Heinzelmann Paul J, Williams Christy M, Lugn Nancy E, Kvedar Joseph C
Partners Telemedicine, Boston, MA 02114, USA.
Telemed J E Health. 2005 Jun;11(3):329-47. doi: 10.1089/tmj.2005.11.329.
This paper is a comprehensive review and synthesis of the literature concerning clinical outcomes associated with various telemedicine applications. It starts out with a brief description of the findings reported by similar literature reviews already published. Subsequently, it proposes a conceptual model for assessing clinical outcomes based on Donabedian's formulation of the Medical Care Process. Accordingly, research findings are reported in terms of the relevant components of the medical care process, namely, diagnosis, clinical management, and clinical outcomes. Specific findings are organized according to the designated clinical and diagnostic application. This is followed by a general report of studies dealing with patient satisfaction.
本文是对有关各种远程医疗应用的临床结果的文献进行的全面综述与综合。它首先简要描述了已发表的类似文献综述所报告的研究结果。随后,基于唐纳贝迪安对医疗过程的阐述,提出了一个用于评估临床结果的概念模型。因此,研究结果按照医疗过程的相关组成部分进行报告,即诊断、临床管理和临床结果。具体结果根据指定的临床和诊断应用进行组织。接下来是关于患者满意度研究的综合报告。