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2019年冠状病毒病对美国多个服务领域远程医疗利用情况的影响

The Impact of COVID-19 on Telemedicine Utilization Across Multiple Service Lines in the United States.

作者信息

Betancourt Jose A, Rosenberg Matthew A, Zevallos Ashley, Brown Jon R, Mileski Michael

机构信息

School of Health Administration, Texas State University, San Marcos, TX 78666, USA.

出版信息

Healthcare (Basel). 2020 Oct 1;8(4):380. doi: 10.3390/healthcare8040380.

Abstract

The impact of COVID-19 on the U.S. healthcare industry cannot be overstated. Telemedicine utilization increased overnight as all healthcare providers rushed to implement this delivery model to ensure accessibility and continuity of patient care. Our research objective was to determine measures that were implemented to accommodate community and individual patient needs to afford access to critical services and to maintain safety standards. We analyzed literature since 2016 from two databases using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We compared observations, themes, service lines addressed, issues identified, and interventions requiring in-person care. From 44 articles published, we identified ten effectiveness themes overall and drew conclusions on service line successes. COVID-19 has caused rapid expansion in telemedicine. Necessary and required changes in access, risk mitigation, the need for social distancing, compliance, cost, and patient satisfaction are a few of the driving factors. This review showcased the healthcare industry's ability to rapidly acclimate and change despite the pervasive spread of COVID-19 throughout the U.S. Although imperfect, unique responses were developed within telemedicine platforms to mitigate disruptions broadly and effectively in care and treatment modalities.

摘要

2019年冠状病毒病(COVID-19)对美国医疗行业的影响怎么强调都不为过。随着所有医疗服务提供者急于采用这种服务模式以确保患者能够获得医疗服务并保证医疗服务的连续性,远程医疗的使用率一夜之间就提高了。我们的研究目标是确定为满足社区和个体患者需求而采取的措施,以便他们能够获得关键服务并维持安全标准。我们使用系统评价和Meta分析的首选报告项目(PRISMA),对自2016年以来来自两个数据库的文献进行了分析。我们比较了观察结果、主题、涉及的服务领域、发现的问题以及需要面对面护理的干预措施。从发表的44篇文章中,我们总共确定了10个有效性主题,并就服务领域的成功情况得出了结论。COVID-19导致了远程医疗的迅速扩张。在获取医疗服务、降低风险、保持社交距离的必要性、合规性、成本以及患者满意度等方面的必要和必需的变化是一些驱动因素。本综述展示了尽管COVID-19在美国广泛传播,但医疗行业仍有能力迅速适应和变革。尽管存在不足,但远程医疗平台还是制定了独特的应对措施,以广泛而有效地减轻护理和治疗方式受到的干扰。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dac/7712432/d5bca42ad03c/healthcare-08-00380-g001.jpg

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