Doolittle G C
Center for Telemedicine and Telehealth, Kansas University Medical Center, Kansas 66160, USA.
J Telemed Telecare. 2001;7 Suppl 2:43-6. doi: 10.1258/1357633011937092.
Based on our experience of telemedicine in Kansas, we have identified several key factors in the success of a telemedicine practice. Very early in any project, it is important to bring together all participants (especially the physicians who are expected to refer patients) to define the need, outline specific goals, analyse and test the technology, and develop a plan for the implementation. As with traditional health-care, many partners must come together, including primary-care practitioners willing to shoulder day-to-day responsibility for management of complex patients, nurses with special expertise and consultants willing to work with a remote team using telemedicine. These individuals must accept the challenges and appreciate the rewards of working in a different practice model, in which communication and interdependence are critical for success. The telemedicine consultant is only as good as the local health-care team. The technology itself is only a small part of the equation.
基于我们在堪萨斯州开展远程医疗的经验，我们确定了远程医疗实践成功的几个关键因素。在任何项目的早期阶段，召集所有参与者（尤其是那些有望转诊患者的医生）来明确需求、勾勒具体目标、分析和测试技术，并制定实施计划非常重要。与传统医疗保健一样，许多合作伙伴必须共同协作，包括愿意承担复杂患者日常管理责任的初级保健从业者、具有专业专长的护士以及愿意与使用远程医疗的远程团队合作的顾问。这些人必须接受挑战，并认识到在不同实践模式中工作的回报，在这种模式下，沟通和相互依赖对于成功至关重要。远程医疗顾问的水平取决于当地的医疗团队。技术本身只是其中的一小部分。
