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2.
BMC Musculoskelet Disord ; 22(1): 245, 2021 Mar 05.
Artículo en Inglés | MEDLINE | ID: mdl-33673844

RESUMEN

OBJECTIVE: To explore orthopaedic and musculoskeletal clinicians' views and experiences of legal, safety, safeguarding and security issues regarding the use of virtual consultations (VC) during the COVID-19 pandemic. A secondary objective was to suggest ways to overcome these issues. METHODS: A mixed method cross-sectional survey was conducted, seeking the views and experiences of orthopaedic and musculoskeletal medically qualified and Allied Health Professionals in the United Kingdom. Descriptive statistical analysis was employed for quantitative data and a qualitative content analysis undertaken for qualitative data. Findings were presented in accordance with the four key issues. RESULTS: Two hundred and ninety professionals (206 physiotherapists, 78 medically qualified professionals, 6 'other' therapists) participated in the survey. Of the 290 participants, 260 (90%) were not using VC prior to the COVID-19 pandemic, 248 respondents (86%) were unsure whether their professional indemnity insurance covered VC, 136 (47%) had considered how they would handle an issue of safeguarding whilst the remainder had not, 126 (43%) had considered what they would do if, during a virtual consultation, a patient suffered an injury (e.g. bang on their head) or a fall (e.g. mechanical or a medical event like syncope) and 158 (54%) reported they felt the current technological solutions are secure in terms of patient data. Qualitative data provided additional context to support the quantitative findings such as validity of indemnification, accuracy of diagnosis and consent using VC, safeguarding issues; and security and sharing of data. Potential changes to practice have been proposed to address these issues. CONCLUSIONS: VC have been rapidly deployed since the onset of the COVID-19 pandemic often without clear guidance or consensus on many important issues. This study identified legal, safeguarding, safety and security issues. There is an urgent need to address these and develop local and national guidance and frameworks to facilitate ongoing safe virtual orthopaedic practice beyond the COVID-19 pandemic.


Asunto(s)
/epidemiología , Encuestas de Atención de la Salud , Pandemias , Seguridad del Paciente , Telemedicina/legislación & jurisprudencia , Telemedicina/normas , Técnicos Medios en Salud , Seguridad Computacional , Confidencialidad , Estudios Transversales , Femenino , Humanos , Masculino , Ortopedia
3.
Am J Med Qual ; 36(1): 5-16, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33764917

RESUMEN

Routine outpatient epilepsy care has shifted from in-person to telemedicine visits in response to safety concerns posed by the coronavirus disease 2019 (COVID-19) pandemic. But whether telemedicine can support and maintain standardized documentation of high-quality epilepsy care remains unknown. In response, the authors conducted a quality improvement study at a level 4 epilepsy center between January 20, 2019, and May 31, 2020. Weekly average completion proportion of standardized documentation used by a team of neurologists for adult patients for the diagnosis of epilepsy, seizure classification, and frequency were analyzed. By December 15, 2019, a 94% average weekly completion proportion of standardized epilepsy care documentation was achieved that was maintained through May 31, 2020. Moreover, during the period of predominately telemedicine encounters in response to the pandemic, the completion proportion was 90%. This study indicates that high completion of standardized documentation of seizure-related information can be sustained during telemedicine appointments for routine outpatient epilepsy care at a level 4 epilepsy center.


Asunto(s)
/epidemiología , Epilepsia/terapia , Telemedicina , Adulto , Femenino , Humanos , Masculino , Massachusetts/epidemiología , Persona de Mediana Edad , Calidad de la Atención de Salud , Telemedicina/métodos , Telemedicina/normas
4.
J Clin Neurosci ; 85: 1-5, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33581778

