Department of Emergency Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
Disaster Med Public Health Prep. 2021 Oct;15(5):649-656. doi: 10.1017/dmp.2020.118. Epub 2020 May 4.
In recent years, advances in communications technology and market factors have led to a substantial expansion of telemedicine practice. One potential use of telemedicine is in disaster response, both as a resource for responders as well as a direct link to patients. The advantages of using telehealth to assist in disaster response are accompanied by important questions related to social impact, ethical implications, and regulatory oversight. A narrative review of several of these issues is presented here. The next steps in the development of a robust disaster telemedicine system will include the development of best practices and ethical guidelines agreed upon by all stakeholders, as well as the development of public-private partnerships geared at providing the highest quality disaster telemedicine to the greatest possible number of patients.
近年来，通信技术的进步和市场因素促使远程医疗实践得到了极大的扩展。远程医疗的一个潜在用途是在灾难应对中，无论是作为响应者的资源，还是与患者的直接联系。利用远程医疗协助灾难应对具有许多优势，但也伴随着与社会影响、伦理含义和监管监督相关的重要问题。本文对其中的几个问题进行了叙述性回顾。下一步开发一个强大的灾难远程医疗系统将包括制定所有利益相关者都同意的最佳实践和道德准则，以及发展公私合作伙伴关系，以向尽可能多的患者提供最高质量的灾难远程医疗服务。
