Recommendations for the Implementation of Telehealth in Cardiovascular and Stroke Care A Policy Statement From the American Heart Association

被引:129
作者
Schwamm, Lee H. [1 ]
Chumbler, Neale [6 ]
Brown, Ed [3 ,4 ,5 ]
Fonarow, Gregg C. [7 ]
Berube, David [2 ]
Nystrom, Karin [14 ]
Suter, Robert [16 ,17 ]
Zavala, Mirian [18 ]
Polsky, Daniel [15 ]
Radhakrishnan, Kavita
Lacktman, Nathaniel [13 ]
Horton, Katherine [12 ]
Malcarney, Mary-Beth [12 ]
Halamka, John [8 ,9 ,10 ,11 ]
Tiner, A. Colby [16 ]
机构
[1] Harvard Med Sch, Massachusetts Gen Hosp, Boston, MA 02115 USA
[2] North Carolina State Univ, Raleigh, NC USA
[3] Ontario Telemed Network, Toronto, ON, Canada
[4] OntarioMD, Toronto, ON, Canada
[5] Amer Telemed Assoc, Toronto, ON, Canada
[6] Western Kentucky Univ, Coll Hlth & Human Sci, Bowling Green, KY 42101 USA
[7] Univ Calif Los Angeles, Los Angeles, CA 90024 USA
[8] Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA
[9] Harvard Med Sch, Boston, MA USA
[10] MA SHARE, New England Hlth Elect Data Interchange Network, Boston, MA USA
[11] US Healthcare Informat Technol Stand Panel, Boston, MA USA
[12] George Washington Univ, Washington, DC 20052 USA
[13] Foley & Lardner LLP, Milwaukee, WI USA
[14] Yale Univ, New Haven Stroke Ctr, New Haven, CT 06520 USA
[15] Univ Penn, Philadelphia, PA 19104 USA
[16] Amer Heart Assoc, Dallas, TX USA
[17] Univ Texas Southwestern, Dallas, TX USA
[18] Coll Mt St Vincent, New York, NY USA
关键词
AHA Scientific Statements; cardiovascular diseases; health services; stroke; telemedicine; WEARABLE CARDIOVERTER-DEFIBRILLATOR; IMPLANTABLE ELECTRONIC DEVICES; ACUTE ISCHEMIC-STROKE; COST-EFFECTIVENESS; FAILURE PATIENTS; AMBULATORY PATIENTS; DISEASE MANAGEMENT; VIRTUAL-REALITY; OLDER-ADULTS; TELEMEDICINE;
D O I
10.1161/CIR.0000000000000475
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The aim of this policy statement is to provide a comprehensive review of the scientific evidence evaluating the use of telemedicine in cardiovascular and stroke care and to provide consensus policy suggestions. We evaluate the effectiveness of telehealth in advancing healthcare quality, identify legal and regulatory barriers that impede telehealth adoption or delivery, propose steps to overcome these barriers, and identify areas for future research to ensure that telehealth continues to enhance the quality of cardiovascular and stroke care. The result of these efforts is designed to promote telehealth models that ensure better patient access to high-quality cardiovascular and stroke care while striving for optimal protection of patient safety and privacy.
引用
收藏
页码:E24 / E44
页数:21
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