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新冠疫情时代远程医疗会诊中的陷阱及规避方法

Pitfalls in telemedicine consultations in the era of COVID 19 and how to avoid them.

作者信息

Iyengar Karthikeyan, Jain Vijay K, Vaishya Raju

机构信息

Southport and Ormskirk NHS Trust, Southport, PR8 6PN, UK.

Department of Orthopaedics, Atal Bihari Vajpayee Institute of Medical Sciences, Dr Ram Manohar Lohia Hospital, New Delhi, 110001, India.

出版信息

Diabetes Metab Syndr. 2020 Sep-Oct;14(5):797-799. doi: 10.1016/j.dsx.2020.06.007. Epub 2020 Jun 9.

Abstract

BACKGROUND AND AIMS

With restrictions on face to face clinical consultations in the COVID-19 pandemic, Telemedicine has become an essential tool in providing continuity of care to patients. We explore the common pitfalls in remote consultations and strategies that can be adopted to avoid them.

METHODS

We have done a comprehensive review of the literature using suitable keywords on the search engines of PubMed, SCOPUS, Google Scholar and Research Gate in the first week of May 2020 including 'COVID-19', 'telemedicine' and 'remote consultations'.

RESULTS

Telemedicine has become an integral part to support patient's clinical care in the current COVID-19 pandemic now and will be in the future for both primary and secondary care. Common pitfalls can be identified and steps can be taken to prevent them.

CONCLUSION

Telemedicine it is going to play a key role in future of health medicine, however, telemedicine technology should be applied in appropriate settings and situations. Suitable training, enhanced documentations, communication and observing information governance guidelines will go a long way in avoiding pitfalls associated with remote consultations.

摘要

背景与目的

在新冠疫情期间,面对面临床会诊受到限制,远程医疗已成为为患者提供持续护理的重要工具。我们探讨了远程会诊中的常见陷阱以及可采用的避免这些陷阱的策略。

方法

2020年5月的第一周,我们在PubMed、SCOPUS、谷歌学术和Research Gate等搜索引擎上使用合适的关键词对文献进行了全面综述,关键词包括“COVID-19”“远程医疗”和“远程会诊”。

结果

远程医疗现已成为当前新冠疫情期间支持患者临床护理不可或缺的一部分,并且在未来的初级和二级护理中也将如此。可以识别常见陷阱并采取措施加以预防。

结论

远程医疗将在未来的健康医学中发挥关键作用,然而,远程医疗技术应在适当的环境和情况下应用。适当的培训、完善的文档记录、沟通以及遵守信息治理准则,将大大有助于避免与远程会诊相关的陷阱。

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