Rizos Fotios, Karanikas Haralampos, Katsapi Angeliki, Tsana Mariana, Tsoukas Vasileios, Koukoulas George, Drakopoulos Dimitrios, Katsiroumpa Aglaia, Galanis Petros
Euro-Mediterranean Institute of Quality and Safety in Healthcare, Avedis Donabedian, 10678 Athens, Greece.
Department of Business Administration, University of West Attica, 12241 Athens, Greece.
Healthcare (Basel). 2025 May 2;13(9):1046. doi: 10.3390/healthcare13091046.
Sustainability in healthcare has gained increasing importance due to its impact on environmental, financial, and social strategies, as well as on public health, and therefore, relevant policies and actions can also play a significant role in telemedicine services. The establishment of a sustainable telemedicine network at a country level is important to improve access to healthcare, reduce costs, increase convenience, and ensure the continuity of service delivery. However, there are significant environmental, social, technological, human, and governance challenges to meet the sustainability conditions for these networks. : Thus, a narrative literature review was conducted to investigate the telemedicine implementation aspects and the sustainability dimensions in a unified approach and integrated strategy in order to develop a more resilient and equitable healthcare solution, ensuring its long-term integration into healthcare systems. This paper aims to identify critical factors related to the proposed governance model for the National Telemedicine Network in Greece (EDIT) that influence sustainability requirements and interdisciplinary strategies to address relevant challenges. By examining these factors, the paper seeks to propose the fundamental pillars of a sustainable telemedicine framework and the methodology for developing a sustainability plan that will enhance EDIT's capacities toward a sustainable and resilient operation of telemedicine as a standard practice within the Greek healthcare system.
由于其对环境、财务和社会战略以及公共卫生的影响，医疗保健领域的可持续性变得越来越重要，因此，相关政策和行动在远程医疗服务中也可以发挥重要作用。在国家层面建立可持续的远程医疗网络对于改善医疗保健服务的可及性、降低成本、提高便利性以及确保服务提供的连续性至关重要。然而，要满足这些网络的可持续性条件，在环境、社会、技术、人力和治理方面存在重大挑战。因此，进行了一项叙述性文献综述，以统一的方法和综合战略研究远程医疗的实施方面和可持续性维度，以便开发更具弹性和公平性的医疗保健解决方案，确保其长期融入医疗保健系统。本文旨在确定与希腊国家远程医疗网络（EDIT）提议的治理模式相关的关键因素，这些因素会影响可持续性要求以及应对相关挑战的跨学科战略。通过研究这些因素，本文旨在提出可持续远程医疗框架的基本支柱以及制定可持续性计划的方法，这将增强EDIT在希腊医疗保健系统内将远程医疗作为标准做法进行可持续和弹性运营的能力。
