Department of Internal Medicine, Emory University School of Medicine, Atlanta, Ga.
Emory Clinical Cardiovascular Research Institute, Division of Cardiology, Emory University School of Medicine, Atlanta, Ga.
Am J Med. 2021 Aug;134(8):945-951. doi: 10.1016/j.amjmed.2021.03.007. Epub 2021 Apr 15.
Before the coronavirus disease 2019 (COVID-19) pandemic, use of telehealth services had been limited in cardiovascular care. Potential benefits of telehealth include improved access to care, more efficient care management, reduced costs, the ability to assess patients within their homes while involving key caretakers in medical decisions, maintaining social distance, and increased patient satisfaction. Challenges include changes in payment models, issues with data security and privacy, potential depersonalization of the patient-clinician relationship, limitations in the use of digital health technologies, and the potential impact on disparities, including socioeconomic, gender, and age-related issues and access to technology and broadband. Implementation and expansion of telehealth from a policy and reimbursement practice standpoint are filled with difficult decisions, yet addressing these are critical to the future of health care.
在 2019 年冠状病毒病（COVID-19）大流行之前，远程医疗服务在心血管保健中的应用受到限制。远程医疗的潜在好处包括改善医疗服务的可及性、更有效地管理医疗服务、降低成本、能够在患者家中评估患者，同时让主要护理人员参与医疗决策、保持社交距离以及提高患者满意度。面临的挑战包括支付模式的改变、数据安全和隐私问题、医患关系可能去人性化、数字医疗技术的使用受限以及对差异（包括社会经济、性别和年龄相关问题以及对技术和宽带的获取）的潜在影响。从政策和报销实践的角度来看，远程医疗的实施和扩展充满了艰难的决策，但解决这些问题对于医疗保健的未来至关重要。
