FW-HTF-P: Telemedicine at Scale: Expanding the Healthcare Workforce and Healthcare Access

FW-HTF-P：大规模远程医疗：扩大医疗保健劳动力和医疗保健服务

• 批准号: 2026510
• 负责人: Helena Mentis
• 金额: $ 14.99万
• 依托单位: University of Maryland Baltimore County
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-01 至 2022-08-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=2026510&HistoricalAwards=false
• 关键词: FW; HTF; Telemedicine; Scale; Expanding

Access to emergency medical services (EMS) for both rural and urban populations is hampered by an overstretched healthcare workforce. Many healthcare issues do not need the resources of an emergency room or hospital. Instead, they would be better served through "hospital at home" medical care or specialized in-patient units. A versatile, mobile health workforce provides a scalable solution that can be grown out of the already existing EMS infrastructure and education pathways. For example, many entry-level medical personnel can provide immediate care in the field by tele-consulting with a single highly trained medical expert. One negative of this approach is that it increases the cognitive, communicative, and affective load on both the remote consultant and the local worker. Through a collaborative workshop, experimental study, and series of interviews, this project will identify the challenges and opportunities of many-to-one telemedicine. The aim is to provide a clear set of hypotheses towards the shape of the future EMS workforce, the training needed for that workforce, and the economic impact on the EMS workforce and healthcare costs. The project involves three major activities. The first activity will gather emergency healthcare leaders and educators, telemedicine system designers, and health economists for a workshop on Telemedicine-at-Scale, in order to explore the existing challenges, as well as potential directions for innovation. The aim is to define the problem space for work in this area, including new technologies that could be developed and the educational and fiscal models needed. The second activity is an exploratory study on collaboration challenges inherent in one-to-many telemedicine. This will include an assessment of the cognitive, communicative, and affective load experienced by both the field telemedic and the experienced clinician. The third main activity will connect the research team with community partners to understand the fiscal motivations and challenges of Telemedicine-at-Scale. The working hypothesis is that the telemedic in the field could be an entry-level pathway for high-school graduates interested in healthcare while also providing a first line of mobile healthcare providers to supplement an overstretched ambulance corps.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.

农村和城市人口获得紧急医疗服务（EMS）的机会受到过度紧张的卫生保健工作人员的阻碍。许多医疗保健问题不需要急诊室或医院的资源。相反，通过“在家医院”医疗护理或专门的住院单位，他们将得到更好的服务。一个多功能的、移动的卫生工作人员队伍提供了一个可扩展的解决方案，可以从现有的EMS基础设施和教育途径中发展出来。例如，许多初级医务人员可以通过与一名训练有素的医疗专家进行远程会诊，在现场提供即时护理。这种方法的一个缺点是，它增加了远程顾问和本地工作人员的认知、沟通和情感负荷。通过协作研讨会、实验研究和一系列采访，该项目将确定多对一远程医疗的挑战和机遇。其目的是提供一套明确的假设，对未来的EMS劳动力的形状，该劳动力所需的培训，以及对EMS劳动力和医疗保健成本的经济影响。该项目包括三项主要活动。第一项活动将聚集紧急医疗保健领导者和教育工作者，远程医疗系统设计师和卫生经济学家参加远程医疗研讨会，以探索现有的挑战以及潜在的创新方向。目的是确定这一领域工作的问题空间，包括可以开发的新技术以及所需的教育和财政模式。第二项活动是对一对多远程医疗固有的协作挑战进行探索性研究。这将包括对现场远程医疗和经验丰富的临床医生所经历的认知、沟通和情感负荷的评估。 第三项主要活动将把研究团队与社区合作伙伴联系起来，以了解大规模远程医疗的财政动机和挑战。工作的假设是，远程医疗领域可能是一个入门级的途径，高中毕业生有兴趣在医疗保健，同时也提供了第一线的移动的医疗服务提供者，以补充过度紧张的救护队。这个奖项反映了NSF的法定使命，并已被认为是值得的支持，通过评估使用基金会的智力价值和更广泛的影响审查标准。

项目成果

AR HMD for Remote Instruction in Healthcare

用于医疗保健远程指导的 AR HMD

• DOI: 10.1109/vrw55335.2022.00096
• 发表时间: 2022
• 期刊: 2022 IEEE Conference on Virtual Reality and 3D User Interfaces Abstracts and Workshops
• 作者: Mentis, Helena M.;Avellino, Ignacio;Seo, Jwawon
• 通讯作者: Seo, Jwawon

HoloMentor: Enabling Remote Instruction through Augmented Reality Mobile Views

HoloMentor：通过增强现实移动视图实现远程教学

• DOI: 10.1145/3567561
• 发表时间: 2023
• 期刊: Proceedings of the ACM on Human-Computer Interaction
• 作者: Seo, Jwawon;Avellino, Ignacio;Rajasagi, Damaruka Priya;Komlodi, Anita;Mentis, Helena M.
• 通讯作者: Mentis, Helena M.