远程医疗服务实施框架综述。

Industrial Engineering, Faculty of Engineering, North-West University, Potchefstroom Campus, Potchefstroom 2520, South Africa.

Int J Environ Res Public Health. 2014 Jan 23;11(2):1279-98. doi: 10.3390/ijerph110201279.

Despite the potential of telehealth services to increase the quality and accessibility of healthcare, the success rate of such services has been disappointing. The purpose of this paper is to find and compare existing frameworks for the implementation of telehealth services that can contribute to the success rate of future endeavors. After a thorough discussion of these frameworks, this paper outlines the development methodologies in terms of theoretical background, methodology and validation. Finally, the common themes and formats are identified for consideration in future implementation. It was confirmed that a holistic implementation approach is needed, which includes technology, organizational structures, change management, economic feasibility, societal impacts, perceptions, user-friendliness, evaluation and evidence, legislation, policy and governance. Furthermore, there is some scope for scientifically rigorous framework development and validation approaches.

尽管远程医疗服务有提高医疗质量和可及性的潜力，但其成功率却令人失望。本文旨在寻找并比较现有的远程医疗服务实施框架，这些框架有助于提高未来项目的成功率。在对这些框架进行深入讨论之后，本文从理论背景、方法和验证等方面概述了开发方法。最后，确定了共同主题和形式，以供未来实施时参考。研究证实，需要一种整体实施方法，包括技术、组织结构、变革管理、经济可行性、社会影响、认知、用户友好性、评估与证据、立法、政策与治理。此外，在科学严谨的框架开发和验证方法方面还有一定空间。