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Development of an integrated telerehabilitation information management system to support remote wheelchair prescription.

机译：开发了集成的远程康复信息管理系统，以支持远程轮椅处方。

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摘要

Information technology (IT) is central in providing Telerehabilitation (TR), which enables people with disabilities access to limited number of qualified practitioners with specialty expertise, especially at rural areas. Prior to 2008, most TR utilized non-integrated IT systems to provide its basic infrastructure. Using this approach, data management has to be done manually over multiple non-integrated systems, increasing the possibility of outdated or missing data. An integrated system that is open, flexible, extensible, and cost-effective was designed and developed as a solution to mitigate this problem. The work described in this dissertation elaborates the process of developing such system, called the Versatile and Integrated System for Telerehabilitation (VISYTER). VISYTER was intended to become a platform that is capable of delivering any TR, and was first used to support Remote Wheelchair Prescription (RWP), a TR effort to support clinicians in rural Pennsylvania to prescribe wheeled mobility and seating devices.;The development process of VISYTER consisted of three main phases: identification and verification of requirements, validation, and evaluation. The requirement identification and verification phase involved a group of expert clinicians from RWP with the purpose of identifying the requirement of the system to support RWP: a system that can provide real-time teleconsultation and documentation support for prescribing a wheeled mobility intervention. Validation studies were conducted with help from ten individuals, including physicians, clinicians, and suppliers participated to validate VISYTER in their workplaces. All participants agreed that VISYTER can be used to properly support both the teleconsultation and documentation phase of RWP. Afterward, the usability of VISYTER was evaluated through a comparison study with a commonly utilized videoconferencing system in TR, POLYCOM. Twenty-six clinicians participated in a counterbalanced experimental study to measure the difference in usability for completing client assessment tasks using both systems. The study found VISYTER to be more efficient and less prone to error when compared to POLYCOM. Based on these findings, the study concluded that an integrated system could improve the usability TR delivery when compared to non-integrated systems approach.
机译：信息技术（IT）在提供远程康复（TR）方面至关重要，该技术使残疾人能够接触到数量有限的具有专业知识的合格从业人员，特别是在农村地区。在2008年之前，大多数TR都使用非集成式IT系统来提供其基本基础结构。使用这种方法，必须在多个非集成系统上手动完成数据管理，从而增加了数据过时或丢失的可能性。设计并开发了一种开放，灵活，可扩展且具有成本效益的集成系统，作为缓解此问题的解决方案。本论文所描述的工作阐述了开发这种系统的过程，该系统被称为多功能和远程康复综合系统（VISYTER）。 VISYTER旨在成为一个能够提供任何TR的平台，并首先用于支持远程轮椅处方（RWP），TR旨在支持宾夕法尼亚州农村地区的临床医生开具轮式移动性和座椅设备。 VISYTER包含三个主要阶段：需求的识别和验证，确认和评估。需求识别和验证阶段涉及RWP的一组专家临床医生，其目的是识别支持RWP的系统的需求：该系统可以提供实时的远程咨询和文档支持，用于制定轮式出行干预措施。在包括医生，临床医生和供应商在内的十个人的帮助下进行了验证研究，以在他们的工作场所验证VISYTER。所有与会者都同意，VISYTER可用于适当地支持RWP的远程咨询和文档编制阶段。之后，通过与TR，POLYCOM中常用的视频会议系统的对比研究，评估了VISYTER的可用性。二十六名临床医生参加了一项平衡实验研究，以测量使用两种系统完成客户评估任务的可用性差异。研究发现，与POLYCOM相比，VISYTER效率更高，更不容易出错。基于这些发现，研究得出结论，与非集成系统方法相比，集成系统可以改善可用性TR的交付。

著录项

  • 作者

    Saptono, Andi.;

  • 作者单位

    University of Pittsburgh.;

  • 授予单位 University of Pittsburgh.;
  • 学科 Health Sciences Occupational Therapy.;Computer Science.;Health Sciences Health Care Management.
  • 学位 Ph.D.
  • 年度 2011
  • 页码 179 p.
  • 总页数 179
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

  • 入库时间 2022-08-17 11:44:33

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