McCrossan Brian A, Doherty Nicola N, Sands Andrew J, Grant Brian, Craig Brian G, McCusker Chris G, Casey Frank A
Department of Paediatric Cardiology, The Royal Belfast Hospital for Sick Children, Belfast, United Kingdom.
J Paediatr Child Health. 2014 Jun;50(6):482-6. doi: 10.1111/jpc.12501. Epub 2014 Feb 17.
The aim of this study is to evaluate consultant general paediatricians' opinions of a UK paediatric telecardiology service.
A structured questionnaire was developed and sent to all consultant paediatricians working in a district general hospital in Northern Ireland.
Paediatricians (n = 35) regarded the regional paediatric telecardiology service as very useful and of good value for money. Paediatricans in hospitals without access to telecardiology expressed a desire to join the network (86%, 12/14). More frequent use of the paediatric telecardiology service was associated with increased confidence in performing echocardiography and using the telemedicine equipment and a special interest in neonatology. The vast majority of paediatricians (32/35, 91%) believed that there should be a shared clinical responsibility for the patient following a teleconsultation. A total of 33/35 (94%) stated that the telephone costs of the consultation should be paid by the paediatrician but that the professional time of the cardiologist should be paid by the tertiary centre (29/35, 83%).
Paediatricians have consistently positive experiences of a regional paediatric telecardiology service. They believe that clinical responsibility is shared, and there should not be any professional fee for telemedicine activities.
本研究旨在评估英国儿科顾问医生对儿科远程心脏病学服务的看法。
设计了一份结构化问卷，并发送给在北爱尔兰一家地区综合医院工作的所有儿科顾问医生。
儿科医生（n = 35）认为区域儿科远程心脏病学服务非常有用且性价比高。无法使用远程心脏病学服务的医院中的儿科医生表示希望加入该网络（86%，12/14）。更频繁地使用儿科远程心脏病学服务与进行超声心动图检查和使用远程医疗设备的信心增强以及对新生儿学的特殊兴趣有关。绝大多数儿科医生（32/35，91%）认为远程会诊后应对患者承担共同的临床责任。共有33/35（94%）表示会诊的电话费用应由儿科医生支付，但心脏病专家的专业时间应由三级中心支付（29/35，83%）。
儿科医生对区域儿科远程心脏病学服务一直有着积极的体验。他们认为临床责任是共享的，并且远程医疗活动不应收取任何专业费用。
