Ebneter Andreas Samuel, Fliedner Monica, Trapp Daniela, Ramseier Friederike, Sauter Thomas C, Eychmüller Steffen
Universitäres Zentrum für Palliative Care, Inselspital, Bern.
Praxis für Allgemeinmedizin, Liebefeld.
Praxis (Bern 1994). 2021 Nov;110(15):845-850. doi: 10.1024/1661-8157/a003781.
Telemedicine in Palliative Care: Digital Communication in a Relationship-Based Speciality - Does It Make Sense? Telemedicine in palliative care is established especially in countries with large geographical distances. Digital forms of communication (virtual consultations) are most frequently used and well-accepted by patients and caregivers. The main benefit lies in the reduction of the access barrier in the outpatient setting. Advantages are stress reduction for patients (travel, accessibility) and reduction in the care burden for relatives. Additional benefits compared to the physical visit for symptom-control, quality of life and costs are unclear. Risks are influenced by the lack of physical interaction and data security. To what extent telepalliative care makes sense in a high-density health system is difficult to predict. It is therefore important to use these new tools in a carefully adapted and scientifically verified way.
基于关系的专业领域中的数字通信——这有意义吗？姑息治疗中的远程医疗在地理距离较大的国家尤其得到确立。数字通信形式（虚拟会诊）最常被患者和护理人员使用且接受度良好。主要益处在于减少门诊环境中的就诊障碍。优势在于减轻患者压力（出行、可及性）以及减轻亲属的护理负担。与亲自就诊相比，在症状控制、生活质量和成本方面的额外益处尚不清楚。风险受到缺乏身体互动和数据安全的影响。在高密度卫生系统中，远程姑息治疗在多大程度上有意义难以预测。因此，以精心调整且经过科学验证的方式使用这些新工具很重要。
