Telemedicine, the current COVID-19 pandemic and the future: a narrative review and perspectives moving forward in the USA.
Telemedicine, the current COVID-19 pandemic and the future: a narrative review and perspectives moving forward in the USA.
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DOI：
10.1136/fmch-2020-000530
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发表时间：
2020-08-01
影响因子：
6.1
通讯作者：
Chugh, Savneek
中科院分区：
文献类型：
--
作者：
Kichloo, Asim;Albosta, Michael;Chugh, Savneek
进行了一项叙述性综述，以研究在当前新冠疫情期间远程医疗的应用现状，并评估未来继续使用远程医疗的益处。对与远程医疗相关的文章进行了文献综述。检索了包括PubMed、谷歌学术、考克兰图书馆和Ovid MEDLINE在内的数据库。三名评审员根据与我们主题的相关性独立进行文章筛选。我们纳入了1990年至2020年间使用以下关键词的所有与远程医疗相关的文章：“远程医疗”、“远程健康”、“政策”、“新冠病毒”、“法规”、“农村”、“体格检查”、“未来”。共确定了60篇文章，经过仔细筛选，根据与主题的相关性，我们将最终文章数量缩小到42篇。在过去几十年中，远程医疗一直在迅速发展。监管和报销问题阻碍了它完全融入医疗保健系统。在当前疫情期间，医疗保险和医疗补助服务中心扩大了远程医疗服务的获取途径。远程医疗未来的优势包括其成本效益、扩大获取专科服务的能力以及缓解迫在眉睫的医生短缺的潜力。劣势包括该国某些地区缺乏可用的技术资源、患者数据安全问题以及进行传统患者检查的挑战。至关重要的是要做出改变，使远程医疗服务完全融入医疗保健领域，以便为未来的疫情做好准备，并在未来从这项服务中获益。
A narrative review was conducted to examine the current state of the utilisation of telemedicine amid the current COVID-19 pandemic and to evaluate the benefits of continuing telemedicine usage in the future. A literature review was performed for articles related to telemedicine. Databases including PubMed, Google Scholar, Cochrane Library and Ovid MEDLINE were searched. Three reviewers independently performed article selection based on relevance to our topic. We included all articles between 1990 and 2020 related to telemedicine using the following keywords: 'telemedicine', 'telehealth', 'policy', 'COVID-19', 'regulation', 'rural', 'physical examination', 'future'. A total of 60 articles were identified, and through careful selection we narrowed the final number of articles to 42 based on relevance to our topic. Telemedicine has been rapidly evolving over the past several decades. Issues with regulation and reimbursement have prevented its full immersion into the healthcare system. During the current pandemic, Centers for Medicare and Medicaid services have expanded access to telemedicine services. The advantages of telemedicine moving forward include its cost-effectiveness, ability to extend access to specialty services and its potential to help mitigate the looming physician shortage. Disadvantages include lack of available technological resources in certain parts of the country, issues with security of patient data, and challenges in performing the traditional patient examination. It is critically important that changes are made to fully immerse telemedicine services into the healthcare landscape in order to be prepared for future pandemics as well as to reap the benefits of this service in the future.