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远程医疗在新生儿随访项目中的应用——我们能做什么以及不能做什么——从新冠疫情中吸取的教训

Telemedicine use in neonatal follow-up programs - What can we do and what we can't - Lessons learned from COVID-19.

作者信息

DeMauro Sara B, Duncan Andrea F, Hurt Hallam

机构信息

Children's Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine, 2716 South Street, Philadelphia, PA 19146, United States.

Children's Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine, 2716 South Street, Philadelphia, PA 19146, United States.

出版信息

Semin Perinatol. 2021 Aug;45(5):151430. doi: 10.1016/j.semperi.2021.151430. Epub 2021 Apr 6.

Abstract

Little empirical data support the use of telemedicine to provide medical and developmental follow-up care to preterm and high-risk infants after hospital discharge. Nevertheless, the COVID-19 pandemic temporarily rendered telemedicine the only means by which to provide essential follow-up care to this population. In this article we discuss our institution's experience with rapid implementation of telemedicine in a multi-site neonatal follow-up program as well as benefits and limitations of the use of telemedicine in this context. Finally, we discuss the current problems that must be solved in order to optimize telemedicine as a tool for providing comprehensive, multidisciplinary medical and developmental care to high risk infants and their families.

摘要

很少有实证数据支持在出院后使用远程医疗为早产和高危婴儿提供医疗及发育随访护理。尽管如此,新冠疫情暂时使远程医疗成为为这一人群提供基本随访护理的唯一手段。在本文中,我们讨论了我们机构在一个多地点新生儿随访项目中快速实施远程医疗的经验,以及在此背景下使用远程医疗的益处和局限性。最后,我们讨论了为优化远程医疗作为一种为高危婴儿及其家庭提供全面、多学科医疗和发育护理的工具而必须解决的当前问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e0e/8022519/5c5b1b42fcdd/gr1_lrg.jpg

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