Barriers and Facilitators to Telemedicine: Can You Hear Me Now?
Barriers and Facilitators to Telemedicine: Can You Hear Me Now?
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DOI：
10.1200/edbk_320827
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发表时间：
2021-03-01
期刊：
影响因子：
--
通讯作者：
Thota, Ramya
中科院分区：
文献类型：
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作者：
Lopez, Ana Maria;Lam, Kenneth;Thota, Ramya
最直接的解释是，远程医疗是远距离提供的医疗服务。尽管远程医疗的使用一直在稳步增加，但COVID-19大流行引发了患者、医疗保健专业人员和政策制定者前所未有的兴趣和紧迫感，以促进无需面对面接触的医疗保健。个人获得电信技术的增长意味着美国和世界各地前所未有数量的人可以获得设备和技术，使虚拟护理成为可能。随着远程医疗的大规模实施，人们很快发现，扩大远程医疗的使用带来了相当大的新挑战，其中一些挑战加剧了差距。本文通过研究远程医疗的历史来描述这些挑战，它在支持获取和创造新的障碍方面的作用，试图让每个人都能联系起来，思考这些障碍的框架，以及可能有助于克服这些障碍的促进者，特别关注农村社区的老年人和癌症患者。
In its most direct interpretation, telemedicine is medical care provided at a distance. Although telemedicine's use had been steadily increasing, the COVID-19 pandemic prompted an unprecedented interest and urgency among patients, health care professionals, and policymakers to facilitate health care devoid of the need for in-person contact. The growth in personal access to telecommunications technology meant an unprecedented number of people in the United States and around the world had access to the equipment and technology that would make virtual care possible from the home. As the mass implementation of telemedicine unfolded, it became quickly apparent that scaling up the use of telemedicine presented considerable new challenges, some of which worsened disparities. This article describes those challenges by examining the history of telemedicine, its role in both supporting access and creating new barriers to access in trying to get everyone connected, frameworks for thinking about those barriers, and facilitators that may help overcome them, with a particular focus on older adults and patients with cancer in rural communities.