Ludwig Boltzmann Institute Digital Health and Patient Safety, Vienna, Austria.
Department of Anaesthesia, Medical University of Vienna, General Intensive Care and Pain Medicine, Vienna, Austria.
PLoS One. 2024 Sep 19;19(9):e0310895. doi: 10.1371/journal.pone.0310895. eCollection 2024.
In times of demographic change and an immense shortage of qualified personnel in emergency medical services, telemedicine could offer more efficient solutions for better care. Given the community-based nature of emergency services, local communities play an important role. This study explored the expectations of healthcare professionals and volunteers for telemedicine tools in prehospital emergency medicine.
This mixed-methods study was conducted in the rural region of Burgenland in Austria with stakeholders of the local emergency medical service in two focus groups (13 participants) and 99 quantitative questionnaires.
Combining quantitative and qualitative data, we found that a majority of respondents (almost 80%) already experienced basic telemedicine and consider it valuable. In particular, there is a strong expectation for diagnostic support and inquiries related to potential hospitalization. Findings from two focus groups emphasized the importance of cultivating an improved learning culture, developing a specific mindset, and refining soft skills. The optimal telemedicine solution includes a knowledgeable and experienced tele-emergency physician coupled with user-friendly technology.
To be clear about the expectations of stakeholders, it is essential to involve all stakeholders right from the beginning. The solution should prioritize the integration of existing structures and be seamlessly incorporated into an evolving learning culture, while also fostering the necessary mindsets alongside educational aspects.
在人口结构变化和急救医疗服务领域合格人员严重短缺的情况下，远程医疗可能为提供更好的护理提供更有效的解决方案。鉴于急救服务的社区性质，当地社区发挥着重要作用。本研究探讨了医疗保健专业人员和志愿者对院前急救医学中远程医疗工具的期望。
本混合方法研究在奥地利布尔根兰州的农村地区进行，涉及当地急救医疗服务的利益相关者，包括两个焦点小组（13 名参与者）和 99 份定量问卷。
将定量和定性数据相结合，我们发现大多数受访者（近 80%）已经体验过基础远程医疗，并认为它有价值。特别是，他们强烈期望获得诊断支持和有关潜在住院治疗的咨询。两个焦点小组的研究结果强调了培养改进的学习文化、发展特定思维模式和提高软技能的重要性。最佳的远程医疗解决方案包括知识渊博且经验丰富的远程急救医生，以及用户友好的技术。
要明确利益相关者的期望，必须从一开始就让所有利益相关者参与进来。该解决方案应优先考虑整合现有结构，并无缝融入不断发展的学习文化，同时培养必要的思维模式和教育方面。
