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印度的远程医疗实践指南:新冠疫情后的全球影响

Telemedicine practice guidelines in India: Global implications in the wake of the COVID-19 pandemic.

作者信息

Venkatesh U, Aravind Gandhi P, Velmurugan Anbu Ananthan

机构信息

Department of Community Medicine & Family Medicine All India Institute of Medical Sciences Gorakhpur India.

Department of Community Medicine & School of Public Health PGIMER Chandigarh India.

出版信息

World Med Health Policy. 2022 Sep;14(3):589-599. doi: 10.1002/wmh3.497. Epub 2022 Feb 21.

Abstract

Telemedicine is the delivery of healthcare services from a distance, by use of information and communication technology. There have been no statutory regulations or official guidelines in India specific for telemedicine practice and allied matters so far. For the first time, the government of India released telemedicine practice guidelines for Registered Medical Practitioners on March 25, 2020, amid the COVID-19 outbreak. This review would initiate the discussion on the features of the guidelines, their limitations, and their significance in times of the COVID-19 pandemic. The guidelines are with a restricted scope for providing medical consultation to patients, excluding other aspects of telemedicine such as research and evaluation and the continuing education of healthcare workers. The guidelines have elaborated on the eligibility for practicing Telemedicine in India, the modes and types of teleconsultations, delved into the doctor-patient relationship, consent, and management protocols, and touched upon the data security and privacy aspects of Teleconsultation. After releasing the guidelines, the telescreening of the public for COVID-19 symptoms is being advocated by the government of India. COVID-19 National Teleconsultation Centre (CoNTeC) has been initiated, which connects the doctors across India to All India Institute of Medical Sciences (AIIMS) in real-time for accessing expert guidance on the treatment of the COVID-19 patients.

摘要

远程医疗是指通过信息和通信技术远程提供医疗保健服务。到目前为止,印度还没有针对远程医疗实践及相关事宜的法律法规或官方指南。2020年3月25日,在新冠疫情爆发期间,印度政府首次发布了针对注册医生的远程医疗实践指南。本综述将开启关于该指南的特点、局限性及其在新冠疫情期间的意义的讨论。该指南为患者提供医疗咨询的范围有限,不包括远程医疗的其他方面,如研究与评估以及医护人员的继续教育。指南阐述了在印度开展远程医疗的资格、远程会诊的模式和类型,深入探讨了医患关系、同意书和管理协议,并涉及远程会诊的数据安全和隐私方面。指南发布后,印度政府倡导对公众进行新冠症状的远程筛查。新冠疫情国家远程会诊中心(CoNTeC)已经启动,它将印度各地的医生与全印度医学科学研究所(AIIMS)实时连接,以便获取关于新冠患者治疗的专家指导。

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