Institute for Applied Health Research, School of Health, Glasgow Caledonian University, Glasgow, UK.
J Telemed Telecare. 2010;16(7):394-402. doi: 10.1258/jtt.2010.091108. Epub 2010 Sep 2.
We reviewed telehealth applications which were being used in palliative care settings in the UK. Electronic database searches (Medline, CINAHL, PsychInfo and Embase), searches of the grey literature and cited author searches were conducted. In total, 111 papers were identified and 21 documents were included in the review. Telehealth was being used by a range of health professionals in oncology care settings that included specialist palliative care, hospices, primary care settings, nursing homes and hospitals as well as patients and carers. The most common applications were: out-of-hours telephone support, advice services for palliative care patients, carers and health professionals, videoconferencing for interactive case discussions, consultations and assessments, and training and education of palliative care and other health-care staff. The review suggests that current technology is usable and acceptable to patients and health professionals in palliative care settings. However, there are several challenges in integrating telehealth into routine practice.
我们回顾了在英国姑息治疗环境中使用的远程医疗应用程序。进行了电子数据库搜索(Medline、CINAHL、PsychInfo 和 Embase)、灰色文献搜索和引用作者搜索。总共确定了 111 篇论文,其中 21 篇文献纳入了综述。远程医疗由一系列卫生专业人员在肿瘤学护理环境中使用,包括专门的姑息治疗、临终关怀、初级保健环境、疗养院和医院以及患者和护理人员。最常见的应用包括:非工作时间电话支持、姑息治疗患者、护理人员和卫生专业人员的咨询服务、用于交互式案例讨论、咨询和评估的视频会议,以及姑息治疗和其他卫生保健人员的培训和教育。该综述表明,当前的技术在姑息治疗环境中对患者和卫生专业人员来说是可用且可接受的。然而,将远程医疗融入常规实践存在一些挑战。