Khoja Shariq, Casebeer Ann, Young Sybil
Department of Community Health Sciences, University of Calgary, Alberta, Canada.
J Telemed Telecare. 2005;11(3):146-9. doi: 10.1258/1357633053688750.
We conducted a qualitative case study of the introduction of telehealth in a seating clinic, which was an existing outreach service between two hospitals in Alberta, approximately 300 km apart. Interviews were conducted with the staff who were involved in planning and implementing the telehealth initiative. The study showed that, from the perspective of the staff (who were learners), implementation of telehealth in seating clinics differs from other less tactile telehealth applications in certain ways: (1) the importance of multidisciplinary teams in the procedures, (2) the importance of proper visualization and communication among the staff to convey the pressure changes and measurements to the technicians at the major centre to help them build or adjust the seating devices and (3) the reluctance of staff to trust others' judgements. Planning of service provision and telelearning for seating clinics requires the involvement of staff at all stages. Thus, the implementation of telehealth should be a stepwise process, allowing a highly interactive approach, without affecting the multidisciplinary nature of seating clinics.
我们对一家座椅诊所引入远程医疗进行了定性案例研究，该诊所是艾伯塔省两家相距约300公里的医院之间现有的外展服务机构。我们对参与远程医疗计划和实施的工作人员进行了访谈。研究表明，从工作人员（作为学习者）的角度来看，座椅诊所中远程医疗的实施在某些方面与其他较少涉及触觉的远程医疗应用有所不同：（1）多学科团队在程序中的重要性；（2）工作人员之间进行适当可视化和沟通以向主要中心的技术人员传达压力变化和测量结果，以帮助他们制造或调整座椅装置的重要性；（3）工作人员不愿相信他人的判断。座椅诊所的服务提供规划和远程学习需要所有阶段的工作人员参与。因此，远程医疗的实施应该是一个逐步推进的过程，允许采用高度互动的方法，同时不影响座椅诊所的多学科性质。
