Evaluation of a telemedicine demonstration project in the Magdalene Islands
Evaluation of a telemedicine demonstration project in the Magdalene Islands
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DOI：
10.1258/135763303321327948
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发表时间：
2003-01-01
影响因子：
4.7
通讯作者：
Labbé, F
中科院分区：
文献类型：
--
作者：
Fortin, JP;Gagnon, MP;Labbé, F
抹大拉群岛是位于圣劳伦斯湾中部的一个群岛，距离超区域医疗转诊中心超过1000公里。我们为抹大拉群岛的当地医院建立了一个远程医疗网络，并对其进行了评估。在为期13个月的研究期间，进行了118次传输。骨科和放射科是使用远程医疗最频繁的医学专科。存储和转发成像是最常用的技术，因为在整形外科和放射学中有大量的传输。各种医疗专科和心理社会服务使用视频会议，而实时成像（超声波）则用于妇产科。耳鼻喉科采用视频会议和成像相结合的方法。在研究期间，共有101例患者从远程会诊中受益。避免了8次紧急转院，15名需要选择性转院的病人通过远程医疗在当地得到了管理。对于保健提供者来说，远程医疗似乎是一种可以接受的提供专门服务的方式。然而，远程医疗的示范项目与“真实的生活”中的远程医疗利用有很大的不同。在整个保健系统中部署远程医疗将需要采取一种更有条理的办法。
The Magdalene Islands are an archipelago located in the middle of the Gulf of St Lawrence, more than 1000 km away from supra-regional medical referral centres. We have implemented and evaluated a telemedicine network for the local hospital on the Magdalene Islands. During a 13-month study period, 118 transmissions were made. Orthopaedics and radiology were the medical specialties that used telemedicine most frequently. Store-and-forward imaging was the technique used most often because of the large number of transmissions in orthopaedics and radiology. Various medical specialties and psychosocial services used videoconferencing, while realtime imaging (ultrasound) was used in gynaecology and obstetrics. A combination of videoconferencing and imaging was used for otolaryngology. A total of 101 individual patients benefited from a teleconsultation during the study period. Eight emergency transfers were avoided and 15 patients who would have required elective transfer were managed locally by telemedicine. For health-care providers, telemedicine seemed to be an acceptable way of delivering specialized services. Nevertheless, demonstration projects in telemedicine are quite different to 'real life' telemedicine utilization. Deployment of telemedicine in the health-care system as a whole will require a more structured approach.