NHS Doncaster, White Rose House, Ten Pound Walk, Doncaster DN4 5DJ, UK.
J Telemed Telecare. 2011;17(2):71-7. doi: 10.1258/jtt.2010.100315. Epub 2010 Nov 19.
A literature review was carried out to identify the key challenges in the implementation of telehealth. This was followed by a survey of organisations in England involved in telehealth projects in order to understand the challenges they faced. Ten of the 13 health or local authority organisations surveyed had telehealth projects and three were at the planning stage. The analysis revealed seven key challenges facing implementers of telehealth in England. Based on the findings from the literature review and the survey, a model was constructed and a checklist drawn up. The model contained the following elements: identifying issues, needs and partners; producing a strategy; securing funding; implementing changes; and monitoring and evaluating a telehealth project. The checklist was validated by using key informants from the organisations originally surveyed. The checklist may be useful to guide telehealth development and implementation in the future.
进行了文献回顾，以确定远程医疗实施中的关键挑战。随后对英格兰参与远程医疗项目的组织进行了调查，以了解他们面临的挑战。在接受调查的 13 个卫生或地方当局组织中，有 10 个组织开展了远程医疗项目，有 3 个组织处于规划阶段。分析揭示了英格兰远程医疗实施者面临的 7 个关键挑战。基于文献回顾和调查的结果，构建了一个模型并制定了一份清单。该模型包含以下要素：确定问题、需求和合作伙伴；制定策略；确保资金；实施变革；以及监测和评估远程医疗项目。该清单通过使用最初接受调查的组织的主要信息来源进行了验证。该清单将来可能有助于指导远程医疗的发展和实施。
