Toward the development of national telehealth services: the role of Veterans Health Administration and future directions for research.
Toward the development of national telehealth services: the role of Veterans Health Administration and future directions for research.
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发展国家远程医疗服务：退伍军人健康管理局的作用和未来的研究方向。
DOI：
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发表时间：
2010
期刊：
影响因子：
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通讯作者：
Ralph H. Johnson
中科院分区：
文献类型：
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作者：
Peter W. Tuerk;J. Fortney;H. Bosworth;B. Wakefield;K. Ruggiero;R. Acierno;B. Frueh;Ralph H. Johnson
退伍军人事务部(退伍军人事务部)的退伍军人健康管理局(VHA)已成为提供和研究远程保健治疗的国家和国际领先者。退伍军人管理局的几个独特的护理特征交织在一起，为远程医疗模式和研究创造了一个理想的环境。然而，如果远程医疗策略不能广泛地输出到其他公共或私人系统，则远程医疗体验和计划在退伍军人管理局的价值是有限的。像退伍军人管理局这样的层级组织可以根据提供者和患者的偏好以及不断增长的知识库相对较快地进行创新并为变化提供资金，而其他医疗提供者组织和第三方付款人可能需要随着时间的推移而需要可复制的科学发现，然后才会进行增量投资来创建基础设施、改革监管障碍和修改法律以适应远程医疗模式的扩展。因此，在VHA环境下进行大规模科学严谨的远程医疗研究不仅对于调查VHA现有和未来远程医疗实践的有效性至关重要，而且对于加快私营和其他公共卫生环境中远程医疗基础设施的发展也是至关重要的。我们建议扩大退伍军人管理局、美国国立卫生研究院和其他资助机构之间的合作伙伴关系，以调查远程医疗技术的创造性和实用性的使用。为此，我们确定了六个具体的研究领域，我们认为这些研究领域与在志愿人员管理局以外的民事和军事背景下有效发展远程保健模式特别相关。
The Veterans Health Administration (VHA) in the Department of Veteran Affairs (VA) has emerged as a national and international leader in the delivery and research of telehealth-based treatment. Several unique characteristics of care in VA settings intersect to create an ideal environment for telehealth modalities and research. However, the value of telehealth experience and initiatives in VA settings is limited if telehealth strategies cannot be widely exported to other public or private systems. Whereas a hierarchical organization, such as VA, can innovate and fund change relatively quickly based on provider and patient preferences and a growing knowledge base, other health provider organizations and third-party payers may likely require replicable scientific findings over time before incremental investments will be made to create infrastructure, reform regulatory barriers, and amend laws to accommodate expansion of telehealth modalities. Accordingly, large-scale scientifically rigorous telehealth research in VHA settings is essential not only to investigate the efficacy of existing and future telehealth practices in VHA, but also to hasten the development of telehealth infrastructure in private and other public health settings. We propose an expanded partnership between the VA, NIH, and other funding agencies to investigate creative and pragmatic uses of telehealth technology. To this end, we identify six specific areas of research we believe to be particularly relevant to the efficient development of telehealth modalities in civilian and military contexts outside VHA.
影响因子：
17.7
作者：
Ruskin, PE;Silver-Aylaian, M;Hauser, P
通讯作者：
Hauser, P