Demiris George, Patrick Timothy, Khatri Naresh
Health Management and Informatics, School of Medicine, University of Missouri-Columbia, USA.
AMIA Annu Symp Proc. 2003;2003:825.
Home healthcare is facing a set of challenging new realities in the 21st century such as funding limitations and increased life expectancy. Many believe that the use of telehealth enabling patients at home to interact with nurses at the clinical site using videoconferencing technology, will be a cost-effective solution to providing quality care services. Many agencies have adopted or are planning on implementing a telehealth solution. Level of agencies' readiness can lead to a lower level of risk, and a more successful innovation outcome. We developed a framework for assessing home care agencies' readiness for telehealth consisting of 35 items. This instrument can be used as a decision support tool for agencies that are about to implement a telehealth system as well as a formative or summative evaluation tool for agencies already utilizing telehealth.
21世纪的家庭医疗保健面临着一系列具有挑战性的新现实，如资金限制和预期寿命的增加。许多人认为，使用远程医疗技术，使在家的患者能够通过视频会议技术与临床现场的护士进行互动，将是提供优质护理服务的一种具有成本效益的解决方案。许多机构已经采用或计划实施远程医疗解决方案。机构的准备程度可以降低风险水平，并带来更成功的创新成果。我们开发了一个由35项内容组成的评估家庭护理机构对远程医疗准备程度的框架。该工具可作为即将实施远程医疗系统的机构的决策支持工具，也可作为已经在使用远程医疗的机构的形成性或总结性评估工具。
