Implementation of Point‑of‑Care ultrasound examination in general practice.

Q4 Medicine
David Halata, Dušan Zhoř, Roman S Kulec
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引用次数: 0

Abstract

Point-of-Care ultrasonography (POCUS) is a method defined as a targeted ultrasound examination of patients with acute symptoms or syndromes that can be diagnosed by a healthcare worker at a site. The aim is to answer a specific diagnostic or therapeutic question or to ease the therapeutic procedure. Recently in Europe, there has been an increase in implementing POCUS in many medical fields including primary health care. The Czech Society of General Practice (SVL ČLS JEP) has for several years been watching the use of POCUS in primary care in many European countries. In August 2020, the committee of the Czech Society of General Practice charged the Working Group for ultrasound in primary care to start a project POCUS iGP - POCUS Implementation in General Practice aiming for the implementation of POCUS into daily practice in general medicine. An ultrasound device is required, as well as setting up the education and training courses with follow up courses and a consensual curriculum of skills, securing quality control mechanisms, proving with scientific evidence the reliability of POCUS when provided by GPs and setting up the final rules of competency and payment for performance. The current international trend of patient centred care in primary health settings and increasing competencies of GPs emphasises a need to implement new point of care diagnostic methods. One of which is point of care ultrasonography. Scientific outcomes and published data from primary care and other fields of medicine show that even doctors who do not work in radiology departments are after a relatively short course able to independently provide POCUS examinations with high reliability. Establishment of the Czech Multidisciplinary Task Force Group for standards, education and research in Pointof- Care ultrasound support development of the POCUS implementation.

在全科医疗中实施护理点超声波检查。
护理点超声波检查(POCUS)是指对有急性症状或综合征的患者进行有针对性的超声波检查,医护人员可在现场进行诊断。其目的是回答特定的诊断或治疗问题,或简化治疗程序。最近,在欧洲,包括初级卫生保健在内的许多医疗领域都在越来越多地采用 POCUS 技术。捷克全科医学会(SVL ČLS JEP)多年来一直在关注欧洲许多国家在初级医疗中使用 POCUS 的情况。2020 年 8 月,捷克全科医学会委员会责成全科医学超声工作组启动 POCUS iGP 项目--在全科医学中实施 POCUS,旨在将 POCUS 应用到全科医学的日常实践中。该项目需要一台超声设备,还需要开设教育和培训课程,包括后续课程和一致同意的技能课程,确保质量控制机制,用科学证据证明全科医生提供 POCUS 的可靠性,并制定能力和绩效支付的最终规则。目前,国际趋势是在初级医疗机构开展以病人为中心的医疗服务,全科医生的能力也在不断提高,因此有必要实施新的医疗点诊断方法。其中之一就是医疗点超声波检查。来自初级保健和其他医学领域的科学成果和已公布的数据表明,即使不是在放射科工作的医生,在经过相对较短的培训后,也能独立提供可靠性较高的 POCUS 检查。捷克医疗点超声标准、教育和研究多学科工作组的成立为 POCUS 的实施提供了支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Vnitrni lekarstvi
Vnitrni lekarstvi Medicine-Internal Medicine
CiteScore
0.50
自引率
0.00%
发文量
104
期刊介绍: Vnitřní lékařství je tiskovým orgánem České internistické společnosti České lékařské společnosti Jana Evangelisty Purkyně a Slovenskej internistickej spoločnosti Slovenskej lekárskej spoločnosti. Je vydáván nepřetržitě od roku 1955. Časopis vychází jako měsíčník, tedy 12krát do roka a podle potřeby jsou v běžném ročníku vydávána jeho suplementa, která jsou obsahově zaměřena k určitému tématu. Tematicky je časopis zaměřen široce na oblast interní medicíny se zvláštní pozorností ke kardiologii, diabetologii a poruchám metabolizmu.
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