Adoption of telemedicine: from pilot stage to routine delivery.
Adoption of telemedicine: from pilot stage to routine delivery.
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采用远程医疗：从试点阶段到常规交付。
DOI：
10.1186/1472-6947-12-1
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发表时间：
2012-01-04
影响因子：
3.5
通讯作者：
Wootton R
中科院分区：
文献类型：
--
作者：
Zanaboni P;Wootton R
如今，关于远程医疗为何停滞不前，有很多争论。远程放射学是唯一广泛应用的远程医疗。其他远程医疗应用似乎有望得到广泛应用，但它们仍处于早期采用阶段。本辩论文件的目的是更好地理解远程医疗的采用，帮助那些试图将应用从试点阶段转移到常规交付的人。我们调查了远程医疗停滞不前的原因，重点关注两个高层次的主题：1)与其他技术相比，采用远程医疗的过程；2)远程医疗被广泛采用的因素。对于每个主题，我们都制定了假设。首先，用户的优势是医疗保健技术采用速度的关键决定因素。其次，远程医疗的采用与其他卫生技术类似，并遵循s型logistic增长曲线。第三，成本效益的证据是广泛采用远程医疗的必要条件，但不是充分条件。第四，在广泛采用远程医疗之前，需要对参与提供服务的保健专业人员进行个人激励。远程医疗的广泛采用是一项重大挑战，需要通过新的研究方向来加强。我们提出了四个假设，它们都可以通过实验验证。特别是，我们认为应该从大规模实施的应用程序中收集有关远程医疗采用的数据，以检验远程医疗采用遵循s型增长曲线的假设。这将使人们更好地了解这一过程，从而在未来加速采用新的远程医疗应用。还需要进行研究，为潜在的远程医疗用户确定适当的财政和专业激励措施，并了解其对广泛采用的重要性。
Today there is much debate about why telemedicine has stalled. Teleradiology is the only widespread telemedicine application. Other telemedicine applications appear to be promising candidates for widespread use, but they remain in the early adoption stage. The objective of this debate paper is to achieve a better understanding of the adoption of telemedicine, to assist those trying to move applications from pilot stage to routine delivery. We have investigated the reasons why telemedicine has stalled by focusing on two, high-level topics: 1) the process of adoption of telemedicine in comparison with other technologies; and 2) the factors involved in the widespread adoption of telemedicine. For each topic, we have formulated hypotheses. First, the advantages for users are the crucial determinant of the speed of adoption of technology in healthcare. Second, the adoption of telemedicine is similar to that of other health technologies and follows an S-shaped logistic growth curve. Third, evidence of cost-effectiveness is a necessary but not sufficient condition for the widespread adoption of telemedicine. Fourth, personal incentives for the health professionals involved in service provision are needed before the widespread adoption of telemedicine will occur. The widespread adoption of telemedicine is a major -- and still underdeveloped -- challenge that needs to be strengthened through new research directions. We have formulated four hypotheses, which are all susceptible to experimental verification. In particular, we believe that data about the adoption of telemedicine should be collected from applications implemented on a large-scale, to test the assumption that the adoption of telemedicine follows an S-shaped growth curve. This will lead to a better understanding of the process, which will in turn accelerate the adoption of new telemedicine applications in future. Research is also required to identify suitable financial and professional incentives for potential telemedicine users and understand their importance for widespread adoption.
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DOI：
10.1089/153056203766437516
发表时间：
2003-06-01
期刊：
TELEMEDICINE JOURNAL AND E-HEALTH
影响因子：
--
作者：
Helitzer, D;Heath, D;Alverson, D
通讯作者：
Alverson, D
影响因子：
7.3
作者：
DAVIS, FD
通讯作者：
DAVIS, FD
DOI：
10.1186/1748-5908-1-18
发表时间：
2006-08-24
期刊：
Implementation science : IS
影响因子：
--
作者：
Gagnon MP;Duplantie J;Fortin JP;Landry R
通讯作者：
Landry R
DOI：
10.1186/1748-5908-5-30
发表时间：
2010-04-23
期刊：
Implementation science : IS
影响因子：
--
作者：
Gagnon MP;Ouimet M;Godin G;Rousseau M;Labrecque M;Leduc Y;Ben Abdeljelil A
通讯作者：
Ben Abdeljelil A
DOI：
10.1089/tmj.2007.0090
发表时间：
2007-12-01
期刊：
TELEMEDICINE JOURNAL AND E-HEALTH
影响因子：
--
作者：
Grigsby, Bill;Brega, Angela G.;Grigsby, Jim
通讯作者：
Grigsby, Jim