In-center hemodialysis unit patient experience with telehealth.
In-center hemodialysis unit patient experience with telehealth.
复制标题
中心血液透析室患者的远程医疗体验。
DOI：
10.1111/hdi.13065
复制
发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Erickson,KevinF
中科院分区：
文献类型：
--
作者：
Lew,SusieQ;Kaur,Gurleen;Sikka,Neal;Erickson,KevinF
医疗保险和医疗补助服务中心（CMS）在2020年发布了一系列远程医疗豁免，取消了地理限制，并扩大了始发站点，包括家庭和透析单位。1美国所有的肾病医生首次可以通过远程医疗对中心内的血液透析患者进行访视。来自哥伦比亚特区两个单位的血液透析患者于2021年7月/8月完成了一项关于2019冠状病毒病大流行期间肾病科医生使用远程医疗的调查。远程医疗是在患者在透析室接受治疗时进行的，临床医生在他们的家中，办公室或医院。肾脏科医生确定是否进行了远程保健访视。在远程医疗访问期间，肾脏营养师通过将安装有健康保险便携性和责任法案（HIPAA）合规视频平台的笔记本电脑或平板电脑带到椅子旁来促进视频会议。据电视节目主持人说，每次会议大约10分钟，时间从5分钟到60分钟不等。
Centers for Medicare and Medicaid Services (CMS) issued a series of telehealth waivers in 2020 that lifted geographic restrictions and expanded originating sites to include the home and dialysis units. 1 For the first time, all nephrology practitioners in the United States could conduct in-center hemodialysis patient visits through telehealth. We evaluated patient experiences with the use of telehealth by their nephrologist in hemodialysis.Hemodialysis patients from 2 units located in the District of Columbia completed a survey in July/August 2021 regarding the use of telehealth with their nephrologists during the COVID-19 pandemic. Telehealth was conducted while patients were receiving treatment in the dialysis unit, and the clinicians were in their home, office, or hospital. The nephrologist determined whether a telehealth visit occurred. During telehealth visits, renal dietitians facilitated videoconferencing by bringing to the chair-side a laptop or tablet installed with a Health Insurance Portability and Accountability Act (HIPAA) compliant video platform. According to the telepresenters, each session approximated 10 min, with a range of 5–60 min.