RESUMEN

BACKGROUND: During the coronavirus 19 (COVID-19) pandemic, physicians have begun adapting their daily practices to prevent transmissions. In this study we aimed to provide surgical neuro-oncologists with practice guidelines during the COVID-19 pandemic based on objective data from a high-volume brain tumor surgeon at the current COVID-19 epicenter. METHODS: All outpatient visits and surgeries performed by the senior author during the COVID-19 pandemic were compared between the initial quarantine (3/23/20-5/4/20), the plateau period following quarantine (5/5/20-6/27/20), and the second peak (6/28/20-7/20/20). In-person and telemedicine visits were evaluated for crossovers. Surgeries were subdivided based on lesion type and evaluated across the same time period. RESULTS: From 3/23/20-7/20/20, 469 clinic visits and 196 surgeries were identified. After quarantine was lifted, face-to-face visits increased (P < 0.01) yet no change in telehealth visits occurred. Of 327 telehealth visits, only 5.8% converted to in-person during the 4-month period with the most cited reason being patient preference (68.4%). Of the 196 surgeries performed during the pandemic, 29.1% occurred during quarantine, 49.0% during the plateau, and 21.9% occurred in the second peak. No COVID negative patients developed symptoms at follow-up. 55.6% were performed on malignant tumors and 31.6% were benign with no difference in case volumes throughout the pandemic. CONCLUSIONS: Despite exceptional challenges, we have maintained a high-volume surgical neuro-oncology practice at the epicenter of the COVID-19 pandemic. We provide the protocols implemented at our institution in order to maximize neuro-oncology care while mitigating risk of COVID-19 exposure to both patients and providers.


Asunto(s)
/prevención & control , Control de Enfermedades Transmisibles/métodos , Oncólogos , Prioridad del Paciente , Telemedicina/normas , Neoplasias Encefálicas/cirugía , Humanos , Procedimientos Neuroquirúrgicos , Pandemias/prevención & control , Cirujanos
5.
Ann Clin Psychiatry ; 33(1): 27-34, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33529285

RESUMEN

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic brought many challenges to patient care delivery. The need for social distancing and relaxing of federal and state telemental health regulations paved the way for widespread adoption of direct-to-consumer (DTC) ambulatory mental health video visits. METHODS: We present cases that demonstrate the use of video visits across 6 clinical areas, each serving a unique population of patients, in a large behavioral health system. The benefits and limitations of this modality are illustrated in children, adults, and older adults with mood disorders, anxiety disorders, intellectual disability, substance use disorders, neurocognitive disorders, and schizophrenia. RESULTS: Although telephone visits were acceptable and necessary to serve some patients, there are many advantages to video visits in providing best patient care. Education and support for telemental health-delivered to both patients and clinicians-is critical to the success of the DTC model. CONCLUSIONS: DTC telemental health is a widespread clinical tool used during the COVID-19 pandemic. Because this model has many strengths and advantages compared with traditional telemental health delivered in a clinic, regulators and insurers should be open to its continued use postpandemic when clinically appropriate.


Asunto(s)
Trastornos Mentales/terapia , Servicios de Salud Mental , Telemedicina , Adolescente , Adulto , Anciano , Niño , Femenino , Humanos , Masculino , Servicios de Salud Mental/organización & administración , Servicios de Salud Mental/normas , Persona de Mediana Edad , Telemedicina/organización & administración , Telemedicina/normas , Teléfono , Comunicación por Videocoferencia , Adulto Joven
7.
Nurse Pract ; 46(3): 16-19, 2021 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-33606455

RESUMEN

ABSTRACT: Providing safe nonemergent care during the coronavirus disease 2019 (COVID-19) pandemic has been challenging for NPs. This article, the first of a three-part series, will overview telehealth and telemedicine and provide a brief history of the two. The benefits, challenges, and temporary changes due to COVID-19 will also be addressed.


Asunto(s)
Pandemias/prevención & control , Aceptación de la Atención de Salud/estadística & datos numéricos , Telemedicina/métodos , /prevención & control , Diseño de Equipo/tendencias , Humanos , Pandemias/estadística & datos numéricos , Telemedicina/normas , Telemedicina/estadística & datos numéricos
8.
J Fr Ophtalmol ; 44(3): 307-312, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33612327

