Duplantie Julie, Gagnon Marie-Pierre, Fortin Jean-Paul, Landry Réjean
Quebec University Hospital Research Centre, Hôpital St-François d'Assise, Québec, QC G1L 3L5.
Can J Rural Med. 2007 Winter;12(1):30-6.
The availability of a medical workforce is a growing concern for rural and remote communities across Canada. In the last decade, various telehealth experiences have highlighted the potential impact of this technology on professional as well as organizational practices. But could telehealth be a strategy to attract and maintain physicians in rural and remote communities? The objective of this study was to identify a reliable list of recruitment and retention factors on which telehealth could have an impact.
We conducted 2 literature reviews and a Delphi study among 12 telehealth experts across Canada.
The literature reviews identified 7 categories of recruitment and retention factors on which telehealth could have an impact: 1) individual, 2) familial, 3) contextual, 4) professional, 5) organizational, 6) educational, and 7) economic.
Experts consulted through the Delphi study reached consensus on 31 out of 34 of the proposed statements about the impact of telehealth. This consensus can now be used as a conceptual model for further studies on the topic.
医疗劳动力的可获得性日益成为加拿大农村和偏远社区关注的问题。在过去十年中，各种远程医疗经验凸显了这项技术对专业实践和组织实践的潜在影响。但远程医疗能否成为吸引和留住农村及偏远社区医生的一项策略呢？本研究的目的是确定一份可靠的远程医疗可能产生影响的招聘和留用因素清单。
我们进行了两项文献综述，并在加拿大各地的12位远程医疗专家中开展了一项德尔菲研究。
文献综述确定了远程医疗可能产生影响的7类招聘和留用因素：1）个人因素，2）家庭因素，3）环境因素，4）专业因素，5）组织因素，6）教育因素，7）经济因素。
通过德尔菲研究咨询的专家们就34条关于远程医疗影响的陈述中的31条达成了共识。这一共识现在可作为该主题进一步研究的概念模型。
