Dramburg Stephanie, Walter Uso, Becker Sven, Casper Ingrid, Röseler Stefani, Schareina Astrid, Wrede Holger, Klimek Ludger
Department of Pediatric Pneumology, Immunology and Intensive Care Medicine, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.
Practice for Otorhinolaryngology Walter and Sachse, Duisburg, Germany.
Allergo J Int. 2021;30(4):119-129. doi: 10.1007/s40629-021-00167-5. Epub 2021 Feb 22.
Since spring 2020, the wide-ranging contact restriction measures in the context of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic have also led to a reduction in physician-patient contacts in the ambulatory care setting. Telemedicine applications will increasingly provide a way to efficiently deliver patient care under infection control measures. In allergology, telemedical as well as digital applications can also significantly facilitate everyday clinical practice. However, the technical and legal hurdles associated with the implementation of digital strategies must be overcome for this to happen. The aim of this article is to provide an intuitive overview of the aspects to be considered in the implementation of telemedicine consultations and to highlight the current state of the framework as well as optimization possibilities and perspectives in allergology. If a structured use is guaranteed, digital and telemedical applications can improve patient care-also in allergology. There is potential to be exploited in many areas, from the remote collection of clinical history, and video consultations, to the discussion of diagnostic findings, disease monitoring, and therapy support. The use of telemedical applications, especially video consultations, has experienced a remarkable acceleration in the context of the coronavirus disease 2019 (COVID-19) pandemic. The present overview of the legal, technical and professional framework is intended to support the anchoring of digital and telemedical technologies in everyday allergology. However, in order to consolidate these in the future, an agreement is needed regarding professional standards of action as well as a remuneration structure that is permanently defined beyond the current pandemic.
自2020年春季以来,在严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行背景下实施的广泛接触限制措施,也导致了门诊医疗环境中医患接触的减少。远程医疗应用将越来越多地为在感染控制措施下高效提供患者护理提供一条途径。在过敏学领域,远程医疗以及数字应用也可以极大地便利日常临床实践。然而,要实现这一点,必须克服与数字策略实施相关的技术和法律障碍。本文旨在直观概述远程医疗咨询实施中需考虑的各个方面,并突出过敏学领域的框架现状以及优化可能性和前景。如果能够保证结构化使用,数字和远程医疗应用可以改善患者护理,在过敏学领域也是如此。从远程收集临床病史、视频咨询到诊断结果讨论、疾病监测和治疗支持,许多领域都有潜力可挖。在2019冠状病毒病(COVID-19)大流行背景下,远程医疗应用的使用,尤其是视频咨询,加速显著。目前对法律、技术和专业框架的概述旨在支持数字和远程医疗技术在日常过敏学中的扎根。然而,为了在未来巩固这些,需要就专业行动标准以及超越当前大流行的永久性定义的薪酬结构达成一致。