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流行病中的国家紧急远程临床护理:障碍和解决方案
Jeremy C Pamplin1,2, Brooke Gray2,3, Matthew T Quinn2
1The Telemedicine and Advanced Technology Research Center, Fort Detrick, MD.
Critical care explorations
|May 15, 2024
概括
远程临床护理 (TCC) 可以在急剧增长期间扩大医院容量,但面临障碍. 解决法律和政策障碍是快速部署和国家远程医疗网络长期成功的关键.
科学领域:
- 医疗保健系统 医疗保健系统
- 远程医疗远程医疗
- 关键的护理关键的护理
背景情况:
- 随着COVID-19大流行,美国的医疗保健受到压力,突出了ICU床位的限制.
- 远程医疗,特别是远程临床护理 (TCC),提供了一个扩大临床能力和容量的解决方案.
- 快速部署TCC面临着重大实施障碍.
研究的目的:
- 识别国家紧急远程临床护理网络 (NETCCN) 部署的障碍.
- 提出克服这些障碍的策略.
- 在国家灾难期间概述TCC交付的最低,更好,最好的范式.
主要方法:
- 召集了50多个国家远程医疗和重症监护领域的领导者.
- 专家们就NETCCN实施障碍和解决方案分享了意见.
- 根据专家的共识制定了白皮书,以形成文章的基础.
主要成果:
- 跨州许可和对虚拟专家的当地特权是快速部署TCC的主要障碍.
- 完善TCC模型以获得最佳结果,并建立可持续的金融模型对于长期成功至关重要.
- 国家远程医疗响应系统被认为是可以实现的.
结论:
- 克服法律,政策和文化障碍对于有效实施TCC至关重要.
- 一种结构化的方法 (最小,更好,最好) 可以指导TCC的交付.
- 快速部署的国家远程医疗系统是可行的,也是必要的.
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