Center for Policy, Outcomes, and Prevention, Stanford University School of Medicine, 117 Encina Commons, Stanford, CA 94305, USA.
Center for Policy, Outcomes and Prevention, Stanford University School of Medicine, Stanford, CA, USA.
Pediatr Clin North Am. 2020 Aug;67(4):675-682. doi: 10.1016/j.pcl.2020.04.011.
Telehealth and telemedicine services can be a solution for improving accessibility and reducing the cost of health care. Challenges remain in designing, implementing, and sustainably scaling telehealth solutions. Research is lacking on the health impacts and cost-effectiveness of telehealth; more data are needed in the evaluation of telehealth programs, adjusting for potential participant bias and extending the time frame of evaluating impact. In addition, rethinking and addressing the economic incentives and payment for telehealth services, as well as the medical-legal framework for provider competition across geographic regions (and jurisdictions), are needed for greater adoption of telehealth services.
远程医疗和远程医疗服务可以成为改善可及性和降低医疗成本的解决方案。在设计、实施和可持续扩大远程医疗解决方案方面仍然存在挑战。远程医疗对健康的影响和成本效益的研究还很缺乏；在评估远程医疗计划时，需要更多的数据，以调整潜在参与者的偏见，并延长评估影响的时间框架。此外，需要重新思考和解决远程医疗服务的经济激励和支付问题，以及跨越地理区域（和司法管辖区）的提供者竞争的医疗法律框架，以便更广泛地采用远程医疗服务。
