专门的调查。远程肾脏病学是一种新方法,涵盖了肾病专家在日常工作中所能做的一切:特别是远程医疗,包括远程会诊、远程调查和热线服务。我们还研究了它们与移动健康的关系。该问卷由青年肾脏病学家俱乐部和法语国家肾脏病学、透析与移植协会的成员制定并验证:随后通过网络媒体向所有法国肾病专家发放。2017年6月至7月,我们收集了175份回复:它们代表了该行业的各种业务情况。结果显示,法国肾病专家都已联网:他们中的大多数人都在社交网络上,和/或使用联网设备,主要是出于个人原因。他们之间以及和/或与患者之间的交流很多,主要通过电子邮件。电子病历大多用于肾透析患者或慢性肾病患者的随访。大多数法国肾病专家对远程肾脏病学感到满意,但在其推广方面仍存在障碍:主要是技术、行政和/或计费方面的困难。所有这些都应予以考虑,以促进远程肾脏病学的发展。总之,法国肾病专家已经联网,但他们确实还需要更多帮助来应对电子健康带来的新挑战。

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