Telehealth as a Bright Spot of the COVID-19 Pandemic: Recommendations From the Virtual Frontlines ("Frontweb").
Telehealth as a Bright Spot of the COVID-19 Pandemic: Recommendations From the Virtual Frontlines ("Frontweb").
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DOI：
10.2196/19045
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发表时间：
2020-06-25
影响因子：
8.5
通讯作者：
Wexler, Randy
中科院分区：
文献类型：
--
作者：
Olayiwola, J Nwando;Magana, Candy;Wexler, Randy
冠状病毒病（COVID-19）大流行加速了美国家庭医学和初级保健实践中的远程医疗临界点，使远程医疗不仅成为一种新的护理方法，而且成为公共卫生安全的必要方法。社交距离要求和居家命令已经将患者护理从初级保健办公室的面对面咨询转变为临床医生家中或办公室的虚拟护理，并转移到一个新的前线，我们称之为“frontweb”。“我们的远程医疗团队采用了技术实施框架中的临床转型，以加速远程医疗的扩展，并为临床医生在大流行期间提供远程虚拟护理的建议制定了一份共识文件。在几周内，远程医疗从不到5%的患者就诊率上升到近93%，同时保持了较高的患者满意度。在本文中，我们分享临床医生的建议和指导，从这个过渡到前台，并提供了一个系统的方法，以确保“webside”的成功。
The coronavirus disease (COVID-19) pandemic has accelerated the telehealth tipping point in the practice of family medicine and primary care in the United States, making telehealth not just a novel approach to care but also a necessary one for public health safety. Social distancing requirements and stay-at-home orders have shifted patient care from face-to-face consultations in primary care offices to virtual care from clinicians' homes or offices, moving to a new frontline, which we call the "frontweb." Our telehealth workgroup employed the Clinical Transformation in Technology implementation framework to accelerate telehealth expansion and to develop a consensus document for clinician recommendations in providing remote virtual care during the pandemic. In a few weeks, telehealth went from under 5% of patient visits to almost 93%, while maintaining high levels of patient satisfaction. In this paper, we share clinician recommendations and guidance gleaned from this transition to the frontweb and offer a systematic approach for ensuring "webside" success.