Blood Bank and Coagulation Laboratory, Northshore University Health System, Evanston Hospital, Evanston, Illinois, USA.
Therapeutic Apheresis, Versiti Blood Center of Wisconsin, Milwaukee, Wisconsin, USA.
J Clin Apher. 2024 Aug;39(4):e22139. doi: 10.1002/jca.22139.
Telemedicine in its most common form is the use of videoconferencing to consult with a patient and telapheresis is telemedicine in the form of videotelephony applied to consult with a patient for apheresis. The article discusses how a large apheresis program in a metropolitan area provided physician coverage for apheresis in a more remote hospital using telapheresis with local physician "partners" and local nurses employed by and trained by the apheresis program that perform the procedure. Consent for the procedure was obtained, and orders were placed by the local physician after consultation with the apheresis physician, or the apheresis physician him/herself, having obtained privileges at the remote hospital. This allowed patients access to apheresis procedures nearer to their place of residence and in familiar surroundings which generally made them feel more positive about their health care experience.
远程医疗最常见的形式是使用视频会议咨询患者，而远程电疗则是将视频电话应用于咨询患者以进行治疗的远程医疗形式。本文讨论了在大都市区的一个大型治疗计划中，如何使用远程电疗，通过当地医生“合作伙伴”和由治疗计划雇佣并培训的当地护士，为更偏远的医院提供治疗医生覆盖，以进行治疗。在获得治疗同意后，当地医生在与治疗医生协商后下达治疗医嘱，或者治疗医生本人在获得远程医院的特权后下达治疗医嘱。这使得患者能够就近获得治疗，并在熟悉的环境中接受治疗，这通常使他们对自己的医疗体验感到更加积极。
