Framework for Canadian telehealth guidelines: summary of the environmental scan
Framework for Canadian telehealth guidelines: summary of the environmental scan
复制标题
DOI：
10.1258/135763306776084338
复制
发表时间：
2006-01-01
影响因子：
4.7
通讯作者：
Cradduck, T
中科院分区：
文献类型：
--
作者：
Hogenbirk, JC;Brockway, PD;Cradduck, T
设立了一个加拿大项目（远程保健准则国家倡议），以制定远程保健准则，供保健专业人员、远程保健提供者用作服务标准的基准，并供认证机构用于认证标准。进行了环境扫描，重点是组织，人力资源，临床和技术问题。进行了文献综述、利益相关者调查（245封邮件，84份完整答复）和48次关键知情人访谈。制定并公布了一个指导方针框架，作为制定泛加拿大政策的初步步骤。临时建议是，各组织和法域可考虑订立正式协定，具体规定：（1）组织互操作性;（2）技术互操作性;（3）人员要求;（4）质量和持续护理责任;（5）远程保健服务;（6）薪酬;（7）质量保证程序。另一项建议是，需要有灵活的机制，以确保认证标准在技术、服务整合和提供方面迅速变化的情况下以及在偏远或服务不足地区运营远程保健服务的情况下是现实的和可实现的。
A Canadian project (the National Initiative for Telehealth Guidelines) was established to develop telehealth guidelines that would be used by health professionals, by telehealth providers as benchmarks for standards of service and by accrediting agencies for accreditation criteria. An environmental scan was conducted, which focused on organizational, human resource, clinical and technological issues. A literature review, a stakeholder survey (245 mail-outs, 84 complete responses) and 48 key informant interviews were conducted. A framework of guidelines was developed and published as a preliminary step towards pan-Canadian policies. Interim recommendations were that organizations and jurisdictions might consider formal agreements to specify: (I) organizational interoperability; (2) technical interoperability; (3) personnel requirements; (4) quality and continuity-of-care responsibilities; (5) telehealth services; (6) remuneration; and (7) quality assurance processes. An additional recommendation was that flexible mechanisms were needed to ensure that accreditation criteria will be realistic and achievable in the context of rapid changes in technology, service integration and delivery, as well as in the context of operating telehealth services in remote or underserved areas.