Centre for Online Health, University of Queensland, Brisbane, Australia Queensland Children's Medical Research Institute, Royal Children's Hospital, Brisbane, Australia
Centre for Online Health, University of Queensland, Brisbane, Australia.
J Telemed Telecare. 2014 Oct;20(7):365-9. doi: 10.1177/1357633X14552371.
We implemented a community telehealth project in the three towns in the Darling Downs area of Queensland over a 2-year period starting in July 2012. The purpose of the project was to generate telehealth activity in hospitals, general practice and selected residential aged care facilities. Telehealth education and training was provided to clinicians in the three towns and a community awareness campaign was delivered using advertisements in newspapers, messages in social media and presentations at community events. A total of 55 stakeholders were engaged with during 61 site visits to health care facilities during the first two years of the project. During the study period, telehealth activity in Queensland increased in the hospital sector by 39% and in the non-hospital sector by 99%. In the Darling Downs region, telehealth activity in the hospital sector increased by 104%, compared to 28% in the rest of Queensland. However, in the non-hospital sector, the increase in telehealth activity in the Darling Downs region was similar to the rest of Queensland. Telehealth services established and/or facilitated by the project included specialist geriatric ward rounds in Dalby, Chinchilla and Miles for patients in the local hospitals and nursing homes; and ad-hoc teleconsultations for children and adults living in these communities, with specialists at Toowoomba and hospitals in Brisbane. An increase in telehealth implies better access to a range of clinical services, which may result in improved clinical outcomes for patients.
我们在昆士兰州达令唐斯地区的三个城镇实施了一个社区远程医疗项目，该项目从 2012 年 7 月开始，为期两年。该项目的目的是在医院、普通诊所和选定的养老院产生远程医疗活动。我们为三个城镇的临床医生提供远程医疗教育和培训，并通过在报纸上刊登广告、在社交媒体上发布信息以及在社区活动中进行演讲，开展社区宣传活动。在项目的头两年，我们共与 55 个利益相关者进行了 61 次对医疗保健设施的实地访问。在研究期间，昆士兰州的医院部门远程医疗活动增加了 39%，非医院部门增加了 99%。在达令唐斯地区，医院部门的远程医疗活动增加了 104%，而昆士兰州其他地区则增加了 28%。然而，在非医院部门，达令唐斯地区远程医疗活动的增长与昆士兰州其他地区相似。该项目建立和/或促进的远程医疗服务包括在达比、钦奇拉和迈尔斯为当地医院和疗养院的患者进行专家老年病房查房；以及为居住在这些社区的儿童和成人提供临时远程咨询，由图文巴的专家和布里斯班的医院提供服务。远程医疗服务的增加意味着可以更好地获得一系列临床服务，这可能会改善患者的临床结果。
