Wade Victoria, Stocks Nigel
Discipline of General Practice, School of Medicine, Faculty of Health Sciences, The University of Adelaide, Adelaide, SA, Australia.
Discipline of General Practice, School of Medicine, Faculty of Health Sciences, The University of Adelaide, Adelaide, SA, Australia.
Heart Lung Circ. 2017 Apr;26(4):331-337. doi: 10.1016/j.hlc.2016.10.013. Epub 2016 Nov 30.
Telehealth, the delivery of health care services at a distance using information and communications technology, is one means of redressing inequalities in cardiovascular outcomes for disadvantaged groups in Australia. This critical review argues that there is sufficient evidence to move to larger-scale implementation of telehealth for acute cardiac, acute stroke, and cardiac rehabilitation services. For cardiovascular chronic disease and risk factor management, telehealth-based services can deliver value but the evidence is less compelling, as the outcomes of these programs are variable and depend upon the context of their implementation.
远程医疗是指利用信息和通信技术远程提供医疗保健服务,它是纠正澳大利亚弱势群体心血管疾病治疗不平等现象的一种手段。这篇批判性综述认为,有充分证据表明应扩大远程医疗在急性心脏疾病、急性中风和心脏康复服务方面的大规模应用。对于心血管慢性疾病和风险因素管理,基于远程医疗的服务可以提供价值,但证据不够有说服力,因为这些项目的结果各不相同,且取决于其实施背景。