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[基于国际和匈牙利经验及建议看远程医疗在新冠疫情中的可能性]

[Possibilities of telemedicine regarding the COVID-19 pandemic in light of the international and Hungarian experiences and recommendations].

作者信息

Győrffy Zsuzsa, Békási Sándor, Szathmári-Mészáros Noémi, Németh Orsolya

机构信息

Általános Orvostudományi Kar, Magatartástudományi Intézet,Semmelweis Egyetem Budapest, Nagyvárad tér 4., 1089.

Egészségügyi Centrum,Magyar Máltai Szeretetszolgálat Budapest.

出版信息

Orv Hetil. 2020 Jun;161(24):983-992. doi: 10.1556/650.2020.31873.

DOI:10.1556/650.2020.31873
PMID:32469844
Abstract

The COVID-19 outbreak was formally announced as a pandemic by WHO on the 11th of March, 2020. This attracts attention to the possibilities of telemedicine again. In support of stopping the spread of the novel coronavirus infection, whilst keeping the healthcare system running and minimizing the risk of being infected, we also need to find new ways, methods, and platforms to deal with this pandemic. By providing a literature overview and sharing practical guidelines, including the special example of Hungarian teledentistry, we present both international and Hungarian initiatives to involve telemedicine on different levels of healthcare systems regarding COVID-19. Both international and national data show that telemedicine can play a major role in the triage process, early identification, diagnosis and treatment of infected individuals, and management of patient pathways in a way that ensures the medical team does not come into contact with potentially infected patients. It also plays an important role in remote monitoring of medical conditions and care of patients with chronic diseases and reconnects vulnerable groups of healthcare personnel to the care system. In addition to the potential benefits of telemedicine, we must not forget the limitations of this method. However, it is important to emphasize that due to its wide availability, telemedicine services can provide sufficient flexibility for both primary and specialist care (outpatient and inpatient clinical care). For that very reason, it is an urgent need to define the national professional guidelines, legal and financing possibilities in this field in a long-term sustainable way.* Orv Hetil. 2020; 161(24): 983-992. *Disclaimer: We closed the writing of this manuscript on the 30th of April, 2020. The COVID-19 pandemic and related research studies still have been changing dynamically since then.

摘要

2020年3月11日,世界卫生组织正式宣布新冠疫情为大流行。这再次引发了人们对远程医疗可能性的关注。为了支持阻止新型冠状病毒感染的传播,在维持医疗系统运转并将感染风险降至最低的同时,我们还需要找到新的方式、方法和平台来应对这场大流行。通过提供文献综述并分享实用指南,包括匈牙利远程牙科的具体实例,我们展示了国际和匈牙利在新冠疫情相关的不同医疗系统层面引入远程医疗的举措。国际和国内数据均表明,远程医疗在分流过程、感染个体的早期识别、诊断和治疗以及患者路径管理中可以发挥重要作用,确保医疗团队不与潜在感染患者接触。它在远程监测病情以及照顾慢性病患者方面也发挥着重要作用,并使弱势群体的医护人员重新接入医疗系统。除了远程医疗的潜在益处,我们也不能忘记这种方法的局限性。然而,必须强调的是,由于其广泛的可用性,远程医疗服务可为初级和专科护理(门诊和住院临床护理)提供足够的灵活性。正因如此,迫切需要以长期可持续的方式界定该领域的国家专业指南、法律和融资可能性。*《匈牙利医学周报》。2020年;161(24): 983 - 992。*免责声明:我们于2020年4月30日完成本手稿的撰写。自那时起,新冠疫情及相关研究仍在动态变化。

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