Development of telemedicine in Poland - organizational, ethical and communication challenges.

IF 1.2 4区 医学 Q4 ENVIRONMENTAL SCIENCES Annals of Agricultural and Environmental Medicine Pub Date : 2025-03-25 Epub Date: 2024-10-11 DOI:10.26444/aaem/192793
Agnieszka Pochrzęst-Motyczyńska, Jarosław Pinkas, Urszula Religioni, Janusz Ostrowski
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Abstract

Introduction and objective: We are witnessing a revolution in the field of telemedicine, which has begun to be used in every medical specialty. The aim of the review is to identify and summarise ethical and communication challenges related to the development of telemedicine in Poland.

Review methods: Scientific articles found in the electronic databases PubMed and ScienceDirect were analyzed using key words: telemedicine; Distance Counseling; e-Health Service and Digital Health Technology. Guidelines of the World Health Organization (WHO), the American Telemedicine Association (ATA) and the General Medical Council (GMC) were taken into account. Data is presented on e-services of the Ministry of Health, the E-Health Centre and National Health Fund.

Brief description of the state of knowledge: According to data from the National Health Fund, since 2020, the percentage of online consultation provided in Primary Health Care and Specialist Outpatient Care has been decreasing. In Poland, the potential resulting from the development of e-services is still untapped. The introduction of e-prescription and e-referral is convenient for the patient and staff, but does not have a health effect.

Summary: In order to improve the efficiency of the health care system, it is necessary to focus on the further development of new e-services. It is worth introducing solutions that allow the use of medical data and test results to relieve the patient of the burden of transferring medical records to subsequent doctors. It is necessary to develop a standard for the provision of teleconsultations in order to eliminate pathological prescription issuance through online platforms providing consultations. Remote provision of medical services also requires further development of the digital competences of both staff and patients.

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波兰远程医疗的发展——组织、伦理和沟通方面的挑战。
简介和目的:我们正在见证远程医疗领域的一场革命,它已经开始应用于每一个医学专业。审查的目的是确定和总结与波兰远程医疗发展有关的伦理和沟通挑战。综述方法:对PubMed和ScienceDirect电子数据库中的科学论文进行分析,关键词:远程医疗;距离咨询;电子卫生服务和数字卫生技术。考虑到世界卫生组织(世卫组织)、美国远程医疗协会(ATA)和总医学委员会(GMC)的准则。提供了关于卫生部、电子保健中心和国家保健基金的电子服务的数据。知识状况简要说明:根据国家卫生基金的数据,自2020年以来,初级卫生保健和专科门诊服务提供的在线咨询百分比一直在下降。在波兰,电子服务发展所产生的潜力仍未得到开发。电子处方和电子转诊的引入方便了患者和工作人员,但没有对健康产生影响。摘要:为了提高医疗卫生系统的工作效率,有必要关注新型电子服务的进一步发展。有必要引入允许使用医疗数据和测试结果的解决方案,以减轻患者将医疗记录传递给后续医生的负担。制定远程会诊提供标准,消除通过网络平台提供会诊开具病理性处方的现象。远程提供医疗服务还需要进一步发展工作人员和患者的数字能力。
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来源期刊
Annals of Agricultural and Environmental Medicine
Annals of Agricultural and Environmental Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.00
自引率
5.90%
发文量
58
审稿时长
4-8 weeks
期刊介绍: All papers within the scope indicated by the following sections of the journal may be submitted: Biological agents posing occupational risk in agriculture, forestry, food industry and wood industry and diseases caused by these agents (zoonoses, allergic and immunotoxic diseases). Health effects of chemical pollutants in agricultural areas , including occupational and non-occupational effects of agricultural chemicals (pesticides, fertilizers) and effects of industrial disposal (heavy metals, sulphur, etc.) contaminating the atmosphere, soil and water. Exposure to physical hazards associated with the use of machinery in agriculture and forestry: noise, vibration, dust. Prevention of occupational diseases in agriculture, forestry, food industry and wood industry. Work-related accidents and injuries in agriculture, forestry, food industry and wood industry: incidence, causes, social aspects and prevention. State of the health of rural communities depending on various factors: social factors, accessibility of medical care, etc.
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