RESUMEN

PURPOSE: This study aimed to evaluate the ability of a freely accessible internet algorithm to correctly identify the need for emergency ophthalmologic consultation for correct diagnosis and management. METHOD: This retrospective observational cohort study was based on the first 100 patients who requested recommendations on the necessity of breaking the lockdown for emergency ophthalmology consultation during the period from March to May 2020. RESULTS: Ninety-one patients completed questionnaires. Forty-nine were directed to emergency consultation and 42 to differed scheduled visits or telemedicine visits. One patient sent for emergency consultation had an overestimated severity and could have been seen later, while two patients initially recommended for a scheduled visit were considered appropriate for emergency consultation. However, these patients' management did not suffer as a consequence of the delay. The sensitivity of the algorithm, defined as the number of emergency consultations suggested by the algorithm divided by the total number of emergency consultations deemed appropriate by the practitioner's final evaluation, was 96.0%. The specificity of the algorithm, defined as the number of patients recommended for delayed consultation by the algorithm divided by the number of patients deemed clinically appropriate for this approach, was 97.5%. The positive predictive value, defined as the number of appropriate emergency consultations divided by the total number of emergency consultations suggested by the algorithm, was 97.9%. Finally, the negative predictive value, defined as the number of appropriately deferred patients divided by the number of deferred patients recommended by the algorithm, was 95.2%. CONCLUSION: This study demonstrates the reliability of an algorithm based on patients' past medical history and symptoms to classify patients and direct them to either emergency consultation or to a more appropriate deferred, scheduled appointment. This algorithm might allow reduction of walk-in visits by half and thus help control patient flow into ophthalmologic emergency departments.


Asunto(s)
Algoritmos , Citas y Horarios , Urgencias Médicas , Oftalmopatías/terapia , Oftalmología/organización & administración , Cuarentena , Adulto , Anciano , Anciano de 80 o más Años , Estudios de Cohortes , Control de Enfermedades Transmisibles/normas , Urgencias Médicas/epidemiología , Servicios Médicos de Urgencia/organización & administración , Servicio de Urgencia en Hospital/organización & administración , Servicio de Urgencia en Hospital/normas , Oftalmopatías/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Paris/epidemiología , Derivación y Consulta/organización & administración , Derivación y Consulta/normas , Reproducibilidad de los Resultados , Estudios Retrospectivos , Encuestas y Cuestionarios , Telemedicina/organización & administración , Telemedicina/normas , Adulto Joven
9.
J Nerv Ment Dis ; 209(2): 144-146, 2021 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-33502141

RESUMEN

ABSTRACT: To date, there is lack of specific effective treatment or vaccine for the SARS-CoV-2, and clinical and laboratory research is still ongoing to find successful drugs. Therefore, prevention to be infected through social distancing and isolation is the most effective way. However, all the other physical and mental illnesses continue to exist, if possible even more burdened by the emergency situation and social distancing. The COVID-19 pandemic, especially in many low- and middle-income countries, has caused a deeper gap in seeking psychiatric help. In this scenario, telepsychiatry could play a decisive role in implementing clinical care for frail patients and ensuring continuous mental care. Therefore, we felt the urge to write this article to express our hope that the old health care system at this time of crisis, as we know it, can offer the chance to implement pervasive care technologies that perfectly fit current psychiatric needs.


Asunto(s)
/prevención & control , Países en Desarrollo , Accesibilidad a los Servicios de Salud , Trastornos Mentales/terapia , Servicios de Salud Mental , Telemedicina , Continuidad de la Atención al Paciente/normas , Accesibilidad a los Servicios de Salud/organización & administración , Accesibilidad a los Servicios de Salud/normas , Humanos , Servicios de Salud Mental/organización & administración , Servicios de Salud Mental/normas , Aplicaciones Móviles , Psiquiatría/organización & administración , Psiquiatría/normas , Telemedicina/organización & administración , Telemedicina/normas
10.
J Med Internet Res ; 23(2): e24785, 2021 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-33477104

RESUMEN

The telehealth revolution in response to COVID-19 has increased essential health care access during an unprecedented public health crisis. However, virtual patient care can also limit the patient-provider relationship, quality of examination, efficiency of health care delivery, and overall quality of care. As we witness the most rapidly adopted medical trend in modern history, clinicians are beginning to comprehend the many possibilities of telehealth, but its limitations also need to be understood. As outcomes are studied and federal regulations reconsidered, it is important to be precise in the virtual patient encounter approach. Herein, we offer some simple guidelines that could assist health care providers and clinic schedulers in determining the appropriateness of a telehealth visit by considering visit types, patient characteristics, and chief complaint or disease states.


Asunto(s)
/prevención & control , Accesibilidad a los Servicios de Salud , Selección de Paciente , Telemedicina/métodos , Personal de Salud , Humanos , Guías de Práctica Clínica como Asunto , Medición de Riesgo , Telemedicina/normas
11.
Clin J Oncol Nurs ; 25(1): 17-22, 2021 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-33480883

RESUMEN

Palliative care was once believed to be too high-touch to be delivered via telehealth. However, numerous studies have demonstrated the positive effects of palliative care delivered through telehealth. Because the COVID-19 pandemic has quickly shifted how health care is delivered to patients with cancer, particularly because of their immunocompromised status and the risks associated with unnecessary exposures in the clinic, previous lessons from palliative care research studies can be used to inform practice. This article presents a case study that illustrates evidence and best practices for continuing to deliver palliative care via telehealth after COVID-19 restrictions are lifted.


