Tang Wei, Khalili Leila, Askanase Anca
Department of Medicine, Division of Rheumatology, Columbia University Irving Medical Center, New York, NY 10032, USA.
Rheumatol Immunol Res. 2021 Dec 15;2(3):139-145. doi: 10.2478/rir-2021-0020. eCollection 2021 Sep.
Telemedicine (TM), the delivery of health care using telecommunication technologies, has been in use in rheumatology practice for over two decades to maximize access and optimize care. As a direct consequence of the Coronavirus disease 2019 (COVID-19) pandemic in March 2020, rheumatology practice shifted from traditional in-person encounters to TM to ensure the safety of both healthcare professionals and patients. However, there is limited literature on the acceptance, feasibility, and effectiveness of TM in the management of rheumatic diseases. Additionally, there is limited guidance on the implementation of telerheumatology (TR) for both patient care and clinical trials. Here we reviewed the most recent publications related to the application of TR, in the management of Rheumatoid Arthritis (RA) and Systemic Lupus Erythematosus (SLE), assessed the perceptions of patients and physicians on TM in rheumatology, and identified several key barriers to TR.
远程医疗(TM),即利用电信技术提供医疗保健服务,在风湿病学实践中已应用了二十多年,以最大限度地扩大医疗服务可及性并优化医疗护理。作为2020年3月新型冠状病毒肺炎(COVID-19)大流行的直接结果,风湿病学实践从传统的面对面诊疗转向了远程医疗,以确保医护人员和患者双方的安全。然而,关于远程医疗在风湿病管理中的接受度、可行性和有效性的文献有限。此外,关于远程风湿病学(TR)在患者护理和临床试验实施方面的指导也很有限。在此,我们回顾了与远程风湿病学在类风湿关节炎(RA)和系统性红斑狼疮(SLE)管理中的应用相关的最新出版物,评估了患者和医生对风湿病学中远程医疗的看法,并确定了远程风湿病学的几个关键障碍。