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[新冠疫情时期的远程医疗、伦理与法律。展望未来]

[Telemedicine, ethics, and law in times of COVID-19. A look towards the future].

作者信息

Gil Membrado C, Barrios V, Cosín-Sales J, Gámez J M

机构信息

Facultad de Derecho, Universidad de las Islas Baleares, Palma de Mallorca, España.

Servicio de Cardiología, Hospital Universitario Ramón y Cajal, Madrid, España.

出版信息

Rev Clin Esp. 2021 Aug-Sep;221(7):408-410. doi: 10.1016/j.rce.2021.03.002. Epub 2021 Mar 27.

DOI:10.1016/j.rce.2021.03.002
PMID:33814552
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7998043/
Abstract

The health emergency in Spain caused by COVID-19 was of such a magnitude that on March 14, 2020, a state of alarm was declared that lasted for more than three months. This ongoing pandemic has affected a vast number of people. Among the measures taken to reduce the risk of contagion, visits to health centers have been reduced and virtual consultations have increased. Once the pandemic ends, it will be necessary to consider whether telemedicine should be limited to periods of health crises or whether it could become a new way of practicing medicine. Telemedicine lacks specific regulations and has loopholes that leave physicians with a considerable degree of insecurity. This article analyzes the limits, precautions, and legal standards of the use of telemedicine.

摘要

由新冠病毒(COVID-19)引发的西班牙卫生紧急状况规模巨大,以至于在2020年3月14日宣布进入为期三个多月的警报状态。这场持续的大流行病影响了大量人群。在为降低传染风险而采取的措施中,前往医疗中心的就诊次数减少,虚拟会诊增加。一旦大流行病结束,有必要考虑远程医疗是应仅限于健康危机时期,还是能够成为一种新的行医方式。远程医疗缺乏具体规定,存在漏洞,这让医生们相当缺乏安全感。本文分析了远程医疗使用的限制、预防措施和法律标准。

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本文引用的文献

1
[Clinical characteristics of patients hospitalized with COVID-19 in Spain: Results from the SEMI-COVID-19 Registry].[西班牙新冠肺炎住院患者的临床特征:SEMI-COVID-19登记研究结果]
Rev Clin Esp. 2020 Nov;220(8):480-494. doi: 10.1016/j.rce.2020.07.003. Epub 2020 Jul 19.
2
[Monitoring of COVID-19 patients by telemedicine with telemonitoring].通过远程医疗和远程监测对新冠肺炎患者进行监测
Rev Clin Esp. 2020 Nov;220(8):472-479. doi: 10.1016/j.rce.2020.05.013. Epub 2020 Jun 5.
3
Telemedicine consultation for the clinical cardiologists in the era of COVID-19: present and future. Consensus document of the Spanish Society of Cardiology.COVID-19 时代心内科临床医生的远程医疗咨询:现状与未来。西班牙心脏病学会共识文件。
Rev Esp Cardiol (Engl Ed). 2020 Nov;73(11):910-918. doi: 10.1016/j.rec.2020.06.032. Epub 2020 Aug 29.