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Virtual care: A 'Zoombie' apocalypse?
Journal of the American Medical Informatics Association ( IF 6.4 ) Pub Date : 2020-09-17 , DOI: 10.1093/jamia/ocaa185
Aviv Shachak 1 , Maria Alcocer Alkureishi 2
Affiliation  

In the wake of COVID-19, clinicians took to telehealth to continue providing services to their patients, mostly via telephone or videoconferencing technology. Telehealth has many promised and proven benefits including convenience to the patient, potentially less distraction from the electronic health record (EHR), saves in travel time and expenses, and lowering patients’ wait time in the clinic. However, there could be some unintended negative consequences including increased clinician burnout due to screen fatigue, potential loss of information due to the limitations of the medium, difficulty discussing sensitive issues and impacts on patient-clinician relationship, empathy, and compassion. In this perspective, we discuss some of the positives and potential negatives of telehealth and highlight some considerations that could guide the choice of media. We submit that for telehealth to become a sustainable solution that is widely applied, it is important to take these issues into consideration in both research and implementation of telehealth solutions.

中文翻译:

虚拟护理:“ Zoombie”启示录?

在COVID-19之后,临床医生开始使用远程医疗,继续通过电话或视频会议技术为患者提供服务。远程医疗具有许多有前途且已被证明的好处,包括给患者带来便利,可能减少对电子健康记录(EHR)的干扰,节省旅行时间和费用,并减少患者在诊所的等待时间。但是,可能会有一些意想不到的负面后果,包括由于屏幕疲劳导致临床医生的倦怠增加,由于介质的限制而导致的信息丢失,难以讨论敏感问题以及对患者与临床医生的关系,同情心和同情心的影响。从这个角度来看,我们讨论了远程医疗的一些正面和负面影响,并重点介绍了可以指导媒体选择的一些注意事项。我们认为,要使远程医疗成为广泛应用的可持续解决方案,在远程医疗解决方案的研究和实施中必须考虑这些问题。
更新日期:2020-11-18
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