Can you hear me now?: Improving palliative care access through telehealth.

Can you hear me now?: Improving palliative care access through telehealth.
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DOI:
10.1002/nur.22105
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发表时间:
2021-03
影响因子:
2
通讯作者:
Bakitas M
Bakitas M
中科院分区:
医学4区
文献类型:
--
作者:
Allen Watts K;Malone E;Dionne-Odom JN;McCammon S;Currie E;Hicks J;Tucker RO;Wallace E;Elk R;Bakitas M

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在过去的二十年里,远程医疗越来越多地用于扩大医疗保健服务。然而,姑息治疗的情况并非如此,因为远程保健被认为是非传统和不切实际的,因为对话的敏感性和“高度接触”的理念。由于农村和得不到充分服务的人口获得个人电脑的机会有限,以及积极的个人电脑远程保健研究,临床个人电脑远程保健模式一直在发展。然而,几乎在一夜之间,COVID-19大流行加速了远程医疗在医疗保健领域的使用和普及,尤其是在PC领域。因此,临床医生、管理人员和其他人一致认为,远程医疗“将继续存在”,并可能在农村地区以外继续广泛使用和完善。本综述的目的是描述典型的PC远程医疗方案在研究和临床实践中,包括利弊,经验教训,以及未来的发展方向,PC通过远程医疗跨疾病和寿命。
Telehealth has been increasingly used to expand healthcare access over the last two decades. However, this had not been the case for palliative care (PC), because telehealth was considered non-traditional and impractical due to the sensitive nature of conversations and a “high touch” philosophy. Motivated by limited PC access to rural and underserved populations and positive PC telehealth studies, clinical PC telehealth models have been developing. However, nearly overnight, the COVID-19 pandemic accelerated the use and uptake of telehealth across health care and especially in PC. As a result, clinicians, administrators, and others agree that telehealth is “here to stay,” and will likely maintain widespread use and refinement beyond rural areas. The purpose of this review is to describe exemplar PC telehealth programs in research and clinical practice, including pros and cons, lessons learned, and future directions for the ongoing development and expansion of PC via telehealth across diseases and the lifespan.
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