de Bustos Elisabeth Medeiros, Moulin Thierry, Audebert Heinrich J
Service de Neurologie, CHU Besançon, Université de Franche-Comté, Besançon, France.
Cerebrovasc Dis. 2009;27 Suppl 4:36-9. doi: 10.1159/000213057. Epub 2009 Jun 18.
The use of telemedicine services, such as telestroke, is still highly fragmented and its deployment in an integrative healthcare system is challenging. Factors impeding the growth of telemedicine include confidence and malpractice issues, technical advances, reimbursement, licensing, credentialing costs, cost effectiveness, and legal issues. These barriers, limitations and requirements in the routine use of telemedicine are reviewed, in addition to medical activities, the objectives of telestroke, technical aspects, funding, legal issues, evaluation and quality management. As telemedicine induces a new form of interrelationship between health care providers, mutual trust and acceptance need to be developed in telemedicine services. Furthermore, education and training will be crucial in order to facilitate the use of telestroke over the next decade.
远程医疗服务（如远程中风诊疗）的使用仍高度分散，在综合医疗保健系统中的部署具有挑战性。阻碍远程医疗发展的因素包括信心和医疗事故问题、技术进步、报销、许可、资质认证成本、成本效益以及法律问题。除了医疗活动、远程中风诊疗的目标、技术方面、资金、法律问题、评估和质量管理外，还对远程医疗常规使用中的这些障碍、限制和要求进行了综述。由于远程医疗引发了医疗服务提供者之间的一种新的相互关系形式，因此需要在远程医疗服务中建立相互信任和接受。此外，教育和培训对于在未来十年促进远程中风诊疗的使用至关重要。
