Smith Anthony C, Armfield Nigel R, Coulthard Mark G, Williams Michael L, Caffery Liam J
Centre for Online Health, The University of Queensland, Brisbane, QLD, Australia.
Centre for Health Services Research, The University of Queensland, Brisbane, QLD, Australia.
Front Digit Health. 2020 Nov 25;2:587452. doi: 10.3389/fdgth.2020.587452. eCollection 2020.
In November 2000, the Queensland Telepaediatric Service (QTS) was established in Brisbane, Australia, to support the delivery of telehealth services to patients and clinicians in regional and remote locations. The QTS was built on a centralized coordination model, where telehealth services could be effectively managed by a dedicated telehealth coordinator. In doing so, telehealth referral and consultation processes were efficient and clinicians felt better supported as they adjusted to new processes for engaging with patients. We have conducted a retrospective review of activity associated with the QTS and summarized key activities which have arisen from this extensive program of work. Telehealth service records and associated publications were used to describe the evolution of the QTS over a 15-year period. From November 2000 to March 2016, 23,054 telehealth consultations were delivered for 37 pediatric clinical specialties. The most common service areas included child and youth mental health, neurology, burns care, surgery, and ear nose and throat services. A range of different telehealth service models were developed to align with different clinical service needs and location of services. Whilst most work involved video consultation between hospitals, some services involved the delivery of telehealth services into the home, schools or community health centres. Despite its longevity, the QTS was not immune to the usual challenges associated with telehealth implementation, service redesign and sustainability. Experience reported from the QTS will be useful for other health services seeking to develop comprehensive telehealth services in a rapidly changing healthcare environment.
2000年11月，昆士兰远程儿科服务（QTS）在澳大利亚布里斯班成立，旨在为地区和偏远地区的患者及临床医生提供远程医疗服务。QTS基于集中协调模式构建，远程医疗服务可由专门的远程医疗协调员进行有效管理。这样一来，远程医疗转诊和会诊流程高效顺畅，临床医生在适应与患者沟通的新流程时也能得到更好的支持。我们对与QTS相关的活动进行了回顾性分析，并总结了这一广泛工作项目中出现的关键活动。利用远程医疗服务记录及相关出版物描述了QTS在15年期间的发展历程。2000年11月至2016年3月，为37个儿科临床专科提供了23,054次远程医疗会诊。最常见的服务领域包括儿童和青少年心理健康、神经学、烧伤护理、外科手术以及耳鼻喉科服务。开发了一系列不同的远程医疗服务模式，以适应不同的临床服务需求和服务地点。虽然大多数工作涉及医院之间的视频会诊，但有些服务是将远程医疗服务提供到家庭、学校或社区健康中心。尽管QTS存在时间较长，但也未能免受与远程医疗实施、服务重新设计和可持续性相关的常见挑战的影响。QTS报告的经验对其他在快速变化的医疗环境中寻求发展全面远程医疗服务的卫生服务机构将有所帮助。
