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通过远程医疗生态系统™模式改善农村人口的医疗保健服务可及性和医疗效果。

Enhancing Rural Population Health Care Access and Outcomes Through the Telehealth EcoSystem™ Model.

作者信息

Leath Brenda A, Dunn Lucenia W, Alsobrook Antwon, Darden Madeline L

机构信息

Westat, Rockville, MD.

Tuskegee Macon County Community Foundation, Inc., Tuskegee, AL.

出版信息

Online J Public Health Inform. 2018 Sep 21;10(2):e218. doi: 10.5210/ojphi.v10i2.9311. eCollection 2018.

Abstract

The article highlights the Telehealth EcoSystem™ model, a holistic cross-sector approach for socioeconomic revitalization, connectivity, interoperability and technology infrastructure development to address health equity for rural underserved communities. Two guiding frameworks, Community & Economic Development (CED) and Collective Impact, provided the foundation for the Telehealth EcoSystem™ model. Public and private organizational capacities are addressed by comprehensive healthcare and social service delivery through stakeholder engagement and collaborative decision-making processes. A focus is maintained on economic recovery and policy reforms that enhance population health outcomes for individuals and families who have economic challenges. The Telehealth EcoSystem™ utilizes an intranet mechanism that enables a range of technologies and electronic devices for health informatics and telemedicine initiatives. The relevance of the intranet to the advancement of health informatics is highlighted. Best practices in digital connectivity, HIPAA requirements, electronic health records (EHRs), and eHealth applications, such as patient portals and mobile devices, are emphasized. Collateral considerations include technology applications that expand public health services. The ongoing collaboration between a social science research corporation, a regional community foundation and an open access telecommunications carrier is a pivotal element in the sequential development and implementation of the Telehealth EcoSystem™ model in the rural southeastern region community.

摘要

本文重点介绍了远程医疗生态系统™模式,这是一种全面的跨部门方法,用于社会经济振兴、连通性、互操作性和技术基础设施发展,以解决农村服务不足社区的健康公平问题。两个指导框架,即社区与经济发展(CED)和集体影响,为远程医疗生态系统™模式提供了基础。通过利益相关者参与和协作决策过程,通过全面的医疗保健和社会服务提供来解决公共和私营组织的能力问题。重点关注经济复苏和政策改革,这些改革可改善面临经济挑战的个人和家庭的人口健康状况。远程医疗生态系统™利用一种内联网机制,该机制可为健康信息学和远程医疗计划启用一系列技术和电子设备。强调了内联网对健康信息学进步的相关性。强调了数字连接、HIPAA要求、电子健康记录(EHR)以及电子健康应用(如患者门户网站和移动设备)方面的最佳实践。附带考虑因素包括扩展公共卫生服务的技术应用。一家社会科学研究公司、一个地区社区基金会和一家开放接入电信运营商之间正在进行的合作,是在东南部农村地区社区依次开发和实施远程医疗生态系统™模式的关键要素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d8c/6194096/35aba5f7c813/ojphi-10-e218-g001.jpg

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