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新冠疫情期间及之后医疗保健中的多学科远程医疗:一项叙述性综述

Multidisciplinary Telemedicine in Healthcare During and After the COVID-19 Pandemic: A Narrative Review.

作者信息

Gherman Angelica, Andrei Diana, Popoiu Călin Marius, Stoicescu Emil Robert, Levai Mihaela Codrina, Stoian Isabella Ionela, Bloancă Vlad

机构信息

Ph.D. School Department, "Victor Babeş" University of Medicine and Pharmacy of Timisoara, 300041 Timisoara, Romania.

Research Center for Medical Communication, "Victor Babeş" University of Medicine and Pharmacy of Timisoara, Eftimie Murgu Square No. 2, 300041 Timisoara, Romania.

出版信息

Life (Basel). 2025 May 14;15(5):783. doi: 10.3390/life15050783.

Abstract

The COVID-19 pandemic accelerated the adoption of virtual multidisciplinary teams (MDTs), transforming healthcare delivery through telemedicine. This review examines the integration of telemedicine into multidisciplinary care across various medical specialties, highlighting its benefits and challenges. A comprehensive literature search was conducted across PubMed, Google Scholar, Scopus, and Web of Science, using keywords related to telemedicine and MDTs. Inclusion criteria focused on studies discussing telemedicine implementation in multidisciplinary care, as well as its effectiveness and impact on patient outcomes, while non-English studies, single-case reports, and articles lacking explicit discussions on MDT integration were excluded. Data extraction covered telemedicine platforms, specialties involved, patient satisfaction, and clinical outcomes. Our findings suggest that virtual MDTs enhance efficiency, accessibility, and patient satisfaction, particularly in remote and underserved areas. However, challenges, such as technological barriers, disparities in digital access, and maintaining effective team communication, persist. Despite these limitations, telemedicine has demonstrated significant potential in improving diagnostic accuracy and treatment coordination. Future efforts should focus on optimizing infrastructure, digital training for healthcare providers, and regulatory frameworks to guarantee long-term sustainability.

摘要

新冠疫情加速了虚拟多学科团队(MDT)的应用,通过远程医疗改变了医疗服务的提供方式。本综述探讨了远程医疗在各个医学专科多学科护理中的整合情况,突出了其益处和挑战。我们在PubMed、谷歌学术、Scopus和科学网中进行了全面的文献检索,使用了与远程医疗和多学科团队相关的关键词。纳入标准侧重于讨论远程医疗在多学科护理中的实施情况及其对患者结局的有效性和影响的研究,同时排除非英语研究、单病例报告以及缺乏对多学科团队整合明确讨论的文章。数据提取涵盖了远程医疗平台、涉及的专科、患者满意度和临床结局。我们的研究结果表明,虚拟多学科团队提高了效率、可及性和患者满意度,尤其是在偏远和服务不足地区。然而,技术障碍、数字接入差距以及维持有效的团队沟通等挑战依然存在。尽管有这些限制,远程医疗在提高诊断准确性和治疗协调方面已显示出巨大潜力。未来的工作应集中在优化基础设施、为医疗服务提供者提供数字培训以及建立监管框架,以确保长期可持续性。

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