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远程医疗:它是骨科的工具吗?

Telemedicine: Is It a Tool for Orthopedics?

作者信息

Foni Noel Oizerovici, Costa Lauro Augusto Veloso, Velloso Leandro Manuel Reis, Pedrotti Carlos Henrique Sartorato

机构信息

Hospital Israelita Albert Einstein, Telemedicine Center, Av. Albert Einstein, 627 - Jardim Leonor, São Paulo, SP, 05652-900, Brazil.

Faculdade de Arquitetura e Urbanismo, Universidade de São Paulo, São Paulo, SP, Brazil.

出版信息

Curr Rev Musculoskelet Med. 2020 Dec;13(6):797-801. doi: 10.1007/s12178-020-09680-6. Epub 2020 Oct 29.

Abstract

PURPOSE OF REVIEW

The purpose of this paper is to illustrate how telemedicine can be beneficial in many areas of orthopedic clinical practice through a literature narrative review. In addition, we discuss advantages, barriers, and enablers of such technology.

RECENT FINDINGS

Telemedicine in orthopedics was initially described to discuss simple cases among non-specialist doctors through videoconferencing. Recently, it evolved to postoperative follow-up on selected cases, physical examination, and even teleconsultations direct to patients. Studies have reported that consultation can be offered safely to selected patients. Although this topic is already being addressed for a long time, recent studies have reported that there is still resistance among many orthopedic surgeons. Telemedicine for orthopedics has safely expanded its operations. It can be used in postoperative follow-up of selected cases, fracture follow-up, and even in pediatric cases. Remote diagnosis of fractures is done successfully on an outpatient basis in many countries. Protocols and methods to standardize the virtual orthopedic examination for common musculoskeletal conditions have been developed. Satisfaction with teleconsultations as well as cost-effectiveness of remote care orthopedics were already well reported by some studies. We believe that remote care will be expanded in several hospitals around the world due to its huge potential. This fact is explained by natural technological development and by change and obliteration of habits accelerated exponentially after COVID-19 crisis.

摘要

综述目的

本文旨在通过文献叙述性综述,阐述远程医疗如何在骨科临床实践的诸多领域发挥益处。此外,我们还将讨论此类技术的优势、障碍和推动因素。

最新研究成果

骨科远程医疗最初是用于非专科医生通过视频会议讨论简单病例。近来,其发展到对特定病例进行术后随访、体格检查,甚至直接对患者进行远程会诊。研究报告称,可以安全地为特定患者提供会诊。尽管这个话题已经讨论了很长时间,但最近的研究报告称,许多骨科外科医生仍然存在抵触情绪。骨科远程医疗已安全地扩大了其业务范围。它可用于特定病例的术后随访、骨折随访,甚至儿科病例。在许多国家,门诊患者已成功实现骨折的远程诊断。针对常见肌肉骨骼疾病的虚拟骨科检查标准化方案和方法已经制定。一些研究已经充分报道了患者对远程会诊的满意度以及骨科远程护理的成本效益。我们认为,由于其巨大的潜力,远程护理将在世界各地的多家医院得到推广。这一事实可归因于技术的自然发展,以及新冠疫情危机后习惯的改变和消除呈指数级加速。

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