The Scope of Telemedicine in Kidney Transplantation: Access and Outreach Services.
The Scope of Telemedicine in Kidney Transplantation: Access and Outreach Services.
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DOI：
10.1053/j.ackd.2021.10.003
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发表时间：
2021-11
影响因子：
2.9
通讯作者：
Yadav A
中科院分区：
文献类型：
--
作者：
Al Ammary F;Concepcion BP;Yadav A
能否进入移植中心是肾移植评估和受者和捐赠者后续护理的关键障碍。潜在的肾移植接受者和活体肾脏捐赠者在与移植中心接触和维持移植后护理的连续性方面可能面临地理、财务和后勤方面的挑战。通过同步视频访问的远程医疗有可能克服进入移植中心的障碍。移植中心可以通过远程医疗对潜在的受者和捐赠者启动评估过程，特别是对于那些有困难亲自前来就诊的人，或者当临床能力受到限制时，例如在大流行期间。同样，移植中心可以利用远程医疗来维持移植后的后续护理，同时避免旅行的负担及其相关成本。然而，扩展到基于远程医疗的肾脏移植服务在很大程度上取决于远程医疗基础设施、保险公司政策和州法规。在这篇综述中，我们讨论了远程医疗在肾移植中的实践及其对扩大获得肾移植服务的机会和从移植前评估到移植后对受者和捐赠者的后续护理的影响。
Access to transplant centers is a key barrier for kidney transplant evaluation and follow-up care for both the recipient and donor. Potential kidney transplant recipients and living kidney donors may face geographic, financial, and logistical challenges in engaging with a transplant center and maintaining post-transplant continuity of care. Telemedicine via synchronous video visits has the potential to overcome the access barrier to transplant centers. Transplant centers can start the evaluation process for potential recipients and donors via telemedicine, especially for those who have challenges to come for an in-person visit or when there are restrictions on clinic capacities, such as during a pandemic. Likewise, transplant centers can utilize telemedicine to sustain post-transplant follow-up care while avoiding the burden of travel and its associated costs. However, expansion to telemedicine-based kidney transplant services is substantially dependent on telemedicine infrastructure, insurer policy, and state regulations. In this review, we discuss the practice of telemedicine in kidney transplantation and its implications for expanding access to kidney transplant services and outreach from pre-transplant evaluation to post-transplant follow-up care for the recipient and donor.
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