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在一个复杂的组织中启动远程医疗服务。

Initiating Telehealth in a Complex Organization.

作者信息

Jalalabadi Faryan, Shultz Kelly Page, Sussman Norman Leslie, Fisher William E, Reece Edward M

机构信息

Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.

Division of Abdominal Transplantation, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.

出版信息

Semin Plast Surg. 2018 Nov;32(4):159-161. doi: 10.1055/s-0038-1672132. Epub 2018 Oct 22.

DOI:10.1055/s-0038-1672132
PMID:30357052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6197881/
Abstract

Medicine has been praised for breakthroughs that improve the quality and longevity of human life. In the setting of today's fast-paced, tech-savvy society in combination with increased patient volume entering hospital doors, telemedicine proves an effective tool to enable the industry to adapt to the changing world around us. A review of the current literature and legislative laws was conducted along with knowledge from the experience gathered at starting a telehealth platform at Texas Children's Hospital to find the necessary steps for starting a telehealth program. Through digital platform, telemedicine offers remote delivery of medical services to all parts of the country, urban and rural, while enhancing interprofessional referral patterns in the local setting. Telemedicine sets to preemptively triage and guide patients through their appropriate phases of care all the meanwhile, bringing the patient and physician closer together. This discussion delves into the further added benefits to large hospital systems, breaks down the basics of the technological platform, and addresses current barriers to entry in the telehealth industry. This article serves as an introduction to a series regarding effective implementation of telemedicine into the hospital system.

摘要

医学因改善人类生活质量和延长寿命的突破而受到赞誉。在当今快节奏、精通技术的社会背景下,加上进入医院的患者数量增加,远程医疗被证明是一种有效的工具,能使医疗行业适应我们周围不断变化的世界。我们结合在德克萨斯儿童医院启动远程医疗平台所积累的经验,对当前的文献和法律法规进行了回顾,以找出启动远程医疗项目的必要步骤。通过数字平台,远程医疗为全国城乡各地提供远程医疗服务,同时改善当地环境中的跨专业转诊模式。远程医疗旨在对患者进行预先分诊,并指导他们度过适当的护理阶段,同时拉近患者与医生之间的距离。本讨论深入探讨了大型医院系统进一步获得的益处,剖析了技术平台的基础知识,并探讨了当前远程医疗行业的进入障碍。本文作为关于将远程医疗有效实施到医院系统的系列文章的引言。

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Development of a Digital Research Assistant for the Management of Patients' Enrollment in Oncology Clinical Trials within a Research Hospital.为研究型医院肿瘤临床试验患者入组管理开发数字研究助手
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本文引用的文献

1
A Systematic Review of the Use of Telemedicine in Plastic and Reconstructive Surgery and Dermatology.远程医疗在整形与重建外科及皮肤科应用的系统评价
Ann Plast Surg. 2017 Jun;78(6):736-768. doi: 10.1097/SAP.0000000000001044.
2
State of Telehealth.远程医疗状况
N Engl J Med. 2016 Jul 14;375(2):154-61. doi: 10.1056/NEJMra1601705.
3
Practical aspects of telehealth: establishing telehealth in an institution.远程医疗的实践层面:在机构中建立远程医疗
Intern Med J. 2014 Feb;44(2):202-5. doi: 10.1111/imj.12339.
4
Telemedicine, telehealth, and mobile health applications that work: opportunities and barriers.远程医疗、远程保健和可运作的移动医疗应用:机遇与障碍。
Am J Med. 2014 Mar;127(3):183-7. doi: 10.1016/j.amjmed.2013.09.032. Epub 2013 Oct 29.
5
eHealth: extending, enhancing, and evolving health care.电子健康:拓展、增强和发展医疗保健。
Annu Rev Biomed Eng. 2013;15:359-82. doi: 10.1146/annurev-bioeng-071812-152350. Epub 2013 May 13.
6
A review of telemedicine business models.远程医疗商业模式综述。
Telemed J E Health. 2013 Apr;19(4):287-97. doi: 10.1089/tmj.2012.0172.
7
Telemedicine in an academic center--the Arizona Telemedicine Program.学术中心的远程医疗——亚利桑那远程医疗计划。
Telemed J E Health. 2013 May;19(5):349-56. doi: 10.1089/tmj.2012.0285. Epub 2013 Jan 23.
8
Successful models for telehealth.远程医疗的成功模式。
Otolaryngol Clin North Am. 2011 Dec;44(6):1275-88, vii-viii. doi: 10.1016/j.otc.2011.08.004.
9
The business of telemedicine: strategy primer.远程医疗业务:策略入门。
Telemed J E Health. 2010 Oct;16(8):898-909. doi: 10.1089/tmj.2009.0178. Epub 2010 Oct 6.
10
What is telemedicine? A collection of 104 peer-reviewed perspectives and theoretical underpinnings.什么是远程医疗?104篇同行评议观点与理论基础的集合。
Telemed J E Health. 2007 Oct;13(5):573-90. doi: 10.1089/tmj.2006.0073.