Department of Neuroscience, University of Sheffield, Sheffield, UK.
Department of Neuroscience, Sheffield Teaching Hospitals, Sheffield, UK.
J Med Eng Technol. 2022 Aug;46(6):506-517. doi: 10.1080/03091902.2022.2040625. Epub 2022 Feb 25.
Long-term neurological conditions (LTNCs) cause physical and psychological symptoms that have a significant impact on activities of daily living and quality of life. Multidisciplinary teams are effective at providing treatment for people with LTNCs; however, access to such services by people with disabilities can be difficult and as a result, good quality care is not universal. One potential solution is telehealth. This review describes the potential of telehealth to support people with LTNCs, the challenges of designing and implementing these systems, and the key recommendations for those involved in telehealth to facilitate connected services that can benefit patients, carers and healthcare professionals. These recommendations include understanding the problems posed by LTNCs and the needs of the end-user through a person-centred approach. We discuss how to work collaboratively and use shared learning, and consider how to effectively evaluate the intervention at every stage of the development process.
长期神经病症（LTNCs）会导致身体和心理症状，对日常生活活动和生活质量产生重大影响。多学科团队在为 LTNC 患者提供治疗方面非常有效；然而，残疾人获得此类服务可能很困难，因此，优质的护理并不是普遍的。一种潜在的解决方案是远程医疗。本综述描述了远程医疗支持 LTNC 患者的潜力、设计和实施这些系统的挑战，以及为那些参与远程医疗的人提供的关键建议，以促进可以使患者、护理人员和医疗保健专业人员受益的连接服务。这些建议包括通过以患者为中心的方法了解 LTNCs 带来的问题和最终用户的需求。我们讨论了如何进行协作和利用共享学习，并考虑如何在开发过程的每个阶段有效地评估干预措施。
