Saptono Andi, Schein Richard M, Parmanto Bambang, Fairman Andrea
Department of Health Information Management at the University of Pittsburgh.
Department of Rehabilitation Science and Technology at the University of Pittsburgh.
Int J Telerehabil. 2009 Sep 4;1(1):39-46. doi: 10.5195/ijt.2009.6012. eCollection 2009 Fall.
The proliferation of advanced technologies led researchers within the Rehabilitation Engineering Research Center on Telerehabilitation (RERC-TR) to devise an integrated infrastructure for clinical services using the University of Pittsburgh (PITT) model. This model describes five required characteristics for a telerehabilitation (TR) infrastructure: openness, extensibility, scalability, cost-effectiveness, and security. The infrastructure is to deliver clinical services over distance to improve access to health services for people living in underserved or remote areas. The methodological approach to design, develop, and employ this infrastructure is explained and detailed for the remote wheelchair prescription project, a research task within the RERC-TR. The availability of this specific clinical service and personnel outside of metropolitan areas is limited due to the lack of specialty expertise and access to resources. The infrastructure is used to deliver expertise in wheeled mobility and seating through teleconsultation to remote clinics, and has been successfully deployed to five rural clinics in Western Pennsylvania.
先进技术的不断涌现促使远程康复工程研究中心（RERC - TR）的研究人员采用匹兹堡大学（PITT）的模式设计了一个临床服务集成基础设施。该模式描述了远程康复（TR）基础设施所需的五个特征：开放性、可扩展性、可伸缩性、成本效益和安全性。该基础设施旨在通过远程提供临床服务，以改善生活在服务不足或偏远地区的人们获得医疗服务的机会。本文针对远程轮椅处方项目（RERC - TR内的一项研究任务），解释并详细说明了设计、开发和使用此基础设施的方法。由于缺乏专业知识和资源获取渠道，大都市以外地区的这种特定临床服务和人员供应有限。该基础设施通过远程会诊向偏远诊所提供轮式移动和座椅方面的专业知识，并且已成功部署到宾夕法尼亚州西部的五个农村诊所。
