Commonwealth Scientific and Industrial Research Organisation Information & Communication Technologies Centre , Marsfield, New South Wales, Australia .
Telemed J E Health. 2013 Oct;19(10):772-9. doi: 10.1089/tmj.2012.0324. Epub 2013 Aug 27.
As telehealth takes advantage of improved networks, there is a growing need to understand the infrastructure needs of future telehealth developments. This work aims to predict such needs based on current trends and research.
We conducted a literature review of telehealth with a focus on advanced network infrastructure. We drew inferences from our previous demonstrator projects in advanced telehealth, but the most important findings emerged from interviews with a panel of thought leaders.
Our results show that there will be simultaneous and coupled evolution of telehealth through the space spanned by three axes: care models, clinical applications, and technology. We also consider a two-dimensional model of reach and complexity to describe future applications. Universal access to advanced networks will drive fundamental changes in healthcare deliver. The biggest change will be seen in home and mobile health care delivery, forming part of a trend toward patient-centric models. Other aspects of decentralization in healthcare systems will include networks of caregivers. Besides this reach trend, the complexity trend will include integrating multiple-channel applications and seamlessly moving large datasets in real time among hospitals, other medical facilities, and homes. There is a need to provide infrastructure that does not have an upper limit on quality of service and allows telehealth to address mobility, usability, interoperability, intelligence, and adaptability in a systematic way.
随着远程医疗利用改进后的网络，人们越来越需要了解未来远程医疗发展的基础设施需求。这项工作旨在根据当前趋势和研究预测这些需求。
我们对远程医疗进行了文献回顾，重点关注先进的网络基础设施。我们从我们之前在先进远程医疗方面的演示项目中得出推论，但最重要的发现来自于对一组思想领袖的访谈。
我们的研究结果表明，远程医疗将通过三个轴所涵盖的空间同时进行并耦合进化：护理模式、临床应用和技术。我们还考虑了一个二维模型的可达性和复杂性来描述未来的应用。先进网络的普遍接入将推动医疗服务提供的根本变化。最大的变化将出现在家庭和移动医疗保健领域，形成以患者为中心的模式的一部分。医疗系统去中心化的其他方面将包括护理人员网络。除了可达性趋势外，复杂性趋势还将包括整合多通道应用程序，并在医院、其他医疗设施和家庭之间实时无缝地移动大型数据集。需要提供一种基础设施，它不会对服务质量设置上限，并允许远程医疗以系统的方式解决移动性、可用性、互操作性、智能性和适应性。
