Department of Surgery, University of California San Diego, La Jolla, CA, United States.
Department of Medicine, Division of Biomedical Informatics, University of California San Diego, La Jolla, CA, United States.
J Med Internet Res. 2021 Feb 1;23(2):e24785. doi: 10.2196/24785.
The telehealth revolution in response to COVID-19 has increased essential health care access during an unprecedented public health crisis. However, virtual patient care can also limit the patient-provider relationship, quality of examination, efficiency of health care delivery, and overall quality of care. As we witness the most rapidly adopted medical trend in modern history, clinicians are beginning to comprehend the many possibilities of telehealth, but its limitations also need to be understood. As outcomes are studied and federal regulations reconsidered, it is important to be precise in the virtual patient encounter approach. Herein, we offer some simple guidelines that could assist health care providers and clinic schedulers in determining the appropriateness of a telehealth visit by considering visit types, patient characteristics, and chief complaint or disease states.
为应对 COVID-19 而开展的远程医疗革命，在这场前所未有的公共卫生危机期间增加了基本医疗保健的可及性。然而，虚拟患者护理也可能限制医患关系、检查质量、医疗保健提供效率和整体护理质量。随着我们见证现代历史上采用速度最快的医疗趋势，临床医生开始理解远程医疗的许多可能性，但也需要了解其局限性。随着对结果的研究和对联邦法规的重新考虑，在虚拟患者就诊方法中做到准确是很重要的。在这里，我们提供了一些简单的准则，这些准则可以帮助医疗保健提供者和诊所调度员通过考虑就诊类型、患者特征以及主要抱怨或疾病状态来确定远程医疗就诊的适宜性。
