Telemedicine in the Michigan Upper Peninsula region: an evaluation of the first five years

Telemedicine in the Michigan Upper Peninsula region: an evaluation of the first five years
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密歇根上半岛地区的远程医疗:前五年评估

DOI:
10.1258/1357633011936552
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发表时间:
2001
影响因子:
4.7
通讯作者:
S. Davis
S. Davis
中科院分区:
医学3区
文献类型:
--
作者:
P. Whitten;M. Eastin;S. Davis

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自1995年以来,一个远程医疗网络一直在密歇根州的上半岛地区运行。马奎特综合卫生系统(MGHS)是一家三级医院,为周边14个农村卫生设施和另外7个诊所提供远程医疗服务。为了评估北方邦地区远程医疗的状况及其发展潜力,对三个主要因素进行了评估:组织发展、远程医疗活动和主要参与者的看法。通过与5名MGHS远程医疗工作人员、10名医生(5名来自MGHS,5名来自周边农村地区)、14名远程医疗站点首席执行官中的13名以及对21名远程医疗站点协调员的调查收集了数据。对这一信息进行了分析,以便概述工作角色和职责;记录开展远程医疗的过程;并了解现行政策和程序。根据会议的目的分析了1995年至1999年的远程医疗活动。1999年,共举办了515次远程医疗会议,其中323次是非教育性的,192次是教育性的。大多数农村医院的首席执行官对进一步使用临床远程医疗应用感兴趣。数据还表明,对教育的需求很大,特别是对农村医生的需求。接受调查的人对MGHS远程医疗方案的总体看法是积极的。只要有可能,受访者很快就会称赞工作人员。已经雇用了新的远程医疗工作人员,这将使责任得以重新分配,从而建立一个更有效的系统。
A telemedicine network has operated in the Upper Peninsula (UP) region of Michigan since 1995. The Marquette General Health System (MGHS) is the tertiary hospital that provides telemedicine services to 14 surrounding rural health facilities and another seven clinics. In order to assess the state of telemedicine in the UP region and its potential for development, three main factors were assessed: organizational development, telemedicine activity and perceptions of the key players. Data were collected through interviews with five MGHS telemedicine staff, 10 physicians (five from the MGHS and five from surrounding rural areas), 13 of the 14 chief executive officers (CEOs) of the remote telemedicine sites and a survey of 21 telemedicine site coordinators. This information was analysed in order to outline job roles and responsibilities; to document the process of doing telemedicine; and to understand current policies and procedures. Telemedicine activity from 1995 to 1999 was analysed in terms of the purpose of the session. In 1999, a total of 515 telemedicine sessions were conducted, 323 being non-educational and 192 being educational. Most CEOs of the rural hospitals were interested in furthering their use of clinical telemedicine applications. The data also indicated a great need for education, particularly of the rural physicians. The overall view of those surveyed about MGHS's telemedicine programme was positive. Respondents were quick to compliment the staff whenever possible. New telemedicine staff have been employed, which will allow responsibilities to be reassigned in such a way as to create a more efficient system.
DOI: 10.1089/tmj.1.1995.1.203
发表时间: 1995
期刊: Telemedicine journal : the official journal of the American Telemedicine Association.
影响因子: --
作者:
Whitten,PS;Allen,A
通讯作者: Allen,A