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远程医疗能否用于改善初级医疗和二级医疗之间的沟通?

Can telemedicine be used to improve communication between primary and secondary care?

作者信息

Harrison R, Clayton W, Wallace P

机构信息

Department of Primary Care and Population Sciences, Royal Free Hospital, University College Schools of Medicine, London.

出版信息

BMJ. 1996 Nov 30;313(7069):1377-80; discussion 1380-1. doi: 10.1136/bmj.313.7069.1377.

DOI:10.1136/bmj.313.7069.1377
PMID:8956708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2352902/
Abstract

OBJECTIVE

To test feasibility and acceptability of teleconferencing routine outpatient consultations.

DESIGN

Exploratory trial of teleconferenced outpatient referrals of general practitioners.

SETTING

An inner city teaching hospital and surrounding general practices.

SUBJECTS

Six general practices linked to hospital outpatient clinics.

MAIN OUTCOME MEASURES

Levels of participants' satisfaction measured with self administered questionnaires.

RESULTS

54 teleconsultations were performed in 10 different specialties. Few serious technical problems were encountered, and high levels of satisfaction with the consultations were reported by patients, hospital specialists, and general practitioners.

CONCLUSIONS

Teleconferenced consultations for routine outpatient referrals with joint participation of general practitioner were feasible. These may have an important potential benefit for improving communication between primary and secondary care.

摘要

目的

测试远程会诊常规门诊咨询的可行性和可接受性。

设计

全科医生远程会诊门诊转诊的探索性试验。

地点

市中心教学医院及周边全科诊所。

研究对象

与医院门诊诊所相关的六个全科诊所。

主要观察指标

通过自行填写问卷测量参与者的满意度水平。

结果

在10个不同专科进行了54次远程会诊。几乎没有遇到严重的技术问题,患者、医院专科医生和全科医生对会诊的满意度都很高。

结论

在全科医生共同参与下,进行常规门诊转诊的远程会诊是可行的。这可能对改善初级和二级医疗之间的沟通具有重要的潜在益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55eb/2352902/59e08f61a23e/bmj00570-0040-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55eb/2352902/59e08f61a23e/bmj00570-0040-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55eb/2352902/59e08f61a23e/bmj00570-0040-a.jpg

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Telemedicine in rural Norway.挪威农村地区的远程医疗
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Specialist outreach clinics in general practice.全科医疗中的专科医生外展诊所。
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Future Healthc J. 2020 Oct;7(3):e88-e92. doi: 10.7861/fhj.2020-0082.
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The Use of Patient-Facing Teleconsultations in the National Health Service: Scoping Review.国民医疗服务体系中面向患者的远程会诊应用:范围综述
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