远程医疗：神经退行性疾病中的一项宝贵工具。
Telemedicine: A valuable tool in neurodegenerative diseases.
作者信息
Adams Jamie L, Myers Taylor L, Waddell Emma M, Spear Kelsey L, Schneider Ruth B
机构信息
Center for Health + Technology, University of Rochester Medical Center, Rochester, NY, USA.
Department of Neurology, University of Rochester Medical Center, Rochester, NY, USA.
出版信息
Curr Geriatr Rep. 2020 Jun;9(2):72-81. doi: 10.1007/s13670-020-00311-z. Epub 2020 Mar 14.
PURPOSE OF REVIEW
The prevalence of neurodegenerative diseases, such as Alzheimer's disease (AD) and Parkinson's disease (PD), is rising as the global population ages. Access to specialist care, which improves outcomes, is insufficient and disease-related disability makes in-person physician visits burdensome. Telehealth is one potential means for improving access to care. The purpose of this manuscript is to review recent publications on telemedicine in AD and PD.
RECENT FINDINGS
Telemedicine is feasible in AD and PD and acceptable to patients and their caregivers. Compared with in-person visits, telemedicine reduces visit-associated travel and time. Telemedicine can be used for rehabilitative therapies, to administer cognitive tests, and to support caregivers. Access to telemedicine results in changes in patient care including medication adjustments and referrals for therapies and supports.
SUMMARY
The use of telemedicine in AD and PD stands to decrease burden on patients and increase access to specialty care. Barriers to the expansion of telemedicine care include lack of widespread broadband access, state licensure requirements, and inconsistent reimbursement. More outcomes-based prospective telemedicine studies are needed.
综述目的
随着全球人口老龄化，阿尔茨海默病（AD）和帕金森病（PD）等神经退行性疾病的患病率正在上升。获得能改善治疗效果的专科护理的机会不足，且与疾病相关的残疾使患者亲自就诊负担沉重。远程医疗是改善医疗服务可及性的一种潜在手段。本手稿的目的是综述近期关于AD和PD远程医疗的出版物。
最新发现
远程医疗在AD和PD中是可行的，并且患者及其护理人员可以接受。与亲自就诊相比，远程医疗减少了就诊相关的出行和时间。远程医疗可用于康复治疗、进行认知测试以及支持护理人员。获得远程医疗服务会导致患者护理发生变化，包括药物调整以及转介接受治疗和获得支持。
总结
在AD和PD中使用远程医疗有望减轻患者负担并增加获得专科护理的机会。远程医疗服务扩展的障碍包括缺乏广泛的宽带接入、州执照要求以及报销不一致。需要更多基于结果的前瞻性远程医疗研究。
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