COVID-19 and the Dynamic Role of Telemedicine

Grace Koehler, Saadiq F. El-Amin III, Ashim Gupta
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Abstract

The COVID-19 pandemic brought never before seen changes in the use of telemedicine in healthcare. With a contagious and unfamiliar virus spreading worldwide, patients and physicians began to utilize contactless options of communication like telephone calls and video visits out of necessity. Prior to March 2020, telemedicine was in use, but on markedly smaller and limited scale. As 2020 progressed, the use of telemedicine rapidly expanded, especially in the United States, presenting both positive aspects like safety and convenience as well as negative aspects like loss of patient physical contact/exam and concern for new socioeconomic inequities. The adaptation of greater telehealth use in primary care specifically appears to hold potential for long term sustainability and use with patients experiencing new ways to interact with the healthcare system. Going forward, addressing such challenges as payment models and quantifying patient long term outcomes are important to the viability of telemedicine. The future of telemedicine will certainly cause dynamic changes in healthcare far outlasting the pandemic, both for patient and provider.
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COVID-19与远程医疗的动态作用
2019冠状病毒病大流行给医疗保健领域远程医疗的使用带来了前所未有的变化。随着一种传染性和不熟悉的病毒在全球蔓延,病人和医生开始使用非接触式的通信方式,如电话和视频访问。在2020年3月之前,远程医疗正在使用,但规模明显较小且有限。随着2020年的推进,远程医疗的使用迅速扩大,特别是在美国,既有安全性和便利性等积极方面,也有失去患者身体接触/检查以及对新的社会经济不平等的担忧等消极方面。在初级保健中适应更多的远程医疗使用似乎具有长期可持续性的潜力,并可用于体验与医疗保健系统互动的新方式的患者。展望未来,解决诸如支付模式和量化患者长期结果等挑战对远程医疗的可行性至关重要。远程医疗的未来必将使医疗保健发生动态变化,远远超过疫情持续的时间,对患者和提供者都是如此。
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