远距医疗的需求.ppt

Method A review of systematic reviews of telemedicine interventions was conducted. Interventions included all e-health interventions, information and communication technologies for communication in health care, Internet based interventions for diagnosis and treatments, and social care if important part of health care and in collaboration with health care for patients with chronic conditions were considered relevant. Each potentially relevant systematic review was assessed in full text by one member of an external expert team, using a revised check list from EPOC (Cochrane Effective Practice and Organisation of Care Group) to assess quality. Qualitative analysis of the included reviews was informed by principles of realist review. Results In total 1593 titles/abstracts were identified. Following quality assessment, the review included 80 heterogeneous systematic reviews. Twenty-one reviews concluded that telemedicine is effective, 18 found that evidence is promising but incomplete and others that evidence is limited and inconsistent. Emerging themes are the particularly problematic nature of economic analyses of telemedicine, the benefits of telemedicine for patients, and telemedicine as complex and ongoing collaborative achievements in unpredictable processes. Conclusion The emergence of new topic areas in this dynamic field is notable and reviewers are starting to explore new questions beyond those of clinical and cost-effectiveness. Reviewers point to a continuing need for larger studies of telemedicine as controlled interventions, and more focus on patients’ perspectives, economic analyses and on telemedicine innovations as complex processes and ongoing collaborative achievements. Formative assessments are emerging as an area of interest. 敬請指較 遠距醫療 醫學資訊管理學 張慧朗等著 華杏 前言 遠距醫療(telemedicine )是利用遠距通訊傳遞醫學資訊的一種新的科技。除了病患的文字、影像資料外，還可以傳遞輔助診斷與治療的醫學必威体育精装版知識。 而更重要的，是開創了一種新的醫學溝通方式，使醫師與醫師之問、醫師與病人之間，可以進行同步與非同步之互動。 Wikipedia of telemedicine /wiki/Telemedicine From scholar goo