Veterans Affairs Health Services Research and Development Center for Care Delivery and Outcomes Research (CCDOR), Minneapolis Veterans Affairs Healthcare System, Minneapolis, MN, USA.
Department of Medicine, Division of General Internal Medicine, University of Minnesota, MN, USA.
Work. 2024;79(3):1567-1571. doi: 10.3233/WOR-230731.
Telerehabilitation, or the delivery of rehabilitation services through telehealth platforms, has existed since the late 1990 s. Telerehabilitation was characterized by unprecedented, exponential growth at the beginning of the novel coronavirus-2019 (COVID-19) pandemic. Medical systems sought to reduce the likelihood of disease transmission by using telerehabilitation to limit physical proximity during routine care. This dramatic change in how medical care was delivered forced many professions to adapt processes and practices. Following the change, debates sparked regarding the best path to move forward for the betterment of patients, clinicians, systems, and society. Long COVID has emerged as a complex chronic health condition arising from COVID-19. The unique needs and dynamic disease process of Long COVID has incentivized medical systems to create equitable ways for patients to safely access interdisciplinary care.
The purpose of this commentary is to describe what medical systems must consider when deploying high-quality telerehabilitation to deliver rehabilitation through asynchronous (e.g., text, portal) and synchronous modalities (e.g., phone or video). We highlight lessons learned to help guide decision-makers on key actions to support their patients and clinicians.
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Key action steps from our lessons learned may be used to address complex chronic health conditions such as Long COVID and prepare for future challenges that may disrupt medical systems.
远程康复,即通过远程医疗平台提供康复服务,自 20 世纪 90 年代末就已经存在。在新冠病毒-2019(COVID-19)大流行之初,远程康复呈现出前所未有的、指数级的增长。医疗系统试图通过远程康复来限制常规护理中的身体接触,从而降低疾病传播的可能性。这种医疗服务提供方式的巨大变化迫使许多专业人员调整流程和实践。在此变化之后,关于如何为了患者、临床医生、系统和社会的利益而更好地前进的最佳路径引发了争论。长新冠是 COVID-19 引发的一种复杂的慢性健康状况。长新冠的独特需求和动态疾病过程促使医疗系统为患者安全地获得跨学科护理创造公平的方式。
本评论的目的是描述医疗系统在部署高质量远程康复以通过异步(例如,文本、门户)和同步模式(例如,电话或视频)提供康复时必须考虑的因素。我们强调了经验教训,以帮助决策者采取关键行动,为他们的患者和临床医生提供支持。
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我们从经验教训中获得的关键行动步骤可用于解决长新冠等复杂的慢性健康状况,并为可能扰乱医疗系统的未来挑战做好准备。