Brebner J A, Brebner E M, Ruddick-Bracken H
Telemedicine Laboratory, Remote Health Care Unit, Department of General Practice and Primary Care, University of Aberdeen, Foresterhill Health Centre, UK.
J Telemed Telecare. 2005;11 Suppl 1:3-5. doi: 10.1258/1357633054461778.
Many telemedicine projects fail to survive beyond the funded research phase. A review of seven Scottish telemedicine services was conducted to identify successes and failures. Qualitative interviews were conducted with key individuals in each project. All projects were partly successful. The main reasons associated with partial failure were: the service was not needs-driven; there was no commitment to provide the service; there was no suitable exit strategy after research funding expired; there was poor communication; there was a lack of training; there were technical problems; work practices were not updated; the protocols for use were poor or non-existent. Based on this, guidelines that might improve the chances of success in future projects were drawn up.
许多远程医疗项目在获得资助的研究阶段之后便无法继续存活。对苏格兰的七项远程医疗服务进行了审查，以确定其成败之处。对每个项目的关键人员进行了定性访谈。所有项目都取得了部分成功。与部分失败相关的主要原因包括：服务并非需求驱动；没有提供该服务的承诺；研究资金到期后没有合适的退出策略；沟通不畅；缺乏培训；存在技术问题；工作方法未更新；使用协议不完善或不存在。基于此，制定了可能提高未来项目成功几率的指导方针。
