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昆士兰乡村社区对远程医疗的认知、体验与看法

Awareness, experiences and perceptions of telehealth in a rural Queensland community.

作者信息

Bradford Natalie K, Caffery Liam J, Smith Anthony C

机构信息

The University of Queensland, Centre for Online Health, PAH Telehealth Centre, Princess Alexandra Hospital, Woolloongabba, QLD, 4102, Australia.

出版信息

BMC Health Serv Res. 2015 Sep 28;15:427. doi: 10.1186/s12913-015-1094-7.

Abstract

BACKGROUND

Telehealth can offer alternative options for receiving healthcare services in rural locations, improving access and reducing costs associated with traveling for services. However, the full potential of telehealth has not been realised with slow and fragmented uptake. This study describes the awareness, experiences and perceptions of telehealth in an Australian rural community.

METHODS

Semi-structured interviews were undertaken with 47 participants from three rural towns in the Darling Downs region of Queensland. Content analysis was used to abstract themes and core concepts from the interviews.

RESULTS

Three participants were healthcare providers who had all previously used telehealth in their clinical practice. Twenty-seven (57 %) participants regularly travelled to access specialist healthcare. While 28 (60 %) participants were aware of telehealth, only six (13 %) had actually used telehealth services; three as patients and three as healthcare providers. Major themes evident included: acceptance of the need to travel; paternalism and empowerment; and trust and misconceptions.

CONCLUSIONS

For telehealth initiatives to be successful, there needs to be greater public awareness and understanding of the potential benefits of telehealth. Empowering patients as partners in the delivery of healthcare may be an important factor in the growth of telehealth services.

摘要

背景

远程医疗可为农村地区提供接受医疗服务的替代选择,改善就医机会并降低因前往就医而产生的成本。然而,由于采用缓慢且分散,远程医疗的全部潜力尚未实现。本研究描述了澳大利亚一个农村社区对远程医疗的认知、体验和看法。

方法

对昆士兰州达令唐斯地区三个农村城镇的47名参与者进行了半结构化访谈。采用内容分析法从访谈中提炼主题和核心概念。

结果

三名参与者是医疗服务提供者,他们之前都在临床实践中使用过远程医疗。27名(57%)参与者经常前往就医以获得专科医疗服务。虽然28名(60%)参与者知晓远程医疗,但只有6名(13%)实际使用过远程医疗服务;其中三名是患者,三名是医疗服务提供者。明显的主要主题包括:对出行必要性的接受;家长式作风与赋权;以及信任和误解。

结论

要使远程医疗计划取得成功,需要提高公众对远程医疗潜在益处的认识和理解。让患者成为医疗服务提供的合作伙伴可能是远程医疗服务发展的一个重要因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f14/4587917/aa7bec69800f/12913_2015_1094_Fig1_HTML.jpg

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