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进食障碍综合护理单元中的远程医疗转型:挑战与长期获益

Telehealth transition in a comprehensive care unit for eating disorders: Challenges and long-term benefits.

机构信息

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA.

出版信息

Int J Eat Disord. 2020 Nov;53(11):1774-1779. doi: 10.1002/eat.23348. Epub 2020 Jul 27.

Abstract

The 2019 novel coronavirus disease (COVID-19) pandemic has forced many eating disorder medical stabilization units to consider adjustments that uphold both the quality of care delivered to patients while also observing social distancing public health directives for patients and staff. To date, inpatient facilities for eating disorders (both medical stabilization units and higher level of care facilities) have not needed to consider how to translate services to electronic platforms, given that most of these programs have in-person staff. We outline our transition to telehealth broadly, emphasizing some unexpected benefits of using telehealth services that we plan on integrating into our work-flow post COVID-19. These may be useful for other higher level of care eating disorder programs, including medical stabilization units, residential, partial hospitalization, and intensive outpatient programs. We also highlight aspects of transition that have been more challenging for this particular patient population, warranting the need for in-person services.

摘要

2019 年新型冠状病毒病(COVID-19)大流行迫使许多饮食失调症医疗稳定单位考虑进行调整,既要保持为患者提供的护理质量,又要遵守社会距离的公共卫生指令,以保护患者和工作人员的安全。迄今为止,饮食失调症的住院设施(包括医疗稳定单位和更高层次的护理设施)还不需要考虑如何将服务转换到电子平台上,因为这些项目中的大多数都有现场工作人员。我们广泛概述了向远程医疗的转变,强调了使用远程医疗服务的一些意外好处,我们计划在 COVID-19 之后将这些好处整合到我们的工作流程中。这些对于其他更高层次的护理饮食失调症计划可能是有用的,包括医疗稳定单位、住院、部分住院和强化门诊计划。我们还强调了对于这一特定患者群体来说,过渡过程中更具挑战性的方面,这需要提供面对面的服务。

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