Asunto(s)
/mortalidad , /prevención & control , Comunicación , Enfermería de Cuidados Paliativos al Final de la Vida/normas , Enfermería Oncológica/normas , Telemedicina/normas , Adulto , Anciano , Prestación de Atención de Salud/normas , Resultado Fatal , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias/prevención & control , Guías de Práctica Clínica como Asunto , Estados Unidos
12.
Clin J Oncol Nurs ; 25(1): 41-47, 2021 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-33480885

RESUMEN

BACKGROUND: The COVID-19 pandemic generated challenges to the delivery of safe, efficient, and high-quality cancer care. In ambulatory oncology, where most cancer care is delivered, these challenges required the rapid development of infrastructure. OBJECTIVES: This article describes challenges to the design and implementation of ambulatory oncology infrastructures that support clinical oncology care during a pandemic. METHODS: This article reviews clinical experiences in interprofessional, multicenter, academic, and community settings during the COVID-19 pandemic. Cohesive and efficient services, collaborative processes, and workflows; patient triage and symptom management; technology and equipment; and communication strategies are discussed. National ambulatory care guidelines and practice recommendations are included as applicable and available. FINDINGS: Continued treatment delivery and support for patients with cancer, as well as infrastructure to minimize viral exposure to patients and oncology healthcare workers, are essential when caring for this high-risk population.


Asunto(s)
Atención Ambulatoria/normas , Oncología Médica/normas , Neoplasias/enfermería , Enfermería Oncológica/normas , Guías de Práctica Clínica como Asunto , Telemedicina/normas , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias/prevención & control , Estados Unidos/epidemiología
14.
Jt Comm J Qual Patient Saf ; 47(2): 86-98, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33358323

RESUMEN

BACKGROUND: Telemedicine use rapidly increased during the COVID-19 pandemic. This study assessed quality aspects of rapid expansion of a virtual urgent care (VUC) telehealth system and the effects of a secondary telephonic screening initiative during the pandemic. METHODS: A retrospective cohort analysis was performed in a single health care network of VUC patients from March 1, 2020, through April 20, 2020. Researchers abstracted demographic data, comorbidities, VUC return visits, emergency department (ED) referrals and ED visits, dispositions, intubations, and deaths. The team also reviewed incomplete visits. For comparison, the study evaluated outcomes of non-admission dispositions from the ED: return visits with and without admission and deaths. We separately analyzed the effects of enhanced callback system targeting higher-risk patients with COVID-like illness during the last two weeks of the study period. RESULTS: A total of 18,278 unique adult patients completed 22,413 VUC visits. Separately, 718 patient-scheduled visits were incomplete; the majority were no-shows. The study found that 50.9% of all patients and 74.1% of patients aged 60 years or older had comorbidities. Of VUC visits, 6.8% had a subsequent VUC encounter within 72 hours; 1.8% had a subsequent ED visit. Of patients with enhanced follow-up, 4.3% were referred for ED evaluation. Mortality was 0.20% overall; 0.21% initially and 0.16% with enhanced follow-up (p = 0.59). Males and black patients were significantly overrepresented in decedents. CONCLUSION: Appropriately deployed VUC services can provide a pragmatic strategy to care for large numbers of patients. Ongoing surveillance of operational, technical, and clinical factors is critical for patient quality and safety with this modality.


Asunto(s)
Atención Ambulatoria/normas , Atención Ambulatoria/tendencias , Seguridad del Paciente , Calidad de la Atención de Salud , Telemedicina/normas , Telemedicina/tendencias , Adolescente , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , New York/epidemiología , Pandemias , Estudios Retrospectivos
16.
J Prim Care Community Health ; 11: 2150132720985055, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33372570

