% 0期刊文章%米切尔沃林%萨拉%一个海琳Machado %一个芭芭拉Topol Lorene Nelson % %一个威廉Culpepper %一个海蒂Maloni山金% %撒母耳在多发性硬化症Yeroushalmi % T远程医疗保健:一个国家利用评估和系统综述(p1.2 - 105) % D J神经病学2019% % P p1.2 - 105 V % 92% N % X 15补充目的:评估当前利用远程医疗的多发性硬化症患者(pwm),进行全面的文献综述。首页背景:pwm面临障碍访问专业护理评估和治疗。远程医学、临床护理实践在远处的技术,可能是一个潜在的pwm关闭访问桥梁隔开距离或残疾。本研究的目的是探讨远程医疗使用的类型和总体结果pwm和他们的供应商。设计/方法:布尔搜索之间的医学文献进行了2000年1月,1月31日,2017年。PubMed、EMBASE PsycINFO,科克伦数据库,用来确定所有相关的引用。两个评论者独立评估会议研究的文章对研究质量标准及使用CASP系统。财务成本的远程医疗应用程序进行评估。国家卫生系统的数据集,为联合健康集团Truven和退伍军人事务部的统计评估远程医疗利用2008 - 2010年和2016年。所有女士病例的验证算法和匹配控制。结果:共有28个研究涉及3352名参与者满足入选标准。远程医疗干预分类和结果评估系统由以下类别:一般女士护理; rehabilitation and exercise; and neuropsychology/mental health. Studies showed a range of outcomes with variable quality. Overall, long-term telemedicine management interventions, telerehabilitation, and remote clinical examinations were shown to be beneficial, cost-effective, and satisfactory for patients and providers. Utilization of telemedicine within the Optum, Truven and VA health care systems is presented for MS and controls.Conclusions: Telemedicine is a viable platform for delivering specialty MS care. Its use and reimbursement within health care systems is variable. Optimal implementation and barriers to its use in the current health care system should be explored.Disclosure: Dr. Wallin has nothing to disclose. Dr. Minden has nothing to disclose. Dr. Machado has nothing to disclose. Dr. Nelson has nothing to disclose. Dr. Topol has nothing to disclose. Dr. Culpepper has nothing to disclose. Dr. Jin has nothing to disclose. Dr. Maloni has nothing to disclose. Dr. Yeroushalmi has nothing to disclose. %U

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