Telemedicine, rural elderly, and policy issues.
Telemedicine, rural elderly, and policy issues.
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DOI：
10.1300/j031v13n04_04
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发表时间：
2001-01-01
影响因子：
5.1
通讯作者：
Dudley, K C
中科院分区：
文献类型：
--
作者：
Goins, R T;Kategile, U;Dudley, K C
从历史上看，美国农村一直很难为居民提供医疗保健，特别是虚弱的老年人口。与更多城市地区的卫生保健相比，农村卫生保健经常面临卫生保健专家短缺、设施设备较差以及资源不足的问题。预计远程医疗的使用将有助于解决向农村老年人提供保健服务所面临的许多问题。本文回顾了一些为老年人提供服务的创新项目。此外，本文还讨论了在远程医疗能够充分发挥其在改善获得医疗保健方面的潜力之前需要解决的几个问题，包括报销政策、患者和提供者的责任和保密以及支持远程医疗的基础设施。尽管电信在满足虚弱孤寡老人的护理需求方面具有巨大潜力，但如果没有全面的报销政策、远程会诊道德行为准则、可接受的患者记录安全措施以及适当和兼容的基础设施，这种潜力就不可能完全实现。
Historically, rural America has had a difficult time providing health care to its residents, particularly its frail elderly population. Rural health care is often faced with a shortage of health care specialists, facilities with inferior equipment, and insufficient resources compared to health care in more urban areas. It is anticipated that the use of telemedicine will help address many of the problems facing the delivery of health care services to rural elderly. This paper reviews some innovative projects delivering services to the elderly. Also, the paper discusses several issues that need to be addressed before telemedicine can reach its full potential in improving access to health care, including reimbursement policies, patient and provider liability and confidentiality, and the infrastructure supporting telemedicine. Although telecommunications has tremendous potential to address the care needs of frail isolated elderly, without comprehensive reimbursement policies, guidelines for ethical conduct of a teleconsultation, acceptable security measures of patient records, and adequate as well as compatible infrastructure, that potential cannot be completely realized.