Rapid Implementation of Inpatient Telepalliative Medicine Consultations During COVID-19 Pandemic
Rapid Implementation of Inpatient Telepalliative Medicine Consultations During COVID-19 Pandemic
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DOI：
10.1016/j.jpainsymman.2020.04.001
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发表时间：
2020-07-01
影响因子：
4.7
通讯作者：
Pantilat, Steven Z.
中科院分区：
文献类型：
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作者：
Humphreys, Jessi;Schoenherr, Laura;Pantilat, Steven Z.
随着2019年冠状病毒病病例在全国范围内增加，医疗保健系统需要在保持高质量患者护理的同时减少提供者暴露并尽量减少个人防护设备的使用，我们的专业需要考虑提供住院姑息治疗（PC）的新方法。远程医疗已经在门诊和家庭PC中发挥了巨大的作用，但在住院患者中的应用较少。随着我们计划减少因隔离和重新部署而导致的供应商可用性，并在2019年冠状病毒病面前寻求接触越来越孤立的住院患者，住院环境中对远程姑息医学的需求现在很明显。我们描述了我们的快速和持续实施的远程姑息医学咨询我们的住院PC团队，并讨论了经验教训和考虑类似的护理模式的方案的建议。(C)2020年美国临终关怀和姑息医学学院。爱思唯尔公司出版All rights reserved.
As coronavirus disease 2019 cases increase throughout the country and health care systems grapple with the need to decrease provider exposure and minimize personal protective equipment use while maintaining high-quality patient care, our specialty is called on to consider new methods of delivering inpatient palliative care (PC). Telepalliative medicine has been used to great effect in outpatient and home-based PC but has had fewer applications in the inpatient setting. As we plan for decreased provider availability because of quarantine and redeployment and seek to reach increasingly isolated hospitalized patients in the face of coronavirus disease 2019, the need for telepalliative medicine in the inpatient setting is now clear. We describe our rapid and ongoing implementation of telepalliative medicine consultation for our inpatient PC teams and discuss lessons learned and recommendations for programs considering similar care models. (C) 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.