院前急救环境中远程医疗的引入:一项试点研究。

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES International Journal of Telemedicine and Applications Pub Date : 2023-01-01 DOI:10.1155/2023/1171401
Christophe Jobé, Pierre-Nicolas Carron, Pierre Métrailler, Jean-Marc Bellagamba, Alexandre Briguet, Line Zurcher, Fabrice Dami
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引用次数: 3

摘要

背景:信息和通信技术的进步导致了远程医疗的应用,可以支持院前领域的护理人员。为了优化院前急救医生等现有资源,瑞士一个州的国家卫生服务局决定开展一项关于在院前急救环境中使用远程医疗可行性的试点研究。目的:主要目的是衡量通过远程医疗(tele-PHP)在远程PHP支持下无技术问题完成任务的数量。次要目标是评估该方案的安全性,并描述临床医生可以通过使用远程php做出的行动和决定。方法:这是一项前瞻性观察试点研究,涉及地面PHP或远程PHP调度的所有任务。收集地面PHP和远程PHP的严重程度评分、调度标准、行动和决策。结果:与救护车同时出动的有478例,其中68例(14%)是直接由远程出动的。在这些情况中,有三个在医务人员进行现场评价后必须改为现场PHP特派团。医护人员一到现场就取消了15个任务,6个任务遇到了连接问题。与护理人员同时派遣的44个PHP任务仅通过远程PHP完成,没有任何连接问题。护理人员和PHP估计,在66%的现场PHP任务和34%的远程PHP任务中,PHP提供了行动或决策。结论:这是瑞士首次使用远程PHP进行PHP调度。尽管执行的任务数量很少,但可以在经过精心挑选的情况下使用远程PHP,以减少对现场PHP的需要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Introduction of Telemedicine in a Prehospital Emergency Care Setting: A Pilot Study.

Background: Advances in information and communication technology have led to telemedicine applications that could support paramedics in the prehospital field. In an effort to optimise the available resources like prehospital emergency physicians (PHP), the State Health Services of a Swiss state decided to launch a pilot study on the feasibility of using telemedicine in the prehospital emergency setting.

Objective: The primary objective was to measure the number of missions completed without technical problems with remote PHP support through telemedicine (tele-PHP). The secondary objectives were to evaluate the safety of this protocol and to describe the actions and decisions that clinicians can make by using tele-PHP.

Methods: This was a prospective observational pilot study on all missions involving the dispatch of ground PHP or tele-PHP. The severity score, dispatch criteria, actions, and decisions made by ground PHP and tele-PHP were collected.

Results: PHP were dispatched simultaneously with an ambulance on 478 occasions, including 68 (14%) situations that started directly with tele-PHP. Among those situations, three had to be transformed into on-site PHP missions after the on-site evaluation by paramedics. Fifteen missions were cancelled by paramedics once they were on site, and six missions encountered a connection issue. Forty-four PHP missions that were dispatched simultaneously with paramedics were completed by tele-PHP only without any connection problems. Paramedics and PHP estimated that actions or decisions were provided by PHP in 66% of the on-site PHP missions and 34% of the tele-PHP missions.

Conclusions: This is the first experience of tele-PHP regarding PHP dispatch in Switzerland. Despite the small number of missions carried out, tele-PHP could be used for well-selected situations to reduce the need for a PHP on site.

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来源期刊
CiteScore
6.90
自引率
2.30%
发文量
19
审稿时长
12 weeks
期刊介绍: The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.
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