Department of Urology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York.
Center for Male Reproductive Medicine and Microsurgery, New York Presbyterian Hospital-Weill Cornell Medical Center, New York, New York.
Fertil Steril. 2020 Dec;114(6):1129-1134. doi: 10.1016/j.fertnstert.2020.10.048.
The coronavirus disease 2019 (COVID-19) pandemic has resulted in paradigm shifts in the delivery of health care. Lockdowns, quarantines, and local mandates forced many physician practices around the United States to move to remote patient visits and adoption of telemedicine. This has several long-term implications in the future practice of medicine. In this review we outline different models of integrating telemedicine into both male and female fertility practices and recommendations on performing video physical examinations. Moving forward we foresee two general models of integration: one conservative, where initial intake and follow-up is performed remotely, and a second model where most visits are performed via video and patients are only seen preoperatively if necessary. We also discuss the impact THAT telemedicine has on coding and billing and our experience with patient satisfaction.
2019 年冠状病毒病（COVID-19）大流行导致医疗保健服务模式发生了重大转变。封锁、隔离和地方命令迫使美国各地的许多医生诊所转向远程患者就诊和远程医疗。这对未来的医学实践有几个长期影响。在这篇综述中，我们概述了将远程医疗整合到男性和女性生育实践中的不同模式，以及进行视频体检的建议。展望未来，我们预见到两种一般的整合模式：一种是保守的模式，即初始摄入和随访是远程进行的，另一种模式是大多数就诊是通过视频进行的，只有在必要时患者才会在手术前就诊。我们还讨论了远程医疗对编码和计费的影响以及我们在患者满意度方面的经验。
