Reflections on a Health System's Telemedicine Marathon.

Telemedicine reports Pub Date : 2020-11-18 eCollection Date: 2020-01-01 DOI:10.1089/tmr.2020.0009
Lawrence R Wechsler, Srinath Adusumalli, Mary Elisabeth Deleener, Ann Marie Huffenberger, Gregory Kruse, C William Hanson
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引用次数: 6

Abstract

The coronavirus disease 2019 (COVID-19) public health emergency necessitated changes in health care delivery that will have lasting implications. The University of Pennsylvania Health System is a large multihospital system with an academic medical center at its core. To continue to care for patients with and without COVID-19, the system had to rapidly deploy telemedicine. We describe the challenges faced with the existing telemedicine infrastructures, the central mechanisms created to facilitate the necessary conversions, and the workflow changes instituted to support both inpatient and outpatient activities for thousands of providers, many of whom had little or no experience with telemedicine. We also discuss innovations that occurred as a result of this transition and the future of telemedicine at our institution.

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对卫生系统远程医疗马拉松的思考。
2019年冠状病毒病(COVID-19)突发公共卫生事件迫使医疗保健服务发生变化,这将产生持久影响。宾夕法尼亚大学卫生系统是一个以学术医疗中心为核心的大型多医院系统。为了继续照顾COVID-19患者和非患者,该系统必须快速部署远程医疗。我们描述了现有远程医疗基础设施面临的挑战,为促进必要的转换而创建的中心机制,以及为支持数千家提供者的住院和门诊活动而制定的工作流程变更,其中许多提供者很少或没有远程医疗经验。我们还讨论了由于这种转变而产生的创新以及我们机构远程医疗的未来。
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Correction to : “A Prioritized Patient-Centered Research Agenda to Reduce Disparities in Telehealth Uptake:Results from a National Consensus Conference” by Kristin L. Rising et al. Telemed Report 2023;4(1): 387–395; doi: 10.1089/tmr.2023.0051 The Impact of Waiting Times on Behavioral Outcomes for Children with Otitis Media: Results from an Urban Ear, Nose, and Throat Telehealth Service Factors Associated with the Digital Patient Experience of Virtual Care Across Specialties. Telemedicine in Brazil: Teleconsultations at the Largest University Hospital in the Country. Achieving Digital Health Equity by Personalizing the Patient Experience.
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