Whitten Pamela, Buis Lorraine
Department of Telecommunication, Information Studies and Media, Michigan State University, East Lansing, Michigan 48824-1212, USA.
J Telemed Telecare. 2008;14(2):75-8. doi: 10.1258/jtt.2007.070411.
In Michigan, the use of telemedicine for dialysis patients began in three centres in 2005. A total of 747 clinical consultations was conducted in the following 22 months. Telephone surveys were conducted with 34 patients and four providers. The patients and providers all had positive perceptions of the telemedicine system and the care that was delivered. Most of the clinical measures of the patients met or exceeded the recommendations made by Renal Network 11. In addition to the clinical work, the telemedicine equipment was used for educational events. Twenty-six professional educational events were provided with a total audience of 105 individuals, and 35 administrative meetings were provided with 286 staff members in attendance. The study showed that patients and providers could participate in educational events that might not be available locally. Despite the success of dialysis telemedicine, the Marquette General Health System discontinued its use in 2007 when the Center for Medicare and Medicaid Services re-affirmed that dialysis centres were not approved sites for telemedicine.
2005年，密歇根州的三个中心开始为透析患者使用远程医疗。在随后的22个月里，共进行了747次临床会诊。对34名患者和4名医护人员进行了电话调查。患者和医护人员对远程医疗系统以及所提供的护理都给予了积极评价。大多数患者的临床指标达到或超过了第11肾脏网络提出的建议。除了临床工作外，远程医疗设备还用于教育活动。举办了26场专业教育活动，共有105人参加，35场行政会议有286名工作人员出席。该研究表明，患者和医护人员可以参加当地可能没有的教育活动。尽管透析远程医疗取得了成功，但当医疗保险和医疗补助服务中心再次确认透析中心不是远程医疗的获批场所时，马凯特综合卫生系统于2007年停止了其使用。
