PDF(Pubmed)
Abstract：
The COVID-19 pandemic led to the widespread and continuing use of telemedicine in primary care. Despite telemedicine\'s benefits, it threatens to reduce the role of family physician to that of gatekeeper and case manager, nullifying decades of experience and medical intuition that is more difficult to develop and apply virtually. Additionally, many values of family medicine have eroded during this global process. The narrative presents 3 vignettes that illustrate different ways in which we contend with this complex issue. The challenges presented by telemedicine require us to re-examine our professional and personal values such as maintaining the centrality of the therapeutic relationship with patients. The greatest concern, however, relates to the future of the profession and the ability of new family doctors to overcome the challenges of telemedicine in an increasingly digital world.
摘要：
COVID-19大流行导致远程医疗在初级保健中的广泛和持续使用。尽管远程医疗有好处,它有可能将家庭医生的角色降低到看门人和病例经理的角色，使几十年的经验和医学直觉无效，这些经验和直觉实际上更难开发和应用。此外,在这个全球进程中，许多家庭医学的价值已经被侵蚀。叙述提出了3个小插曲，说明了我们应对这个复杂问题的不同方式。远程医疗带来的挑战要求我们重新审视我们的专业和个人价值观，例如保持与患者的治疗关系的中心地位。最大的担忧,然而,与职业的未来以及新家庭医生在日益数字化的世界中克服远程医疗挑战的能力有关。
