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远程医疗在全球突发事件中的应用:对 2019 冠状病毒病(COVID-19)的启示。

Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19).

机构信息

Centre for Online Health, The University of Queensland, Australia.

Hans Christian Andersen Children's Hospital, Denmark.

出版信息

J Telemed Telecare. 2020 Jun;26(5):309-313. doi: 10.1177/1357633X20916567. Epub 2020 Mar 20.

Abstract

The current coronavirus (COVID-19) pandemic is again reminding us of the importance of using telehealth to deliver care, especially as means of reducing the risk of cross-contamination caused by close contact. For telehealth to be effective as part of an emergency response it first needs to become a routinely used part of our health system. Hence, it is time to step back and ask why telehealth is not mainstreamed. In this article, we highlight key requirements for this to occur. Strategies to ensure that telehealth is used regularly in acute, post-acute and emergency situations, alongside conventional service delivery methods, include flexible funding arrangements, training and accrediting our health workforce. Telehealth uptake also requires a significant change in management effort and the redesign of existing models of care. Implementing telehealth proactively rather than reactively is more likely to generate greater benefits in the long-term, and help with the everyday (and emergency) challenges in healthcare.

摘要

当前的冠状病毒(COVID-19)大流行再次提醒我们,利用远程医疗提供医疗服务的重要性,特别是作为降低密切接触引起交叉污染风险的手段。为了使远程医疗能够有效地成为应急响应的一部分,它首先需要成为我们卫生系统的常规使用部分。因此,现在是时候退后一步,问问为什么远程医疗没有普及。在本文中,我们强调了实现这一目标的关键要求。为了确保远程医疗与传统服务提供方法一起在急性、康复和紧急情况下定期使用,可以采取灵活的资金安排、培训和认证卫生工作队伍等策略。远程医疗的采用还需要在管理工作上进行重大变革,并重新设计现有的护理模式。主动实施远程医疗而不是被动应对,更有可能在长期内产生更大的效益,并帮助应对医疗保健中的日常(和紧急)挑战。

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