远程医疗的实际和伦理问题：陷阱与机遇。
Practical and Ethical Considerations in Telehealth: Pitfalls and Opportunities.
机构信息
Section of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT, USA.
Program for Biomedical Ethics, Yale School of Medicine, New Haven, CT, USA.
出版信息
Yale J Biol Med. 2022 Sep 30;95(3):367-370. eCollection 2022 Sep.
Telehealth has been a long-awaited advancement with the potential to improve efficiency, convenience, and quality in healthcare. However, as telehealth becomes integrated into routine clinical care, it is imperative to consider the practical and ethical implications that could undermine or devalue care delivery. The medical profession must ensure that it is implemented judiciously and with robust quality standards, guided by fair and equitable policies that balance patient autonomy with rigorous standards of care and access. Such a system must recognize the opportunity for more patient input as stakeholders to tailor care to their needs and preferences, while also acknowledging the risk of suboptimal care if convenience is prioritized over quality. More studies of optimal care models are needed to integrate data in terms of both stakeholder input and outcomes.
远程医疗是一项期待已久的进步，有可能提高医疗保健的效率、便利性和质量。然而，随着远程医疗融入常规临床护理，必须考虑可能破坏或降低护理服务质量的实际和伦理影响。医疗行业必须确保在公平和公平的政策指导下，明智地实施远程医疗，并遵循严格的质量标准，在平衡患者自主权与严格的护理和获得标准的同时，兼顾患者自主性。这样的系统必须认识到更多患者作为利益相关者参与定制护理以满足其需求和偏好的机会，同时也要认识到如果便利性优先于质量，那么护理质量可能会下降的风险。需要进行更多关于最佳护理模式的研究，以整合利益相关者投入和结果方面的数据。
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