講演情報
[OE8-5]Implementing telemedicine in prenatal genetic counseling (PGC) under the Covid-19 pandemic
○木戸 浩一郎1, 青木 美保2, 中林 倫子2, 紀平 力1, 中川 一平1, 瀬戸 理玄1,4, 西澤 美紀1, 渡邉 さや1, 八木 慶太1, 高崎 和樹1, 平野 茉来1, 一瀬 隆行1, 西田 晴香1, 平池 春子1, 笹森 幸文1, 梁 栄治1, 置塩 英美5, 三牧 正和5, 渡邊 清高3, 長阪 一憲1 (1.帝京大学 医学部 産婦人科学講座, 2.帝京大学医学部附属病院 帝京がんセンター, 3.帝京大学医学部附属病院 腫瘍内科, 4.瀬戸病院, 5.帝京大学医学部附属病院 小児科)
Background: We have noticed the possibility of online-counseling (OC), searched the potential platforms, and reported the result previously. The Covid-19 pandemic (CP) has promoted the need for OC among the clients, forcing us to implement it. Here we report the experience of launching OC during the CP in Japan.Method: Based on the previous report, we have selected some software fulfilling the standards required by the current regulations, and tested them. Our requirements were as follows: 1. Sharing materials for explanation or inquiries between counselor and clients.2. Connect three sites, i.e., hospital, home, and office of a spouse or partner.3. Applicable for various devices.Result: 1. No platform allowed us to connect three sites. 2. There were few suitable software for first-time counseling. 3. We chose to start the OC only for the disclosure of the negative test results.Discussion: Under the conventional circumstances, OC was quite limited under special conditions, -such as on remote islands. The CP forced us to promote telemedicine. However, it revealed that few platforms practically suitable in clinical settings had been developed under strict regulations. In PGC, three site connections, and showing explanatory material while watching the response of the clients are necessary. For PGC, more specialized software is expected.Conclusion: 1. For the disclosure of the test results, the current software was sufficiently useful. 2. For first-time counseling, more sophisticated software is expected. 3. Less strict regulations are hoped for broader usage of OC.