Dohmen Sandra, Wahl Alina, Benstoem Carina
Anasthesiol Intensivmed Notfallmed Schmerzther. 2022 Mar;57(3):211-220. doi: 10.1055/a-1423-7982. Epub 2022 Mar 23.
The Corona pandemic is a clear demonstration of the need for an alternative to face-to-face medicine. This demand makes telemedicine the tool of choice. In the preliminary stage of the Virtual Hospital North Rhine-Westphalia (VKh), tele-intensive care consultation services have contributed to both a benefit in terms of care and a benefit for individual patients. The task now is to roll out and use digitally-supported intensive-care networks across the board, including throughout Europe. The goal of telemedicine is to ensure comprehensive patient care - also across sector boundaries of the healthcare system - and to improve quality. Tele-intensive care is already an evidence-based added value and addresses current and future challenges such as resource shortage and citizen-centered care. The Virtual Hospital NRW is a telemedical network structure that is unique in Germany. It provides telemedical services from expert centers in a quality-assured and comprehensive manner for general hospitals as well as for outpatient players. Telemedical services help to overcome rigid sector boundaries and to optimize treatment processes. As a result, service-differentiated care networks are goal-oriented. The medium-term perspective could be cross-border network structures. Medical expertise and also intensive care data, both from care and research, could thus be used throughout Europe. In October 2021, the Aachen Expert Center reported on its first 112 telemedically co-managed COVID-19 patients as part of the preliminary stage of the virtual hospital. With a lethality rate of 34.2% in the group of ventilated severely ill COVID-19 patients and a transfer rate of 8%, high-quality care close to the patient's home was achieved through tele-intensive medical consultation services.
新冠疫情清楚地表明了对面对面医疗之外的替代方案的需求。这种需求使远程医疗成为首选工具。在北莱茵-威斯特法伦虚拟医院（VKh）的初步阶段，远程重症监护咨询服务在护理效益和个体患者受益方面都发挥了作用。现在的任务是全面推广和使用数字支持的重症监护网络，包括在整个欧洲。远程医疗的目标是确保全面的患者护理——跨越医疗系统的部门界限——并提高质量。远程重症监护已经是基于证据的附加值，应对当前和未来的挑战，如资源短缺和以公民为中心的护理。北莱茵-威斯特法伦虚拟医院是德国独一无二的远程医疗网络结构。它以质量保证和全面的方式为综合医院以及门诊机构提供来自专家中心的远程医疗服务。远程医疗服务有助于克服严格的部门界限，优化治疗流程。因此，以服务为导向的护理网络是目标明确的。中期展望可能是跨境网络结构。这样，医疗专业知识以及来自护理和研究的重症监护数据都可以在整个欧洲得到利用。2021年10月，亚琛专家中心报告了其作为虚拟医院初步阶段一部分的首批112例通过远程医疗共同管理的新冠肺炎患者。在接受机械通气的重症新冠肺炎患者组中，死亡率为34.2%，转院率为8%，通过远程重症医疗咨询服务实现了在患者家中的高质量护理。
