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COVID-19 大流行期间产科医疗保健中的远程医疗转换和优化。

Conversion and optimization of telehealth in obstetric care during the COVID-19 pandemic.

机构信息

Columbia University Irving Medical Center, Department of Obstetrics and Gynecology, 622 West 168th ST. PH 16-66, New York, NY 10032, United States; Division of Maternal-Fetal Medicine, Columbia University Irving Medical Center, United States.

Columbia University Irving Medical Center, Department of Obstetrics and Gynecology, 622 West 168th ST. PH 16-66, New York, NY 10032, United States.

出版信息

Semin Perinatol. 2020 Oct;44(6):151300. doi: 10.1016/j.semperi.2020.151300. Epub 2020 Jul 23.

DOI:10.1016/j.semperi.2020.151300
PMID:32928561
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7377798/
Abstract

When New York City became the international epicenter of the COVID-19 pandemic, telehealth at Columbia University Irving Medical Center was expanded in the inpatient and outpatient settings. The goals of telehealth during the pandemic were to maintain patient access to care while reducing the risk for COVID-19 exposure for patients and staff. Recommendations are made on how telehealth can be implemented and utilized to accomplish these goals. In the outpatient setting, virtual prenatal care visits and consultations can replace most in-person visits. When visitor restrictions are in effect telehealth can be used to engage support persons in the delivery room. Telehealth innovations can be leveraged to greatly improve care for COVID-19 mothers and their infants during the COVID-19 pandemic and beyond.

摘要

当纽约市成为 COVID-19 大流行的国际中心时,哥伦比亚大学欧文医学中心的远程医疗在住院和门诊环境中得到了扩展。大流行期间远程医疗的目标是在降低患者和员工 COVID-19 暴露风险的同时,保持患者获得护理的机会。就如何实施和利用远程医疗来实现这些目标提出了建议。在门诊环境中,虚拟产前护理访问和咨询可以替代大多数面对面的访问。访客限制生效时,可以使用远程医疗让支持人员参与产房。远程医疗创新可以极大地改善 COVID-19 母亲及其婴儿的护理,无论是在 COVID-19 大流行期间还是之后。

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本文引用的文献

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Am J Perinatol. 2020 Jun;37(8):800-808. doi: 10.1055/s-0040-1712121. Epub 2020 May 12.
2
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N Engl J Med. 2020 Apr 30;382(18):1679-1681. doi: 10.1056/NEJMp2003539. Epub 2020 Mar 11.
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Implementing Telehealth in Practice: ACOG Committee Opinion Summary, Number 798.将 Telehealth 付诸实践:ACOG 委员会意见摘要,第 798 号。
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