Division of Palliative Medicine, Department of Medicine, University of California, San Francisco (UCSF), San Francisco, California, USA.
Division of Palliative Medicine, Department of Medicine, University of California, San Francisco (UCSF), San Francisco, California, USA.
J Pain Symptom Manage. 2020 Jul;60(1):e12-e14. doi: 10.1016/j.jpainsymman.2020.03.019. Epub 2020 Mar 31.
Within weeks, COVID-19 has transformed our practice of palliative care and clinical medicine as we know it. Telemedicine has emerged as a critical technology to bring medical care to patients while attempting to reduce the transmission of COVID-19 among patients, families, and clinicians. It is also increasingly necessary to preserve scarce resources like personal protective equipment. In this article, we share just-in-time tips to support palliative care clinicians and program leaders in providing the best care possible by telemedicine. These quick, practical tips cover telemedicine setup, patient considerations, and clinician considerations. Next steps include ensuring equitable access to affordable telemedicine technology for vulnerable populations through creative solutions and financing, and dedicated attention to telemedicine evaluation and quality improvement.
在短短几周内，COVID-19 就改变了我们所熟知的姑息治疗和临床医学实践。远程医疗已成为向患者提供医疗服务的关键技术，同时也试图减少 COVID-19 在患者、家属和临床医生中的传播。保护个人防护设备等稀缺资源也变得越来越重要。在本文中，我们分享了一些即时提示，以支持姑息治疗临床医生和项目负责人通过远程医疗提供最佳护理。这些快速实用的提示涵盖了远程医疗设置、患者注意事项和临床医生注意事项。下一步包括通过创造性的解决方案和融资，确保弱势群体能够公平获得负担得起的远程医疗技术，并专门关注远程医疗评估和质量改进。
