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远程医疗培训手册和准则 -- 通过从医学专业值得信赖 1985


远程医疗: 用品, 继续教育


What is Telehealth?

Telehealth is a broad term that refers to technological expansion (using video, bioteletry, 远程监控, patient wearables) of remote contacts. Telehealth also refers to the clinical practice of pre-hospital assessment of symptoms utilizing all of the technologies noted above. Telehealth emerged nearly overnight during the 2020 COVID-19 pandemic, when remote tele-visits became mandatory during the lock-down. Telehealth is here to stay, and soon telehealth will subsume telephone triage.

远程医疗被定义为“对患者的问题进行电话医疗诊断和就医” (赖斯曼). Telemedicine is typically performed by physicians, whereas telephone triage and telehealth may be performed by RNs.

根据维基百科, Telehealth is thedelivery of health-related services and information via telecommunications technologies”. 远程医疗, unlike telemedicine (which narrowly focuses on the diagnosis of symptoms) focuses on pre-hospital symptom assessment and evaluation to prevent delays in care and treatment. A key function of telehealth (and telephone triage) is that of access to appropriate and timely care. Both are a form of pre-hospital care and the patientsinitial contact in the health care continuum.

Key Telehealth Trends?

Two recent articles in the Journal of Telemedicine and Telecare (JTT) point out emerging trends that affect sustainable telehealth post-pandemic. One study noted that reimbursement for telehealth services will significantly affect the future of nurse-based telehealth practice. According to Watkins and Neubrander (2020), Federal legislation has responded to emergent public-health needs by removing barriers that have impeded widespread adoption of telehealth modalities. This legislation has omitted professional registered nurses (注册护士) from delivering reimbursable telehealth services, which is problematic for primary-care practice. RNs historically have led telehealth service delivery and should therefore be included in new legislation as eligible health professionals permitted to provide reimbursable telehealth services.”

A second JTT article highlights five key requirements for the long-term sustainability of telehealth. These include: (一) developing a skilled workforce; (b) empowering consumers; (Ç) reforming funding; (d) improving the digital ecosystems; 和 (e) integrating telehealth into routine care.

Telehealth Standards of Care?

Standards of practice for both telephone triage and telehealth will be similar. 此外, both will require complete, evidence based systemsQualified staff, 临床培训, 方针, 政策与程序, 文档 — evidence of the quality of care. Telehealth technologies will need to meet standards for reliability and validity in order to be considered safe.

研究: Safety of Decision Makers in Telephone Triage (2015) Sheila Wheeler’s research on Telehealth Decision Maker Safety. 基于最近对四组临床和非临床决策者的安全性结果的研究的叙述性评论. It evaluates current status of systems, by noting the presence of five key components of telehealth systems: qualifications, experience of staff, 临床培训, 方针, 文件和标准.

远程医疗文章 Sheila Wheeler 是远程医疗领域的思想领袖和先驱. 她早期的文章提出了她的观点并反映了一个新的亚专业和争议的成长和发展.

远程医疗指南常见问题解答

Telehealth Continuing Education Resources

自 1999, www.teletriage.com 已成为资源丰富的信息交换所: 关于电话分类和远程医疗研究的文章, clinical courses in telehealth, and RSS feeds to the latest Telehealth news. 请随意探索并链接到此页面作为资源.


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