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[抗击新型冠状病毒肺炎中的远程医疗——在耳鼻喉科的机遇与可能应用:叙述性综述]

[Telemedicine in the fight against SARS-COV-2-opportunities and possible applications in otorhinolaryngology : Narrative review].

作者信息

Hagge Daniel, Knopf Andreas, Hofauer Benedikt

机构信息

Klinik für Hals‑, Nasen- und Ohrenheilkunde, Universitätsklinikum Freiburg, Killianstraße 5, 79106, Freiburg, Deutschland.

出版信息

HNO. 2020 Jun;68(6):433-439. doi: 10.1007/s00106-020-00864-7.

Abstract

INTRODUCTION

The COVID-19 pandemic is bringing healthcare systems worldwide to the brink of collapse. One reason for this is the rapidly increasing number of new infections. On the other hand, the high sickness rates of doctors and nurses, particularly in ENT medicine, are aggravating the situation. Telemedicine can be a useful tool to reduce the number of physician-patient contacts. This could break infection chains and minimize the risk of infection for physicians.

METHODS

To prepare the review, a selective literature search was conducted at www.pubmed.com using the relevant English technical terms for telemedicine and ENT. In addition, research was conducted at www.news.google.com on current developments of the COVID-19 pandemic with the search terms "telemedicine" and "COVID-19."

RESULTS

Telemedicine can be helpful in direct contact with patients as well as in the conciliar support of general practitioners. The available studies show that, on average, more than 50% of medical consultations could be carried out telemedically. Both physicians and patients rate the use of telemedicine positively. Neither image quality nor the handling of the technology are relevant obstacles to a reliable diagnosis. Patients indicated that the telemedical consultation did not last longer than a traditional consultation. Patients also highlighted the faster and better availability of medical care through telemedicine.

CONCLUSION

Telemedicine can make a decisive contribution to coping with the current COVID-19 pandemic. Furthermore, the establishment of telemedicine can help us to become better prepared for future pandemics.

摘要

引言

新冠疫情正使全球医疗系统濒临崩溃。原因之一是新感染病例数迅速增加。另一方面,医生和护士的高患病率,尤其是耳鼻喉科的医护人员,正在加剧这种情况。远程医疗可以成为减少医患接触次数的有用工具。这可能会打破感染链,并将医生的感染风险降至最低。

方法

为撰写本综述,在www.pubmed.com上使用远程医疗和耳鼻喉科的相关英文技术术语进行了选择性文献检索。此外,在www.news.google.com上以“远程医疗”和“新冠疫情”为搜索词,对新冠疫情的当前发展情况进行了研究。

结果

远程医疗在与患者直接接触以及为全科医生提供会诊支持方面都可能有所帮助。现有研究表明,平均而言,超过50%的医疗咨询可以通过远程医疗进行。医生和患者对远程医疗的使用评价都很高。图像质量和技术操作都不是可靠诊断的相关障碍。患者表示远程医疗咨询的时长并不比传统咨询长。患者还强调通过远程医疗能更快、更好地获得医疗服务。

结论

远程医疗可以为应对当前的新冠疫情做出决定性贡献。此外,建立远程医疗可以帮助我们更好地为未来的疫情做好准备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4314/7160613/7018df45dc5e/106_2020_864_Fig1_HTML.jpg

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