RESUMEN

Telemedicine services can be classified into the macro-categories of specialist Telemedicine, Tele-health and Tele-assistance. From a regulatory perspective, in Italy, the first provision dedicated to the implementation of Telemedicine services is represented by the Agreement between the Government and the Regions on the document bearing "Telemedicine-National guidelines," approved by the General Assembly of the Superior Health Council in the session of 10th July 2012 and by the State Regions Conference in the session of 20th February 2014. Scientifically, several studies in the literature state that information and communication technologies have great potential to reduce the costs of health care services in terms of planning and making appropriate decisions that provide timely tools to patients. Another clear benefit is the equity of access to health care. The evolution of telemedicine poses a series of legal problems ranging from the profiles on the subject of authorization and accreditation to those concerning the protection of patient confidentiality, the definition and solution of which, in the absence of specific regulatory provisions, is mainly left to the assessment of compatibility of the practices adopted so far, with the general regulatory framework. In terms of professional liability, it is necessary to first clarify that the telemedicine service is comparable to any diagnostic-therapeutic health service considering that the telemedicine service does not replace the traditional health service, but integrates the latter to improve its effectiveness, efficiency and appropriateness.


Asunto(s)
/epidemiología , Responsabilidad Legal , Telemedicina/organización & administración , Enfermedad Crónica , Comunicación , Confidencialidad , Humanos , Pacientes Internos , Italia/epidemiología , Modelos Organizacionales , Pacientes Ambulatorios , Telemedicina/legislación & jurisprudencia , Telemedicina/normas
17.
Adv Chronic Kidney Dis ; 27(5): 390-396, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-33308504

RESUMEN

The coronavirus (coronavirus disease-2019) pandemic has changed care delivery for patients with end-stage kidney disease. We explore the US healthcare system as it pertains to dialysis care, including existing policies, modifications implemented in response to the coronavirus disease-2019 crisis, and possible next steps for policy makers and nephrologists. This includes policies related to resource management, use of telemedicine, prioritization of dialysis access procedures, expansion of home dialysis modalities, administrative duties, and quality assessment. The government has already established policies that have instated some flexibilities to help providers focus their response to the crisis. However, future policy during and after the coronavirus disease-2019 pandemic can bolster our ability to optimize care for patients with end-stage kidney disease. Key themes in this perspective are the importance of policy flexibility, clear strategies for emergency preparedness, and robust health systems that maximize accessibility and patient autonomy.


Asunto(s)
Política de Salud , Fallo Renal Crónico/terapia , Nefrología , Diálisis Renal/métodos , Telemedicina/métodos , Instituciones de Atención Ambulatoria , Anastomosis Quirúrgica , Arterias/cirugía , Implantación de Prótesis Vascular , Centers for Medicare and Medicaid Services, U.S. , Seguridad Computacional , Prestación de Atención de Salud/métodos , Prestación de Atención de Salud/normas , Planificación en Desastres , Accesibilidad a los Servicios de Salud , Soluciones para Hemodiálisis/provisión & distribución , Hemodiálisis en el Domicilio/métodos , Hemodiálisis en el Domicilio/normas , Humanos , Organización y Administración/normas , Autonomía Personal , Equipo de Protección Personal , Garantía de la Calidad de Atención de Salud , Mecanismo de Reembolso , Diálisis Renal/instrumentación , Diálisis Renal/normas , Telemedicina/normas , Estados Unidos , Venas/cirugía
18.
Actas urol. esp ; 44(10): 644-652, dic. 2020. ilus, tab
Artículo en Español | IBECS | ID: ibc-195507

RESUMEN

INTRODUCCIÓN: La telemedicina ofrece un soporte clínico remoto utilizando herramientas tecnológicas. Puede facilitar la atención médica al tiempo que reduce las visitas innecesarias a la consulta. La pandemia COVID-19 ha provocado un cambio brusco en nuestra práctica urológica diaria convirtiéndose en algo muy necesario el acto de la teleconsulta. OBJETIVO: Proporcionar recomendaciones prácticas para el uso efectivo de herramientas tecnológicas en telemedicina. MATERIALES Y MÉTODOS: Se realizó una búsqueda en la literatura en la plataforma Medline hasta abril de 2020; seleccionamos los artículos más relevantes relacionados con «telemedicina» y «trabajo inteligente» que podrían proporcionar información útil. RESULTADOS: La telemedicina se refiere al uso de la información electrónica y a las herramientas de telecomunicaciones para proporcionar apoyo clínico remoto a la atención médica. El trabajo inteligente es un modelo de trabajo que utiliza tecnologías nuevas o existentes para mejorar el rendimiento. La telemedicina se está convirtiendo en una herramienta útil y necesaria durante la pandemia COVID-19 e incluso más allá de la misma. Es hora de que formalicemos y demos el lugar que se merece a la telemedicina en nuestra práctica clínica y es nuestra responsabilidad adaptar y conocer todas las herramientas y posibles estrategias para su implementación de una manera óptima, garantizar una atención de calidad a los pacientes y que dicha atención sea percibida por pacientes y familiares como de alto nivel. CONCLUSIONES: La telemedicina facilita la atención clínica urológica especializada a distancia y resuelve problemas como las limitaciones en la movilidad o el traslado de los pacientes, reduce las visitas innecesarias a las clínicas y es útil para reducir el riesgo de transmisión viral de la COVID-19


