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E-Health readiness in outback communities: an exploratory study

机译:内陆社区的电子卫生准备情况:一项探索性研究

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Introduction:E-health has been a recurrent topic in health reform, yet its implementation, ultimate role and feasibility are yet to be clearly defined. Organisations such as the Royal Flying Doctor Service South East Section (RFDS SE) are in a position to utilise technology to enhance the effectiveness of existing clinical services for remote communities. The study aim was to explore the readiness of the remote population of far-west New South Wales, Australia, and RFDS SE as a monopoly service provider to take up e-health innovations.Methods:A convenience sample of patients sequentially attending 15 remote fly-in clinics conducted by RFDS SE medical officers were invited to participate in a semi-structured telephone survey using an established survey tool to gather quantitative and qualitative data. RFDS SE health staff and managers were also surveyed.Results:The overall core-readiness to embrace new e-health technologies was at a moderate level; barriers were mainly technical competence and technology availability. Enablers were willingness to learn and engage. The majority of patients did not feel isolated and had their health needs met; albeit there was interest in change if this improved outcomes. Video consultations for mental health and access to specialists were particularly welcome, although responses also indicated concern that video links might replace existing face-to-face services. Health staff saw the need for new technology to assist in healthcare provision but technology availability and support were flagged as key points. Organisational views as elicited from managers identified internal needs for workplace readiness to assist with adoption of new technology.Conclusions:Patients, healthcare providers and RFDS SE as an organisation are interested in engaging in e-health to improve the level of healthcare delivery. There are challenges around the technical capacity and the structural and organisational support for an e-health venture in an outback setting. Specific patient, healthcare provider and organisational needs have been identified and allow for the development of a tailor-made implementation strategy particularly to overcome technical challenges.
机译:简介:电子医疗一直是医疗改革中经常出现的话题,但其实施,最终作用和可行性尚待明确。皇家飞行医生服务东南部(RFDS SE)等组织可以利用技术来提高偏远社区现有临床服务的有效性。该研究的目的是探索澳大利亚新南威尔士州西部偏远地区的人口准备情况,以及RFDS SE作为进行电子医疗创新的垄断服务提供商。 -邀请RFDS SE医务人员在诊所进行的诊所使用已建立的调查工具参加半结构性电话调查,以收集定量和定性数据。结果:RFDS SE卫生工作人员和管理人员也接受了调查。结果:接受新的电子卫生技术的总体核心意愿处于中等水平;障碍主要是技术能力和技术可用性。推动者愿意学习和参与。大多数患者并没有感到孤立,无法满足他们的健康需求;如果能改善结果,人们就会对变革产生兴趣。关于精神卫生和专家咨询的视频咨询特别受到欢迎,尽管答复还表明,视频链接可能会取代现有的面对面服务。卫生人员认为需要新技术来协助提供医疗服务,但是技术可用性和支持被标记为关键点。经理提出的组织观点确定了工作场所准备就绪的内部需求,以协助采用新技术。结论:患者,医疗保健提供者和RFDS SE作为一个组织,对从事电子医疗以提高医疗保健水平感兴趣。在内陆地区,围绕电子医疗企业的技术能力以及结构和组织支持方面存在挑战。已经确定了特定的患者,医疗保健提供者和组织需求,并允许制定量身定制的实施策略,尤其是克服技术挑战。

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