新生儿远程医疗

Scope of telemedicine in neonatology

医生短缺是一个世界性的问题。最近,世界卫生组织(WHO)报告全球短缺430万名医生、护士和其他卫生保健专业人员。在发展中国家,由于医学院的数量和能力有限,这种短缺更加严重。包括美国、加拿大、新西兰、英国、澳大利亚和德国在内的许多发达国家都报告了类似的问题[1]。美国医学院协会估计,到2032年,美国医生缺口将达到46900~121900人[2]。

There is a widespread shortage of physicians worldwide,especially in rural areas.This shortage is more prevalent when it comes to subspecialty care,even in developed countries.One way to provide access to specialty care is using technology via telemedicine.Telemedicine has evolved over the last two decades,and its use is becoming widespread in developed countries.However,its use in the neonatal population is still limited and practiced only in some centers.It is now apparent that telemedicine can be successfully used in the neonatal population for screening premature infants for retinopathy of prematurity,congenital heart disease,bedside clinical rounds,neonatal resuscitation with the support of a tertiary care hospital,and family support.This avoids unnecessary transfer and appears to provide the same quality of care that the baby would have received at the tertiary care facility.This approach also improves family satisfaction,as the baby and the mother are kept together,and reduces the cost of care.This review focuses on the use of telemedicine in neonatal care,concentrating on the main areas where telemedicine has been shown to be successful and effective,including the status of telemedicine in China.