Feng Dechao, Shi Xu, Wang Jie, Zhang Liying, Xiao Yuhan, Li Dengxiong, Wu Ruicheng, Wei Wuran, Miyamoto Akira, Yoo Koo Han, Ye Xing, Zhang Chi, Han Ping
Department of Urology, Institute of Urology West China Hospital, Sichuan University Chengdu China.
West China School of medicine West China Hospital Sichuan University Chengdu China.
Exploration (Beijing). 2024 Jan 23;4(4):20230111. doi: 10.1002/EXP.20230111. eCollection 2024 Aug.
Telemedicine has gained tremendous development during the COVID-19 pandemic. With deblocking and opening, telemedicine accelerates the evolvution of the medical "snack community" and undermines the perception of medical students and staff, which promotes the incidence of psychosocial-related disorders. Moreover, the inconsistent telemedicine adaptability between medical workers and patients aggravates the doctor-patient conflict due to the aging population and COVID-19 squeal. Telemedicine is colliding with the national healthcare system, whose synchronization with conventional medical service is crucial to coordinate the relationship among medical payment, patient privacy and qualifications of clinicians. This study puts more emphasis on the double-edged sword role of telemedicine in clinical practice and medical education during the COVID-19 pandemic and beyond. Overall, while telemedicine has demonstrated its utility in health care throughout the COVID pandemic, it is pretty critical to continue evaluating the efficacy and limitations of telemedicine in order to maintain equal access to medical service and high-quality medical education. A new concept as telemedicine-medical "snack community"-PHS ecosystem, where the psychological health education system and partners healthcare system with enough bandwidth, especially 5G technology, could optimize the effect of telemedicine on medical practice and education, is proposed.
远程医疗在新冠疫情期间取得了巨大发展。随着解封与开放，远程医疗加速了医疗“快餐式社区”的演变，并影响了医学生和医护人员的观念，这增加了心理社会相关疾病的发病率。此外，由于人口老龄化和新冠疫情余波，医护人员与患者之间远程医疗适应性的不一致加剧了医患冲突。远程医疗正与国家医疗体系发生碰撞，其与传统医疗服务的同步对于协调医疗支付、患者隐私和临床医生资质之间的关系至关重要。本研究更加强调远程医疗在新冠疫情期间及之后的临床实践和医学教育中的双刃剑作用。总体而言，虽然远程医疗在整个新冠疫情期间已在医疗保健中展现出其效用，但持续评估远程医疗的疗效和局限性对于维持平等的医疗服务获取和高质量医学教育至关重要。提出了一个新的概念，即远程医疗——医疗“快餐式社区”——PHS生态系统，其中心理健康教育系统以及具备足够带宽（尤其是5G技术）的伙伴医疗系统，可以优化远程医疗对医疗实践和教育的影响。
