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放射肿瘤学远程医疗服务的长期机构经验:长期利用的潜在模式。

Long-Term Institutional Experience With Telemedicine Services for Radiation Oncology: A Potential Model for Long-Term Utilization.

作者信息

Lewis Gary D, Hatch Sandra S, Wiederhold Lee R, Swanson Todd A

机构信息

Department of Radiation Oncology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

出版信息

Adv Radiat Oncol. 2020 May 8;5(4):780-782. doi: 10.1016/j.adro.2020.04.018. eCollection 2020 Jul-Aug.

Abstract

PURPOSE

With the development of the coronavirus disease 2019 (COVID-19) pandemic, health care practices and radiation oncology departments have begun to incorporate telemedicine services to practice social distancing and minimize the chances of disease spread. Given the severity of this pandemic, it will likely fundamentally affect the use of these services for years to come. Our institution and radiation oncology department have used telemedicine services for many years; we would like to report on our departmental experience to guide other radiation oncology practices on its long-term use for clinical evaluation and patient care.

METHODS AND MATERIALS

Our institution's telemedicine program provides clinical services for a number of remote locations and represents the largest telehealth network in the world, with over 300 sites and 60,000 patient encounters a year.

RESULTS

Specifically for our radiation oncology department, over 200 patient encounters occur via telemedicine a year. Patients report great appreciation and satisfaction with these encounters, as they eliminate the time and energy needed for travel from long distances. It has resulted in improved efficiency and cost-effectiveness as well.

CONCLUSIONS

Based on our institutional experience, our long-term vision for telemedicine (after COVID-19 pandemic has hopefully subsided) is as an excellent and cost-efficient tool to provide long-term follow-up for patients, especially for those who live far away in rural or underserved areas.

摘要

目的

随着2019冠状病毒病(COVID-19)大流行的发展,医疗保健实践和放射肿瘤学部门已开始采用远程医疗服务,以实现社交距离并尽量减少疾病传播的机会。鉴于此次大流行的严重性,它可能会在未来几年从根本上影响这些服务的使用。我们的机构和放射肿瘤学部门多年来一直在使用远程医疗服务;我们希望报告我们部门的经验,以指导其他放射肿瘤学实践长期使用该服务进行临床评估和患者护理。

方法和材料

我们机构的远程医疗计划为多个偏远地区提供临床服务,是世界上最大的远程医疗网络,每年有超过300个站点和60000次患者诊疗。

结果

具体到我们的放射肿瘤学部门,每年通过远程医疗进行的患者诊疗超过200次。患者对这些诊疗非常感激和满意,因为它们消除了长途旅行所需的时间和精力。这也提高了效率和成本效益。

结论

基于我们机构的经验,我们对远程医疗的长期愿景(希望在COVID-19大流行消退后)是作为一种出色且具有成本效益的工具,为患者提供长期随访,特别是为那些居住在偏远农村或服务不足地区的患者。

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