Telemedicine in South Africa: success or failure?
Telemedicine in South Africa: success or failure?
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DOI：
10.1258/1357633011937100
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发表时间：
2001-01-01
影响因子：
4.7
通讯作者：
Wynchank, S
中科院分区：
文献类型：
--
作者：
Gulube, SM;Wynchank, S
1998年计划为南非建立一个国家远程医疗系统。第一阶段从1999年开始，在6个省建立了28个试验点。最初的应用是远程放射学、产前服务的远程超声、远程病理学和远程眼科。远程医疗设备通过256kbit /s的ISDN连接。2000年1 - 9月，在西北省3个远程放射学传播点进行了2663次放射学研究，其中264次（10%）为远程放射学专家报告。2000年6月至8月，在北开普省进行了9次产前保健远程超声咨询，通过使用远程医疗避免了4次转诊。令人关切的一个领域是远程医疗系统的使用率相对较低，这引起了对其成本效益的质疑。南非远程医疗的经验证实，正如其他国家所发现的那样，共同的问题与引进远程医疗的技术和组织挑战有关。
A national telemedicine system for South Africa was planned in 1998. In the first phase, starting in 1999, 28 pilot sites were established in six provinces. The initial applications were teleradiology, tele-ultrasound for antenatal services, telepathology and tele-ophthalmology. Telemedicine equipment was connected by ISDN at 256 kbit/s. From January to September 2000, 2663 radiographic studies were performed at the three Northwest Province teleradiology transmission sites, of which 264 studies (10%) were selected for specialist radiologist reporting by teleradiology. From June to August 2000, nine antenatal care tele-ultrasound consultations were performed in the Northern Cape Province and four transfers were avoided through the use of telemedicine. One area of concern is the relatively low usage of the telemedicine system, which raises questions about its cost-effectiveness, The experience of telemedicine in South Africa confirmed, as others have found, that common problems relate to the technical and organizational challenges of introducing telemedicine.