Department of Health Care and Social Units Administration, School of Business and Economics, Technological Educational Institute of Athens , Greece.
Appl Clin Inform. 2012 Jan 11;3(1):14-23. doi: 10.4338/ACI-2011-08-R-0048. Print 2012.
The development of telemedicine and telecare has been changed all over the world the recent decades as practitioners and health care managers reached better understanding of the use of information and communication technologies to offer urgent and qualified medical services at a distance. Governments and health care providers have shown a large initial interest in the benefits of telemedicine services to reduce costs mostly for patient's transfer to tertiary hospitals or for educational purposes but have been slow to provide strategic plans and procedures in order to proceed the projects into practice. The paper identifies the involvement of governments, healthcare management, healthcare professionals and IT suppliers in telemedicine policy development and reviews the experience of Greece in the specific field which seems that despite the enormous scientific interest for both medicine and health informatics, the practice until now has not gained the expected results. Furthermore, the analysis concerns the critical success factors that have to be revised simultaneously with the main managerial principles for the design and implementation of quality telemedicine and telecare services.
在过去几十年中，随着从业者和医疗保健管理人员越来越了解信息和通信技术的使用，以便在远程提供紧急和合格的医疗服务，远程医疗和远程保健在全球范围内得到了发展。政府和医疗保健提供者对远程医疗服务的好处表现出了浓厚的兴趣，主要是为了降低患者转往三级医院的成本或用于教育目的，但在制定战略计划和程序方面进展缓慢，无法将这些项目付诸实践。本文确定了政府、医疗保健管理、医疗保健专业人员和 IT 供应商在远程医疗政策制定中的参与情况，并回顾了希腊在这一特定领域的经验，尽管医学和健康信息学都对此表现出了极大的科学兴趣，但到目前为止，实践并未取得预期的成果。此外，该分析还关注了关键成功因素，这些因素必须与主要的管理原则同时进行修订，以设计和实施高质量的远程医疗和远程保健服务。
