Barriers, Legal Issues, Limitations and Ongoing Questions in Telemedicine Applied to Stroke
Barriers, Legal Issues, Limitations and Ongoing Questions in Telemedicine Applied to Stroke
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DOI：
10.1159/000213057
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发表时间：
2009-06-01
影响因子：
2.9
通讯作者：
Audebert, Heinrich J.
中科院分区：
文献类型：
--
作者：
de Bustos, Elisabeth Medeiros;Moulin, Thierry;Audebert, Heinrich J.
远程医疗服务的使用，如远程中风，仍然是高度分散的，其部署在一个综合的医疗保健系统是具有挑战性的。阻碍远程医疗发展的因素包括信心和医疗事故问题、技术进步、报销、许可、认证成本、成本效益和法律的问题。这些障碍，限制和要求，在日常使用的远程医疗进行审查，除了医疗活动，远程中风的目标，技术方面，资金，法律的问题，评价和质量管理。由于远程医疗在保健提供者之间形成了一种新的相互关系，因此需要在远程医疗服务中建立相互信任和接受。此外，教育和培训对于促进今后十年使用遥划技术至关重要。
The use of telemedicine services, such as telestroke, is still highly fragmented and its deployment in an integrative healthcare system is challenging. Factors impeding the growth of telemedicine include confidence and malpractice issues, technical advances, reimbursement, licensing, credentialing costs, cost effectiveness, and legal issues. These barriers, limitations and requirements in the routine use of telemedicine are reviewed, in addition to medical activities, the objectives of telestroke, technical aspects, funding, legal issues, evaluation and quality management. As telemedicine induces a new form of interrelationship between health care providers, mutual trust and acceptance need to be developed in telemedicine services. Furthermore, education and training will be crucial in order to facilitate the use of telestroke over the next decade.