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增加医疗服务可及性:新冠疫情期间的远程医疗

Increasing access to care: telehealth during COVID-19.

作者信息

Hoffman David A

机构信息

Duke University , Sanford School of Public Policy.

出版信息

J Law Biosci. 2020 Jun 16;7(1):lsaa043. doi: 10.1093/jlb/lsaa043. eCollection 2020 Jan-Jun.

DOI:10.1093/jlb/lsaa043
PMID:32843985
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7337821/
Abstract

The coronavirus disease 2019 (COVID-19) public health emergency has amplified both the potential value and the challenges with healthcare providers deploying telehealth solutions. As people across the country find ways to stay at home, telehealth preserves an opportunity to obtain necessary healthcare services. Further, telehealth can help individuals avoid COVID-19 infection, free up hospital beds and other resources for those patients most in need, and prevent infected individuals from spreading that infection. Federal and state regulators have recognized this potential of telehealth and have quickly changed a variety of laws and regulations to enable healthcare providers to deploy solutions quickly. These changes can provide lasting benefits for the use of telehealth well after the current crisis. However, to best realize telehealth's benefits, further legal and regulatory actions are necessary. Specifically, lawmakers and regulators should focus on six areas: reimbursement, privacy/cybersecurity, liability, licensure, technology access, and artificial intelligence.

摘要

2019年冠状病毒病(COVID-19)公共卫生紧急事件既放大了医疗服务提供者部署远程医疗解决方案的潜在价值,也凸显了其中的挑战。随着全国各地的人们想方设法居家隔离,远程医疗为获取必要的医疗服务保留了机会。此外,远程医疗可以帮助个人避免感染COVID-19,为最需要的患者腾出医院病床和其他资源,并防止感染者传播病毒。联邦和州监管机构已经认识到远程医疗的这种潜力,并迅速修改了各种法律法规,以使医疗服务提供者能够迅速部署解决方案。这些变革能够在当前危机过后为远程医疗的使用带来持久益处。然而,为了最大程度地实现远程医疗的益处,还需要采取进一步的法律和监管行动。具体而言,立法者和监管机构应关注六个领域:报销、隐私/网络安全、责任、执照许可、技术接入和人工智能。