远程内镜检查在农村按人头付费市场中的疗效。
Efficacy of tele-endoscopy in a rural capitated market.
作者信息
Moses P L, McGowan J J, Ricci M A
机构信息
Vermont Initiative for Rural Health Informatics and Telemedicine, University of Vermont College of Medicine, Burlington, USA.
出版信息
Proc AMIA Annu Fall Symp. 1997:398-402.
PURPOSE
To attempt to quantify the potential for success of tele-endoscopy as a component of the VTMEDNET Plus telemedicine implementation, a multi-part prospective study was undertaken by faculty of the Vermont Initiative for Rural Health Informatics and Telemedicine.
METHOD
The study was comprised of three separate parts, evaluation of image quality, cost analysis, and identification of referring providers needs and attitudes regarding tele-endoscopy.
FINDINGS
The image quality was satisfactory to support remote diagnosis in most cases; there was significant cost savings in a managed care environment; referring providers were generally positive about the attributes of tele-endoscopy.
CONCLUSION
Tele-endoscopy is a viable and cost-effective component within a telemedicine system.
目的
为了尝试量化远程内窥镜检查作为VTMEDNET Plus远程医疗实施组成部分取得成功的可能性，佛蒙特农村健康信息学与远程医疗倡议组织的教员开展了一项多部分的前瞻性研究。
方法
该研究由三个独立部分组成，即图像质量评估、成本分析以及确定转诊提供者对远程内窥镜检查的需求和态度。
结果
在大多数情况下，图像质量足以支持远程诊断；在管理式医疗环境中可显著节省成本；转诊提供者对远程内窥镜检查的特性普遍持肯定态度。
结论
远程内窥镜检查是远程医疗系统中可行且具有成本效益的组成部分。
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