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希腊科里达洛斯监狱的远程医疗系统经验:为何仅靠技术并不够。

The Korydallos, Greece, prisons telemedicine system experience: why technology alone is not a sufficient condition.

作者信息

Anogeianaki Antonia, Anogianakis George, Ilonidis George, Milliaras Spyros

机构信息

Faculty of Medicine, Aristotle University of Thessaloniki, Greece.

出版信息

Stud Health Technol Inform. 2004;98:16-8.

PMID:15544231
Abstract

In 1999 the Greek Ministry of Justice decided to utilise telemedicine to improve health services in the largest prison in Greece (Korydallos Prison). The Nikea Hospital in Piraeus undertook to support the effort. For 12 months following installation, intensive "hands-on" training on the use of the system was offered to the staff of both the Korydallos Prison and the Nikea Hospital. However serious operational problems related either to prison bureaucracy or to the inflexibility the Greek National Health Service has annulled the effectiveness of the Korydallos Prison telemedicine system. Still, analysis of the system development history reveals that: (1) if freed from bureaucratic and labour related obstacles, prison telemedicine is a viable option. (2) Telemedicine can avert transfers to out-of-prison medical facilities. (3) If properly implemented, telemedicine can generate substantial savings and (4) telemedicine can greatly improve the quality of care available to prisoners.

摘要

1999年,希腊司法部决定利用远程医疗改善希腊最大监狱(科里达洛斯监狱)的医疗服务。比雷埃夫斯的尼凯亚医院承担了支持这项工作的任务。在系统安装后的12个月里,为科里达洛斯监狱和尼凯亚医院的工作人员提供了关于系统使用的强化“实践操作”培训。然而,由于与监狱官僚作风或希腊国家医疗服务体系的僵化相关的严重运营问题,科里达洛斯监狱远程医疗系统的有效性已被取消。尽管如此,对系统发展历史的分析表明:(1)如果摆脱官僚和劳动相关的障碍,监狱远程医疗是一个可行的选择。(2)远程医疗可以避免囚犯被转移到监狱外的医疗设施。(3)如果实施得当,远程医疗可以大幅节省费用,并且(4)远程医疗可以极大地提高囚犯可获得的护理质量。

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