Smith Anthony C, Batch Jennifer, Lang Eunice, Wootton Richard
Centre for Online Health, University of Queensland, Brisbane, Australia.
J Telemed Telecare. 2003;9 Suppl 2:S54-7. doi: 10.1258/135763303322596273.
We have tested an alternative method of delivering health services to regional areas of Queensland. By integrating telepaediatrics into an existing outreach programme for children with diabetes and endocrine conditions, we were able to reduce travel for specialist hospital staff while maintaining (and sometimes increasing) the contact patients had with the specialist team. In the first 28 months, we facilitated 160 patient consultations and 10 education sessions via videoconference through the telepaediatric service. By the end of the study, site visits were taking place annually and routine videoconference clinics were scheduled quarterly for the review of new patients and follow-up. Telepaediatric services in endocrinology and diabetes were established at three levels: the coordination of routine specialist clinics via videoconference; ad hoc patient consultations for collaborative management during acute presentations and at times of urgent clinical need; and the delivery of education to staff and patients throughout the state. The net result was improved access to specialist services from rural and remote areas of Queensland.
我们测试了一种向昆士兰州偏远地区提供医疗服务的替代方法。通过将远程儿科纳入现有的针对糖尿病和内分泌疾病儿童的外展项目，我们能够减少专科医院工作人员的出行，同时保持（有时还会增加）患者与专科团队的接触。在最初的28个月里，我们通过远程儿科服务通过视频会议促成了160次患者会诊和10次教育课程。到研究结束时，每年进行实地考察，并每季度安排常规视频会议诊所，用于新患者的复查和随访。内分泌学和糖尿病领域的远程儿科服务建立在三个层面：通过视频会议协调常规专科诊所；在急性发作和临床急需时进行临时患者会诊以进行协作管理；以及为全州的工作人员和患者提供教育。最终结果是改善了昆士兰州农村和偏远地区获得专科服务的机会。
