Alami H, Gagnon M-P, Côté A, Kostović C N, Ag Ahmed M A, Samri M A, Fortin J-P
Département de gestion, d'évaluation et de politique de santé, école de santé publique de l'université de Montréal, Montréal, QC, Canada.
Centre de recherche en santé publique de l'université de Montréal, P.O. Box 6128, Branch Centre-Ville, Montréal, QC, Canada.
Ethics Med Public Health. 2020 Oct-Dec;15:100596. doi: 10.1016/j.jemep.2020.100596. Epub 2020 Sep 29.
Telehealth is seen as a key lever in health policy choices. However, many challenges remain in terms of its successful integration into clinical practices. To date, many telehealth initiatives are struggling to move beyond the pilot project stage. This is partly due to a culture of innovation that is mainly focused on the expected benefits of the technology and less on the changes and transformations it can generate. Telehealth is used in health care organizations with complex social dynamics, to say the least. Its introduction has unintended consequences that can affect patients, communities, professionals, organizations, health systems and society as a whole. The aim of this article is to discuss some of the unintended consequences of using telehealth in health care organizations and systems.
远程医疗被视为卫生政策选择中的关键杠杆。然而，要将其成功融入临床实践仍面临诸多挑战。迄今为止，许多远程医疗举措仍难以超越试点项目阶段。部分原因在于创新文化主要关注技术的预期效益，而较少关注其可能带来的变革。至少可以说，远程医疗应用于具有复杂社会动态的医疗保健组织中。其引入会产生意想不到的后果，可能会影响患者、社区、专业人员、组织、卫生系统乃至整个社会。本文旨在探讨在医疗保健组织和系统中使用远程医疗所产生的一些意想不到的后果。
