Jennett Penny, Yeo Maryann, Pauls Monica, Graham Jennifer
Health Telematics Unit, University of Calgary, Calgary, Alberta, Canada.
J Telemed Telecare. 2003;9 Suppl 2:S27-30. doi: 10.1258/135763303322596183.
The use of telemedicine brings about change in health-care organizations and opens up new possibilities for service delivery. The organizational environment is often crucial in determining whether or not telemedicine applications will be successful. To examine the concept of 'organizational readiness for telemedicine' as a factor to explain why telemedicine initiatives succeed or fail, the results were used of interviews with key informants, conducted in two studies: the Alliance for Building Capacity project and the National Initiative for Telehealth guidelines project. The data indicate that organizational readiness for telemedicine is a multifaceted concept that is related to planning and the workplace environment. A greater understanding of the factors within organizational readiness could help to avoid costly implementation errors. 'Readiness' needs to be systematically assessed and is important for long-term success.
远程医疗的应用给医疗保健机构带来了变革，并为服务提供开辟了新的可能性。组织环境往往对于决定远程医疗应用能否成功起着关键作用。为了检验“组织对远程医疗的准备程度”这一概念，以此作为解释远程医疗计划成败原因的一个因素，研究采用了在两项研究中对关键信息提供者进行访谈的结果：建设能力联盟项目和国家远程医疗指南倡议项目。数据表明，组织对远程医疗的准备程度是一个多方面的概念，与规划和工作场所环境相关。更深入地了解组织准备程度中的各种因素有助于避免代价高昂的实施错误。“准备程度”需要进行系统评估，对长期成功至关重要。
