Hohenschurz-Schmidt David, Scott Whitney, Park Charlie, Christopoulos Georgios, Vogel Steven, Draper-Rodi Jerry
Department, Surgery and Cancer, Pain Research Group, Faculty of Medicine, Chelsea and Westminster Hospital Campus, Imperial College London, 4th Floor, 369 Fulham Road, SW10 9NH, London, Großbritannien.
Psychology Department, Health Psychology Section, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, Großbritannien.
Schmerz. 2023 Oct;37(5):360-371. doi: 10.1007/s00482-022-00659-5. Epub 2022 Jul 14.
Remote consultations through phone or video are gaining in importance for the treatment of musculoskeletal pain across a range of health care providers. However, there is a plethora of technical options for practitioners to choose from, and there are various challenges in the adaptation of clinical processes as well as several special considerations regarding regulatory context and patient management. Practitioners are faced with a lack of high-quality peer-reviewed resources to guide the planning and practical implementation of remote consultations.
This Clinical Update seeks to provide practical guidance for the planning and implementation of remote consultations for the management and treatment of people with musculoskeletal pain.
Recommendations are based on a brief overview of the relevant research regarding phone and video consultations for musculoskeletal practice and derived from the literature, relevant guidelines, and practical experience.
The technical feasibility of remote consultations for musculoskeletal complaints is good, patient satisfaction is high, and a growing body of evidence supports its comparative effectiveness to in-person consultations in some circumstances for improving pain and functioning. We consider in detail practical aspects such as the choosing of hardware and software, we touch on the legal and regulatory context, and we focus on the adaptation of clinical processes and communication.
This Clinical Update draws together best-practice evidence in a practically applicable format, enabling therapists who are working with people with pain to directly apply this knowledge to their individual clinical settings and the requirements of their patients.
对于一系列医疗服务提供者而言，通过电话或视频进行远程会诊在肌肉骨骼疼痛治疗中变得越来越重要。然而，从业者可供选择的技术方案众多，临床流程的调整存在各种挑战，同时在监管背景和患者管理方面也有若干特殊考量。从业者面临缺乏高质量同行评审资源来指导远程会诊的规划和实际实施的问题。
本临床更新旨在为肌肉骨骼疼痛患者的管理和治疗远程会诊的规划与实施提供实用指导。
建议基于对肌肉骨骼疾病电话和视频会诊相关研究的简要概述，并源自文献、相关指南及实践经验。
针对肌肉骨骼疾病投诉的远程会诊技术可行性良好，患者满意度较高，且越来越多的证据支持在某些情况下其与面对面会诊相比在改善疼痛和功能方面的有效性。我们详细考虑了硬件和软件选择等实际方面，涉及法律和监管背景，并着重于临床流程和沟通的调整。
本临床更新以切实可行的形式汇集了最佳实践证据，使治疗疼痛患者的治疗师能够将这些知识直接应用于其个人临床环境及患者需求。
