Department of Medicine, University of Udine, 33100 Udine, Italy.
Maxillofacial Surgery Department, Academic Hospital of Udine, 33100 Udine, Italy.
Int J Environ Res Public Health. 2020 Sep 11;17(18):6622. doi: 10.3390/ijerph17186622.
The rise of the COVID-19 pandemic has posed new challenges for health care institutions. Restrictions imposed by local governments worldwide have compromised the mobility of patients and decreased the number of physicians in hospitals. Additional requirements in terms of medical staff security further limited the physical contact of doctors with their patients, thereby questioning the traditional methods of clinical examination. Our institution has developed an organization model to translate the essential clinical services into virtual consultation rooms using a telemedicine interface which is commonly available to patients. We provide examples of clinical activity for a maxillofacial surgery department based on teleconsultation. Our experience is summarized and an organization model is drafted in which outpatient consultation offices are translated into virtual room environments. Clinical examples are provided, demonstrating how each subspecialty of oral and maxillofacial surgery can benefit from virtual examinations. The concept of "telesemeiology" is introduced and a checklist is presented to guide clinicians to perform teleconsultations. This paper is intended to provide an organization model based on telemedicine for maxillofacial surgeons and aims to represent an aid for colleagues who are facing the pandemic in areas where lockdown limits the possibility of a physical examination.
COVID-19 大流行的爆发给医疗机构带来了新的挑战。全球各地政府实施的限制措施影响了患者的流动性，并减少了医院的医生数量。对医务人员安全的额外要求进一步限制了医生与患者的身体接触，从而对传统的临床检查方法提出了质疑。我们的机构开发了一种组织模型，通过远程医疗接口将基本的临床服务转化为虚拟咨询室，该接口通常可供患者使用。我们提供了一个颌面外科部门基于远程咨询的临床活动示例。我们总结了经验并制定了一个组织模型，将门诊咨询室转化为虚拟房间环境。提供了临床示例，展示了口腔颌面外科的每个亚专科如何受益于虚拟检查。引入了“远程诊断学”的概念，并提出了一份检查表，以指导临床医生进行远程咨询。本文旨在为颌面外科医生提供基于远程医疗的组织模型，并旨在为在封锁限制体检可能性的地区面临大流行的同事提供帮助。
