用于评估社区能力和虚拟医疗实施准备情况的综合评估工具。

IF 3.5 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Journal of Telemedicine and Telecare Pub Date : 2024-11-19 DOI:10.1177/1357633X241293854
Joseph P Deason, Scott J Adams, Amal Khan, Stacey Lovo, Ivar Mendez
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引用次数: 0

摘要

导言:虚拟医疗技术在临床应用中的快速发展和实施往往超过了标准化实施协议的制定,导致在公平和可持续地采用虚拟医疗服务方面存在差距,尤其是在农村和偏远地区。本文介绍了一种综合评估工具,旨在评估虚拟医疗的社区能力和准备情况:该工具的开发借鉴了萨斯喀彻温大学虚拟医疗和机器人项目的经验。它采用了一种多利益相关方合作的方法,让医疗保健领导者、IT 专家和社区医疗保健工作者参与其中。这一迭代过程包括定义评估类别、绘制评估领域图以及将工具完善为用户友好型核对表手册:结果:该工具确定了评估准备情况的三个关键领域:临床需求、技术基础设施和人力资源/工作流程。该工具在萨斯喀彻温省 Fond du Lac 的偏远社区进行了试点,成功地使该社区具备了实施远程机器人超声波服务的条件。该工具促进了当地的参与,并强调了社区的具体需求和准备情况,从而加强了实施过程:该评估工具有助于缩小虚拟医疗技术的快速部署与全面、标准化实施协议需求之间的差距。它提供了一种结构化的实用方法,用于评估和加强社区对虚拟医疗的准备程度,同时促进临床实施的成功和医疗服务的公平获取。
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A comprehensive evaluation tool to assess community capacity and readiness for virtual care implementation.

Introduction: The rapid evolution and implementation of virtual care technologies for clinical use often exceeds the development of standardized implementation protocols, leading to gaps in the equitable and sustainable adoption of virtual care services, particularly in rural and remote areas. This paper introduces a comprehensive evaluation tool designed to assess community capacity and readiness for virtual care.

Methods: The development of the tool was informed by experiences from the Virtual Care and Robotics Program at the University of Saskatchewan. It involved a collaborative, multi-stakeholder approach that engaged healthcare leaders, IT experts and community healthcare workers. This iterative process included defining evaluation categories, mapping evaluative domains and refining the tool into a user-friendly checklist manual.

Results: The tool identifies three key domains for assessing readiness: clinical needs, technology infrastructure and human resources/workflows. It was piloted in the remote community of Fond du Lac, Saskatchewan, where it successfully qualified the community for implementing telerobotic ultrasound services. The tool facilitated local engagement and highlighted the community's specific needs and readiness, enhancing the implementation process.

Conclusion: This evaluation tool contributes to bridging the gap between the rapid deployment of virtual care technologies and the need for comprehensive, standardized implementation protocols. It offers a structured, practical approach to assessing and enhancing community readiness for virtual care while promoting successful clinical implementation and equitable access to healthcare.

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来源期刊
CiteScore
14.10
自引率
10.60%
发文量
174
审稿时长
6-12 weeks
期刊介绍: Journal of Telemedicine and Telecare provides excellent peer reviewed coverage of developments in telemedicine and e-health and is now widely recognised as the leading journal in its field. Contributions from around the world provide a unique perspective on how different countries and health systems are using new technology in health care. Sections within the journal include technology updates, editorials, original articles, research tutorials, educational material, review articles and reports from various telemedicine organisations. A subscription to this journal will help you to stay up-to-date in this fast moving and growing area of medicine.
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