Open Issues and Practical Suggestions for Telemedicine in Chronic Pain

被引:34
作者
Cascella, Marco [1 ]
Marinangeli, Franco [2 ]
Vittori, Alessandro [3 ]
Scala, Cristina [4 ]
Piccinini, Massimo [5 ]
Braga, Alessandro [6 ]
Miceli, Luca [7 ]
Vellucci, Renato [8 ]
机构
[1] Ist Nazl Tumori IRCCS Fdn Pascale, Div Anesthesia & Pain Med, I-80131 Naples, Italy
[2] Univ Aquila, Dept Life Hlth & Environm Sci, I-67100 Laquila, Italy
[3] Osped Pediat Bambino Gesu IRCCS, Dept Anesthesia & Crit Care, ARCO, Arco Felice Napoli, Italy
[4] Senigallia Hosp, UOC Anesthesia Intens Care & Pain Therapy, I-60123 Ancona, Italy
[5] Aquila ASL1 Abruzzo, Anesthesia Crit Care Palliat Med & Pain Therapy S, I-67100 Laquila, Italy
[6] Italia Srl, Grunenthal, I-20019 Milan, Italy
[7] IRCCS CRO Aviano, Dept Clin & Expt Pain Med, I-33081 Aviano, Italy
[8] Univ Hosp Careggi, Pain & Palliat Care Clin, I-50121 Florence, Italy
关键词
chronic pain; telemedicine; healthcare delivery; health-related quality of life; functionality; RELIABILITY;
D O I
10.3390/ijerph182312416
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Telemedicine represents a major opportunity to facilitate continued assistance for patients with chronic pain and improve their access to care. Preliminary data show that an improvement can be expected of the monitoring, treatment adherence, assessment of treatment effect including the emotional distress associated with pain. Moreover, this approach seems to be convenient and cost-effective, and particularly suitable for personalized treatment. Nevertheless, several open issues must be highlighted such as identification of assessment tools, implementation of monitoring instruments, and ability to evaluate personal needs and expectations. Open questions exist, such as how to evaluate the need for medical intervention and interventional procedures, and how to define when a clinical examination is required for certain conditions. In this context, it is necessary to establish dynamic protocols that provide the right balance between face-to-face visits and telemedicine. Useful tips are provided to start an efficient experience. More data are needed to develop precise operating procedures. In the meantime, the first experiences from such settings can pave the way to initiate effective care pathways in chronic pain.
引用
收藏
页数:10
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