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设计产前护理的未来:一种基于团队的远程医疗增强型护理模式的算法。

Designing the future of prenatal care: an algorithm for a telemedicine-enhanced team-based care model.

机构信息

Department of Obstetrics and Gynecology, Polizu Clinical Hospital, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.

Department of Obstetrics and Gynecology, Odesa National Medical University, Odesa, Ukraine.

出版信息

J Med Life. 2024 Jan;17(1):50-56. doi: 10.25122/jml-2024-0145.

DOI:10.25122/jml-2024-0145
PMID:38737663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11080513/
Abstract

This study provides a conceptual exploration of an innovative telemedicine-enhanced team-based care (TETC) model, tailored to prenatal care, integrating a multidisciplinary team approach with advanced telemedicine technologies. The algorithm developed for TETC aims to optimize communication and coordination among healthcare professionals, including obstetricians, midwives, nutritionists, and mental health experts. This cohesive team structure ensures a comprehensive care plan encompassing all facets of maternal and fetal health. Leveraging telemedicine tools like video conferencing and digital health records, the model supports remote consultations and coordinated care, proving particularly advantageous during pandemics or in regions with limited healthcare access. Central to the TETC model is patient-centered care, focusing on personalized care plans attuned to the individual needs, health status, and socioeconomic backgrounds of pregnant women. This approach not only enhances accessibility and convenience by diminishing the necessity for physical consultations but also ensures continuity of care throughout pregnancy. This continuity is crucial for consistent health parameter tracking and early risk identification. The paper discusses the model's design, operational workflow, and ethical and legal considerations, providing implementation guidelines and potential applications. The TETC model, rooted in current technological capabilities and healthcare frameworks, underscores the need for close collaboration with healthcare professionals to adhere to medical standards and address real-world requirements effectively.

摘要

本研究旨在探讨一种创新的远程医疗增强型团队式护理(TETC)模式,该模式适用于产前护理,将多学科团队方法与先进的远程医疗技术相结合。为 TETC 开发的算法旨在优化医疗保健专业人员(包括产科医生、助产士、营养师和心理健康专家)之间的沟通和协调。这种有凝聚力的团队结构确保了全面的母婴健康护理计划,涵盖了所有方面。该模型利用视频会议和电子健康记录等远程医疗工具支持远程咨询和协调护理,在大流行期间或医疗资源有限的地区尤其具有优势。TETC 模型的核心是以患者为中心的护理,关注个性化的护理计划,以适应孕妇的个体需求、健康状况和社会经济背景。这种方法不仅通过减少物理咨询的必要性提高了可及性和便利性,还确保了整个孕期的护理连续性。这种连续性对于持续的健康参数跟踪和早期风险识别至关重要。本文讨论了模型的设计、操作流程以及伦理和法律方面的考虑因素,提供了实施指南和潜在的应用。TETC 模型根植于当前的技术能力和医疗保健框架,强调需要与医疗保健专业人员密切合作,以遵守医疗标准并有效应对现实世界的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2a5/11080513/6f4dee9683b7/JMedLife-17-050-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2a5/11080513/6f4dee9683b7/JMedLife-17-050-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2a5/11080513/6f4dee9683b7/JMedLife-17-050-g001.jpg

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本文引用的文献

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Use of Prenatal Telehealth in the First Year of the COVID-19 Pandemic.2019年冠状病毒病大流行第一年中产前远程医疗的应用
JAMA Netw Open. 2023 Oct 2;6(10):e2337978. doi: 10.1001/jamanetworkopen.2023.37978.
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Prenatal Care: An Evidence-Based Approach.产前保健:循证方法。
Am Fam Physician. 2023 Aug;108(2):139-150.
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Increasing Access: Telehealth and Rural Obstetric Care.增加可及性:远程医疗与农村产科护理。
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Prenatal Health Care Outcomes Before and During the COVID-19 Pandemic Among Pregnant Individuals and Their Newborns in an Integrated US Health System.在一个综合性的美国医疗体系中,COVID-19 大流行前后孕妇及其新生儿的产前保健结果。
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Privacy and Security Risk Factors Related to Telehealth Services - A Systematic Review.与远程医疗服务相关的隐私和安全风险因素——系统评价。
Perspect Health Inf Manag. 2023 Jan 10;20(1):1f. eCollection 2023 Winter.
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Virtual prenatal visits associated with high measures of patient experience and satisfaction among average-risk patients: a prospective cohort study.虚拟产前访视在一般风险孕妇中与较高的患者体验和满意度相关:一项前瞻性队列研究。
BMC Pregnancy Childbirth. 2023 Apr 6;23(1):234. doi: 10.1186/s12884-023-05421-y.
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Lessons from digital technology-enabled health interventions implemented during the coronavirus pandemic to improve maternal and birth outcomes: a global scoping review.数字技术赋能的卫生干预措施在冠状病毒大流行期间改善母婴和生育结局的经验教训:全球范围的系统评价。
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Effectiveness of Interactive Digital Decision Aids in Prenatal Screening Decision-making: Systematic Review and Meta-analysis.交互式数字决策辅助工具在产前筛查决策中的有效性:系统评价和荟萃分析。
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