Taylor Jo, Coates Lizzie
Nurs Times. 2015;111(28-29):18-20.
Telehealth is used to help people manage their heath and maintain independence, but has proved difficult to integrate into routine practice.
To explore the barriers to telehealth and find out what helps to improve its adoption among nursing staff.
Case studies were compiled from four community health services in the Yorkshire and Humber region that were using telehealth to monitor patients. The case studies used interviews with 84 community nursing, technical and support staff, and 21 managers. Some 40 telehealth users and 12 carers were also interviewed.
Factors serving as barriers to the use of telehealth, including lack of planning, insufficient training, lack of time and technological problems. Factors encouraging uptake included giving nurses time to experiment with the technology, a clear service pathway, establishing telehealth champions to troubleshoot and disseminate information, and successful care using telehealth.
Factors improving the adoption of telehealth in community nursing include: better planning of how the service operates and installing appropriate technology, good communication with nurses and service users, establishing telehealth champions and providing ongoing training and support.
Many of the barriers in using telehealth can be avoided with better planning and collaboration.
远程医疗用于帮助人们管理自身健康并保持独立，但事实证明难以融入日常医疗实践。
探讨远程医疗的障碍，并找出有助于提高护理人员对其采用率的因素。
对约克郡和亨伯地区使用远程医疗监测患者的四家社区卫生服务机构进行案例研究。案例研究采用了对84名社区护理、技术和支持人员以及21名管理人员的访谈。还对约40名远程医疗用户和12名护理人员进行了访谈。
阻碍远程医疗使用的因素包括缺乏规划、培训不足、时间不够和技术问题。促进采用的因素包括给护士时间试用该技术、明确的服务路径、设立远程医疗倡导者以解决问题和传播信息，以及使用远程医疗取得成功的护理案例。
提高社区护理中远程医疗采用率的因素包括：更好地规划服务运作方式并安装合适的技术、与护士和服务用户进行良好沟通、设立远程医疗倡导者并提供持续培训和支持。
通过更好的规划与协作，可以避免远程医疗使用中的许多障碍。
