印度的虚拟骨折诊所模式：一项技术创新。
Virtual Fracture Clinic Model in India: A Technological Innovation.
作者信息
Iyengar Karthikeyan P, Jain Vijay Kumar, Nallakumarasamy Arulkumar, Jeyaraman Madhan
机构信息
Southport and Ormskirk NHS Trust, Southport, PR8 6PN UK.
Department of Orthopaedics, Atal Bihari Vajpayee Institute of Medical Sciences, Dr Ram Manohar Lohia Hospital, New Delhi, 110001 India.
出版信息
Indian J Orthop. 2022 Oct 23;57(1):1-6. doi: 10.1007/s43465-022-00763-9. eCollection 2023 Jan.
BACKGROUND
Virtual Fracture Clinics (VFCs) are an alternative to the conventional model of fracture and minor injuries care. It is a new, evolving service designed to speed up patient access to orthopaedic care introduced in the United Kingdom in 2011 and has been increasingly used in the management of certain musculoskeletal injuries.
METHODS
This observational, pilot study evaluates the possibility of combining telemedicine technology and a virtual fracture clinical assessment pathway to remotely assess patients supported by radiology imaging in India.
RESULTS
Piloting and developing a virtual fracture clinical assessment pathway model in India is faced with many challenges including regulations, internet, and data connectivity issues, and concerns of medico-legal implications.
CONCLUSION
Recent studies have reported Virtual Fracture Clinics (VFCs) to be able to provide a safe, cost-effective model of patient care in a subset of musculoskeletal injuries. Limitations and shortcomings of Virtual Fracture Clinics (VFCs) in India can be mitigated with effective communication, enhanced documentation, appropriate training, and information governance. This pathway is not a replacement for conventional 'face-to-face' evaluation but a credible option to complement the delivery of trauma and orthopaedic care in the future in India.
背景
虚拟骨折诊所（VFCs）是传统骨折及轻伤护理模式的一种替代方案。它是一项全新且不断发展的服务，旨在加快患者获得骨科护理的速度，于2011年在英国推出，并且越来越多地用于某些肌肉骨骼损伤的管理。
方法
这项观察性试点研究评估了在印度将远程医疗技术与虚拟骨折临床评估途径相结合，以借助放射学成像对患者进行远程评估的可能性。
结果
在印度试行和开发虚拟骨折临床评估途径模型面临诸多挑战，包括法规、互联网和数据连接问题，以及对医疗法律影响的担忧。
结论
近期研究报告称，虚拟骨折诊所（VFCs）能够为一部分肌肉骨骼损伤患者提供安全、具有成本效益的护理模式。通过有效的沟通、加强文档记录、适当的培训和信息治理，可以减轻印度虚拟骨折诊所（VFCs）的局限性和不足之处。该途径并非传统“面对面”评估的替代品，而是未来印度补充创伤和骨科护理服务的一个可靠选择。
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