Jin Michael X, Kim Sun Young, Miller Lauren J, Behari Gauri, Correa Ricardo
Radiology, Stony Brook University Hospital, Stony Brook, USA.
Department of Pediatrics, Ann and Robert H. Lurie Children's Hospital, Northwestern University, Chicago, USA.
Cureus. 2020 Aug 20;12(8):e9891. doi: 10.7759/cureus.9891.
The current healthcare landscape lends itself to major changes, including elevating the prominence of telemedicine. Recent technological advances and external pressures have driven telemedicine to the forefront of medical reality. During an emergency declaration made March 17, 2020, the Centers for Medicare & Medicaid Services (CMS) stated the need for providers to use telemedicine to provide patients care in hospitals, clinics, nursing homes, and other settings across the states. Additionally, new policies have been implemented to better facilitate patient care, safety, and privacy. The convenience provided by this low resource modality facilitates the intercommunication between physicians and offers a suitable alternative for patients who are medically or socially unable to see providers in person. However, given the nature of the practice, much consideration is needed to build patient relationships and comfort. In the future, the impact of telemedicine on healthcare environments cannot be overstated, especially in hospice and nursing home settings where it stands to improve treatment efficacy and monitoring for the elderly. Newer inventions such as the remote patient monitoring system can act as safety nets for clinic patients, while improving accessibility of electronic health records (EHRs) will dramatically augment available treatment options. However, the spread of telehealth relies on community reimbursement and the ability for physicians to consistently offer the same services that are available in person. Additionally, it is imperative that physicians and other healthcare professionals integrate these new technologies into their fields while also maintaining the ethics of patient security and autonomy.
当前的医疗保健格局正在经历重大变革,其中包括提升远程医疗的地位。近期的技术进步和外部压力已将远程医疗推至医疗现实的前沿。在2020年3月17日发布的紧急声明中,医疗保险和医疗补助服务中心(CMS)指出,医疗服务提供者需要利用远程医疗为各州的医院、诊所、疗养院及其他场所的患者提供护理。此外,已实施新政策以更好地促进患者护理、安全和隐私保护。这种低资源模式所提供的便利性促进了医生之间的交流,并为那些因医疗或社会原因无法亲自就诊的患者提供了合适的选择。然而,鉴于这种医疗模式的性质,在建立患者关系和让患者感到舒适方面需要进行诸多考虑。未来,远程医疗对医疗环境的影响再怎么强调也不为过,尤其是在临终关怀和疗养院环境中,它有望提高对老年人的治疗效果和监测水平。诸如远程患者监测系统等新发明可以为门诊患者提供安全保障,而改善电子健康记录(EHR)的可及性将极大地增加可用的治疗选择。然而,远程医疗服务范围的扩大依赖于社区报销以及医生持续提供与面对面就诊相同服务的能力。此外,医生和其他医疗保健专业人员必须将这些新技术融入各自领域,同时还要维护患者安全和自主权的道德规范。