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在 COVID-19 大流行期间快速实施住院患者远程姑息治疗咨询。

Rapid Implementation of Inpatient Telepalliative Medicine Consultations During COVID-19 Pandemic.

机构信息

Division of Palliative Medicine, Department of Medicine, University of California, San Francisco, USA.

Division of Palliative Medicine, Department of Medicine, University of California, San Francisco, USA.

出版信息

J Pain Symptom Manage. 2020 Jul;60(1):e54-e59. doi: 10.1016/j.jpainsymman.2020.04.001. Epub 2020 Apr 10.

Abstract

As coronavirus disease 2019 cases increase throughout the country and health care systems grapple with the need to decrease provider exposure and minimize personal protective equipment use while maintaining high-quality patient care, our specialty is called on to consider new methods of delivering inpatient palliative care (PC). Telepalliative medicine has been used to great effect in outpatient and home-based PC but has had fewer applications in the inpatient setting. As we plan for decreased provider availability because of quarantine and redeployment and seek to reach increasingly isolated hospitalized patients in the face of coronavirus disease 2019, the need for telepalliative medicine in the inpatient setting is now clear. We describe our rapid and ongoing implementation of telepalliative medicine consultation for our inpatient PC teams and discuss lessons learned and recommendations for programs considering similar care models.

摘要

随着全国各地 2019 冠状病毒病(coronavirus disease 2019,COVID-19)病例的增加,以及医疗保健系统努力减少医护人员的暴露,并在保持高质量患者护理的同时尽量减少个人防护设备的使用,我们的专业领域被要求考虑提供住院患者姑息治疗(palliative care,PC)的新方法。远程姑息治疗在门诊和居家 PC 中已得到广泛应用,但在住院环境中的应用较少。由于隔离和重新部署导致医护人员的可用性下降,并且我们需要面对 COVID-19 接触后而日益孤立的住院患者,因此现在迫切需要在住院环境中开展远程姑息治疗。我们描述了我们为住院 PC 团队快速和持续实施远程姑息治疗咨询的情况,并讨论了经验教训和对考虑类似护理模式的项目的建议。

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