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大流行远程医疗技术应对计划和技术评估第二阶段:大流行行动计划 大流行期间医疗保健提供组织的关键问题和技术解决方案。

Pandemic Telemedicine Technology Response Plan and Technology Assessment Phase 2: Pandemic Action Plan Key Issues and Technology Solutions for Health Care Delivery Organizations in a Pandemic.

机构信息

Telehealth Consultants, Worcester, Massachusetts, USA.

Consultant, North Potomac, Maryland, USA.

出版信息

Telemed J E Health. 2022 Apr;28(4):443-456. doi: 10.1089/tmj.2021.0215. Epub 2021 Jul 15.

Abstract

The Covid-19 pandemic created critical challenges for hospitals and healthcare providers. Suddenly clinics were forced to close; scheduled visits were cancelled; emergency rooms were overcrowded; hospital beds, equipment and personal protective equipment (PPE) was in short supply; and staff were faced with rapidly changing circumstances, care protocols, trauma and personal risk. In order to better address the ongoing the Covid-19 pandemic and prepare for future pandemics, the National Telemedicine Technology Assessment resource Center (TTAC) was asked to develop an Pandemic Response Action Plan that would allow its user to address critical issues with available telemedicine and related technologies. The project was constructed into three phases: Phase 1. Develop a Pandemic Response Action Plan (this document) and a Policy document which identifies the regulatory challenges in the Pandemic Response as well as policy recommendations (published separately). Phase 2. Publish the plan and policy documents. Phase 3 Look at healthcare providers who used the approaches, tools and technology in the Pandemic Action Plan and document the results (to be published separately). TTAC will also assess selected technology and publish results as part of their normal course of services. : A multi-disciplinary team was created representing leadership expertise and key stakeholders in healthcare delivery during a pandemic (administration, infection control, physicians, nurses, public health, contingency planning, disaster response, information technology) as well as a facilitator. The group used structured brainstorming, current literature and iterative review to identify the most critical challenges facing healthcare providers during the current Covid 19 pandemic. The team then used structured brainstorming, professional experience and current literature to take a deeper look into these impacts, identify applicable solutions and develop a plan to address the critical challenges using telemedicine and related technologies. A Pandemic Action Response Plan that describes the critical challenges and then identifies approaches, tools and technology to address them as well as identifying samples of the technology. The impact of the Covid 19 Pandemic was severe and identified multiple critical challenges and weaknesses in most healthcare providers. Applying the approaches, tools and technology in this Pandemic Action Plan will help providers address these challenges and increase the capabilities and resilience of their organizations in the provision of care during this and future pandemics.

摘要

新冠疫情给医院和医疗服务提供者带来了巨大的挑战。突然之间,诊所被迫关闭;预约取消;急诊室人满为患;病床、设备和个人防护设备(PPE)短缺;医护人员面临着迅速变化的环境、护理协议、创伤和个人风险。为了更好地应对当前的新冠疫情并为未来的大流行做准备,国家远程医疗技术评估资源中心(TTAC)被要求制定一份大流行应对行动计划,使它的用户能够利用现有的远程医疗和相关技术来解决关键问题。该项目分为三个阶段:第一阶段:制定大流行应对行动计划(本文档)和一份政策文件,确定大流行应对中的监管挑战以及政策建议(单独发布)。第二阶段:发布计划和政策文件。第三阶段:观察在大流行行动计划中使用方法、工具和技术的医疗服务提供者,并记录结果(将单独发布)。TTAC 还将评估选定的技术,并作为其正常服务的一部分发布结果。:成立了一个多学科团队,代表大流行期间医疗保健提供方面的领导专业知识和主要利益相关者(行政管理、感染控制、医生、护士、公共卫生、应急规划、灾害应对、信息技术)以及一名协调员。该团队使用结构化头脑风暴、现有文献和迭代审查来确定当前新冠疫情期间医疗服务提供者面临的最关键挑战。然后,该团队使用结构化头脑风暴、专业经验和现有文献深入研究这些影响,确定适用的解决方案,并制定使用远程医疗和相关技术应对关键挑战的计划。一份大流行应对行动计划,描述了关键挑战,然后确定了应对这些挑战的方法、工具和技术,并确定了技术样本。新冠疫情的影响严重,暴露了大多数医疗服务提供者的多个关键挑战和弱点。在这个大流行应对行动计划中应用这些方法、工具和技术将有助于提供者应对这些挑战,并提高其组织在本次和未来大流行期间提供护理的能力和恢复力。

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