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首页> 外文期刊>Journal of telemedicine and telecare >Adoption of telemedicine in Scottish remote and rural general practices: a qualitative study.
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Adoption of telemedicine in Scottish remote and rural general practices: a qualitative study.

机译：苏格兰偏远和农村普通实践中采用远程医疗的定性研究。

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摘要

We conducted a qualitative interview study to explore the factors that have facilitated and prevented the adoption of telemedicine in general practice in remote and rural Scotland. Face-to-face interviews were carried out with general practitioners (GPs) and practice nurses in 26 of Scotland's most remote practices and five of the seven most rural health boards. The interview study found that GPs were more positive about the use of computers and telemedicine than nurses. Although electronic access to simple data, such as laboratory results, had become widely accepted, most respondents had very little experience of more sophisticated telemedicine applications, such as videoconferencing. There was widespread scepticism about the potential usefulness of clinical applications of telemedicine, although it was perceived to have potential benefit in facilitating access to educational resources. A number of barriers to the adoption of telemedicine were reported, including concerns that videoconferencing could diminish the quality of communication in educational and clinical settings, and that telemedicine would not fit easily with the organizational routines of the practices. Policy-makers should prioritize strategies to develop educational programmes, as these are more likely to succeed than clinical initiatives. It may then follow that clinicians will see opportunities for use in their clinical work.
机译：我们进行了定性访谈研究，以探讨在苏格兰偏远和农村地区促进和阻止远程医疗普遍采用的因素。在苏格兰最偏远的26个诊所和七个乡村医疗委员会中的五个，与全科医生和执业护士进行了面对面的访谈。访谈研究发现，全科医生对计算机和远程医疗的使用比护士更积极。尽管通过电子方式获取诸如实验室结果之类的简单数据已被广泛接受，但大多数受访者对更复杂的远程医疗应用（如视频会议）的经验很少。尽管人们认为远程医疗在促进获得教育资源方面具有潜在的好处，但人们普遍对远程医疗的潜在用途持怀疑态度。据报道，采用远程医疗存在许多障碍，其中包括人们担心视频会议可能会降低教育和临床环境中的通信质量，并且人们担心远程医疗将不容易适应这种实践的组织惯例。政策制定者应优先考虑制定教育计划的策略，因为这些策略比临床计划更有可能成功。然后，临床医生将看到在其临床工作中使用的机会。

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