Allner Raphael, Wilfling Denise, Kidholm Kristian, Steinhäuser Jost
Institut für Telematik, Universität zu Lübeck, Lübeck, Germany.
Institut für Allgemeinmedizin, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.
Z Evid Fortbild Qual Gesundhwes. 2019 May;141-142:89-95. doi: 10.1016/j.zefq.2019.03.005. Epub 2019 Apr 5.
The term telemedicine describes the delivery of healthcare services through the use of information and communication technologies in a situation where the actors are at different locations. While telemedical applications are piloted in research projects in Germany, they have rarely become part of everyday care. In order to find indications as to why the transfer of knowledge into practice has so far been slow, it is necessary to examine telemedical projects for aspects of implementation science.
A systematic search looking for telemedical projects in Germany was conducted in the electronic databases PubMed, Web of Science and ACM Digital Library using a complex search strategy. The criteria and domains of the Model for Assessment of Telemedicine (MAST) were used to evaluate the publications.
A total of 336 publications were identified, 16 of which were ultimately included in the analysis. Much of the work deals with stroke and the implementation of telemedicine networks. The analysis according to MAST shows that most publications omit essential considerations.
Publications on telemedical projects are often characterized by unsystematic approaches. The MAST instrument identifies areas where the approaches to telemedical projects could be extended in the future to ensure the sustainability and feasibility of these prototypical telemedical applications.
远程医疗这一术语描述的是在参与者身处不同地点的情况下，通过使用信息和通信技术来提供医疗保健服务。虽然德国的研究项目中对远程医疗应用进行了试点，但它们很少成为日常医疗的一部分。为了找出到目前为止知识转化为实践进展缓慢的原因，有必要从实施科学的角度审视远程医疗项目。
使用复杂的搜索策略在电子数据库PubMed、科学网和ACM数字图书馆中对德国的远程医疗项目进行系统搜索。采用远程医疗评估模型（MAST）的标准和领域来评估这些出版物。
共识别出336篇出版物，其中16篇最终纳入分析。大部分工作涉及中风和远程医疗网络的实施。根据MAST进行的分析表明，大多数出版物忽略了基本的考量因素。
关于远程医疗项目的出版物往往具有非系统性的特点。MAST工具确定了未来远程医疗项目方法可以扩展的领域，以确保这些原型远程医疗应用的可持续性和可行性。
