Division of Stroke, Department of Neurology, Vanderbilt University Medical Center, Nashville, TN, United States.
Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States.
J Med Internet Res. 2021 Sep 20;23(9):e29511. doi: 10.2196/29511.
Recent literature supports the efficacy and efficiency of telemedicine in improving various health outcomes despite the wide variability in results. Understanding site-specific issues in the implementation of telemedicine trials for broader replication and generalizability of results is needed. Lessons can be learned from existing trials, and a blueprint can guide researchers to conduct these challenging studies using telemedicine more efficiently and effectively. This viewpoint presents relevant challenges and solutions for conducting multisite telemedicine trials using 7 ongoing and completed studies funded by the Patient-Centered Outcomes Research Institute portfolio of large multisite trials to highlight the challenges in implementing telemedicine trials. Critical issues of ensuring leadership and buy-in, appropriate funding, and diverse and representative trials are identified and described, as well as challenges related to clinical, informatics, regulatory, legal, quality, and billing. The lessons learned from these studies were used to create a blueprint of key aspects to consider for the design and implementation of multisite telemedicine trials.
最近的文献支持远程医疗在改善各种健康结果方面的功效和效率，尽管结果存在很大差异。需要了解远程医疗试验实施中的特定地点问题，以更广泛地复制和推广结果的普遍性。可以从现有试验中吸取经验教训，蓝图可以指导研究人员更有效地利用远程医疗进行这些具有挑战性的研究。本观点介绍了使用正在进行的和已完成的 7 项由患者为中心的成果研究所资助的大型多中心试验组合中的远程医疗试验进行多中心远程医疗试验的相关挑战和解决方案，以突出实施远程医疗试验的挑战。确定并描述了确保领导力和认同、适当的资金以及多样化和有代表性的试验的关键问题，以及与临床、信息学、监管、法律、质量和计费相关的挑战。从这些研究中吸取的经验教训被用来创建一个多中心远程医疗试验设计和实施的关键方面的蓝图。
