Post-disaster Gulf Coast Recovery Using Telehealth
Post-disaster Gulf Coast Recovery Using Telehealth
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DOI：
10.1089/tmj.2012.0100
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发表时间：
2013-03-01
影响因子：
4.7
通讯作者：
Buckner, Ayanna V.
中科院分区：
文献类型：
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作者：
Kim, Thomas J.;Arrieta, Martha I.;Buckner, Ayanna V.
目标：墨西哥湾沿岸的服务需求远远超过现有资源，仍在苦苦挣扎。自2005年以来，佐治亚州亚特兰大莫尔豪斯医学院的飓风应对区域协调中心(RCC)一直在支持远程医疗解决方案，旨在满足初级保健和其他医疗保健组织的高服务需求(例如精神病学)。RCC的总体愿景是支持自主、有用和可持续的远程医疗计划，以减轻未得到满足的与灾难相关的需求。对象和方法：为了评估墨西哥湾沿岸的远程医疗体验，我们对区域关键信息提供者和对墨西哥湾沿岸恢复感兴趣的国家组织进行了半结构化访谈。采用定性-描述性分析，对访谈记录进行了分析，以确定共同的发展主题。结果：共访问了38名关键信息提供者，参与率为77.6%。确定了远程医疗成功的七个关键因素：资金、监管、工作流程、态度、人员、技术和评估。这些关键的线人帐户揭示了与远程医疗有关的成功、挑战和建议的共同见解。结论：远程医疗成功的七个关键要素证实并组织了来自不同医疗保健利益相关者集体的发展原则。这些见解的结构化性质表明，其他组织可以在一个可概括的框架上制定远程医疗战略，以利用有限的资源满足高服务需求。
Objective: The Gulf Coast continues to struggle with service need far outpacing available resources. Since 2005, the Regional Coordinating Center for Hurricane Response (RCC) at Morehouse School of Medicine, Atlanta, GA, has supported telehealth solutions designed to meet high service needs (e.g., psychiatry) within primary care and other healthcare organizations. The overall RCC vision is to support autonomous, useful, and sustainable telehealth programs towards mitigating unmet disaster-related needs. Subjects and Methods: To assess Gulf Coast telehealth experiences, we conducted semistructured interviews with both regional key informants and national organizations with Gulf Coast recovery interests. Using qualitative-descriptive analysis, interview transcripts were analyzed to identify shared development themes. Results: Thirty-eight key informants were interviewed, representing a 77.6% participation rate among organizations engaged by the RCC. Seven elements critical to telehealth success were identified: Funding, Regulatory, Workflow, Attitudes, Personnel, Technology, and Evaluation. These key informant accounts reveal shared insights with telehealth regarding successes, challenges, and recommendations. Conclusions: The seven elements critical to telehealth success both confirm and organize development principles from a diverse collective of healthcare stakeholders. The structured nature of these insights suggests a generalizable framework upon which other organizations might develop telehealth strategies toward addressing high service needs with limited resources.