Whittaker Sheila L, Adkins Sherry, Phillips Richard, Jones Jean, Horsley Mary A, Kelley George
St Claire Regional Medical Centre, Morehead, Kentucky, USA.
J Telemed Telecare. 2004;10(2):84-8. doi: 10.1258/135763304773391512.
We studied a telediabetes programme that had been in operation for 10 years, to identify the factors in its sustainability. We reviewed archive documents, conducted interviews with programme administrators and primary care providers, observed diabetes consultations and surveyed patient satisfaction. Three success factors were identified: the administration took a long-term view of the value of the telemedicine service; telediabetes enabled structured use of staff time and facilities; and service delivery followed national diabetes standards and a well defined cycle of care within a long-term quality improvement programme. However, the present study did not address the three other key theoretical dimensions of systems design beyond sustainability: size, scalability and scope.
我们研究了一个已运行10年的远程糖尿病项目，以确定其可持续性的影响因素。我们查阅了档案文件，采访了项目管理人员和初级保健提供者，观察了糖尿病会诊并调查了患者满意度。确定了三个成功因素：管理层对远程医疗服务的价值持长远眼光；远程糖尿病使工作人员时间和设施得到了合理利用；服务提供遵循国家糖尿病标准以及长期质量改进计划中明确规定的护理周期。然而，本研究并未涉及系统设计除可持续性之外的其他三个关键理论维度：规模、可扩展性和范围。
