Galli Robert, Keith John C, McKenzie Kendall, Hall Gregory S, Henderson Kristi
Department of Emergency Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Ann Emerg Med. 2008 Mar;51(3):275-84. doi: 10.1016/j.annemergmed.2007.04.025. Epub 2007 Aug 30.
Providing rural emergency medical care is often difficult because of limited resources and a scarcity of medical providers, including physicians trained in emergency medicine. Telemedicine offers promise for improving the quality of care in rural areas, but previous models were not well designed to provide affordable care to unstable or potentially unstable patients. The TelEmergency program was developed to overcome these limitations by providing quality, affordable medical care to patients in rural emergency departments (EDs) using specially trained nurse practitioners linked in real time by telemedicine with their collaborating physicians at the University of Mississippi Medical Center Adult Emergency Department. Since its inception in October 2003, the TelEmergency program has evaluated and treated more than 40,000 patients in 11 rural EDs throughout Mississippi, with a high degree of satisfaction from patients and hospital administrators. This article details the development and implementation of this system and describes the patient population that has been evaluated.
由于资源有限且医疗服务提供者匮乏，包括急诊医学方面受过培训的医生，提供农村紧急医疗护理往往很困难。远程医疗有望改善农村地区的护理质量，但以前的模式在为不稳定或潜在不稳定患者提供负担得起的护理方面设计不佳。TelEmergency项目的开发是为了克服这些限制，通过使用经过专门培训的执业护士，通过远程医疗与密西西比大学医学中心成人急诊科的合作医生实时联系，为农村急诊科的患者提供高质量、负担得起的医疗护理。自2003年10月启动以来，TelEmergency项目已对密西西比州11个农村急诊科的4万多名患者进行了评估和治疗，患者和医院管理人员满意度很高。本文详细介绍了该系统的开发和实施情况，并描述了已接受评估的患者群体。
