远程医疗的意外后果及其可能的解决方案。国际医学信息学会远程医疗工作组的贡献。
Unintended Consequences of Tele Health and their Possible Solutions. Contribution of the IMIA Working Group on Telehealth.
作者信息
Gogia S B, Maeder A, Mars M, Hartvigsen G, Basu A, Abbott P
机构信息
WG Chairperson Shashi Bhushan Gogia, E-Mail:
出版信息
Yearb Med Inform. 2016 Nov 10(1):41-46. doi: 10.15265/IY-2016-012.
Abstract
OBJECTIVES
Assess unforeseen consequences of Telehealth and suggest solutions Methods: An outline was created collecting all possible ill effects classified into Clinical considerations, Administrative concerns including interpersonal relations, Technical issues, Legal / Ethical concerns and Miscellaneous. Each topic was assigned to a particular WG member to lead, gather opinion and review existing literature.
RESULTS AND CONCLUSION
A wide array of problems have been described. Except for technical issues, literature on this topic is scant, so this article is based more on personal experience and data collected from surveys. Much can be done to prevent such problems, such as a need for standardization with related clinical studies for devices as well as processes used for telehealth is underlined, besides evaluation of outcomes of projects undertaken.
摘要
目标
评估远程医疗的意外后果并提出解决方案。方法：创建了一个大纲，收集所有可能的不良影响，这些影响分为临床考量、行政问题（包括人际关系）、技术问题、法律/伦理问题以及其他杂项。每个主题都分配给特定的工作组成员负责牵头，收集意见并查阅现有文献。
结果与结论
已描述了一系列广泛的问题。除技术问题外，关于该主题的文献很少，因此本文更多基于个人经验和从调查中收集的数据。可以采取很多措施来预防此类问题，例如强调需要对远程医疗所使用的设备以及流程进行标准化，同时对相关临床研究进行评估，此外还需对所开展项目的结果进行评估。
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