Bloomberg Lauren, Rubin Jonah N
Department of Internal Medicine, Division of Gastroenterology, Loyola University Medical Center, Maywood, IL, USA.
Division of Hepatology, Department of Medicine, Loyola University Medical Center, Maywood, IL, USA.
Curr Gastroenterol Rep. 2025 Mar 28;27(1):25. doi: 10.1007/s11894-025-00972-w.
Telehealth has become an integral component of healthcare delivery in the US. While telehealth has been utilized within Hepatology for decades for HCV through Project ECHO and adapted by the VA, the COVID-19 pandemic catalyzed an unprecedented expansion of telehealth. This review examines the evolution, benefits, challenges, and future implications of telehealth in Hepatology.
Telehealth can improve access to care for underserved patient populations and provide continuity of care for chronic liver disease and liver transplant patients. Studies suggest that telehealth can deliver equivalent quality of care to in-person visits with high satisfaction rates among patients and providers. However, there are barriers to telehealth including disparities in technology access, limitations in quality of virtual encounters, and limited insurance policies. However, many questions remain. As Hepatology enters the digital era, telehealth holds promise for enhancing care delivery, but its integration must be guided by evidence-based practices.
远程医疗已成为美国医疗服务的一个重要组成部分。虽然远程医疗在肝病学领域通过“ECHO项目”用于丙型肝炎治疗已有数十年,并被美国退伍军人事务部采用,但新冠疫情催化了远程医疗前所未有的扩张。本综述探讨了远程医疗在肝病学领域的发展、益处、挑战及未来影响。
远程医疗可改善服务不足患者群体获得医疗服务的机会,并为慢性肝病和肝移植患者提供持续护理。研究表明,远程医疗能提供与面对面就诊同等质量的医疗服务,患者和医护人员的满意度较高。然而,远程医疗存在一些障碍,包括技术获取方面的差距、虚拟会诊质量的限制以及保险政策有限。不过,仍有许多问题存在。随着肝病学进入数字时代,远程医疗有望改善医疗服务的提供,但必须以循证实践为指导进行整合。