Brignell Michael, Wootton Richard, Gray Len
Western Health, Gordon St, Footscray, Victoria, Australia 3011, Australia.
Age Ageing. 2007 Jul;36(4):369-74. doi: 10.1093/ageing/afm045. Epub 2007 Apr 20.
Telemedicine has the potential to improve access to the specialty of geriatric medicine, particularly in rural and remote settings. While telemedicine is widely used in some specialities, this is not yet the case in geriatric medicine.
To review the current literature to identify proven and potential strategies for application of telemedicine in geriatric medical practice.
A comprehensive review of literature pertaining to the application of telemedicine in geriatric medicine and relevant related sub-specialties was undertaken.
A large number of small studies of limited quality, and a small number of robust studies including randomised trials, were identified.
There is evidence to suggest that a variety of telemedicine techniques can be applied effectively and safely in geriatric medicine across a variety of clinical settings. Patient satisfaction is generally reported as high. However, caution is advised due to the paucity of robust studies in the literature.
远程医疗有潜力改善老年医学专科的可及性,尤其是在农村和偏远地区。虽然远程医疗在某些专科中广泛使用,但在老年医学领域尚未如此。
回顾当前文献,以确定在老年医学实践中应用远程医疗的已证实和潜在策略。
对与远程医疗在老年医学及相关亚专科中的应用相关的文献进行了全面回顾。
发现了大量质量有限的小型研究以及少数包括随机试验在内的有力研究。
有证据表明,多种远程医疗技术可在各种临床环境中有效且安全地应用于老年医学。总体而言,患者满意度较高。然而,鉴于文献中有力研究较少,建议谨慎行事。