1 Center for Health + Technology, University of Rochester Medical Center , Rochester, New York.
2 Department of Biostatistics and Computational Biology, University of Rochester , Rochester, New York.
Telemed J E Health. 2018 Sep;24(9):722-724. doi: 10.1089/tmj.2017.0210. Epub 2018 Jan 3.
The integration of remote specialists into local care teams has not been widely evaluated.
Therefore, we surveyed clinicians whose patients with Parkinson's disease had participated in a national randomized controlled trial of video visits to determine (1) whether clinicians received recommendations from remote specialists; (2) whether those recommendations were implemented; (3) what barriers to specialty care local clinicians perceived; and (4) whether they would recommend video visits.
Of 183 clinicians surveyed, 89 (49%) responded. Less than half received the recommendations of remote specialists, but they implemented most of the recommendations they received and found them to be beneficial.
The greatest perceived barrier among respondents was distance from patient to specialist, and 40% of local clinicians would recommend video visits. As telemedicine grows, improved communication between remote specialists and local clinicians is likely needed.
将远程专家整合到当地护理团队中的做法尚未得到广泛评估。
因此，我们调查了参与帕金森病患者全国视频访视随机对照试验的临床医生，以确定（1）临床医生是否收到了远程专家的建议；（2）这些建议是否得到实施；（3）当地临床医生认为专业护理存在哪些障碍；以及（4）他们是否会推荐视频访视。
在接受调查的 183 名临床医生中，有 89 名（49%）做出了回应。不到一半的人收到了远程专家的建议，但他们实施了收到的大部分建议，并认为这些建议是有益的。
受访者认为最大的障碍是患者与专家之间的距离，40%的当地临床医生会推荐视频访视。随着远程医疗的发展，远程专家和当地临床医生之间可能需要改进沟通。
