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弥合罗马尼亚远程医疗教育差距以支持未来医疗保健:范围审查

Bridging Gaps in Telemedicine Education in Romania to Support Future Health Care: Scoping Review.

作者信息

Focsa Mircea Adrian, Rotaru Virgil, Andronic Octavian, Marginean Marius, Florescu Sorin

机构信息

Medical Informatics and Biostatistics Department, Victor Babeș University of Medicine and Pharmacy Timișoara, Timisoara, Romania.

Victor Babeș University of Medicine and Pharmacy Timișoara, Eftimie Murgu 2 Sqr, Timișoara, 300041, Romania, 40 722343734.

出版信息

JMIR Med Educ. 2025 May 14;11:e66458. doi: 10.2196/66458.

DOI:10.2196/66458
PMID:40367446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12094530/
Abstract

BACKGROUND

Telemedicine is a key element of modern health care, providing remote medical consultations and bridging the gap between patients and health care providers. Despite legislative advancements and pilot programs, the integration of telemedicine education in Romania remains limited. Addressing these educational gaps is essential for preparing current and future medical professionals to effectively use telemedicine technologies.

OBJECTIVE

This study aimed to evaluate the current state of telemedicine education for medical professionals in Romania, focusing on the integration of diagnostic and therapeutic capabilities into medical curricula, identifying the challenges and opportunities, and providing recommendations for improving telemedicine education.

METHODS

A scoping review was conducted following Arksey and O'Malley's framework. Peer-reviewed articles from 2019 to 2023 were identified using databases such as PubMed and Scopus. Additional gray literature was reviewed to provide a comprehensive understanding of telemedicine education in Romania. Data were thematically analyzed to extract key findings and recommendations.

RESULTS

The review identified significant progress in the legislative and infrastructural aspects of telemedicine in Romania, but highlighted gaps in integrating telemedicine education into curricula for medical professionals and other health care practitioners directly involved in telemedicine practices. While some universities have included telemedicine components, dedicated telemedicine courses and hands-on training remain insufficient. Barriers include a lack of infrastructure, digital literacy, and practical exposure to telemedicine technologies.

CONCLUSIONS

For telemedicine to be effectively integrated into Romania's health care system, medical education must be adapted to include comprehensive telemedicine training. Recommendations include enhancing digital literacy, fostering public-private partnerships, and incorporating telemedicine into undergraduate and continuous professional education programs. These efforts are essential for improving healthcare access and quality through telemedicine.

摘要

背景

远程医疗是现代医疗保健的关键要素,提供远程医疗咨询,弥合患者与医疗保健提供者之间的差距。尽管有立法进展和试点项目,但罗马尼亚远程医学教育的整合仍然有限。解决这些教育差距对于培养当前和未来的医学专业人员有效使用远程医疗技术至关重要。

目的

本研究旨在评估罗马尼亚医学专业人员远程医学教育的现状,重点是将诊断和治疗能力整合到医学课程中,识别挑战和机遇,并为改善远程医学教育提供建议。

方法

按照阿克西和奥马利的框架进行了一项范围综述。使用PubMed和Scopus等数据库识别2019年至2023年的同行评审文章。还审查了其他灰色文献,以全面了解罗马尼亚的远程医学教育。对数据进行主题分析,以提取关键发现和建议。

结果

该综述确定了罗马尼亚远程医疗在立法和基础设施方面取得的重大进展,但强调在将远程医学教育纳入医学专业人员和直接参与远程医疗实践的其他医疗保健从业者的课程方面存在差距。虽然一些大学已经纳入了远程医疗内容,但专门的远程医疗课程和实践培训仍然不足。障碍包括缺乏基础设施、数字素养以及对远程医疗技术的实际接触。

结论

为了使远程医疗有效地融入罗马尼亚的医疗保健系统,医学教育必须进行调整,以纳入全面的远程医疗培训。建议包括提高数字素养、促进公私伙伴关系,以及将远程医疗纳入本科和持续专业教育项目中。这些努力对于通过远程医疗改善医疗服务的可及性和质量至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60fa/12094530/22acbb32cd19/mededu-v11-e66458-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60fa/12094530/22acbb32cd19/mededu-v11-e66458-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60fa/12094530/22acbb32cd19/mededu-v11-e66458-g001.jpg

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本文引用的文献

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Healthcare Professionals' Specialists' Perception of Telemedicine in Romania-A Quantitative Study of Beliefs, Practices, and Expectations.
医疗保健专业人员对罗马尼亚远程医疗的看法——一项关于信念、实践和期望的定量研究。
Healthcare (Basel). 2023 May 25;11(11):1552. doi: 10.3390/healthcare11111552.
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Assessing the Efficacy of a Virtual Assistant in the Remote Cardiac Rehabilitation of Heart Failure and Ischemic Heart Disease Patients: Case-Control Study of Romanian Adult Patients.评估虚拟助手在心力衰竭和缺血性心脏病患者远程心脏康复中的疗效:罗马尼亚成年患者的病例对照研究。
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Challenges for Management of Dilated Cardiomyopathy during COVID-19 Pandemic-A Telemedicine Application.新冠疫情期间扩张型心肌病管理面临的挑战——远程医疗应用
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