Wootton Richard, Jebamani Laurel S, Dow Shannon A
Centre for Online Health, University of Queensland, Brisbane, Australia.
J Telemed Telecare. 2005;11(5):221-4. doi: 10.1258/1357633054471812.
Telemedicine activities in underserved communities were reviewed as part of the Universitas 21 (U21) e-health project. A SWOT analysis (strengths, weaknesses, opportunities, threats) was conducted on 12 articles identified in a literature review, supplemented by expertise from U21 members. The analysis showed that threats include the reluctance of populations to use telemedicine services, and a general absence of infrastructure and resources to sustain them. Opportunities centre around potential research, including cost-effectiveness analyses and quantitative assessments of existing telemedicine services. The great strength of telemedicine is that it can improve access to health services among those most in need. However, its greatest weakness is the lack of evidence supporting its clinical and cost advantages relative to traditional services. This represents an important opportunity for research on telemedicine initiatives among underserved populations.
作为21世纪大学联盟（U21）电子健康项目的一部分，对医疗服务不足社区的远程医疗活动进行了审查。对文献综述中确定的12篇文章进行了SWOT分析（优势、劣势、机会、威胁），并辅以U21成员的专业知识。分析表明，威胁包括人群不愿使用远程医疗服务，以及普遍缺乏维持这些服务的基础设施和资源。机会集中在潜在研究方面，包括成本效益分析和对现有远程医疗服务的定量评估。远程医疗的最大优势在于它可以改善最需要人群获得医疗服务的机会。然而，它最大的劣势是缺乏证据支持其相对于传统服务的临床和成本优势。这为在医疗服务不足人群中开展远程医疗举措的研究提供了一个重要机会。
