Telehealth Services, Veterans Health Administration, Washington, District of Columbia, USA.
Department of Emergency Medicine, George Washington University, Washington, District of Columbia, USA.
Telemed J E Health. 2021 Jul;27(7):820-824. doi: 10.1089/tmj.2020.0420. Epub 2020 Nov 25.
The COVID-19 pandemic has driven most clinicians, from those practicing in small independent practices to those in large system, to adopt virtual care. However, individuals and organizations may lack the experience and skills that would be considered fundamental prerequisites to adopting telehealth in less urgent times. What are those skills? Before the pandemic, the Association of American Medical Colleges (AAMC) convened national experts to identify and articulate a consensus set of critical telehealth skills for clinicians. Through a structured review of the literature, followed by several rounds of review and refinement by committee and community members via a modified Delphi process, the committee came to consensus on a set of skills required by clinicians to provide quality care via telehealth. The consensus set of telehealth skills presented in this paper, developed by the AAMC and national experts, can serve providers and health systems seeking to ensure that clinicians are prepared to meet the demand for care delivered via telehealth now and in the future.
新冠疫情大流行促使大多数临床医生，无论是在小型独立诊所执业的医生，还是在大型医疗系统工作的医生，都采用了虚拟医疗服务。然而，个人和组织可能缺乏在不太紧急的情况下采用远程医疗所需的经验和技能，这些技能是什么呢？在疫情之前，美国医学协会（AAMC）召集了全国专家，确定并阐述了一套对于临床医生来说至关重要的远程医疗技能共识。通过对文献进行结构化审查，然后由委员会成员和社区成员通过修改后的 Delphi 流程进行几轮审查和完善，委员会就临床医生通过远程医疗提供高质量护理所需的一系列技能达成了共识。本文提出的由 AAMC 和全国专家制定的远程医疗技能共识集，可以为寻求确保临床医生为现在和未来通过远程医疗提供的护理需求做好准备的提供者和医疗系统提供服务。
