Abstract

At the onset of the COVID-19 (coronavirus disease 2019) pandemic, telemedicine was rapidly implemented to protect patients and healthcare providers from infection. It is unlikely that care delivery will fully return to the pre-COVID form. Telemedicine offers many opportunities to improve care efficiency, accessibility, and patient outcomes, but many challenges exist related to technology interoperability, the digital divide, and usability. We propose that telemedicine evolve to support continuity of care throughout the patient journey, including multidisciplinary care teams and the seamless integration of data into the clinical workflow to support a learning healthcare system. Importantly, evidence is needed to support this paradigm shift in care delivery to ensure the quality and efficacy of care delivered via telemedicine. Here, we highlight gaps and opportunities that need to be addressed by the biomedical informatics community to move forward with safe and effective healthcare delivery via telemedicine.

中文翻译：

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通过远程医疗进行健康管理：从 COVID-19 的经验中学习

摘要

在 COVID-19（2019 年冠状病毒病）大流行开始时，远程医疗得到迅速实施，以保护患者和医疗保健提供者免受感染。护理服务不太可能完全恢复到 COVID 之前的形式。远程医疗为提高护理效率、可及性和患者结果提供了许多机会，但在技术互操作性、数字鸿沟和可用性方面存在许多挑战。我们建议远程医疗发展以支持整个患者旅程的护理连续性，包括多学科护理团队以及将数据无缝集成到临床工作流程中以支持学习型医疗保健系统。重要的是，需要证据来支持这种护理提供的范式转变，以确保通过远程医疗提供的护理的质量和效果。这里，