Hogenbirk John C, Brockway Pam D, Finley John, Jennett Penny, Yeo Maryann, Parker-Taillon Dianne, Pong Raymond W, Szpilfogel Claudine C, Reid Dan, MacDonald-Rencz Sandra, Cradduck Trevor
Centre for Rural and Northern Health Research, Laurentian University, Sudbury, Ontario, Canada.
J Telemed Telecare. 2006;12(2):64-70. doi: 10.1258/135763306776084338.
A Canadian project (the National Initiative for Telehealth Guidelines) was established to develop telehealth guidelines that would be used by health professionals, by telehealth providers as benchmarks for standards of service and by accrediting agencies for accreditation criteria. An environmental scan was conducted, which focused on organizational, human resource, clinical and technological issues. A literature review, a stakeholder survey (245 mail-outs, 84 complete responses) and 48 key informant interviews were conducted. A framework of guidelines was developed and published as a preliminary step towards pan-Canadian policies. Interim recommendations were that organizations and jurisdictions might consider formal agreements to specify: (1) organizational interoperability; (2) technical interoperability; (3) personnel requirements; (4) quality and continuity-of-care responsibilities; (5) telehealth services; (6) remuneration; and (7) quality assurance processes. An additional recommendation was that flexible mechanisms were needed to ensure that accreditation criteria will be realistic and achievable in the context of rapid changes in technology, service integration and delivery, as well as in the context of operating telehealth services in remote or underserved areas.
加拿大开展了一个项目（国家远程医疗指南倡议），旨在制定供卫生专业人员使用的远程医疗指南，供远程医疗服务提供商作为服务标准的基准以及供认证机构作为认证标准。开展了一次环境扫描，重点关注组织、人力资源、临床和技术问题。进行了文献综述、利益相关者调查（发出245份问卷，收到84份完整回复）以及48次关键信息人访谈。制定并发布了指南框架，作为迈向泛加拿大政策的初步步骤。临时建议是，各组织和司法管辖区可考虑达成正式协议，以明确规定：（1）组织互操作性；（2）技术互操作性；（3）人员要求；（4）质量和连续护理责任；（5）远程医疗服务；（6）薪酬；以及（7）质量保证流程。另一项建议是，需要灵活的机制，以确保在技术、服务整合与提供快速变化的背景下，以及在偏远或服务不足地区开展远程医疗服务的背景下，认证标准切实可行且能够实现。
