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远程医疗在疼痛管理中的机遇与障碍:来自意大利疼痛科医生的SIAARTI调查见解

Opportunities and barriers for telemedicine in pain management: insights from a SIAARTI survey among Italian pain physicians.

作者信息

Cascella Marco, Innamorato Massimo Antonio, Natoli Silvia, Bellini Valentina, Piazza Ornella, Pedone Roberto, Giarratano Antonino, Marinangeli Franco, Miceli Luca, Bignami Elena Giovanna, Vittori Alessandro

机构信息

Unit of Anesthesiology, Intensive Care Medicine, and Pain Medicine, Department of Medicine, Surgery, and Dentistry, University of Salerno, Baronissi, Salerno, 84081, Italy.

AUSL Romagna, Pain Unit, Department of Neuroscience, Santa Maria Delle Croci Hospital, Ravenna, 48121, Italy.

出版信息

J Anesth Analg Crit Care. 2024 Sep 17;4(1):64. doi: 10.1186/s44158-024-00202-1.

Abstract

BACKGROUND

The integration of telemedicine in pain management represents a significant advancement in healthcare delivery, offering opportunities to enhance patient access to specialized care, improve satisfaction, and streamline chronic pain management. Despite its growing adoption, there remains a lack of comprehensive data on its utilization in pain therapy, necessitating a deeper understanding of physicians' perspectives, experiences, and challenges.

METHODS

A survey was conducted in Italy between January 2024 and May 2024. Specialist center members of the SIAARTI were sent an online questionnaire testing the state of the art of telemedicine for pain medicine.

RESULTS

One-hundred thirty-one centers across Italy reveal varied adoption rates, with 40% routinely using telemedicine. Regional disparities exist, with Northern Italy showing higher adoption rates. Barriers include the absence of protocols, resource constraints, and bureaucratic obstacles. Despite challenges, telemedicine has shown positive impacts on service delivery, with increased service volume reported. Technological capabilities, including image sharing and teleconsultation with specialists, indicate promising interdisciplinary potential.

CONCLUSIONS

The integration of advanced telemedicine software utilizing artificial intelligence holds promise for enhancing telemonitoring and alert systems, potentially leading to more proactive and personalized pain management strategies.

摘要

背景

远程医疗在疼痛管理中的整合代表了医疗服务提供方面的一项重大进步,为增加患者获得专科护理的机会、提高满意度以及简化慢性疼痛管理提供了机遇。尽管其应用日益广泛,但在疼痛治疗中的使用仍缺乏全面数据,有必要更深入地了解医生的观点、经验和挑战。

方法

2024年1月至2024年5月在意大利进行了一项调查。向意大利疼痛治疗与研究学会(SIAARTI)的专科中心成员发送了一份在线问卷,以测试疼痛医学远程医疗的现状。

结果

意大利各地的131个中心采用率各不相同,40%的中心经常使用远程医疗。存在地区差异,意大利北部的采用率较高。障碍包括缺乏协议、资源限制和官僚障碍。尽管存在挑战,但远程医疗已对服务提供产生了积极影响,报告显示服务量有所增加。包括图像共享和与专家进行远程会诊在内的技术能力显示出有前景的跨学科潜力。

结论

整合利用人工智能的先进远程医疗软件有望增强远程监测和警报系统,可能带来更积极主动和个性化的疼痛管理策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa4c/11407017/87bd5c744a83/44158_2024_202_Fig1_HTML.jpg

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