Franceschini Carlos Maria, Smurra Marcela Viviana
Hospital Cosme Argerich Gobierno de la Ciudad de Buenos Aires, Sleep and Mechanical Ventilation Unit, Intensive Therapy Division - Caba - Ciudad Autónoma de Buenos Aires - Argentina.
Hospital Enrique Tornú. Gobierno de la Ciudad de Buenos Aires, Sleep and Respiratory Failure Laboratory, Pneumonology Service - Caba - Ciudad Autónoma de Buenos Aires - Argentina.
Sleep Sci. 2022 Jan-Mar;15(1):118-127. doi: 10.5935/1984-0063.20210035.
The healthcare system currently faces new challenges, which are to be addressed by finding efficient alternatives. Such factors as the growth of world population, the increase in longevity, and the fact that some diseases which used to be deadly diseases have turned into chronic pathologies, cause the number of people in need for continuous medical care to rise. This results in a healthcare system crisis, which searches for solutions as telemedicine to address the needs of patients and control excessive medical spending. Telemedicine means remote medical assistance delivered by means of technological resources, which streamline the provision of medical care, thus increasing patient's access to healthcare and saving time and costs. As regards respiratory diseases, telemedicine is a tool that may provide for proper prevention, diagnosis, therapeutic education, monitoring of observance, and therapeutic efficacy, as well as for the early detection of exacerbations. Patients suffering from sleep-related respiratory disorders in need for positive airway pressure devices may be benefited by telemedicine to enhance positive pressure adherence and follow-up to treat their pathologies, thus providing for the delivery of remote care and follow-up, reducing costs, and increasing the chances of receiving attention from specialists in patients who live a long distance from such medical facilities. However, it is a challenging task to find a balance in the doctor-patient virtual relationship.
医疗保健系统目前面临新的挑战，需要通过寻找有效的替代方案来解决。诸如世界人口增长、寿命延长以及一些曾经的致命疾病已转变为慢性疾病等因素，导致需要持续医疗护理的人数增加。这引发了医疗保健系统危机，该系统正在寻找诸如远程医疗等解决方案，以满足患者需求并控制过高的医疗支出。远程医疗是指借助技术资源提供的远程医疗援助，它简化了医疗护理的提供，从而增加了患者获得医疗保健的机会，并节省了时间和成本。对于呼吸系统疾病，远程医疗是一种工具，可用于适当的预防、诊断、治疗教育、遵守情况监测、治疗效果评估以及病情加重的早期检测。患有与睡眠相关的呼吸系统疾病且需要使用气道正压装置的患者，可受益于远程医疗，以提高正压依从性并进行后续治疗，从而提供远程护理和随访，降低成本，并增加居住在远离此类医疗设施地区的患者获得专科医生关注的机会。然而，在医患虚拟关系中找到平衡是一项具有挑战性的任务。
