Tilford J M, Garner W E, Strode S W, Bynum A B
Center for Applied Research and Evaluation, University of Arkansas for Medical Sciences, Little Rock, USA.
Telemed J. 1997 Winter;3(4):257-63. doi: 10.1089/tmj.1.1997.3.257.
To assess physician attitudes toward the usefulness, effectiveness, and expected use of telemedicine, as well as interest in learning about the technology.
A survey instrument assessing attitudes toward each of the four objective domains was mailed to 46 physicians at six hospitals affiliated with the Rural Hospital Program of the University of Arkansas for Medical Sciences. Binomial probability methods were used to analyze the responses.
The survey achieved a response rate of 59% (27/46). Physician responders agreed that telemedicine would be useful in improving patient care quality but would not be useful in improving the financial position of the hospital or in lowering patient-borne costs. Physicians were evenly split on the effectiveness and expected utilization of telemedicine for patient consults. There was significant interest in learning more about telemedicine applications.
Barriers to utilization of telemedicine by physicians may remain even under a new reimbursement system unless referring physicians are convinced of the benefits to the community as well the clinical effectiveness of the technology.
评估医生对远程医疗的实用性、有效性、预期用途的态度，以及对了解该技术的兴趣。
向阿肯色大学医学科学分校农村医院项目附属的六家医院的46名医生邮寄了一份评估对四个目标领域态度的调查问卷。采用二项式概率方法分析回复。
调查的回复率为59%（27/46）。回复的医生一致认为远程医疗有助于提高患者护理质量，但对改善医院财务状况或降低患者自付费用没有帮助。医生们对远程医疗用于患者咨询的有效性和预期利用率意见不一。对了解更多远程医疗应用有浓厚兴趣。
除非转诊医生确信该技术对社区有益且具有临床有效性，否则即使在新的报销系统下，医生使用远程医疗的障碍可能仍然存在。
