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眼科远程医疗发展现状与前景
引用本文:张潇,陈有信.眼科远程医疗发展现状与前景[J].协和医学杂志,2021,12(5):755-760.
作者姓名:张潇  陈有信
作者单位:中国医学科学院 北京协和医学院 北京协和医院眼科 中国医学科学院眼底病重点实验室,北京 100730
基金项目:中国医学科学院中央级公益性科研院所基本科研业务费专项基金2018PT32029
摘    要:随着技术的进步,医生可通过远程医疗进行疾病的诊断和治疗。目前眼科远程医疗主要用于某些眼科疾病的筛查和诊断、慢性眼病的监测,以及眼科疾病的远程会诊等。随着眼科远程医疗的需求及应用不断增加,逐渐暴露出存在的一些问题,如基础设施和人员配备、医疗风险、患者接受度和满意度、网络安全和隐私保护、医疗保险覆盖等。COVID-19疫情全球大流行将远程医疗推向了眼科医疗服务的前沿,并可能持续改变眼科疾病的诊疗模式。随着人工智能技术的发展、5G通信网络覆盖范围的扩大、基层医疗服务人员培训的规范化及相关法律法规的出台,眼科远程医疗将更加规范和完善,应用范围更加广泛,为患者提供高质量、可持续性的医疗服务。

关 键 词:眼科远程医疗    糖尿病视网膜病变    早产儿视网膜病变    青光眼    年龄相关性黄斑变性    人工智能
收稿时间:2021-02-17

Current Situation and Prospect of Teleophthalmology
Affiliation:Key Laboratory of Ocular Fundus Diseases, Chinese Academy of Medical Sciences; Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
Abstract:With the development of technology, doctors can diagnose and treat many diseases through telemedicine. At present, teleophthalmology is mainly used in screening and diagnosing some ocular diseases, monitor-ing chronic ocular diseases, as well as teleconsultation. With the increasing demand and application of teleophthalmology, some problems will gradually become prominent, such as insufficient equipment and staff, medical risks, patient acceptance and satisfaction, network security, privacy, and covering of medical insurance. The global pandemic of COVID-19 has unexpectedly brought telemedicine to the forefront of ophthalmic services, and may continue to change the way of ophthalmic diagnosis and treatment. With the development of artificial intelligence technology, the expansion of 5G communication network coverage, the standardized training of primary medical staff, and the introduction of relevant laws and regulations, teleophthalmology will become more improved, universal, and widely applied, so as to provide patients with sustainable medical services of higher quality.
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