Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Department of Neurology, University of Rochester, Rochester, NY, USA.
J Parkinsons Dis. 2021;11(s1):S27-S34. doi: 10.3233/JPD-202381.
The COVID-19 pandemic forced the abrupt and rapid expansion of an alternative care model that embraces the use of video-based visits in the care of persons with Parkinson's disease. Video-based visits not only eliminate the risk of infection but also reduce geography- and disability-related barriers to accessing specialist care. Research has established that they are feasible, acceptable to persons with Parkinson's disease and patient-centered. In the Unites States, the relaxation of licensure requirements, adoption of reimbursement parity and investment in telemedicine infrastructure has enabled the rapid growth of video-based visits during the COVID-19 pandemic. Now, we must turn our attention to ensuring that progress made in expanding access to video-based care is not lost and expanded worldwide. More work is needed to identify the optimal video-based care model, establish best practices, and ensure equitable access to care.
新冠疫情迫使我们迅速采用替代护理模式,该模式提倡使用视频访问来为帕金森病患者提供护理。视频访问不仅消除了感染的风险,还减少了因地理位置和残疾而无法获得专家护理的障碍。研究已经证实,视频访问是可行的,帕金森病患者和以患者为中心的医疗服务接受视频访问。在美国,放宽许可要求、采用报销均等化和投资远程医疗基础设施,使得视频访问在新冠疫情期间迅速增长。现在,我们必须关注确保在扩大视频访问方面取得的进展不会丢失,并在全球范围内得到扩展。需要做更多的工作来确定最佳的视频护理模式,建立最佳实践,并确保公平获得护理。