From the Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School; Avera Medical Group Plastic and Reconstructive Surgery; National Accounts; Hadeed Center for Plastic and Reconstructive Surgery; Ver Halen Aesthetics and Plastic Surgery; Department of Plastic Surgery, Vanderbilt University Medical Center; American Society of Plastic Surgeons; and Division of Plastic Surgery, Albany Medical Center.
Plast Reconstr Surg. 2022 Jul 1;150(1):221e-226e. doi: 10.1097/PRS.0000000000009238. Epub 2022 May 20.
In the wake of the recent coronavirus disease of 2019 public health emergency, care delivery by means of telemedicine using audiovisual virtual platforms has become an important tool for patient communication. There are many logistic, medicolegal, and practical aspects of telemedicine that should be considered by the practicing plastic surgeon. Successful virtual patient interactions require an understanding of medical licensure requirements to perform telemedicine visits in a certain region. In addition, it is imperative to be familiar with specific liability and malpractice concerns, in addition to Health Insurance Portability and Accountability Act regulations before conducting electronic visits. During consultations, providers should be aware of proper physician conduct and the potential role of chaperones. Furthermore, appropriate visit documentation, in addition to telemedicine billing and coding, has to be ensured. Lastly, plastic surgeons should adhere to the rules of controlled substance prescription by means of telemedicine platforms. This article describes these salient topics surrounding telemedicine visits that are faced by plastic surgeons and discusses strategies to optimize and ensure safe use of virtual platforms.
在最近的 2019 年冠状病毒病公共卫生紧急事件之后,使用视听虚拟平台的远程医疗已成为医患沟通的重要工具。执业整形医师应考虑远程医疗的许多后勤、医学法律和实际方面。要成功进行虚拟患者互动,需要了解在特定地区进行远程医疗访问的医疗许可要求。此外,在进行电子访问之前,务必熟悉特定的责任和医疗事故问题,以及《健康保险携带和责任法案》的规定。在咨询过程中,提供者应注意医生的适当行为以及陪护人的潜在作用。此外,必须确保适当的就诊记录,以及远程医疗计费和编码。最后,整形医师应遵守通过远程医疗平台开具管制药物处方的规定。本文描述了整形医师面临的这些与远程医疗访问相关的突出问题,并讨论了优化和确保虚拟平台安全使用的策略。