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运动医学中的远程评估:叙事性综述和 COVID-19 大流行期间及之后的远程 SEM 解决方案。

Remote assessment in sport and exercise medicine (SEM): a narrative review and teleSEM solutions for and beyond the COVID-19 pandemic.

机构信息

Department of Medical Education, Aspetar Qatar Orthopaedic and Sports Medicine Hospital, Doha, Ad Dawhah, Qatar

Department for Continuing Education, University of Oxford, Oxford, UK.

出版信息

Br J Sports Med. 2020 Oct;54(19):1162-1167. doi: 10.1136/bjsports-2020-102650. Epub 2020 Jun 30.

Abstract

BACKGROUND

The COVID-19 pandemic forces sport and exercise medicine (SEM) physicians to think differently about the clinical care of patients. Many rapidly implement eHealth and telemedicine solutions specific to SEM without guidance on how best to provide these services.

AIM

The aim of this paper is to present some guiding principles on how to plan for and perform an SEM consultation remotely (teleSEM) based on a narrative review of the literature. A secondary aim is to develop a generic teleSEM injury template.

RESULTS

eHealth and telemedicine are essential solutions to effective remote patient care, also in SEM. This paper provides guidance for wise planning and delivery of teleSEM. It is crucial for SEM physicians, technology providers and organisations to codesign teleSEM services, ideally involving athletes, coaches and other clinicians involved in the clinical care of athletes, and to gradually implement these services with appropriate support and education.

CONCLUSION

teleSEM provides solutions for remote athlete clinical care during and after the COVID-19 pandemic. We define two new terms-eSEM and teleSEM and discuss guiding principles on how to plan for and perform SEM consultations remotely (teleSEM). We provide an example of a generic teleSEM injury assessment guide.

摘要

背景

COVID-19 大流行迫使运动医学医师以不同的方式思考患者的临床护理。许多人在没有关于如何提供这些服务的最佳指导的情况下,迅速针对 SEM 制定了特定的电子健康和远程医疗解决方案。

目的

本文旨在根据文献综述,提出一些关于如何计划和远程(远程 SEM)进行 SEM 咨询的指导原则。次要目标是开发一个通用的远程 SEM 损伤模板。

结果

电子健康和远程医疗是有效远程患者护理的重要解决方案,在 SEM 中也是如此。本文为远程 SEM 的明智规划和提供提供了指导。对于 SEM 医师、技术提供商和组织来说,至关重要的是共同设计远程 SEM 服务,理想情况下应包括运动员、教练和其他参与运动员临床护理的临床医生,并在适当的支持和教育下逐步实施这些服务。

结论

远程 SEM 为 COVID-19 大流行期间和之后的远程运动员临床护理提供了解决方案。我们定义了两个新术语——eSEM 和远程 SEM,并讨论了关于如何计划和远程(远程 SEM)进行 SEM 咨询的指导原则。我们提供了一个通用远程 SEM 损伤评估指南的示例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2de4/7513251/1464cea9b43e/bjsports-2020-102650f01.jpg

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