INTRODUCTION: Telemedicine provides remote clinical support through technology tools. It can facilitate medical care delivery while reducing unnecessary office visits. The COVID-19 outbreak has caused an abrupt change in our daily urological practice, where teleconsultations play a crucial role. OBJECTIVE: To provide practical recommendations for the effective use of technological tools in telemedicine. MATERIALS AND METHODS: A literature search was conducted on Medline until April 2020. We selected the most relevant articles related to «telemedicine» and «smart working» that could provide valuable information. RESULTS: Telemedicine refers to the use of electronic information and telecommunication tools to provide remote clinical health care support. Smart working is a working approach that uses new or existing technologies to improve performance. Telemedicine is becoming a useful and fundamental tool during the COVID-19 pandemic and will be even more in the future. It is time for us to officially give telemedicine the place it deserves in clinical practice, and it is our responsibility to adapt and familiarize with all the tools and possible strategies for its optimal implementation. We must guarantee that the quality of care received by patients and perceived by them and their families is of the highest standard. CONCLUSIONS: Telemedicine facilitates remote specialized urological clinical support and solves problems caused by limited patient mobility or transfer, reduces unnecessary visits to clinics and is useful to reduce the risk of COVID-19 viral transmission


Asunto(s)
Humanos , Infecciones por Coronavirus/epidemiología , Pandemias , Betacoronavirus , Telemedicina/organización & administración , Telemedicina/normas , Urología/métodos , Contaminación del Aire/prevención & control , Citas y Horarios , Confidencialidad , Técnicas de Diagnóstico Urológico , Registros Electrónicos de Salud , Urología/organización & administración , Urología/normas , Consentimiento Informado , Guías de Práctica Clínica como Asunto , Calidad de la Atención de Salud , Sociedades Médicas , Triaje/métodos , Europa (Continente)/epidemiología
20.
Ann Agric Environ Med ; 27(4): 680-688, 2020 Dec 22.
Artículo en Inglés | MEDLINE | ID: mdl-33356078

RESUMEN

INTRODUCTION AND OBJECTIVE: The aim of the study is to discuss the legal framework for telemedicine services in Poland, and to present telemedicine solutions used in selected European countries. MATERIAL AND METHODS: The analysis of legal cts was chosen as a research method in order to determine legal possibilities for medical professionals to use telemedicine services. A literature review was undertaken to demonstrate the possibilities of telemedicine as used in the United Kingdom, Germany, Norway, The Netherlands and Sweden. RESULTS: The Act on the professions of a doctor and a dentist states that the doctor and the dentist can perform their profession via ICT systems or communication systems. The doctor is obliged to practice in accordance with current medical knowledge and available methods. 'Available methods' include considering information and communication measures that may allow prevention, recognition or treatment. The Act on the profession of a nurse and a midwife states that the nurse and midwife perform the professions using current medical knowledge and the mediation of ICT systems or communication systems. Thus, the legislator has clearly authorized persons performing these professions to provide services in the field of telemedicine. However, despite the existence of a legal basis for using telemedicine, its development in Poland is not as high as in the United Kingdom, Germany, Norway, The Netherlands or Sweden. CONCLUSIONS: The legislator gradually introduces legal solutions necessary for the development of telemedicine services, although the pace of these changes, as well as building the technical infrastructure that is the basis for the proper provision of telemedicine services, are too slow.


Asunto(s)
Odontólogos/legislación & jurisprudencia , Partería/legislación & jurisprudencia , Enfermeras y Enfermeros/legislación & jurisprudencia , Médicos/legislación & jurisprudencia , Telemedicina/legislación & jurisprudencia , Comunicación , Polonia , Telemedicina/normas
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