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基于原则的远程医疗概念分析。

Principle-based analysis of the concept of telecare.

机构信息

Faculty of Health and Social Studies, Telemark University College, Porsgrunn, Norway.

出版信息

J Adv Nurs. 2012 Dec;68(12):2802-15. doi: 10.1111/j.1365-2648.2012.06038.x. Epub 2012 May 20.

Abstract

AIM

To report a concept analysis of telecare.

BACKGROUND

Lately telecare has become a worldwide, modern way of giving care over distance by means of technology. Other concepts, like telemedicine, e-health, and telehealth, focus on the same topic though the boundaries between them seem to be blurred.

DATA SOURCES

Sources comprise 44 English language research articles retrieved from the database of Medline and Cinahl (1995-October 2011).

DESIGN

Literature Review.

METHOD

A principle-based analysis was undertaken through content analysis of the definitions, attributes, preconditions, and outcomes of the concept.

RESULTS

The attributes are well described according to the use of technology, caring activity, persons involved, and accessibility. Preconditions and outcomes are well described concerning individual and health political needs and benefits. The concept did not hold its boundaries through theoretical integration with the concept of telemedicine and telehealth. The definition of telecare competes with concepts like home-based e-health, telehomecare, telephonecare, telephone-based psychosocial services, telehealth, and telemedicine. Assessment of the definitions resulted in a suggestion of a new definition: Telecare is the use of information, communication, and monitoring technologies which allow healthcare providers to remotely evaluate health status, give educational intervention, or deliver health and social care to patients in their homes.

CONCLUSION

The logical principle was assessed to be partly immature, whereas the pragmatical and linguistical principles were found to be mature. A new definition is suggested and this has moved the epistemological principle forward to maturity.

摘要

目的

报告远程医疗保健的概念分析。

背景

最近,远程医疗保健已成为一种全球范围内的现代化远程医疗保健方式,通过技术手段实现。其他概念,如远程医疗、电子健康和远程健康,虽然关注的是同一主题,但它们之间的界限似乎很模糊。

资料来源

来源包括从 Medline 和 Cinahl 数据库中检索到的 44 篇英文研究文章(1995 年 10 月至 2011 年)。

设计

文献综述。

方法

通过对概念的定义、属性、前提条件和结果进行内容分析,进行基于原则的分析。

结果

根据技术的使用、护理活动、涉及的人员和可及性,对属性进行了很好的描述。关于个人和卫生政策需求和利益,很好地描述了前提条件和结果。该概念通过与远程医疗和远程健康概念的理论整合,没有保持其界限。远程医疗保健的定义与家庭电子健康、远程家庭护理、电话护理、基于电话的心理社会服务、远程健康和远程医疗等概念相竞争。对定义的评估导致提出了一个新的定义:远程医疗保健是指使用信息、通信和监测技术,使医疗保健提供者能够远程评估健康状况、提供教育干预或向家中的患者提供健康和社会护理。

结论

评估逻辑原则部分不成熟,而实践和语言原则成熟。建议使用新的定义,这将使认识论原则向成熟推进。

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