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远程医疗在心血管疾病管理中的应用概述:美国心脏协会的科学声明。

An Overview of Telehealth in the Management of Cardiovascular Disease: A Scientific Statement From the American Heart Association.

出版信息

Circulation. 2022 Dec 20;146(25):e558-e568. doi: 10.1161/CIR.0000000000001107. Epub 2022 Nov 14.

Abstract

Telehealth enables the remote delivery of health care through telecommunication technologies and has substantially affected the evolving medical landscape. The COVID-19 pandemic accelerated the utilization of telehealth as health care professionals were forced to limit face-to-face in-person visits. It has been shown that information delivery, diagnosis, disease monitoring, and follow-up care can be conducted remotely, resulting in considerable changes specific to cardiovascular disease management. Despite increasing telehealth utilization, several factors such as technological infrastructure, reimbursement, and limited patient digital literacy can hinder the adoption of remote care. This scientific statement reviews definitions pertinent to telehealth discussions, summarizes the effect of telehealth utilization on cardiovascular and peripheral vascular disease care, and identifies obstacles to the adoption of telehealth that need to be addressed to improve health care accessibility and equity.

摘要

远程医疗通过电信技术实现远程医疗服务,极大地影响了不断发展的医疗格局。COVID-19 大流行加速了远程医疗的应用,因为医疗保健专业人员被迫限制面对面的就诊。事实证明,信息传递、诊断、疾病监测和随访护理都可以远程进行,这导致心血管疾病管理方面发生了重大变化。尽管远程医疗的使用越来越多,但一些因素,如技术基础设施、报销和有限的患者数字素养,可能会阻碍远程护理的采用。本科学声明审查了与远程医疗讨论相关的定义,总结了远程医疗的使用对心血管和外周血管疾病护理的影响,并确定了需要解决的采用远程医疗的障碍,以改善医疗保健的可及性和平等性。

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