151 Sanderson Villas Gateshead NE8 3BZ, UK, Email:
South Tyneside and Sunderland NHS Foundation Trust.
J R Coll Physicians Edinb. 2021 Mar;51(1):85-90. doi: 10.4997/JRCPE.2021.122.
Telemedicine use has expanded rapidly to cope with increasing demand on services by delivering remote clinical review and monitoring of long-term conditions. Triaging individual patients to determine their suitability for telephone, video or face-to-face consultations is necessary. This is crucial in the context of COVID-19 to ensure doctor-patient safety. Telemedicine was shown to be safe and feasible in managing certain chronic diseases and providing patient education. When reviewing newly referred or long-term patients, different specialty clinics have different requirements for physical examination. Clinicians prefer face-to-face consultations at the initial visit to establish a doctor-patient relationship; telephone or video consultations are reasonable options for long-term patients where physical examination may not be needed. Video consultations, often aided by sophisticated devices and apps or medical assistants, are useful to facilitate remote physical examination. Most patients prefer telemedicine as it saves time and travel cost and provides better access to appointments.
远程医疗的使用迅速扩大，通过远程临床审查和长期疾病监测来满足服务需求的增长。对个体患者进行分诊，以确定他们是否适合电话、视频或面对面咨询，这是必要的。在 COVID-19 背景下，这对于确保医患安全至关重要。远程医疗在管理某些慢性病和提供患者教育方面是安全且可行的。在审查新转诊或长期患者时，不同的专科诊所对体格检查有不同的要求。临床医生在初次就诊时更喜欢面对面咨询，以建立医患关系；对于不需要体格检查的长期患者，电话或视频咨询是合理的选择。视频咨询通常借助复杂的设备和应用程序或医疗助理来进行，有助于实现远程体格检查。大多数患者更喜欢远程医疗，因为它节省了时间和旅行成本，并提供了更好的预约机会。
