Giunti Guido, Goossens Richard, De Bont Antoinette, Visser Jacob J, Mulder Mark, Schuit Stephanie C E
University of Oulu, Oulu, Finland.
TU Delft, Delft, Netherlands.
J Med Internet Res. 2020 Oct 5;22(10):e21211. doi: 10.2196/21211.
The physical and social distancing measures that have been adopted worldwide because of COVID-19 will probably remain in place for a long time, especially for senior adults, people with chronic conditions, and other at-risk populations. Teleconsultations can be useful in ensuring that patients continue to receive clinical care while reducing physical crowding and avoiding unnecessary exposure of health care staff. Implementation processes that typically take months of planning, budgeting, pilot testing, and education were compressed into days. However, in the urgency to deal with the present crisis, we may be forgetting that the introduction of digital health is not exclusively a technological issue, but part of a complex organizational change problem. This viewpoint offers insight regarding issues that rapidly adopted teleconsultation systems may face in a post-COVID-19 world.
由于新冠疫情而在全球范围内采取的物理和社交距离措施可能会长期存在,尤其是对老年人、慢性病患者和其他高危人群而言。远程会诊有助于确保患者持续获得临床护理,同时减少人员聚集,并避免医护人员不必要的暴露。通常需要数月进行规划、预算、试点测试和培训的实施流程被压缩至数天内完成。然而,在急于应对当前危机的过程中,我们可能忽略了数字健康的引入并非仅仅是一个技术问题,而是复杂组织变革问题的一部分。这一观点为快速采用的远程会诊系统在新冠疫情后的世界中可能面临的问题提供了见解。