Grigsby J, Schlenker R E, Kaehny M M, Shaughnessy P W, Sandberg E J
Center for Health Policy Research, Denver, CO, USA.
Telemed J. 1995 Spring;1(1):31-9. doi: 10.1089/tmj.1.1995.1.31.
This paper discusses two conceptual models intended to facilitate research on the effects and effectiveness of telemedicine. The first is a conceptual framework to study the efficacy of telemedicine as a diagnostic medium. Using conditions that are carefully chosen to serve as indicators of effectiveness, we recommended the analysis of sensitivity and specificity to establish the accuracy of telemedicine in relation to conventional health care delivery. Suggested guidelines for interpretation of the results are discussed. The second model is a scheme for classification of telemedicine applications that is based on processes of care rather than on specialties or disorders. The purpose of this classification scheme is to facilitate research on such variables as costs, access, acceptability, and effects on practice patterns.
本文讨论了两个概念模型，旨在促进对远程医疗的效果和有效性的研究。第一个是用于研究远程医疗作为诊断媒介的功效的概念框架。通过精心选择作为有效性指标的条件，我们建议分析敏感性和特异性，以确定远程医疗相对于传统医疗服务的准确性。文中讨论了结果解释的建议指南。第二个模型是基于护理流程而非专业或疾病的远程医疗应用分类方案。该分类方案的目的是促进对成本、可及性、可接受性以及对实践模式的影响等变量的研究。
