Integration of Telemedicine Into Clinical Gastroenterology and Hepatology Practice
Integration of Telemedicine Into Clinical Gastroenterology and Hepatology Practice
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DOI：
10.1016/j.cgh.2016.09.011
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发表时间：
2017-02-01
影响因子：
12.6
通讯作者：
Kane, Sunanda
中科院分区：
文献类型：
--
作者：
Cross, Raymond K.;Kane, Sunanda
卫生保健提供方面的两个趋势将继续有增无减：a)报销压力；b)对我们服务的需求不断增加。护理复杂和慢性病患者的实践正在探索创新的方法，以经济可行的方式扩大他们的护理足迹。目前许多卫生系统正在使用的一种方法是远程医疗。远程医疗是使用某种类型的电子通信远程提供的。有可能，远程医疗将使我们能够远程向初级保健医生甚至患者提供专业服务。密歇根大学IBD项目正在试点远程视频会议，集成在电子病历系统中，直接为克罗恩病和溃疡性结肠炎患者在家中提供专门的GI会诊。密歇根大学卫生系统有一个办公室，随时准备为任何提供者安排快速远程会诊。在卫生系统谈判后，已从几个付款人那里获得了服务付款。这一做法在多个专业和环境中得到了很好的确立。在本月的前方之路专栏中，两位远程医疗专家回顾了该领域的状况，因此你也可以参与其中。这一创新是您应该为您的实践考虑的。技术和支付机制现在都是可用的。
Two trends in health care delivery that will continue unabated are a) reimbursement pressure and b) increasing demand for our services. Practices that care for patients with complex and chronic conditions are exploring innovative means to expand their care footprint in an economically viable way. One approach currently being used by many health systems is telemedicine. Telemedicine is care delivered remotely using some type of electronic communication. Potentially, telemedicine will allow us to provide specialty services remotely to primary care physicians or even patients. The University of Michigan IBD program is piloting remote video conferencing, integrated within the electronic medical record system, to provide specialty GI consultation directly to Crohn's and ulcerative colitis patients within their homes. The University of Michigan Health System has an office ready to arrange rapid teleconsultation for any provider. Payment for services has been secured from several payers after health system negotiations. This practice is well established in multiple specialties and settings. In this month's Road Ahead column, two telemedicine experts review the state of the field, so you too can participate. This innovation is something you should consider for your practice. Technology and payment mechanisms are now available.