Valero M A, Arredondo M T, del Nogal F, Rodríguez J M, Frías E
Grupo de Bioingeniería y Telemedicina, Technical University of Madrid, Spain.
J Telemed Telecare. 2000;6 Suppl 1:S99-101. doi: 10.1258/1357633001934311.
Experience shows that high-quality audiovisual contact between remote health carers and patients facilitates a telemedicine service. However, the lack of broadband communication to the home usually prevents domestic televisiting. Deployment of cable networks in Spain has allowed the implementation of a home televisiting service designed for patients with chronic diseases. In a trial, 15 patients received televisits by three specialists and three nurses from the Severo Ochoa Hospital in Madrid. Five patients suffered from chronic pain, five were from the nephrology unit and five had been treated at the intensive-care unit after acute myocardial infarction. Each patient participated in three televisiting sessions, two provided by a specialist and the other by a nurse. The average length of a televisit was 12 min (range 5-21 min). The patients expressed their satisfaction with the service.
经验表明，远程医护人员与患者之间高质量的视听接触有助于开展远程医疗服务。然而，家庭缺乏宽带通信通常会阻碍家庭远程会诊。西班牙有线电视网络的部署使得为慢性病患者设计的家庭远程会诊服务得以实施。在一项试验中，15名患者接受了来自马德里塞韦罗·奥乔亚医院的三名专科医生和三名护士的远程会诊。其中五名患者患有慢性疼痛，五名来自肾病科，五名在急性心肌梗死后在重症监护病房接受过治疗。每位患者参加了三次远程会诊，其中两次由专科医生提供，另一次由护士提供。一次远程会诊的平均时长为12分钟（范围为5 - 21分钟）。患者对该服务表示满意。
