Diaz Vanessa A, Player Marty S
Professor, College of Medicine, Medical University of South Carolina.
Associate Professor, College of Medicine, Medical University of South Carolina.
R I Med J (2013). 2020 Feb 3;103(1):35-37.
Provision of healthcare services through telehealth continues to increase. This rise is driven by the several factors, such as improved access, decreased cost, patient convenience and positive patient satisfaction. Direct-to-patient (DTP) care delivery is the most popular form of telehealth. However, barriers exist to its widespread use in practice, such as lack of reimbursement, concern that the convenience of these services may raise utilization to the point that spending increases without increasing quality of care, concern about quality of care provided and low uptake by underrepresented or at risk populations. DTP offers opportunities to improve population health and provide value-based care within integrated health systems, but requires thoughtful implementation strategies that address patient and provider barriers to its use.
通过远程医疗提供医疗保健服务的情况持续增加。这种增长受到多种因素的推动，例如可及性提高、成本降低、患者便利以及患者满意度良好。直接面向患者（DTP）的护理服务是最常见的远程医疗形式。然而，在实际广泛应用中存在障碍，比如缺乏报销、担心这些服务的便利性可能会使利用率提高到支出增加而护理质量并未提高的程度、对所提供护理质量的担忧以及代表性不足或高危人群的接受率较低。DTP为改善人群健康以及在综合卫生系统内提供基于价值的护理提供了机会，但需要有周全的实施策略来解决患者和提供者在使用方面的障碍。
