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大流行时期儿科康复治疗中的视频问诊与医疗服务获取

Video visits and access to care in pediatric rehabilitation therapies in the time of a pandemic.

作者信息

Nulle Jill, Nelson Virginia Simson

机构信息

University of Michigan Medical School, Ann Arbor, MI, USA.

Department of Physical Medicine and Rehabilitation, University of Michigan Medical School, Ann Arbor, MI, USA.

出版信息

J Pediatr Rehabil Med. 2020;13(3):385-388. doi: 10.3233/PRM-200759.

Abstract

Telemedicine has emerged as a vital tool for continuing to provide therapy to children with disabilities throughout the course of the COVID-19 pandemic. While video visits have certain advantages, such as the ability to see the children in their home, they also have potential drawbacks, as some exam maneuvers and objective measurement tools cannot be performed virtually. The increased utilization of telemedicine also raises questions about access to care. Video visits can remove the transportation and time barriers that some families face. However, they raise new barriers, such as a requirement for home internet access and insurance coverage, that may negatively impact access to care for certain patients. Moving forward, a combination of clinic and video visits in pediatric rehabilitation may be the best way to harness the advantages of both modalities while minimizing their disadvantages. Our article discusses issues relating to rehabilitation therapy delivered via virtual visits, but further study is needed to examine whether video visits achieve similar outcomes to clinic visits.

摘要

远程医疗已成为在新冠疫情期间继续为残疾儿童提供治疗的重要工具。虽然视频问诊有一些优势,比如能够看到孩子在家中的情况,但也有潜在的缺点,因为一些检查操作和客观测量工具无法通过虚拟方式进行。远程医疗使用的增加也引发了关于医疗服务可及性的问题。视频问诊可以消除一些家庭面临的交通和时间障碍。然而,它们也带来了新的障碍,比如需要家庭网络接入和保险覆盖范围,这可能会对某些患者获得医疗服务产生负面影响。展望未来,儿科康复中诊所问诊和视频问诊相结合可能是充分利用两种方式的优势同时将其缺点最小化的最佳途径。我们的文章讨论了通过虚拟问诊提供康复治疗的相关问题,但还需要进一步研究来检验视频问诊是否能取得与诊所问诊相似的效果。

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