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印度胸主动脉病变远程医疗的实际考量

Practical Considerations of Remote Care in Thoracic Aortopathy in India.

作者信息

Grewal Nimrat, Idhrees Mohammed, Velayudhan Bashi, Klautz Robert J M, Grewal Simran

机构信息

Department of Cardiothoracic Surgery, Amsterdam University Medical Center, 1105AZ Amsterdam, The Netherlands.

Department of Cardiothoracic Surgery, Leiden University Medical Center, 2333 Leiden, The Netherlands.

出版信息

J Clin Med. 2024 Jun 5;13(11):3327. doi: 10.3390/jcm13113327.

DOI:10.3390/jcm13113327
PMID:38893041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11172736/
Abstract

Thoracic aortopathy includes conditions like aortic aneurysms and dissections, posing significant management challenges. In India, care delivery is complicated by geographic vastness, financial constraints, and healthcare resource disparities. Telemedicine and digital health technologies offer promising solutions. A comprehensive review of literature and clinical experiences was conducted to explore the implementation of remote care strategies for thoracic aortopathy in India. The review included studies from 2000 to 2023 and insights from cardiothoracic specialists. Remote care benefits include improved access to specialized expertise, enhanced patient engagement, and optimized resource utilization. Telemedicine enables consultations without travel, and remote monitoring facilitates early intervention. However, challenges like technology integration, digital literacy, patient engagement, privacy concerns, and regulatory compliance need addressing. Telemedicine offers significant advantages but requires overcoming challenges to ensure effective, secure care. Careful planning for technology integration, patient education, robust privacy measures, and supportive regulatory policies are essential. Addressing these issues can bridge the healthcare access gap and improve outcomes in India's diverse landscape.

摘要

胸主动脉疾病包括主动脉瘤和主动脉夹层等病症,带来了重大的管理挑战。在印度,由于地域广阔、经济限制和医疗资源差异,医疗服务的提供变得复杂。远程医疗和数字健康技术提供了有前景的解决方案。我们对文献和临床经验进行了全面回顾,以探索印度胸主动脉疾病远程护理策略的实施情况。该回顾纳入了2000年至2023年的研究以及心胸外科专家的见解。远程护理的益处包括更容易获得专业知识、提高患者参与度以及优化资源利用。远程医疗使患者无需出行就能进行会诊,远程监测有助于早期干预。然而,技术整合、数字素养、患者参与度、隐私问题和法规遵从性等挑战需要解决。远程医疗具有显著优势,但需要克服挑战以确保提供有效、安全的护理。精心规划技术整合、患者教育、强有力的隐私保护措施和支持性的监管政策至关重要。解决这些问题可以弥合印度多样化环境中的医疗服务获取差距并改善治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/11172736/380201597279/jcm-13-03327-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/11172736/878411fa3f3e/jcm-13-03327-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/11172736/380201597279/jcm-13-03327-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/11172736/878411fa3f3e/jcm-13-03327-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/11172736/380201597279/jcm-13-03327-g002.jpg

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本文引用的文献

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J Clin Med. 2023 Oct 18;12(20):6584. doi: 10.3390/jcm12206584.
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Implementation of equity and access in Indian healthcare: current scenario and way forward.印度医疗保健领域公平性与可及性的实施:现状与未来方向
J Mark Access Health Policy. 2023 Mar 26;11(1):2194507. doi: 10.1080/20016689.2023.2194507. eCollection 2023.
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Thoracic aortopathy in Marfan syndrome overlaps with mechanisms seen in bicuspid aortic valve disease.
马凡综合征中的胸主动脉病变与二叶式主动脉瓣疾病的机制有重叠。
Front Cardiovasc Med. 2023 Feb 9;10:1018167. doi: 10.3389/fcvm.2023.1018167. eCollection 2023.
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Are Thoracic Aortic Aneurysm Patients at Increased Risk for Cardiovascular Diseases?胸主动脉瘤患者患心血管疾病的风险会增加吗?
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Thoracic Aortic Dilation: Implications for Physical Activity and Sport Participation.胸主动脉扩张:对体力活动和运动参与的影响
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