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Telehealth in Physical Medicine and Rehabilitation : A Narrative Review

TENFORDE AS; HEFNER JE; KODISH WACHS JE; IACCARINO MA; PAGANONI S
PM & R , 2017, vol. 9, n° 5S, p. S51-S58
Doc n°: 182972
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.pmrj.2017.02.013
Descripteurs : KF41 - INFORMATIQUE ET COMMUNICATION

Telehealth refers to health care interactions that leverage telecommunication
devices to provide medical care outside the traditional face-to-face, in-person
medical encounter. Technology advances and research have expanded use of
telehealth in health care delivery. Physical medicine and rehabilitation
providers may use telehealth to deliver care to populations with neurologic and
musculoskeletal conditions, commonly treated in both acute care and outpatient
settings. Patients with impaired mobility and those living in locations with
reduced access to care may particularly benefit. Video-teleconferencing has been
shown to be effective for management of burn patients during acute
rehabilitation, including reduced health care use expenses and less disruptions
to care. Telehealth can facilitate developing interprofessional care plans.
Patients with neurologic conditions including stroke, spinal cord injury,
traumatic brain injury, and amyotrophic lateral sclerosis may use telehealth to
monitor symptoms and response to treatment.
Telehealth also may facilitate
occupational and physical therapy programs as well as improve weight management
and skin care in patients with chronic conditions. Other applications include
imaging review in sports medicine, symptom management and counseling in
concussion, traumatic brain injury, and pain management programs. Limitations of
telehealth include barriers in establishing relationship between medical provider
and patient, ability to perform limited physical examination, and differences in
payment models and liability coverage. The expansion of telehealth services is
expected to grow and has potential to improve patient satisfaction by delivering
high quality and value of care.
CI - Copyright (c) 2017 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.
- Avancées technologiques

Langue : ANGLAIS

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