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加强远程医疗沟通以改善儿科门诊创伤护理。

Enhancing Telemedicine Communication for Improved Outpatient Pediatric Trauma Care.

作者信息

Mokhaberi Nariman, Schoof Benjamin, Strahl André, Reinshagen Konrad, Wintges Kristofer

机构信息

Department of Pediatric Surgery, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.

Department of Trauma Surgery and Orthopedics, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.

出版信息

Children (Basel). 2024 Sep 12;11(9):1120. doi: 10.3390/children11091120.

DOI:10.3390/children11091120
PMID:39334652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11429903/
Abstract

INTRODUCTION

Pediatric traumatology is a complex field that requires a comprehensive understanding of physeal development, remodeling potential, and the ossification process in order to ensure appropriate patient treatment. The objective of this study was to assess the willingness of practicing physicians to participate in a telemedicine collaboration aimed at enhancing the exchange between the outpatient and inpatient sectors and promoting the digitalization of the pediatric sector. This is in response to the growing significance of digitalization in the medical field.

METHODS

A survey consisting of 15 items was sent to 800 practicing trauma surgeons, pediatric surgeons, and pediatricians within a 100 km radius of Hamburg, Germany. The survey included questions about the respondents' professional experience and telemedicine experience, as well as inquiries about possible telemedicine collaborations.

RESULTS

The response rate was 19.3%. Less than half of the participants already used telemedicine in daily practice. In general, 75% of respondents expressed an interest in collaborating with the inpatient sector. The most common reasons for hospital referral were the need for surgery, inadequate treatment of children in practice and co-assessment. The majority were in favor of flexible communication, either via video telephony, imaging applications like or messaging applications.

CONCLUSIONS

The study revealed a high level of interest in telemedicine collaboration. Information exchange should be tailored to individual needs, with practitioners requiring a versatile and personalized approach that includes imaging. Strict enforcement of data protection regulations is essential. Further research is needed to evaluate the effectiveness of telemedicine collaboration in the treatment of pediatric trauma in both hospital and outpatient settings.

摘要

引言

小儿创伤学是一个复杂的领域,需要全面了解骨骺发育、重塑潜力和骨化过程,以确保对患者进行适当的治疗。本研究的目的是评估执业医师参与远程医疗合作的意愿,该合作旨在加强门诊和住院部门之间的交流,并推动儿科领域的数字化。这是对数字化在医疗领域日益重要的回应。

方法

向德国汉堡半径100公里范围内的800名执业创伤外科医生、小儿外科医生和儿科医生发送了一份包含15个项目的调查问卷。该调查包括有关受访者专业经验和远程医疗经验的问题,以及有关可能的远程医疗合作的询问。

结果

回复率为19.3%。不到一半的参与者在日常实践中已经使用远程医疗。总体而言,75%的受访者表示有兴趣与住院部门合作。医院转诊的最常见原因是需要手术、实践中对儿童治疗不足以及共同评估。大多数人赞成通过视频电话、类似成像应用程序或消息应用程序进行灵活沟通。

结论

该研究显示出对远程医疗合作的高度兴趣。信息交流应根据个人需求进行定制,从业者需要一种包括成像在内的通用且个性化的方法。严格执行数据保护法规至关重要。需要进一步研究以评估远程医疗合作在医院和门诊环境中治疗小儿创伤的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91fc/11429903/3e5bf86e941d/children-11-01120-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91fc/11429903/60fb06658192/children-11-01120-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91fc/11429903/472666b4d09b/children-11-01120-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91fc/11429903/548cc108dfc0/children-11-01120-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91fc/11429903/5f0f79802e77/children-11-01120-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91fc/11429903/3e5bf86e941d/children-11-01120-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91fc/11429903/60fb06658192/children-11-01120-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91fc/11429903/472666b4d09b/children-11-01120-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91fc/11429903/548cc108dfc0/children-11-01120-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91fc/11429903/5f0f79802e77/children-11-01120-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91fc/11429903/3e5bf86e941d/children-11-01120-g005.jpg

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Intensive, telemedicine-based, self-management program for rural, underserved patients with diabetes mellitus: Re-entry of retired endocrinologists into practice.基于远程医疗的强化自我管理项目,用于治疗农村地区医疗资源不足的糖尿病患者:退休内分泌专家重新投入实践。
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