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利用远程医疗评估胎儿酒精谱系障碍:两个加拿大农村和偏远社区的经验。

Using telehealth for assessment of fetal alcohol spectrum disorder: the experience of two Canadian rural and remote communities.

机构信息

Manitoba FASD Centre, Winnipeg, Manitoba, Canada.

出版信息

Telemed J E Health. 2010 Oct;16(8):872-7. doi: 10.1089/tmj.2010.0070. Epub 2010 Oct 6.

DOI:10.1089/tmj.2010.0070
PMID:20925569
Abstract

INTRODUCTION

Telehealth has been used for fetal alcohol spectrum disorder (FASD) diagnostic assessment in select Manitoban communities since 2000.

OBJECTIVE

The purpose of this study was to evaluate the FASD telehealth program within two rural and remote Northern Manitoban communities by comparing community practices from the perspective of professionals working with the FASD diagnostic clinics in these communities. Recommendations for the further development of FASD assessment by telehealth were made to further improve current implementation and guide expansion of the FASD telehealth program within the province.

METHODOLOGY

Semistructured interviews were conducted from October 19 to December 11, 2009. Participants (N = 26) were comprised of professionals, including those in the education, social services, and health sectors.

RESULTS AND RECOMMENDATIONS

Two themes emerged from the data and covered the perceived strengths and drawbacks with the program, and meaningful suggestions to improve the service. Participants regarded the FASD telehealth program as successful and useful, especially given the remote location of the communities and the lack of on-site services. Recommendations addressing the barriers pertaining to the process were made from the study's findings and available scientific literature.

CONCLUSIONS

This study will provide a solid basis for the successful further development of the FASD telehealth programs.

摘要

简介

自 2000 年以来,远程医疗已在曼尼托巴省的一些社区用于胎儿酒精谱系障碍(FASD)的诊断评估。

目的

本研究的目的是通过比较在这些社区的 FASD 诊断诊所工作的专业人员的社区实践,评估两个农村和偏远的北曼尼托巴社区的 FASD 远程医疗计划。为进一步发展通过远程医疗进行的 FASD 评估提出了建议,以进一步改进当前的实施情况,并指导该省 FASD 远程医疗计划的扩展。

方法

2009 年 10 月 19 日至 12 月 11 日进行了半结构化访谈。参与者(N=26)包括专业人员,其中包括教育、社会服务和卫生部门的人员。

结果和建议

从数据中得出了两个主题,涵盖了对该计划的优势和劣势的看法,以及改进服务的有意义的建议。参与者认为 FASD 远程医疗计划是成功且有用的,特别是考虑到社区的偏远位置和缺乏现场服务。从研究结果和现有科学文献中提出了有关解决该过程障碍的建议。

结论

本研究将为 FASD 远程医疗计划的成功进一步发展提供坚实的基础。

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