Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19)
Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19)
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DOI：
10.1177/1357633x20916567
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发表时间：
2020-03-20
影响因子：
4.7
通讯作者：
Caffery, Liam J.
中科院分区：
文献类型：
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作者：
Smith, Anthony C.;Thomas, Emma;Caffery, Liam J.
目前的冠状病毒(新冠肺炎)大流行再次提醒我们利用远程保健提供护理的重要性，特别是作为减少密切接触造成交叉感染风险的手段。要使远程医疗作为紧急反应的一部分发挥作用，它首先需要成为我们卫生系统的常规使用部分。因此，现在是时候退一步问一问，为什么远程医疗没有被纳入主流。在本文中，我们将重点介绍实现这一点的关键要求。除了传统的服务提供方法外，确保在急性、急症后和紧急情况下定期使用远程保健的战略包括灵活的供资安排、培训和认证我们的卫生工作人员。远程保健的普及还需要管理工作的重大改变和现有护理模式的重新设计。从长远来看，主动实施远程医疗而不是被动实施远程医疗更有可能产生更大的好处，并帮助应对医疗保健中的日常(和紧急)挑战。
The current coronavirus (COVID-19) pandemic is again reminding us of the importance of using telehealth to deliver care, especially as means of reducing the risk of cross-contamination caused by close contact. For telehealth to be effective as part of an emergency response it first needs to become a routinely used part of our health system. Hence, it is time to step back and ask why telehealth is not mainstreamed. In this article, we highlight key requirements for this to occur. Strategies to ensure that telehealth is used regularly in acute, post-acute and emergency situations, alongside conventional service delivery methods, include flexible funding arrangements, training and accrediting our health workforce. Telehealth uptake also requires a significant change in management effort and the redesign of existing models of care. Implementing telehealth proactively rather than reactively is more likely to generate greater benefits in the long-term, and help with the everyday (and emergency) challenges in healthcare.