Novel Coronavirus (COVID-19): telemedicine and remote care delivery in a time of medical crisis, implementation, and challenges.
Novel Coronavirus (COVID-19): telemedicine and remote care delivery in a time of medical crisis, implementation, and challenges.
复制标题
新颖的冠状病毒（Covid-19）：在医疗危机，实施和挑战时期，远程医疗和远程护理。
DOI：
10.1093/tbm/ibaa105
复制
发表时间：
2021-03-16
影响因子：
3.6
通讯作者：
Penedo FJ
中科院分区：
文献类型：
--
作者：
Kronenfeld JP;Penedo FJ
远程医疗为患者和提供者提供了一种有效的远程接口方式，但可能对社会经济地位较低的患者构成挑战，导致医疗保健差异。由SARS-CoV-2病毒引起的新型冠状病毒（COVID-19）在世界各地带来了许多挑战，其中之一是在患者留在家中时向他们提供医疗保健。远程医疗，或使用电子信息和电信技术来支持和促进远程临床医疗，已被医疗保健提供者使用多年，但直到COVID-19大流行爆发才广泛实施。目前，它已成为COVID-19大流行期间为患者提供护理的主要机制。虽然医院和提供者在建立这些服务方面存在障碍，但大多数障碍都存在于患者获得服务方面。患者需要先进的技术支持、翻译服务和其他措施，才能轻松地参与远程医疗。此外，必须为慢性疾病和恶性肿瘤提供适当的随访，以帮助防止这些疾病在COVID-19危机期间的演变。最后，我们必须确保所有寻求获得保健服务的病人，包括社会经济地位较低的病人的平等。这些患者中的许多人依赖公共热点或图书馆计算机进行互联网连接，但这可能不利于临床治疗。必须解决这些障碍，以确保所有寻求护理的患者的健康公平。远程医疗可以在这一危机时期将病人和提供者联系起来，并有望成为在大流行病减弱后继续使用的模式。
Telemedicine provides patients and providers an effective way to interface remotely but may pose challenges to patients of lower socioeconomic status leading to healthcare disparities. The novel Coronavirus (COVID-19) caused by the SARS-CoV-2 virus has led to many challenges throughout the world, one of which is the delivery of health care to patients while they remain home. Telemedicine, or the use of electronic information and telecommunication technologies to support and promote long-distance clinical health care, has been utilized by health care providers for many years, but its widespread implementation did not occur until the onset of the COVID-19 pandemic. Currently, it has become the primary mechanism of care delivery for patients during the COVID-19 pandemic. While obstacles are present for hospitals and providers to establish these services, most barriers exist with patient access. Patients require advanced technical support, translator services, and other measures to become comfortable engaging in a telemedicine encounter. In addition, appropriate follow-up must be provided for chronic medical illnesses and malignancies, helping to prevent the evolution of these conditions during the COVID-19 crisis. Finally, we must ensure equity for all patients seeking to access health services, including those of lower socioeconomic status. Many of these patients rely on public hotspots or library computers for their internet connectivity, but this is likely not conducive to a clinical encounter. These barriers must be addressed to ensure health equity for all patients seeking care. Telemedicine can connect patients and providers during this time of crisis and hopefully will serve as a model for continued use after the pandemic has abated.
登录
查看更多内容
影响因子：
2.3
作者：
Fryer, Kimberly;Delgado, Arlin;Marshall, Jennifer
通讯作者：
Marshall, Jennifer
影响因子：
6.7
作者：
Collins, Christopher M.;Scharer, Christopher D.;Speck, Samuel H.
通讯作者：
Speck, Samuel H.
影响因子：
1.3
作者：
Jong, Michael;Mendez, Ivar;Jong, Robert
通讯作者：
Jong, Robert
影响因子：
5.1
作者：
Goins, R T;Kategile, U;Dudley, K C
通讯作者：
Dudley, K C
影响因子：
5
作者：
Anderson-Lewis C;Darville G;Mercado RE;Howell S;Di Maggio S
通讯作者：
Di Maggio S