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西澳大利亚州卫生工作人员对远程医疗未来发展的优先事项。

Health staff priorities for the future development of telehealth in Western Australia.

作者信息

Bahaadini K, Yogesan K, Wootton R

机构信息

Lions Eye Institute, University of Western Australia, Western Australia, Australia.

出版信息

Rural Remote Health. 2009 Jul-Sep;9(3):1164. Epub 2009 Aug 7.

Abstract

INTRODUCTION

The views of health managers and physicians working in non-metropolitan areas of Western Australia (WA) were sought about which telehealth services are most needed.

METHOD

Chief executives and nurse managers of rural hospitals were sent a simple, open-ended questionnaire and asked to consider the current health situation and problems in their area, and to list the four most-needed telehealth services. In addition, they were asked to hand the questionnaire to one of the GPs or medical officers working with them. A total of 78 questionnaires were sent.

RESULTS

The response rate for managers and doctors was 51% and 43%, respectively. The first priority of the managers was wound care (28%). The first priority of the doctors was psychiatry (35%). The collective priorities of the two groups were similar, with managers listing wound care, emergency, psychiatry and ophthalmology; and doctors listing psychiatry, wound care, emergency and ophthalmology.

CONCLUSION

Prioritizing potential telemedicine applications is a subject largely absent from the literature. When planning future telehealth applications, the opinion of local health staff who understand the requirements of patients in their region will assist in identifying real needs and lead to the provision of better health services for rural patients.

摘要

引言

我们征求了在西澳大利亚州(WA)非大都市地区工作的卫生管理人员和医生对于最需要哪些远程医疗服务的看法。

方法

向农村医院的首席执行官和护士长发送了一份简单的开放式问卷,要求他们考虑所在地区当前的健康状况和问题,并列出四项最需要的远程医疗服务。此外,还要求他们将问卷交给与他们共事的一名全科医生或医务人员。共发送了78份问卷。

结果

管理人员和医生的回复率分别为51%和43%。管理人员的首要需求是伤口护理(28%)。医生的首要需求是精神病学(35%)。两组的共同优先需求相似,管理人员列出的是伤口护理、急诊、精神病学和眼科;医生列出的是精神病学、伤口护理、急诊和眼科。

结论

在文献中,很大程度上缺乏对潜在远程医疗应用进行优先级排序的内容。在规划未来的远程医疗应用时,了解所在地区患者需求的当地卫生工作人员的意见将有助于确定实际需求,并为农村患者提供更好的医疗服务。

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