A decision support framework for telemedicine implementation in the developing world
A decision support framework for telemedicine implementation in the developing world
复制标题
发展中国家远程医疗实施的决策支持框架
DOI：
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发表时间：
2010
期刊：
影响因子：
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通讯作者：
Treurnicht Mj
中科院分区：
文献类型：
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作者：
Treurnicht Mj
事实证明，远程医疗成功地将专业保健带到了发展中国家的农村社区。南非已将远程医疗确定为其初级保健战略计划的一部分。开发了一个远程医疗工作站，作为满足这一需要的第一步。开发遵循技术推动战略，主要侧重于技术可能性，而不是人口的临床需求。技术与临床需求相关性的不确定性使实施进程陷入停滞，以至于试点实施被暂停。在该项目中，工作站的开发采用了临床拉动方法，以确保开发的技术满足患者的需求。临床拉动方法是通过制定决策支持框架来实现的，该框架协助远程医疗决策者进行有科学依据的需求评估。基本工程技术的创新应用创造了一套工具，结合在决策支持框架。这些工具将用于未开发区域的远程医疗系统开发和实施。
Telemedicine has proven to be successful in bringing specialized healthcare to rural communities in developing countries. South Africa has identified telemedicine as part of its primary healthcare strategic plan. A telemedicine workstation was developed as a first step in addressing this need. The development followed a technology-push strategy, focusing primarily on technological possibilities rather than the clinical needs of the population. Uncertainty regarding the relevance of the technologies to the clinical needs stalled the implementation process, to the extent that a pilot implementation was suspended. In this project the development of the workstation was followed up by a clinical-pull approach to ensure that the technologies that are developed address the needs of the patients. The clinical-pull approach is achieved by the development of the decision support framework that assists telemedicine decision makers with a scientifically based needs assessment. The innovative application of basic engineering techniques creates a set of tools combined in the decision support framework. These tools will be used in telemedicine system development and implementation in unexplored regions.