University of Dundee, UK.
Palliat Med. 2012 Mar;26(2):152-61. doi: 10.1177/0269216311398698. Epub 2011 Mar 4.
There is a lack of evidence-based research in the use of Telehealth within palliative care in the UK, particularly in Scotland. The aim of this project was to evaluate the current use of Telehealth applications within palliative care across Scotland, and how these and future applications are perceived by patients, carers and professionals. This paper reports on the qualitative findings from focus groups with patients and carers in three geographical areas in Scotland, and individual interviews with key stakeholders from across Scotland, who currently work within areas of high and low Telehealth activity. The key findings indicated that Telehealth initiatives are welcomed by patients and carers but that these should be an adjunct to clinical care rather than an alternative. The stakeholder interviews revealed several notable differences between those working within areas of high and low Telehealth activity. Principally, areas of high Telehealth activity appear to be driven by national and local policy and seem to benefit from a greater level of investment in Telehealth equipment and facilities than in the more central, and hence accessible, parts of Scotland.
在英国，特别是在苏格兰，姑息治疗中远程医疗的使用缺乏基于证据的研究。本项目旨在评估苏格兰姑息治疗中远程医疗应用的现状，以及患者、护理人员和专业人员对这些应用和未来应用的看法。本文报告了在苏格兰三个地理区域与患者和护理人员进行焦点小组以及与苏格兰各地关键利益相关者进行个别访谈的定性结果，这些利益相关者目前在远程医疗活动水平高和低的领域工作。主要发现表明，远程医疗举措受到患者和护理人员的欢迎，但这些举措应该是临床护理的辅助手段，而不是替代手段。利益相关者访谈揭示了在远程医疗活动水平高和低的领域工作的人之间存在一些显著差异。主要是，远程医疗活动水平高的地区似乎受到国家和地方政策的推动，并且似乎受益于对远程医疗设备和设施的投资水平高于苏格兰更中心和更便于进入的地区。
