Despite data supporting the rapid adoption of telehealth in the delivery of clinical care in North America, the implementation of telehealth visits in clinical research studies has faced critical barriers. These challenges include: (1) variations in state licensure requirements for telehealth; (2) disparities in access to telehealth among disadvantaged populations; (3) lack of consistency among individual Investigational Review Boards (IRBs). Each barrier prevents the systematic conversion of research protocols to include telehealth visits. The Parkinson’s Foundation and members of the Parkinson Study Group submit this Comment to highlight current challenges to implementing telehealth visits for clinical research studies. Our objective is to provide a consensus statement emphasizing the urgent need for regulators to standardize adoption of telehealth practices and to propose recommendations to reduce the burden for implementation in existing research study protocols.

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加快临床研究中的远程医疗使用：克服北美障碍的建议

尽管有数据支持在北美临床医疗服务中迅速采用远程医疗，但在临床研究中实施远程医疗就诊面临着严峻的障碍。这些挑战包括：（1）远程医疗的州许可要求有所不同；（2）处境不利的人群在获得远​​程医疗服务方面的差距；（3）各个研究审查委员会（IRB）之间缺乏一致性。每个障碍都阻止了研究协议的系统转换以包括远程医疗就诊。帕金森氏基金会和帕金森研究小组的成员提交了此评论，以强调在临床研究中实施远程医疗就诊当前面临的挑战。